WorldWideScience

Sample records for policy act-regulations implementing

  1. Implementing public employment policy

    DEFF Research Database (Denmark)

    Larsen, Flemming; Bredgaard, Thomas

    . But there is an interesting question to investigate here: whether and if so how, NPM-inspired reforms are related to changes in employment policy towards a work-first approach? Are changes in public management systems created as deliberate policy changes, or do they bring about more indirect and unintended policy changes......Like most other areas within welfare policy, the employment and social policy areas are undergoing far-reaching changes in many countries. Partly in the shape of new forms of governance inspired by New Public Management (NPM), partly through new policies oriented towards activation and stronger...... disciplining of the unemployed (work first) (cf.Bredgaard & Larsen, 2005; Sol & Westerweld, 2005). It is, however, remarkable that in the research field there seems to be a division of labour so that changes in public administration and changes in the substance of employment policies are dealt with separately...

  2. Solving the Policy Implementation Problem

    Directory of Open Access Journals (Sweden)

    Gregg A. Garn

    1999-08-01

    Full Text Available When Republican legislators in Arizona failed to approve educational vouchers in four consecutive legislative sessions, a charter school program was approved as a compromise. The charter school policy was written during a special summer session and within three years, over 30,000 students were enrolled in 260 charter schools across the state. Republican policy makers, who failed to enact voucher legislation, proclaimed the charter school program to be an overwhelming success and protected it from amendments by Democrats and potential actions of bureaucrats that could have altered the policy intent. Research on the implementation of policy indicates that state and local implementors frequently undermine or alter legislative intentions. However, when Arizona policy makers approved the charter school policy, they overcame this persistent implementation phenomenon and, in fact, succeeded in preserving the legislative intentions in the working program. This policy study analyzes how they were able to achieve this elusive result. Key policy makers attended to four significant features of policy implementation in creating the charter school policy: communication, financial resources, implementor attitudes, and bureaucratic structure. Manipulating these key variables allowed policy makers to reduce implementation slippage.

  3. Road pricing policy implementation

    NARCIS (Netherlands)

    Vonk Noordegraaf, D.M.

    2016-01-01

    Urban areas suffer from the negative externalities of road transport like congested road networks, air pollution and road traffic accidents. A measure to reduce these negative externalities is road pricing, meaning policies that impose direct charges on road use (Jones and Hervik, 1992). Since the

  4. Public Professionals and Policy implementation

    NARCIS (Netherlands)

    L.G. Tummers (Lars); B. Vermeeren (Brenda); A.J. Steijn (Bram); V.J.J.M. Bekkers (Victor)

    2012-01-01

    textabstractNowadays, public policies often focus on economic values, such as efficiency and financial transparency. Public professionals often resist implementing such policies. We analyse this using the concept of ‘role conflicts’. We use a novel approach by conceptualizing and measuring

  5. Improving policy implementation through collaborative policymaking

    DEFF Research Database (Denmark)

    Ansell, Christopher; Sørensen, Eva; Torfing, Jacob

    2017-01-01

    We offer a fresh perspective on implementation problems by suggesting that collaborative policy design and adaptive policy implementation will help public policy makers to improve policy execution. Classical implementation theories have focused too narrowly on administrative stumbling blocks and ...... collaborative policymaking and adaptive policy implementation might work in theory and practice......We offer a fresh perspective on implementation problems by suggesting that collaborative policy design and adaptive policy implementation will help public policy makers to improve policy execution. Classical implementation theories have focused too narrowly on administrative stumbling blocks...... and New Public Management has reinforced the split between politics and administration. Attempts to improve policy implementation must begin by looking at policy design, which can be improved through collaboration and deliberation between upstream and downstream actors. We provide a broad overview of how...

  6. Implementing risk-based policies

    International Nuclear Information System (INIS)

    Barill, T.

    1992-01-01

    The principle of risk-based policy is that the protection of human health and the environment is best determined on a case-by-case basis, rather than by a set level of contamination. This paper discusses common techniques used by environmental professionals to effectively implement risk-based policy. Once understood, these principles can be easily applied to provide flexibility in terms of cleanup levels, operations levels and permitting/reporting requirements. Regulations at all levels currently refer to or require assessments of health risk. including RCRA Corrective Action, the Clean Air Act, the Clean Water Act and the Toxics Substances Control Act. A fundamental problem with quantitative risk assessments is that they are based on extrapolating data from a set of laboratory conditions to the real world. A set limit, while easier to handle, allows less contaminated areas to become more contaminated and may require an excessively low cleanup level for more contaminated areas. By using relative risk in assessing a site, factors such as background levels, current and future land use, and health risk can be taken into account

  7. Research on policy implementation: Assessment and prospect

    NARCIS (Netherlands)

    O'Toole, Laurence J.

    2000-01-01

    While policy implementation no longer frames the core question of public management and public policy, some scholars have debated appropriate steps for revitalization. And the practical world stands just as much in need now of valid knowledge about policy implementation as ever. Where has all the

  8. Education and Homeless Youth: Policy Implementations

    Science.gov (United States)

    Center for Higher Education Policy Analysis, University of Southern California, 2007

    2007-01-01

    "The Navigator" is a free newsletter published by the Center for Higher Education Policy Analysis (CHEPA) focusing on directions and trends in higher education policy. The theme of this issue is: "Education and Homeless Youth: Policy Implementations." The lead article, authored by CHEPA director William G. Tierney, describes CHEPA's study of the…

  9. Implementation of Staff Recruitment Policies and Diversity ...

    African Journals Online (AJOL)

    This paper reports on the findings of a study that delved into these reasons, with specific reference to staff recruitment policies and their implementation. It reports that the fairness of the universities' employee recruitment guidelines and the way these are implemented are significantly and positively with the universities' ...

  10. Nigeria and the enigma of policy implementation | Nnajiofor ...

    African Journals Online (AJOL)

    ... biases and lack of political will/ attitude to policy implementation are the paradoxes of policy implementations. The study shows that until policies are implemented, development of our nation will be unattainable. This calls for a change of attitude on the part of policy implementers and the target beneficiary of public policy.

  11. Environmental policy implementation in developing countries

    International Nuclear Information System (INIS)

    Gamman, J.K.

    1990-01-01

    This study examines why national and international policies intended to protect limited natural resources in developing countries are not effectively implemented. It employs a comparative-policy implementation in three developing countries, Barbados, St. Lucia and St. Kitts, and three foreign assistance agencies, the US Agency for International Development, the Inter-American Development Bank and the Organization of American States. The decision-making process within the countries and donor agencies is closed, preventing key stakeholders from participating. In two instances, the mutually reinforcing behavior of top officials in the countries and the donor agencies led to decisions that prevented natural resources from being protected. In all three cases, strategies to implement environmental policies failed to account for four major elements: national politics, behavior in the donor agency, the culture of decision making, and economic necessity. The existing-decision making process in both developing countries and donor agencies is dysfunctional

  12. Scientific Integrity Policy Creation and Implementation.

    Science.gov (United States)

    Koizumi, K.

    2017-12-01

    Ensuring the integrity of science was a priority for the Obama Administration. In March 2009, President Obama issued a Presidential Memorandum that recognized the need for the public to be able to trust the science and scientific process informing public policy decisions. In 2010, the White House Office of Science and Technology Policy (OSTP) issued a Memorandum providing guidelines for Federal departments and agencies to follow in developing scientific integrity policies. This Memorandum describes minimum standards for: (1) strengthening the foundations of scientific integrity in government, including by shielding scientific data and analysis from inappropriate political influence; (2) improving public communication about science and technology by promoting openness and transparency; (3) enhancing the ability of Federal Advisory Committees to provide independent scientific advice; and (4) supporting the professional development of government scientists and engineers. The Memorandum called upon the heads of departments and agencies to develop scientific integrity policies that meet these requirements. At the end of the Obama Administration, 24 Federal departments and agencies had developed and implemented scientific integrity policies consistent with the OSTP guidelines. This year, there are significant questions as to the Trump Administration's commitment to these scientific integrity policies and interest in the Congress in codifying these policies in law. The session will provide an update on the status of agency scientific integrity policies and legislation.

  13. [Generic drug policy implementation in Brazil].

    Science.gov (United States)

    Dias, Cláudia Regina Cilento; Romano-Lieber, Nicolina Silvana

    2006-08-01

    A generic drug policy has been implemented in Brazil since 1999. Several political and administrative stages transpired between enactment of the legislation and the actual marketing and consumption of these drugs. This article describes the policy implementation process and examines the country's generic drug legislation, approved from 1999 to 2002. To contextualize these measures, the study compares articles published by two national periodicals and interviews with a government representative involved in drafting the legislation and a representative from the pharmaceutical industry. Generic drugs quickly gained considerable space in the Brazilian pharmaceutical market. Ongoing adaptation of the legislation, media support, and the government's involvement in spreading the policy were key success factors. The population's access to medicines did not increase significantly, but people can now purchase medicines at more affordable prices and with quality assurance and interchangeability.

  14. Rational Choise and Policy Implementation; Implications for Interorganizational Network Management

    NARCIS (Netherlands)

    O'Toole, Laurence J.

    1995-01-01

    Research on interorganizational policy implementation continues to be characterized by diverse theoretical approaches. It is perhaps surprising to observe, however, that formal and especially rational-choice approaches have been essentially neglected in the study of policy implementation processes.

  15. Disability Policy Implementation From a Cross-Cultural Perspective.

    Science.gov (United States)

    Verdugo, Miguel A; Jenaro, Cristina; Calvo, Isabel; Navas, Patricia

    2017-07-01

    Implementation of disability policy is influenced by social, political, and cultural factors. Based on published work, this article discusses four guidelines considered critical for successful policy implementation from a cross-cultural perspective. These guidelines are to: (a) base policy implementation on a contextual analysis, (b) employ a value-based approach, (c) align the service delivery system both vertically and horizontally, and (d) engage in a partnership in policy implementation. Public policy should be understood from a systems perspective that includes cross-cultural issues, such as how different stakeholders are acting and the way they plan and implement policy.

  16. Disability Policy Implementation from a Cross-Cultural Perspective

    Science.gov (United States)

    Verdugo, Miguel A.; Jenaro, Cristina; Calvo, Isabel; Navas, Patricia

    2017-01-01

    Implementation of disability policy is influenced by social, political, and cultural factors. Based on published work, this article discusses four guidelines considered critical for successful policy implementation from a cross-cultural perspective. These guidelines are to: (a) base policy implementation on a contextual analysis, (b) employ a…

  17. [Municipal health policy planning and implementation].

    Science.gov (United States)

    Vilasbôas, Ana Luiza Queiroz; Paim, Jairnilson Silva

    2008-06-01

    Municipal health policy planning can include exemplary practices for expanding the population's access to health services. The current study seeks to analyze the limits and possibilities of planning practices for policy implementation by a municipal health department. The empirical data were analyzed based on a concept of planning practices and the theoretical link between the three spheres of government and the postulate of coherence. The use of unstructured strategic planning practices by the management team allowed a significant expansion in the supply of services to the population, but lacked the scope to overcome the limits imposed on the organization's governability by the health services funding model, characterized by strong induction from the federal level. The project was the most robust vertex in the government triangle and led to the development of initial expertise by the municipal management team, thereby ensuring a certain level of governability over the health project. The goals of increasing the supply of health services were constrained by the method's weakness and the organization's institutional insipience.

  18. Lifelong Learning: Concept, Policy, Instruments and Implementation

    Directory of Open Access Journals (Sweden)

    Metin TOPRAK

    2012-01-01

    Full Text Available European Union has started an education & training initiative under the umbrella of lifelong learning to achieve the 2020 Agenda targets. Th is initiative has nearly half of a century time horizon, and all designed policies and measures have been consolidated under this initiative. Turkish Education authorities have been monitoring this European eff ort closely and made important legal and institutional regulations in recent couple of years. Th is study examines the primary aspects of lifelong learning in detail: conceptual and philosophical background; recognition strategies; the place of formal, non-formal and informal learning in the lifelong learning approach; financing and measurement ways of lifelong learning; and variety of perspectives of international institutions. In addition, education and training strategy of the Europe’s 2020 vision of lifelong learning is also evaluated in detail. Th e human resources vision of the Europe considers education, occupation and economic activities together to allow authorities to plan the future of the European societies. Th e updating mechanisms of this approach are designed both domestically at national and internationally at European levels. It is concluded, in this study, that the lifelong learning policy and implementation of the Europe should be taken as benchmark.

  19. Interorganizational Policy Studies: Lessons Drawn from Implementation Research

    NARCIS (Netherlands)

    O'Toole, Laurence J.

    1993-01-01

    Contingency approaches to organizing suggest that policy objectives are more likely to be achieved if the structures employed for implementation mesh with the policy objectives being sought. Interorganizational arrangements are used increasingly in carrying out public programs, and contingency logic

  20. Smoke-free policy implementation: theoretical and practical considerations.

    Science.gov (United States)

    Fallin, Amanda; Goodin, Amie; Rayens, Mary Kay; Morris, Sarah; Hahn, Ellen J

    2014-01-01

    Secondhand smoke exposure is a major public health issue, increasing the risk of cardiovascular and respiratory diseases and cancer. Although best practices for adopting smoke-free policy are well understood, there is limited research on the effective implementation of smoke-free policy. This article presents theoretical and practical considerations for smoke-free policy implementation in three Kentucky communities guided by the Institutional Analysis and Development (IAD) Framework. Although both Danville and Lexington-Fayette County, Kentucky have comprehensive smoke-free policies, Danville had more effective implementation, as well as better outcomes. Further study is needed to understand the critical elements of smoke-free policy implementation and their association with population outcomes. The IAD is a promising model to guide the study of both policy adoption and implementation. © The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  1. Implementation of pro-poor exemption policy in Tanzania: policy versus reality.

    Science.gov (United States)

    Idd, Aisha; Yohana, Odongo; Maluka, Stephen Oswald

    2013-01-01

    Like many other African countries, Tanzania has been implementing user fee policy in its health sector since the early 1990s. Accompanying user fee, mechanisms were designed that exempted the poor and vulnerable groups of the society from paying user charges. Although studies on the implementation of exemption policies in Tanzania exist, very few have documented the actual process of translating exemption policies into actions-the process of implementation. Drawing from policy analysis and implementation theories, this paper documents the implementation of the waiver (need-based exemptions) policy in Tanzania. The findings indicate that waiver systems, while potentially effective in principle, were ineffective in implementation. Lack of specification of criteria by which the poor could be identified made policy implementers at different levels to implement the policy in their own style. Low level of public awareness about the existence of waiver mechanisms hindered the poor to demand exemptions. Furthermore, fear of loss of revenue at the health facilities and ineffective enforcement mechanisms provided little incentives for local government leaders and health workers to communicate the policy to beneficiaries. It is concluded from this study that to better achieve the objectives of the pro-poor exemption policy, it is important to engage policy implementers more actively in the management and implementation of policies. Additionally, it is imperative to understand the behaviour and practices of policy implementers, especially district health managers, health workers and village and ward leaders, who may react negatively to new policies and implement the policies in ways contrary to what policy makers had intended. Copyright © 2013 John Wiley & Sons, Ltd.

  2. Implementing the South African water policy: holding the vision ...

    African Journals Online (AJOL)

    Implementing the South African water policy: holding the vision while exploring an uncharted mountain. HM MacKay, KH Rogers, DJ Roux. Abstract. This paper discusses the long-term implementation of the South African National Water Policy of 1997, and addresses some of the difficult issues of the management and ...

  3. Absolute abundance and relative scarcity : environmental policy with implementation lags

    NARCIS (Netherlands)

    Maria, di C.; Smulders, Sjak; Werf, van der E.

    2012-01-01

    We study the effectiveness of environmental policy in a model with nonrenewable resources and an unavoidable implementation lag. We find that a time lag between the announcement and the implementation of an emissions quota induces an increase in emissions in the period between the policy's

  4. NIGERIA AND THE ENIGMA OF POLICY IMPLEMENTATION Osita ...

    African Journals Online (AJOL)

    NGOZI

    mal- implemented to benefit only a section of the society. The burden of this paper; however is to critically explore the reasons that militate against effective implementation of policies in Nigeria and proffer solutions to these perennial problems in Nigeria. CONCEPT CLARIFICATION: Public Policy: Different definitions of ...

  5. Arts Curriculum Implementation: "Adopt and Adapt" as Policy Translation

    Science.gov (United States)

    Chapman, Sian; Wright, Peter; Pascoe, Robin

    2018-01-01

    This article examines macro, meso, and micro understandings of policy enactment within Western Australian primary school arts education where a new national arts curriculum is being revised and implemented through a process colloquially known as "adopt and adapt." This article focuses on how a government-led implementation policy has…

  6. Developing and implementing global gender policy to reduce HIV ...

    African Journals Online (AJOL)

    Developing and implementing global gender policy to reduce HIV and AIDS in low- and middle -income countries: Policy makers' perspectives. ... Gender inequalities have been recognised as central to the HIV epidemic for many years. In response, a range of gender policies have been developed in attempts to mitigate ...

  7. Language Policy for Education in Multilingual India: Issues and Implementation.

    Science.gov (United States)

    Sridhar, Kamal K.

    A discussion of language policy in India's educational system identifies substantive issues of both theoretical and comparative interest; presents a detailed account of the issues associated with policy-making for language in education in the Indian socio-political context; and discusses the current status of implementation of these policies, with…

  8. Stakeholder engagement for improved school policy: development and implementation.

    Science.gov (United States)

    2010-01-01

    The health and education departments of government share a responsibility for promoting the health of children through policies in the school setting. These policies can be enhanced through the involvement of such stakeholders as school personnel, students, parents or caregivers, health professionals, the non-profit sector and industry. Although there is little evidence-based literature on the roles of stakeholders in school policy development and implementation, stakeholder involvement appears to be critical throughout the policy process. This article discusses stakeholder involvement in the development and implementation of school policies that promote and support healthy eating and physical activity. Canadian examples illustrate stakeholder engagement in this context.

  9. Environmental Education Policy Implementation Challenges in ...

    African Journals Online (AJOL)

    This paper analyses teachers' responses to the introduction of environmental education policy in Botswana's primary schools. The 1994 Revised National Policy on Education introduced environmental education into the education system through an infusion approach. This paper reflects on some of the issues and ...

  10. Ideology, Policy and Implementation: Comparative Perspectives ...

    African Journals Online (AJOL)

    This paper provides an exposition and interpretation of the language policies of two African universities, namely the University of Yaoundé 1 in Cameroon and the University of the Western ... Keywords: Language Ideologies, Language Attitudes, Language Policy, University of the Western Cape, University of Yaoundé 1 ...

  11. Explaining willingness of public professionals to implement new policies: A policy alienation framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars)

    2010-01-01

    textabstractNowadays, public professionals are often unwilling to implement new policies. We analyse this problem using an interdisciplinary approach, combining public administration and change management literature. From public administration, we use the policy alienation concept, consisting of

  12. Implementing evidence-based policy in a network setting: road safety policy in the Netherlands.

    Science.gov (United States)

    Bax, Charlotte; de Jong, Martin; Koppenjan, Joop

    2010-01-01

    In the early 1990s, in order to improve road safety in The Netherlands, the Institute for Road Safety Research (SWOV) developed an evidence-based "Sustainable Safety" concept. Based on this concept, Dutch road safety policy, was seen as successful and as a best practice in Europe. In The Netherlands, the policy context has now changed from a sectoral policy setting towards a fragmented network in which safety is a facet of other transport-related policies. In this contribution, it is argued that the implementation strategy underlying Sustainable Safety should be aligned with the changed context. In order to explore the adjustments needed, two perspectives of policy implementation are discussed: (1) national evidence-based policies with sectoral implementation; and (2) decentralized negotiation on transport policy in which road safety is but one aspect. We argue that the latter approach matches the characteristics of the newly evolved policy context best, and conclude with recommendations for reformulating the implementation strategy.

  13. 7 CFR 1940.305 - Policy implementation.

    Science.gov (United States)

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS..., the guide must be consistent with and reflect the objectives and policies contained in § 1940.304 of this subpart. At the same time, however, it must be tailored to take into account important State...

  14. The establishment and implementation of safety culture policy in Indonesia

    International Nuclear Information System (INIS)

    Antariksawan, A.R.; Suharno; Arbie, B.

    2001-01-01

    This paper describes the progress in the establishment and implementation of safety culture in Indonesia, especially in BATAN, with special attention given to the development of safety culture indicators. The spirit of safety culture implementation is marked firstly by declaration of Policy Statement by the Head of BATAN. In order to monitor the implementation of safety culture, six indicators are established. Based on those indicators, it is seemed that at present the progress of implementation of safety culture is quite good enough. (author)

  15. Multinational surveys for monitoring eHealth policy implementations

    DEFF Research Database (Denmark)

    Gilstad, Heidi; Faxvaag, Arild; Hyppönen, Hannele

    2014-01-01

    Development of multinational variables for monitoring eHealth policy implementations is a complex task and requires multidisciplinary, knowledgebased international collaboration. Experts in an interdisciplinary workshop identified useful data and pitfalls for comparative variable development...

  16. Evaluation of complete streets policy implementation by metropolitan planning organizations.

    Science.gov (United States)

    2015-09-01

    Over the last ten years, communities around the country have begun to implement comprehensive reforms : designed to ensure that roadway users of all ages and abilities can safely utilize the transportation system. : This complete streets policy frame...

  17. Policy Implementation Decentralization Government in Indonesia

    Directory of Open Access Journals (Sweden)

    Kardin M. Simanjuntak

    2015-06-01

    Full Text Available Decentralization in Indonesia is that reforms not completed and until the current implementation is not maximized or have not been successful. The essence of decentralization is internalising cost and benefit' for the people and how the government closer to the people. That's the most important essence of essence 'decentralization’. However, the implementation of decentralization in Indonesia is still far from the expectations. It is shown that only benefits of decentralization elite and local authorities, decentralization is a neo-liberal octopus, decentralization of public services are lacking in character, decentralization without institutional efficiency, decentralization fosters corruption in the area, and quasi-fiscal decentralization.

  18. From mental health policy development in Ghana to implementation ...

    African Journals Online (AJOL)

    Suggested steps to overcoming the barriers include: revision of mental health policy and legislation; training and capacity development and wider consultation. Conclusion: These results call for well-articulated plans to address the barriers to the implementation of mental health policy in Ghana to reduce the burden ...

  19. Explaining the willingness of public professionals to implement new policies: A policy alienation framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars)

    2011-01-01

    textabstractNowadays, many public policies focus on economic values, such as efficiency and client choice. Public professionals often show resistance to implementing such policies. We analyse this problem using an interdisciplinary approach. From public administration, we draw on the policy

  20. Implementing national qualifications framework policy | Kilfoil | South ...

    African Journals Online (AJOL)

    This article reflects on the implementation of the National Qualifications Framework at tertiary level, using the University of South Africa as a case study and the five stated goals of the NQF as the criteria for measuring the success or otherwise of the enterprise. A brief description is given of the initiatives at Unisa and certain ...

  1. Public policy action and CCC implementation: benefits and hurdles.

    Science.gov (United States)

    Steger, Carter; Daniel, Kelley; Gurian, Gary L; Petherick, J T; Stockmyer, Chris; David, Annette M; Miller, Sara E

    2010-12-01

    Policy change continues to be an increasingly effective means of advancing the agenda of comprehensive cancer control. Efforts have moved progressively from describing how public policy can enhance the comprehensive cancer control agenda to implementation of public policy best practices at both the state and federal levels. The current political and economic contexts bring additional challenges and opportunities to the efforts surrounding comprehensive cancer control and policy. The purpose of this paper is to highlight recent policy successes, to illustrate the importance of policy as a means of advancing the comprehensive cancer control agenda, and to discuss continued policy action as we move forward in a time of healthcare reform and continuing economic uncertainty.

  2. Development of a South African cybersecurity policy implementation framework

    CSIR Research Space (South Africa)

    Jansen van Vuuren, JC

    2013-03-01

    Full Text Available of the policy is still in its very early stages. In this paper, the authors propose and describe a possible cybersecurity implementation framework for South Africa. This implementation framework is based on previous analysis of structures in other countries, a...

  3. Challenges in actual implementation of health policies: a review of ...

    African Journals Online (AJOL)

    Challenges in actual implementation of health policies: a review of payment exemption in Nigeria. CA Onoka, OE Onwujekwe, BSC Uzochukwu. Abstract. Background: As a response to the negative impact of implementation of user fees for health care services, an exemption scheme from payment was developed in many ...

  4. Implementation research evidence uptake and use for policy-making

    Directory of Open Access Journals (Sweden)

    Panisset Ulysses

    2012-07-01

    Full Text Available Abstract A major obstacle to the progress of the Millennium Development Goals has been the inability of health systems in many low- and middle-income countries to effectively implement evidence-informed interventions. This article discusses the relationships between implementation research and knowledge translation and identifies the role of implementation research in the design and execution of evidence-informed policy. After a discussion of the benefits and synergies needed to translate implementation research into action, the article discusses how implementation research can be used along the entire continuum of the use of evidence to inform policy. It provides specific examples of the use of implementation research in national level programmes by looking at the scale up of zinc for the treatment of childhood diarrhoea in Bangladesh and the scaling up of malaria treatment in Burkina Faso. A number of tested strategies to support the transfer of implementation research results into policy-making are provided to help meet the standards that are increasingly expected from evidence-informed policy-making practices.

  5. Implementing Health Policy: Lessons from the Scottish Well Men's Policy Initiative.

    Science.gov (United States)

    Douglas, Flora; van Teijlingen, Edwin; Smith, Cairns; Moffat, Mandy

    2015-01-01

    Little is known about how health professionals translate national government health policy directives into action. This paper examines that process using the so-called Well Men's Services (WMS) policy initiative as a 'real world' case study. The WMS were launched by the Scottish Government to address men's health inequalities. Our analysis aimed to develop a deeper understanding of policy implementation as it naturally occurred, used an analytical framework that was developed to reflect the 'rational planning' principles health professionals are commonly encouraged to use for implementation purposes. A mixed-methods qualitative enquiry using a data archive generated during the WMS policy evaluation was used to critically analyze (post hoc) the perspectives of national policy makers, and local health and social care professionals about the: (a) 'policy problem', (b) interventions intended to address the problem, and (c) anticipated policy outcomes. This analysis revealed four key themes: (1) ambiguity regarding the policy problem and means of intervention; (2) behavioral framing of the policy problem and intervention; (3) uncertainty about the policy evidence base and outcomes, and; (4) a focus on intervention as outcome . This study found that mechanistic planning heuristics (as a means of supporting implementation) fails to grapple with the indeterminate nature of population health problems. A new approach to planning and implementing public health interventions is required that recognises the complex and political nature of health problems; the inevitability of imperfect and contested evidence regarding intervention, and, future associated uncertainties.

  6. Highlights of policies, programmes and implementation

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    Energy consumption in India is growing at a steady rate of 6% per annum from 649 million tonnes of oil equivalent (MTOE) in 1973 to 2019 MTOE in 1993. At this rate, the per capita consumption of energy is projected to increase by 145% by the year 2010 from 226 kg to 554 kg of oil equivalent. Oil consumption is likely to grow by 5.25% per year to 149 MMT by the year 2010 from 62.4 MMTs in 1993-94, assuming a modest GDP growth rate of 5%. The share of oil and gas in primary energy consumption in India would be in the region of 38 to 40 per cent compared with the world average of 60 percent to 61 percent. India's demand for petroleum products is growing at a rapid rate, having virtually doubled from 30 million tonnes a year in 1980-81 to almost 60 million tonnes in 1992-93. Current estimates indicate that it would reach a level of about 80 million tonnes by 1996-97 and increase further to about 100 million tonnes by the year 2001-02. With a view to meeting this growing demand, the New Hydrocarbon Policy aims at a significant increase in investment in oil exploration and production

  7. Mechanisms of discretionary fiscal policy implementation at subfederal level

    Directory of Open Access Journals (Sweden)

    Alsu Mahmutovna Galiakhmetova

    2015-06-01

    Full Text Available Objective to identify new approaches to implementation of effective discretionary fiscal policy to stimulate socioeconomic development at the subfederal level. Methods the study used comparative methods of economic analysis and logic synthesis. The basic methodological principles were used like dialectical approach to the cognition of socioeconomic phenomena in the area of discretionary fiscal policy at the subfederal level in the context of the comprehensive objective and subjective factors as well as the methodological principle ndash the unity of historical and logical systematic approach to economic phenomena and processes of mechanisms formation for the implementation of discretionary fiscal policy. Results the diagnostics is conducted of the current socioeconomic processes in the region implemented by the Tatarstan executive bodies of state power and administration of discretionary policy in the sphere of agriculture the economic levers are considered that determine the mechanisms of maneuvering of the regional budget expenses that affect the acceleration of socioeconomic development. Scientific novelty the paper presents new approaches to the formation of mechanisms for the effective implementation of discretionary policy at the subfederal level. Practical value the main provisions and conclusions of the article can be used in scientific and pedagogical activity when considering the issues of the nature and trends of modern discretionary fiscal policy. nbsp

  8. Implementation of U.S. Policy in the Arctic

    Science.gov (United States)

    2013-05-23

    the Convention on International Trade in Endangered Species of Wild Fauna and Flora, the Convention on Long Range Transboundary Air Pollution and...security and economic goals. In light of these recent environmental changes around the globe, there has been an increase in human activity in the...these policies will shed light on how America has not adequately implemented its Arctic policy. Finally, at detailed assessment of actions taken by USG

  9. Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol.

    Science.gov (United States)

    Hongoro, Charles; Rutebemberwa, Elizeus; Twalo, Thembinkosi; Mwendera, Chikondi; Douglas, Mbuyiselo; Mukuru, Moses; Kasasa, Simon; Ssengooba, Freddie

    2018-01-01

    Policy implementation remains an under researched area in most low and middle income countries and it is not surprising that several policies are implemented without a systematic follow up of why and how they are working or failing. This study is part of a larger project called Supporting Policy Engagement for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda. It seeks to support policymakers monitor the implementation of vital programmes for the realisation of policy goals for Universal Health Coverage. A Policy Implementation Barometer (PIB) is proposed as a mechanism to provide feedback to the decision makers about the implementation of a selected set of policy programmes at various implementation levels (macro, meso and micro level). The main objective is to establish the extent of implementation of malaria, family planning and emergency obstetric care policies in Uganda and use these results to support stakeholder engagements for corrective action. This is the first PIB survey of the three planned surveys and its specific objectives include: assessment of the perceived appropriateness of implementation programmes to the identified policy problems; determination of enablers and constraints to implementation of the policies; comparison of on-line and face-to-face administration of the PIB questionnaire among target respondents; and documentation of stakeholder responses to PIB findings with regard to corrective actions for implementation. The PIB will be a descriptive and analytical study employing mixed methods in which both quantitative and qualitative data will be systematically collected and analysed. The first wave will focus on 10 districts and primary data will be collected through interviews. The study seeks to interview 570 respondents of which 120 will be selected at national level with 40 based on each of the three policy domains, 200 from 10 randomly selected districts, and 250 from 50 facilities. Half of the respondents at

  10. Implementation lessons for school food policies and marketing restrictions in the Philippines: a qualitative policy analysis.

    Science.gov (United States)

    Reeve, Erica; Thow, Anne Marie; Bell, Colin; Engelhardt, Katrin; Gamolo-Naliponguit, Ella Cecilia; Go, John Juliard; Sacks, Gary

    2018-01-23

    The school environment can enhance children's skills, knowledge and behaviours in relation to healthy eating. However, in many countries, unhealthy foods are commonly available in schools, and children can be exposed to aggressive marketing by the food industry. Taking the perspective of policymakers, this study aimed to identify barriers and enablers to effective school food policy development and implementation in the Philippines. In May 2016, semi-structured interviews were conducted with 21 policymakers and stakeholders involved in school food policymaking and implementation in the Philippines. The Health Policy Analysis Triangle was used to identify interview questions and to guide the thematic analysis. These included the political and socio-environmental context, strengths and limitations of existing policy content, roles and behaviours of actors, implementation processes, policy outcomes, and opportunities to improve policy coherence. The Department of Education's policy 'Orders' represented a relatively strong policy framework for the education sector of the Philippines. However, a lack of human and financial resources for implementation, planning, and policy enforcement limited the impact of the policy on the healthiness of school food provision. Ambiguity in policy wording allowed a wide interpretation of the foods eligible to be provided in schools, and led to difficulties in effective monitoring and enforcement. Food companies used existing relationships with schools to promote their brands and compromise the establishment of a stronger food policy agenda. We found a motivated group of actors engaging in policy-oriented learning and advocating for a stronger policy alternative so as to improve the school food environment. The adoption of policy mechanisms being used to promote healthy dietary practices in the school setting will be strengthened by more robust implementation planning processes, and resources to support implementation and enforcement

  11. Affective Policy Performance Evaluation Model: A Case of an International Trade Policy Implementation

    Directory of Open Access Journals (Sweden)

    Inwon Kang

    2018-01-01

    Full Text Available Firms often superficially adopt policies because of governmental rules and regulations, so as to avoid penalties or to gain benefits. However, the evaluation and characterization of those kinds of adoptions as policy performance distorts the true level of policy performance: social sustainability. This study proposes an affective policy performance evaluation model. The attitudes of employees toward adopting a policy are characterized into genuine and superficial compliance. Their behaviors are explained through voluntary and opportunistic adoptions. In order to validate the proposed model, a survey was conducted on an international trade policy target group (n = 216 for the Strategic Trade Control System (STCS, in order to understand their attitudes toward adopting the policy. The survey data was analyzed by a structural equation modeling method. The measures of the factors in the proposed model are adopted and modified from existing studies. The most effective resources of policy implementation on the firms’ genuine and superficial compliance and ultimately on the firms’ voluntary policy adoption are revealed through the analysis. Based on the results, this study presents a strategy for allocating and managing policy implementation resources to exclusively encourage firms’ trade policy adoptions.

  12. India′s draft National Health Policy, 2015: Improving policy to implementation effectiveness

    Directory of Open Access Journals (Sweden)

    Nata Menabde

    2015-01-01

    Full Text Available As the Government of India is working on drafting a new National Health Policy, developing national health accounts, and planning for a "health assurance mission," this opportunity has the potential to transform health status of millions of Indians and achieve universal health coverage. The draft of new National Health Policy of India was put in public domain for comments in early 2015. This editorial reviews the draft National Health Policy 2015 and proposes a few steps to improve implementation effectiveness.

  13. Policy Implementation beyond the Management of Change: A Case Study in Managing the Policy Process.

    Science.gov (United States)

    Welton, John; Evans, Jennifer

    Using the 1981 Education Act of England and Wales as a case study, this paper develops a conceptual framework of education legislation as a significant reference point in the process of negotiation and bargaining that initiates legislation and continues throughout the period of policy implementation. A model of the policy process and the…

  14. The implementation of the Nuclear Waste Policy Act of 1982

    International Nuclear Information System (INIS)

    Gale, R.W.

    1986-01-01

    This paper reviews the status of implementation of the Nuclear Waste Policy Act of 1982. The general conclusions are that the Act is a good one, although not perfect, and that it can be implemented on schedule if there can be better interaction between the Federal, State and Tribal entities with less resort to time consuming litigation. A review is made of the progress to date as it appears to the U.S. DOE

  15. Progress with Implementing Energy Efficiency Policies in the G8

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    At the 2008 G8 Summit in Hokkaido, leaders reaffirmed the critical role improved energy efficiency can play in addressing energy security, environmental and economic objectives. They went even farther than in previous Summits and committed to maximising implementation of the 25 IEA energy efficiency recommendations prepared for the G8. The imperative to enhance energy efficiency remains a priority for all countries. To support governments with their implementation of energy efficiency, the IEA recommended the adoption of a broad range of specific energy efficiency policy measures to the G8 Summits in 2006, 2007 and 2008. The consolidated set of recommendations from these Summits covers 25 fields of action across seven priority areas: cross-sectoral activity, buildings, appliances, lighting, transport, industry and power utilities. If governments want to significantly improve energy efficiency, the IEA considers that no single policy implemented in isolation will be effective at achieving this aim. The IEA Secretariat recommends that governments implement a full set of appropriate measures. The IEA estimates that if implemented globally without delay, the proposed actions could save around 8.2 GtCO2/yr by 2030 -- equivalent to twice the EU's yearly emissions. This report evaluates the progress of the G8 countries in implementing energy efficiency policy, including the 25 G8/IEA recommendations. Information in this report is current up to 31 March 2009.

  16. Extent of implementation of collection development policies in ...

    African Journals Online (AJOL)

    The study is a survey research on the extent of implementation of collection development policies in academic libraries in Imo state. The population of the study comprises five (5) academic libraries in the area of study. The academic libraries understudy are: Imo State University Owerri (IMSU), Federal University of ...

  17. From mental health policy development in Ghana to implementation ...

    African Journals Online (AJOL)

    6The Mental Health and Poverty Project (MHaPP) is a Research Programme Consortium (RPC) funded by the UK Department for. International ... improving mental health care delivery, progress in the implementation of mental health policy still remains slow in. Sub-Saharan Africa? A qualitative survey of a selected group of ...

  18. Promoting Implementation of Tobacco Control Laws and Policies in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Promoting Implementation of Tobacco Control Laws and Policies in Nigeria. The looming tobacco epidemic and its potential for thwarting development has prompted most governments in sub-Saharan Africa to ratify the World Health Organization's Framework Convention on Tobacco Control (WHO-FCTC). Ratifying ...

  19. Prohibiting physicians' dual practice in Iran: Policy options for implementation.

    Science.gov (United States)

    Bazyar, Mohammad; Rashidian, Arash; Jahanmehr, Nader; Behzadi, Faranak; Moghri, Javad; Doshmangir, Leila

    2018-04-23

    In Iran, based on the recent national policy documents, physician dual practice (PDP) has been prohibited. This study aimed to develop policy options (POs) to implement physicians' dual practice prohibition law in Iran. International evidence published in English and local documents published in Persian about PDP analyzed and results (advantages, disadvantages, challenges and requirements to ban PDP, and applied policies to limit the dual practice) were extracted. Results discussed among the research team in 5 rounds of meetings. In each meeting, any possible PO to limit PDP in Iran was proposed based on brainstorming technique and 12 POs were developed. These 12 POs and their advantages and disadvantages were discussed in a focus group discussion attended by 14 informed policy makers, and 3 additional POs were added. Fifteen POs were developed. Each PO has its own advantages and disadvantages. It is worth to highlight that not only are the proposed POs not mutually exclusive but they are also mutually reinforcing; that is, each of these POs can be applied alone or they can be implemented alongside each other simultaneously. No single optimal PO exists for dealing with the dual practice in Iranian health system. Implementing a mix of POs could reduce possible complications of each PO and increase the chance of successful implementation of the law. It is advisable to follow a conservative and incremental approach and start with POs that will cause less resistance and political challenges. Copyright © 2018 John Wiley & Sons, Ltd.

  20. Local Voice and Benefit in the Implementation of RWM Policy

    International Nuclear Information System (INIS)

    Blowers, Andrew

    2009-01-01

    In several countries key decisions have been taken on the options for the long-term management of radioactive waste and most have opted for deep geological disposal as the best available approach; in a few cases (Finland, Sweden, USA, France), progress has been made towards the selection of a site for a repository. The author considers that, as the emphasis shifts from the assessment of options to the implementation of proposals so there is a corresponding shift from generic to specific concerns and from national policy to specific and local siting issues. Questions of local voice and benefit, of involvement in decision making and the well being of communities come more and more to command the attention of policy makers. In setting out strategies for implementation it is necessary to take into account the contextualising elements which influence the framing and development of policy, among which three elements in particular: timescale, discourse, and community. Each of these three contextualising elements poses issues for the continuing implementation of policies and programmes of radioactive waste management. For the author, these key issues are fairness, power, and well being, and although there is manifestly a new approach to radioactive waste management, most countries are only at the beginning of the process of implementation. The politics and practicalities of introducing innovative approaches designed to transform perceptions and practices poses some difficult problems which can be identified by asking the questions: Where? How? When? and Who?

  1. Extent of implementation of Collection Development Policies (CDP ...

    African Journals Online (AJOL)

    The study was on the extent of implementation of collection development policies by public University libraries in the Niger Delta Area, Nigeria. Descriptive survey design was employed. Population for the study consisted of all the 16 Colle ction Development Librarians in the Area studied. No sample was used because the ...

  2. Towards implementing a records management policy at the National ...

    African Journals Online (AJOL)

    Towards implementing a records management policy at the National University of Science and Technology. ... records management committee that will facilitate and present records management plans and budgets to the top university management; promote awareness through extensive training of all staff handling records ...

  3. Implementing health policy: lessons from the Scottish Well Mens policy initiative

    Directory of Open Access Journals (Sweden)

    Flora Douglas

    2015-12-01

    Full Text Available Background: Little is known about how health professionals translate national government health policy directives into action. This paper examines that process using the so-called Well Men's Services (WMS policy initiative as a ‘real world’ case study. The WMS were launched by the Scottish Government to address men's health inequalities. Our analysis aimed to develop a deeper understanding of policy implementation as it naturally occurred, used an analytical framework that was developed to reflect the ‘rational planning' principles health professionals are commonly encouraged to use for implementation purposes. Methods and materials: A mixed-methods qualitative enquiry using a data archive generated during the WMS policy evaluation was used to critically analyze (post hoc the perspectives of national policy makers, and local health and social care professionals about the: (a ‘policy problem’, (b interventions intended to address the problem, and (c anticipated policy outcomes. Results and conclusions: This analysis revealed four key themes: (1 ambiguity regarding the policy problem and means of intervention; (2 behavioral framing of the policy problem and intervention; (3 uncertainty about the policy evidence base and outcomes, and; (4 a focus on intervention as outcome. This study found that mechanistic planning heuristics (as a means of supporting implementation fails to grapple with the indeterminate nature of population health problems. A new approach to planning and implementing public health interventions is required that recognises the complex and political nature of health problems; the inevitability of imperfect and contested evidence regarding intervention, and, future associated uncertainties.

  4. Implementing AIDS policy in post-apartheid South Africa.

    Science.gov (United States)

    Schneider, H; Stein, J

    2001-03-01

    In common with the rest of the Southern African sub-continent. South Africa is currently experiencing a serious HIV epidemic. When it came into power in 1994, the new, Mandela-led government immediately mobilised funds and adopted a far-reaching AIDS Plan for the country. However, the implementation of AIDS policy in the first four years after 1994 has been characterised by a lack of progress and a breakdown of trust and co-operation, both within government and between government and NGOs. This paper outlines the political context which shaped the development of the AIDS Policy, then examines the difficulties of implementing a comprehensive response to AIDS in a country undergoing restructuring at every level. It questions the notion of "inadequate political will" as an explanation for lack of progress. Involvement by politicians has, in fact, been experienced as a double-edged sword in South Africa, with inappropriate, "quick-fix" actions creating conflict and hampering a more longer-term, effective response. The paper also highlights the importance of groupings outside of government in promoting effective policy actions, and the types of leadership required to mobilise a broad range of actors around a common vision. It concludes by emphasising the need to develop approaches to policy implementation rooted in the possibilities and constraints of the local situation, rather than relying on universal blue-prints developed out of context.

  5. Progress Implementing the IEA 25 Energy Efficiency Policy Recommendations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    Significantly improving energy efficiency remains a priority for all countries. Meetings of G8 leaders and IEA ministers reaffirmed the critical role that improved energy efficiency can play in addressing energy security, environmental and economic challenges. Many IEA publications have also documented the essential role of energy efficiency. For example, the World Energy Outlook and the Energy Technology Perspectives reports identify energy efficiency as the most significant contributor to achieving energy security, economic and environmental goals. Energy efficiency is clearly the “first fuel” in the delivery of energy services in the coming low-carbon energy future. To support governments in their implementation of energy efficiency, the IEA recommended the adoption of specific energy efficiency policy measures to the G8 summits in 2006, 2007 and 2008. The consolidated set of recommendations to these summits is known as the ‘IEA 25 energy efficiency policy recommendations’ because it covers 25 fields of action across seven priority areas: cross-sectoral activity, buildings, appliances, lighting, transport, industry and energy utilities. The IEA estimates that if implemented globally without delay, the proposed actions could save as much as 7.6 giga tonnes (Gt) CO2/year by 2030 – almost 1.5 times the current annual carbon dioxide (CO2) emissions of the United States. The IEA 25 energy efficiency policy recommendations were developed to address policy gaps and priorities. This has two implications. First, the recommendations do not cover the full range of energy efficiency policy activity possible. Rather, they focus on priority energy efficiency policies identified by IEA analysis. Second, while IEA analysis, the energy efficiency professional literature and engagement with experts clearly demonstrate the broad benefits of these IEA priority measures, the recommendations are not weighted to reflect the different energy end-use make up of different

  6. 77 FR 75362 - Government in the Sunshine Act Regulations

    Science.gov (United States)

    2012-12-20

    ... EQUAL EMPLOYMENT OPPORTUNITY COMMISSION 29 CFR Part 1612 Government in the Sunshine Act Regulations CFR Correction 0 In Title 29 of the Code of Federal Regulations, Parts 900 to 1899, revised as of July 1, 2012, on page 266, in Sec. 1612.6 (b) the words ``2401 E Street NW., Washington, DC, 20506...

  7. 78 FR 6216 - Freedom of Information Act Regulations

    Science.gov (United States)

    2013-01-30

    ... Information Act Regulations AGENCY: Office of the Secretary, Interior. ACTION: Final rule; correction. SUMMARY: This document contains corrections to the final rule published on December 31, 2012 (77 FR 76898). The... document inadvertently omitted amendatory language needed to replace a phrase, to amend a sentence, and to...

  8. 76 FR 78977 - Real Estate Settlement Procedures Act (Regulation X)

    Science.gov (United States)

    2011-12-20

    ... other assessments or charges on the real property; (14) Rendering of services by a real estate agent or... Part 1024 Real Estate Settlement Procedures Act (Regulation X); Interim Final Rule #0;#0;Federal... Development's (HUD's) rulemaking authority for the Real Estate Settlement Procedures Act (RESPA) to the Bureau...

  9. 77 FR 56592 - Freedom of Information Act Regulations

    Science.gov (United States)

    2012-09-13

    ... RIN 1093-AA15 Freedom of Information Act Regulations AGENCY: Office of the Secretary, Interior. ACTION... under the Freedom of Information Act (``FOIA''). The revisions clarify and update procedures for... approaches that reduce burdens and maintain flexibility and freedom of choice for the public where these...

  10. 77 FR 66539 - Freedom of Information Act Regulations

    Science.gov (United States)

    2012-11-06

    ... CONCILIATION SERVICE 29 CFR Part 1401 RIN 3076-AA06 Freedom of Information Act Regulations AGENCY: Federal... Mediation and Conciliation Service (FMCS) rules relating to the Freedom of Information Act (FOIA). The final... Administrative practice and procedure, Freedom of information. For the reasons stated in the preamble, FMCS...

  11. From Tobacco to Obesity Prevention Policies: A Framework for Implementing Community-Driven Policy Change.

    Science.gov (United States)

    Walter, Lauren; Dumke, Kelly; Oliva, Ariana; Caesar, Emily; Phillips, Zoë; Lehman, Nathan; Aragon, Linda; Simon, Paul; Kuo, Tony

    2018-04-01

    Efforts to reverse the obesity epidemic require policy, systems, and environmental (PSE) change strategies. Despite the availability of evidence-based and other promising PSE interventions, limited evidence exists on the "how-to" of transitioning them into practice. For the past 13 years, the Los Angeles County Department of Public Health has been building capacity among community residents and other stakeholders to create effective community coalitions and to implement well-designed policy strategy campaigns using an evidence-based approach to policy change, the policy adoption model (PAM). Implementing a phase-based approach to policy change, the PAM was initially used to support the passage of over 140 tobacco control and prevention policies in Los Angeles County. Following these successes, Los Angeles County Department of Public Health applied the PAM to obesity prevention, operationalizing the policy process by training community residents and other stakeholders on the use of the model. The PAM has shown to be helpful in promoting PSE change in tobacco control and obesity prevention, suggesting a local-level model potentially applicable to other fields of public health seeking sustainable, community-driven policy change.

  12. School wellness team best practices to promote wellness policy implementation.

    Science.gov (United States)

    Profili, Erika; Rubio, Diana S; Lane, Hannah G; Jaspers, Lea H; Lopes, Megan S; Black, Maureen M; Hager, Erin R

    2017-08-01

    Schools with wellness teams are more likely to implement federally mandated Local Wellness Policies (LWPs, Local Education Agency-level policies for healthy eating/physical activity). Best practices have been developed for wellness teams based on minimal empirical evidence. The purpose of this study is to determine, among schools with wellness teams, associations between LWP implementation and six wellness team best practices (individually and as a sum score). An online survey targeting Maryland school wellness leaders/administrators (52.4% response rate, 2012-2013 school year) was administered that included LWP implementation (17-item scale: categorized as no, low, and high implementation) and six wellness team best practices. Analyses included multi-level multinomial logistic regression. Wellness teams were present in 311/707 (44.0%) schools, with no (19.6%), low (36.0%), and high (44.4%) LWP implementation. A sum score representing active wellness teams (mean=2.6) included: setting healthy eating/physical activity goals (66.9%), informing the public of LWP activities (71.4%), meeting ≥4times/year (45.8%), and having school staff (46.9%), parent (25.4%), or student (14.8%) representation. In adjusted models, goal setting, meeting ≥4times/year, and student representation were associated with high LWP implementation. For every one-unit increase in active wellness team sum score, schools were 41% more likely to be in high versus no implementation (Likelihood Ratio=1.41, 95% C.I.=1.13, 1.76). In conclusion, wellness teams meeting best practices are more likely to implement LWPs. Interventions should focus on the formation of wellness teams with recommended composition/activities. Study findings provide support for wellness team recommendations stemming from the 2016 Healthy, Hunger-Free Kids Act final rule. Copyright © 2017. Published by Elsevier Inc.

  13. Implementing a Pediatric Fall Prevention Policy and Program.

    Science.gov (United States)

    Murray, Elizabeth; Vess, Joy; Edlund, Barbara J

    2016-01-01

    Preventing patient falls begins with an accurate assessment of a patient's risk of falling followed by the initiation and continued evaluation of a fall prevention program based on patient-specific identified risks. Children have a normal tendency to fall based on developmental growth, and each child is different in physical and cognitive abilities. Falls may occur both in and out of the hospital setting. Prevention programs that have revealed the most favorable restuls include the use of a validated fall risk assessment tool. The Humpty Dumpty fall Scale is a screening tool specifically developed for pediatric patients to assess risk for fall. This project developed a pediatric fall prevention policy and implemented an inpatient pediatric fall prevention program. Pediatric staff contributed to the development of this policy and program by providing feedback, support, and cooperation, which was instrumental in the success of this program resulting in no falls after implementation.

  14. Developing and implementing an oral care policy and assessment tool.

    LENUS (Irish Health Repository)

    Stout, Michelle

    2012-01-09

    Oral hygiene is an essential aspect of nursing care. Poor oral care results in patients experiencing pain and discomfort, puts individuals at risk of nutritional deficiency and infection, and has an adverse effect on quality of life. This article describes how an oral care policy and assessment tool were updated to ensure the implementation of evidence-based practice at one hospital in the Republic of Ireland.

  15. From policy to practice: implementation of physical activity and food policies in schools.

    Science.gov (United States)

    Mâsse, Louise C; Naiman, Daniel; Naylor, Patti-Jean

    2013-06-03

    Public policies targeting the school setting are increasingly being used to address childhood obesity; however, their effectiveness depends on their implementation. This study explores the factors which impeded or facilitated the implementation of publicly mandated school-based physical activity and nutrition guidelines in the province of British Columbia (BC), Canada. Semi-structured interviews were conducted with 50 school informants (17 principals - 33 teacher/school informants) to examine the factors associated with the implementation of the mandated Daily Physical Activity (DPA) and Food and Beverage Sales in Schools (FBSS) guidelines. Coding used a constructivist grounded theory approach. The first five transcripts and every fifth transcript thereafter were coded by two independent coders with discrepancies reconciled by a third coder. Data was coded and analysed in the NVivo 9 software. Concept maps were developed and current theoretical perspectives were integrated in the later stages of analysis. The Diffusion of Innovations Model provided an organizing framework to present emergent themes. With the exception of triability (not relevant in the context of mandated guidelines/policies), the key attributes of the Diffusion of Innovations Model (relative advantage, compatibility, complexity, and observability) provided a robust framework for understanding themes associated with implementation of mandated guidelines. Specifically, implementation of the DPA and FBSS guidelines was facilitated by perceptions that they: were relatively advantageous compared to status quo; were compatible with school mandates and teaching philosophies; had observable positive impacts and impeded when perceived as complex to understand and implement. In addition, a number of contextual factors including availability of resources facilitated implementation. The enactment of mandated policies/guidelines for schools is considered an essential step in improving physical activity and

  16. Health-Education Policy Interface: The Implementation of the Eat Well Be Active Policies in Schools

    Science.gov (United States)

    Leow, Anthony Chee Siong; Macdonald, Doune; Hay, Peter; McCuaig, Louise

    2014-01-01

    While grappling with their traditional core business of imbuing students with official curricular knowledge, schools have simultaneously, increasing demands to take on health promotion responsibilities. This paper examines the mandated implementation of the Eat Well Be Active (EWBA) Action Plan and its subsidiary "Smart" policies in…

  17. Implementing European climate adaptation policy. How local policymakers react to European policy

    Directory of Open Access Journals (Sweden)

    Thomas Hartmann

    2015-04-01

    Full Text Available EU policy and projects have an increasing influence on policymaking for climate adaptation. This is especially evident in the development of new climate adaptation policies in transnational city networks. Until now, climate adaptation literature has paid little attention to the influence that these EU networks have on the adaptive capacity in cities. This paper uses two Dutch cities as an empirical base to evaluate the influence of two EU climate adaptation projects on both the experience of local public officials and the adaptive capacity in the respective cities. The main conclusion is that EU climate adaptation projects do not automatically lead to an increased adaptive capacity in the cities involved. This is due to the political opportunistic use of EU funding, which hampers the implementation of climate adaptation policies. Furthermore, these EU projects draw attention away from local network building focused on the development and implementation of climate adaptation policies. These factors have a negative cumulative impact on the performance of these transnational policy networks at the adaptive capacity level in the cities involved. Therefore, in order to strengthen the adaptive capacity in today’s European cities, a context-specific, integrative approach in urban planning is needed at all spatial levels. Hence, policy entrepreneurs should aim to create linkage between the issues in the transnational city network and the concerns in local politics and local networks.

  18. Implementation of Ecological Policies in Danube Delta Area

    Directory of Open Access Journals (Sweden)

    Trifon Belacurencu

    2007-04-01

    Full Text Available Public authorities and the local community have become lately increasingly aware of the complex relationship between the environment and the economic activity and of the need for integrating environmental requirements into economic activities. Therefore, a strategy that aims at a sustained development which takes into account the environmental aspects is imperative. Environmental policies represent a set of measures and tools with the objective of controlling and limiting the process of deterioration of environment quality. The design of environmental policies for the Danube Delta is not an easy task, due primarily to the major changes that affect the deltaic ecosystem, the patterns of behavior and consumption, poverty and isolation of the local communities, etc. The environmental policies in the Danube Delta have no longer an auxiliary role, rather reactive, but instead they are meant to set objectives at the economic, legal, educational and social levels and to guide the strategy for their achievement. In this paper I have outlined both the objectives of the environmental policies and the types of measures (general, direct and indirect for their implementation in the area of the Danube Delta.

  19. Sabbatical policies and their implementation at United States dental schools.

    Science.gov (United States)

    Neidle, E A

    1978-11-01

    An ad hoc Committee on Sabbaticals created by the Council of Faculties of the AADS surveyed sabbatical policies and their implementation at dental schools in the United States. Data from a questionnaire completed by 56 of 60 members of the Council of Faculties reveal that a majority of U.S. dental schools have sabbatical policies but that dental educators are less likely to apply for or to be awarded sabbaticals than educators from other parts of the university, except perhaps the medical school. Information was also obtained on the regulations governing sabbaticals--interval between leaves, rates of remuneration, and rules defining how the leave may be spent. Finally, suggestions are made as to how this important benefit of academic life might be made more available to dental educators.

  20. Policy options for effective REDD+ implementation in Indonesia

    DEFF Research Database (Denmark)

    Saito, Moeko; Sikor, T.; Kurniawan, Y.

    2015-01-01

    Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... the effective distribution of benefits on the basis of three village case studies in Kutai Barat district in the province of East Kalimantan. The case studies demonstrate that companies are unlikely to take up compensation payments for stopping large-scale activities that cause deforestation and forest......, and in particular recognition of customary forest tenure through communal titles, which is more advantageous than the transfer of individual titles to households....

  1. Policy options for effective REDD+ implementation in Indonesia

    DEFF Research Database (Denmark)

    Saito, Moeko; Sikor, T.; Kurniawan, Y.

    2015-01-01

    Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... the effective distribution of benefits on the basis of three village case studies in Kutai Barat district in the province of East Kalimantan. The case studies demonstrate that companies are unlikely to take up compensation payments for stopping large-scale activities that cause deforestation and forest...

  2. Technical analysis, contestation and politics in policy agenda setting and implementation

    NARCIS (Netherlands)

    Koduah, Augustina; Dijk, van Han; Agyepong, Irene Akua

    2016-01-01

    Background: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and implementation. This paper seeks to advance our understanding of health policy

  3. FLEXIBLE AND IMPROVED IMPLEMENTATION OF THE EUROPEAN NEIGHBOURHOOD POLICY

    Directory of Open Access Journals (Sweden)

    Marcela SLUSARCIUC

    2014-10-01

    Full Text Available The European Neighbourhood Policy is at crossroads meaning that the actual frame of geopolitical movements imposes a new reshaping mainly on the Eastern side caused by the Ukraine issue. The implementation of the ENP through the European Neighbourhood Partnership Instrument, financial umbrella for the Joint Operational Programmes (JOPs, is already a challenging exercise for the Member States working together with the Partner Countries in order to develop an area of prosperity and good neighbourliness. This paper proposes a pack of features and recommendations arisen from the experiences gained by the implementation bodies of the JOPs along the European Union Eastern border, beneficiaries and other experts in cross-border cooperation. The main issues approached aim the improvement of the future cross-border programmes in terms of flexibility, transparency and efficiency: stakeholders consultation all along the programme cycle, a new mix of funding sources, gradual involvement of new types of beneficiaries and programme evaluation.

  4. Ecosystem change and human health: implementation economics and policy.

    Science.gov (United States)

    Pattanayak, S K; Kramer, R A; Vincent, J R

    2017-06-05

    Several recent initiatives such as Planetary Health , EcoHealth and One Health claim that human health depends on flourishing natural ecosystems. However, little has been said about the operational and implementation challenges of health-oriented conservation actions on the ground. We contend that ecological-epidemiological research must be complemented by a form of implementation science that examines: (i) the links between specific conservation actions and the resulting ecological changes, and (ii) how this ecological change impacts human health and well-being, when human behaviours are considered. Drawing on the policy evaluation tradition in public economics, first, we present three examples of recent social science research on conservation interventions that affect human health. These examples are from low- and middle-income countries in the tropics and subtropics. Second, drawing on these examples, we present three propositions related to impact evaluation and non-market valuation that can help guide future multidisciplinary research on conservation and human health. Research guided by these propositions will allow stakeholders to determine how ecosystem-mediated strategies for health promotion compare with more conventional biomedical prevention and treatment strategies for safeguarding health.This article is part of the themed issue 'Conservation, biodiversity and infectious disease: scientific evidence and policy implications'. © 2017 The Authors.

  5. The implementation of payment reform upon policy innovation management

    Directory of Open Access Journals (Sweden)

    An-min WANG

    2014-08-01

    Full Text Available With the implementation of universal health care, participants are basically saturated and the increase space of the health insurance fund is limited, so the government proceeded the total amount control of medicare reform, medicare management into a new stage,which emphasized the importance of medicare quality. So the hospital has to face the challenge of policy management, cost control, and the best medical treatment should be linked with the business development. The hospital should change concepts and keep aware of the health care quality, implement the rules of the three reasonable requirements, relying on and striving for the health insurance policies. The limited medical resources could be fully applied by the innovation of health care management, such as cancer chemotherapy and single disease daytime ward, selective operation and oncology booking service. More effective services should be provided while developing key disciplines, developing new technology to improve the quality of the hospital,be initiative to meet the payment reform to achieve the same purpose of hospital,patients and the government.

  6. Policy Implementation Of Poverty Reduction In The District Kutai Kartanegara In East Kalimantan Province

    Directory of Open Access Journals (Sweden)

    Saipul

    2015-01-01

    Full Text Available ABSTRACT In the implementation of poverty reduction policies of Kutai Kartanegara regency factual research communication in the form of co-ordination Unit SKPD with the Local Government and Regional Work Unit is not maximized so that the Governments poverty reduction of Kutai Kartanegara Regency gives not optimal result as a concept in policy implementation by Goggin 1990 the similarity perception in implementing the policy is an essential condition for the successful implementation of the policy along with the division of functions and roles in the bureaucratic structure that implements public policy should be run and the executor implementor implementation of government policies either parallel or multilevel should make shapes patterns of certain communications in order to facilitate in making the relationship of the parties involved in the implementation of government policy.

  7. 48 CFR 52.222-13 - Compliance with Davis-Bacon and Related Act Regulations.

    Science.gov (United States)

    2010-10-01

    ...-Bacon and Related Act Regulations. 52.222-13 Section 52.222-13 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.222-13 Compliance with Davis-Bacon and Related Act Regulations. As prescribed in 22.407(a), insert the following clause: Compliance With Davis-Bacon and Related Act Regulations...

  8. Understanding Policy Intentions Is Critical for Successful Policy Implementation within the Technical and Vocational Education and Training College's Sector

    Science.gov (United States)

    Sebele, Ntlantla

    2015-01-01

    Public policy implementation is frequently regarded as problematic globally and reasons for these vary. In particular, the Technical and Vocational Education and Training (TVET) sector has been criticized for lack of delivery and most of the criticism is directed towards the non-implementation of government policy. In South Africa managers of TVET…

  9. Implementing the data preservation and open access policy in CMS

    International Nuclear Information System (INIS)

    Lassila-Perini, K; Lampén, T; Luukka, P; Alverson, G; Cabrillo, I; Calderon, A; Marco, J; Colling, D; Huffman, A; Hildreth, M; McCauley, T; Sonnenschein, L

    2014-01-01

    Implementation of the CMS policy on long-term data preservation, re-use and open access has started. Current practices in providing data additional to published papers and distributing simplified data-samples for outreach are promoted and consolidated. The first measures have been taken for analysis and data preservation for the internal use of the collaboration and for open access to part of the data. Two complementary approaches are followed. First, a virtual machine environment, which will pack all ingredients needed to compile and run a software release with which the legacy data was reconstructed. Second, a validation framework, maintaining the capability not only to read the old raw data, but also to reprocess them with an updated release or to another format to help ensure long-term reusability of the legacy data.

  10. Implementation of a financial guarantee policy at the CNSC

    International Nuclear Information System (INIS)

    Barker, R.

    2011-01-01

    The Canadian Nuclear Safety Commission (CNSC) was established in 2000 under the Nuclear Safety and Control Act (NSCA) to replace the Atomic Energy Control Board (AECB). Prior to the coming in force of the NSCA, financial guarantees associated with licensed activities were not prescribed in the Atomic Energy Control Act or its regulations. Under the NSCA, the Commission Tribunal 'the Commission' was given authority to impose conditions in licences requiring financial guarantees from licensees. Other provisions of the NSCA provided information on the application of financial guarantees and for refunds when decommissioning obligations had been met. Since 2000, the application of financial guarantees has been primarily focussed on licences issued pursuant to the Class I Nuclear Facilities Regulations and the Uranium Mines and Mills Regulations. This was to assure that the requirements for financial guarantees were initially directed at the high risk, complex facilities licensed by the CNSC. However, all licensees have not yet been required to provide a financial guarantee for all licensed facilities, activities or licence types. Additionally, CNSC expectations in relation to when financial guarantees, associated decommissioning plans and cost estimates need to be reviewed, updated and submitted, and what they should entail have been evolving, indicating a need for a clear CNSC policy on the subject. Consequently, the CNSC is proceeding with the development of a financial guarantee policy and implementation plan to assure that generators of nuclear waste will have the financial resources available to decommission nuclear facilities, operations and devices and that this activity will not fall to government as a future liability. This program will require approval by the Commission, planned for 2012. This paper will further describe this policy and its possible outcomes. (author)

  11. School Autonomy and Accountability in Thailand: Does the Gap between Policy Intent and Implementation Matter?

    Science.gov (United States)

    Patrinos, Harry Anthony; Arcia, Gustavo; Macdonald, Kevin

    2015-01-01

    This article contrasts policy intent and policy implementation in school autonomy and accountability. The analysis uses a conceptual framework based on the interaction between school autonomy, student assessment, and accountability as elements of a closed system. The article analyzes the implementation of school autonomy and accountability policy,…

  12. Analysis of Implementation The Policy on Malaria Elimination in Indonesia

    Directory of Open Access Journals (Sweden)

    Betty Roosihermiatie

    2016-01-01

    Full Text Available Background: As a tropic country Indonesia still faces malaria problems. In Asean, indonesia is one of three countries with the highest malaria morbidity. In 2007, 396 (80% of 495 districts/municipalities in indonesia are malaria. In 2009 the government issued a decree of the minister of health No 293 on malaria elimination. The study aimed to analyze the implementation decree of Ministry of Health No. 293/2009 on malaria elimination. Methods: It was a descriptive study. The study was conducted in 4 provinces, and 4 districts based on malaria elimination stages as in Bali province and Karangasem district, Riau islands province and Bintan district, West Nusa Tenggara province and west Lombok district, and Maluku province and South Halmahera district. The stakeholders were Heads and malaria programmers at province/district Health Offices and the related programs. Data were collected by focus group discussion and secondary data were taken. Data were collected by focus group discussion and secondary data. Analysis for Ministry of Health decree No.293 year 2009 on 1 Comphrehend, 2 Implementation, and, 3 Comittment, 4 Innovation intervension to support malaria elimination, 5 Sustainability of activity community empowerment, 6 Proportion of budget. Results: showed there was district that had not issued local policy on malaria elimination, the implementation with comittment especially that health centers in areas under study corfi rm diagnose by laboratory examination and malaria treatment by Artemisin Combined Therapy (ACT, although there were still treatment to clinical malaria, innovation activities were of bersifat local spesifi c, and reward for Juru Malaria Desa or malaria cadre to increase malaria suspect case detection, and with district budget for malaria program ranged 0,95-5,6% of the total budget. Recomendations: It suggested to advocate all malaria endemic areas to issue local policy on malaria elimination, decide intervension of the

  13. National ownership in the implementation of global climate policy in Uganda

    DEFF Research Database (Denmark)

    Olsen, K.H.

    2006-01-01

    first. Against this background, Uganda's policy response to climate change is reviewed. National climate policies are found not to exist, and the implementation of global policies is not integrated into national policy frameworks, partly due to conflicting national and global priorities. Given limited...... national awareness and the fact that climate policy is marginal compared to other national interests in Uganda, the experiences with donor support for the implementation of global climate policy nationally are analysed. This article demonstrates that neither national policies nor national management...

  14. From policy implementation to business process management : Principles for creating flexibility and agility

    NARCIS (Netherlands)

    Gong, Y.; Janssen, M.

    2012-01-01

    Organizations are required to comply with changes in legislation and policy. Yet the implementation of new legislation is often expensive, can have long lead times and is prone to failure. The existing situation significantly constrains policy-making. To improve this, policy makers and policy

  15. Solving the Policy Implementation Problem: The Case of Arizona Charter Schools.

    Science.gov (United States)

    Garn, Gregg A.

    1999-01-01

    Analyzes how Arizona charter school policymakers succeeded in preserving the legislative intentions of the state's charter school program. Identifies four key features of policy implementation that created the charter school policy: communication, financial resources, implementor attitudes, and bureaucratic structure. (SLD)

  16. 76 FR 59071 - Freedom of Information Act Regulations

    Science.gov (United States)

    2011-09-23

    ... reflect the current CIA organizational structure, record system configuration, and FOIA policies and... reflect the current CIA organizational structure, record system configuration, and FOIA policies and...

  17. Higher Education Policies and Their Implementations in Pakistan from Its Establishment to Date

    Directory of Open Access Journals (Sweden)

    M. Nur PAKDEMİRLİ

    2015-12-01

    Full Text Available akistan was a state established on August 14, 1947 with separation from India. From the beginning, new educational policies and plans including higher education was determined by almost all of the governments. Th ese new policies were sometimes considered as reforms. Refl ections of education policies and implementations varied over the time depending on the world-views of the leaders. In this paper, higher education policies and the implementations from its establishment to present time are discussed.

  18. Implementing section 1332, Energy Policy Act of 1992

    International Nuclear Information System (INIS)

    Atwood, T.

    1993-01-01

    Sections 1332 Clean Coal Technology, and 1608 Environmental Technology of the Energy Policy Act of 1992 (EPACT) describe two technology Transfer Programs for creating jobs and reducing the trade deficit for the US, through providing financial assistance for projects to improve energy efficiency and reduce environmental emissions including open-quotes Greenhouse Gases.close quotes These projects are to be located in countries which are supported by the Agency for International Development (AID) or in countries with an economy in transition from a non-market to a market economy. The legislation requires a very similar approach for the two programs. Working with AID the DOE is to: (1) complete in 150 days an agreement with the appropriate US agencies for conducting the program in the host countries; (2) issue in 240 days a list of potential projects; (3) within one year issue a solicitation and (4) within 120 days after receipt of proposals make selection. In addition, the programs are to develop a procedure for providing financial assistance to projects applying for solicitations in other countries. After an initial consultation with US Treasury, Export-Import Bank, Overseas Private Investment Corp. (OPIC), and AID concerning Organization for Economic Cooperative Development rules for export credits, and the most appropriate means of financing projects under the Transfer Programs, it became apparent that, in addition to providing financing for projects through DOE programs, a more efficient, economical and prudent approach to implementing a transfer program would involve the financing of projects through organizations already experienced in the development of overseas investments. The program approach for implementation of these technology transfer programs is discussed

  19. Employers and the Implementation of Active Labor Market Policies

    Directory of Open Access Journals (Sweden)

    Thomas Bredgaard

    2016-03-01

    Full Text Available Active labor market policies (ALMPs are an important instrument for governments in dealing with the new challenges of globalization, flexibilization, and individualization of labor markets. Politics and research has focused on the supply-side of the labor market, that is, regulating the rights and obligations of the target groups of ALMPs (mainly unemployed and inactive persons. The role and behavior of employers is under-researched and under-theorized in the vast literature on ALMPs and industrial relations. In this article, we analyze ALMPs from the employers’ perspective by examining the determinants of firms’ participation in providing wage subsidy jobs for the unemployed. First, we examine the historical background to the introduction and development of wage subsidy schemes as an important ALMP instrument in Denmark. Second, we derive theoretical arguments and hypotheses about employers’ participation in ALMPs from selected theories. Third, we use data from a survey of Danish firms conducted in 2013 to characterize the firms that are engaged in implementing wage subsidy jobs and hypotheses are tested using a binary logistical regression to establish why firms voluntarily engage in reintegrating unemployed back into the labor market. We find that the firms which are most likely to participate in the wage subsidy scheme are characterized by many unskilled workers, a higher coverage of collective agreements, a deteriorating economic situation, a Danish ownership structure, and are especially found in the public sector. This shows that the preference formation of firms is more complex than scholars often assume.

  20. Barriers to implementing a health policy curriculum in medical schools

    Directory of Open Access Journals (Sweden)

    Mohammed R

    2017-12-01

    Full Text Available Raihan Mohammed, Jamil Shah Foridi, Innocent OgunmwonyiFaculty of Medicine, University of Cambridge, Cambridge, UKAs clinical medical students, we read with great interest the perspective by Malik et al.1 Although medical schools excel at educating students on the pathology and treatment of diseases, we agree on the severe deficiency in teaching health policy (HP in the medical curriculum. However, the authors fail to include challenges facing this implementation, which is an important aspect of the analysis. Thus, here we outline 3 key barriers that must be considered when including HP teaching in the medical curricula.First, as the authors mention, the medical curriculum is already saturated and there is insufficient space to add obligatory HP learning in timetables. The UK curriculum is so packed that lecturers resort to teaching facts, which students then rote-learn and commit to memory. This leaves little time for students to develop a deep understanding of the pathophysiology of diseases and subsequent management, and they also fail to develop core lifelong skills, including problem solving and critical thinking.2 It is well acknowledged that the medical course is extremely rigorous, and up to 90% of students have admitted to suffering from stress and up to 75% have complained of burnout.3 With mental health issues among students reaching epidemic levels, adding HP lectures to the timetable would put undue strain on both the medical school curricula and the students.View the original article by Malik et al.

  1. Chain-computerisation for interorganisational public policy implementation : A new approach to developing non-intrusive information infrastructures that improve public policy implementation

    NARCIS (Netherlands)

    Grijpink, J.H.A.M.

    1999-01-01

    In two articles the author presents some key elements from his recently completed thesis about functional, non-intrusive information infrastructures for interorganisational public policy implementation. The development of these information infrastructures requires a new approach,

  2. Towards local implementation of Dutch health policy guidelines: a concept-mapping approach

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Bon-Martens, M.J.H. van; Goor, I.A.M. van de; Paulussen, T.G.W.M.; Oers, H.A.M. van

    2017-01-01

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful

  3. Towards local implementation of Dutch health policy guidelines : A concept-mapping approach

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Van Bon-martens, M.J.H.; Van De Goor, L.A.M.; Paulussen, T.G.W.M.; Van Oers, J.A.M.

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful

  4. E-Policy and higher education: from formulation to implementation ...

    African Journals Online (AJOL)

    In so doing, I provide a basis for discourse about current international trends influencing e-policy in higher education. In conclusion an analysis of the government's (South Africa) e-policy and its impact on the e-policy of higher education is also provided. South African Journal of Higher Education Vol. 21 (6) 2008: pp. 643- ...

  5. Implementational and Ideological Spaces in Bilingual Education Language Policy

    Science.gov (United States)

    Johnson, David Cassels

    2010-01-01

    This paper presents results from an ethnography of language policy which examined language policy appropriation for bilingual learners in a large urban US school district. The purpose of this article is to explore the space left by current US language policy for developmental bilingual education and, specifically, the focus is on how a group of…

  6. THE COMMON EU AGRICULTURAL POLICY AND ITS IMPLEMENTATION IN ROMANIA

    Directory of Open Access Journals (Sweden)

    PORUMBACEAN CLAUDIU

    2010-09-01

    Full Text Available Romania’s negotiations to become a European Union member were officially inaugurated on February 15, 2000. Agriculture is the largest negotiation chapter. The enlargement had and will certainly have positive effects upon the Romanian agriculture: stimulation of trade exchanges as a consequence of the dropping up of the customs duties, the increase of the agricultural products and,consequently, of the farmers’ income, the access to a much bigger market, of 450 million inhabitants.In order for the Romanian agricultural and food sector to become a competitive one, priority measures and steps are necessary both in the vegetal sector and in the animal-breeding and meat and diary products processing sectors. Once the enlargement achieved, Romanian agriculture is taking the advantage of different types of assistance within the framework of the CommonAgricultural Policy, but in order to absorb these funds it is important to know the governing principles. The basic principle of the community policy is to stimulate the farmers to adjust to the market signals, to produce what it is required to be produced on the market. Thus, the farmer will be determined to adjust the target with every quantity required, depending upon cost and qualitycompetitiveness. This concept is called “decoupling”, meaning the decoupling of the production subsidies and their connection to the surface.Romania’s tradition in animal-breeding for milk production may be an advantage for the implementation of chances to become an active participant to the intra-community trade. But tradition is not enough for Romania to be able to take advantage of the export opportunities. For this, we will have to improve the raw material milk quality and also of the products resulting from the processing, in order to allow the adjustment to the EU standards. Achieving the quality and cleaning parameters shall be performed by steps, until the end of the year 2009, mainly by adjusting the race

  7. National health insurance policy in Nepal: challenges for implementation

    Directory of Open Access Journals (Sweden)

    Shiva Raj Mishra

    2015-08-01

    Full Text Available The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9% and rural (59% discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015, the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  8. Interest Rate Dynamics and Monetary Policy Implementation in Switzerland

    OpenAIRE

    Puriya Abbassi; Dieter Nautz; Christian Offermanns

    2010-01-01

    The maturity of the operational target of monetary policy is a distinguishing feature of the SNB's operational framework of monetary policy. While most central banks use targets for the overnight rate to signal the policy-intended interest rate level, the SNB announces a target range for the three-month Libor. This paper investigates the working and the consequences of the SNB's unique operational framework for the behavior of Swiss money market rates before and during the financial crisis.

  9. An Analysis of Campus Violence Threat Assessment Policy Implementation at Michigan Community Colleges

    Science.gov (United States)

    Panico, Russell T., Jr.

    2016-01-01

    This dissertation evaluated campus violence threat assessment policy and procedure implementation at the community college level of higher education. The importance of this topic was to provide a manageable and collaborative initiative for leadership at institutions of higher learning to identify, develop, implement, and evaluate a policy that can…

  10. Characteristics and Differences of Lifelong Learning Policy Implementation for the Elderly in Thailand

    Science.gov (United States)

    Dhirathiti, Nopraenue S.; Pichitpatja, Pojjana

    2018-01-01

    The study examined the process of policy implementation of lifelong learning for the elderly in Thailand, covering four main regions within the country. The study empirically compared inputs, processes, outputs, and outcomes of policy implementation in the north, south, northeast, and central regions of Thailand and captured the rigor of policy…

  11. 77 FR 15052 - National Ocean Council-National Ocean Policy Draft Implementation Plan

    Science.gov (United States)

    2012-03-14

    ... QUALITY National Ocean Council--National Ocean Policy Draft Implementation Plan AGENCY: Council on... essential to public health and national security. Next, public comments on the draft Implementation Plan... Executive Order 13547 establishing a National Policy for the Stewardship of the Ocean, our Coasts, and the...

  12. How to manage barriers to formation and implementation of policy packages in transport

    DEFF Research Database (Denmark)

    Åkerman, Jonas; Gudmundsson, Henrik; Sørensen, Claus Hedegaard

    2011-01-01

    for policy formation and implementation. Secondly, we carried out an empirical analysis of barriers and success factors in four cases of policy packaging: Urban Congestion Charging; National Heavy Vehicle Fees; Aviation in the European Emissions Trading System and The EU’s First Railway Package. The third......The aim of this study has been to explore success factors and barriers to the formation and implementation of single policy measures and policy packages in transport, and to identify strategies to manage such barriers. As a first step, we developed a typology of barriers and success factors...... and final task was to identify more general strategies to manage barriers in policy formation and implementation. A main conclusion in this report is that a conscious application of these strategies may contribute significantly to successful formation and implementation of even controversial policies...

  13. The DOE's radioactively contaminated metal recycling: The policy and its implementation

    International Nuclear Information System (INIS)

    Warren, S.; Rizkalla, E.

    1997-01-01

    Millions of tons of potentially recoverable materials have accumulated over the years at U.S. DOE sites and facilities now undergrowing environmental restoration. These materials include thousands of tones of scrap metals, both radioactively contaminated and not. This article discusses the DOE's policy on contaminated metal recycling and its implementation in the following topic areas: the recycling policy concept; an innovative policy development approach; the policy itself; stakeholder input into the final policy; innovative approaches to implementation; other recycling initiatives; standardized LLW disposal container development. 3 figs

  14. Partners for a healthy city: implementing policies and environmental changes within organizations to promote health.

    Science.gov (United States)

    Feyerherm, Laura; Tibbits, Melissa; Wang, Hongmei; Schram, Sarah; Balluff, Mary

    2014-07-01

    Current research has suggested that obesity prevention efforts should promote policy and environmental changes. The Partners for a Healthy City project, implemented in Douglas County, Nebraska, focused on collaborating with local organizations to help them select and implement 1 or more policies that promoted healthy eating and physical activity. Of the 346 organizations participating in the project and completing the follow-up assessment, 92% implemented at least 1 new policy or expanded an existing policy related to healthy food and drink options and physical activity, totaling 952 individual policy changes. Common policies included providing water as the primary beverage and installing bike racks to support active commuting to and from work. These findings suggest widespread support for policy changes that promote community health.

  15. A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

    Directory of Open Access Journals (Sweden)

    Naima Laharnar

    2013-09-01

    Conclusion: CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA.

  16. Memoranda about Implementation of the Cancer Guidelines and Accompanying Supplemental Guidance - Science Policy Council Cancer Guidelines Implementation Workgroup Communication I and II

    Science.gov (United States)

    Memoranda from the Chair of EPA's Science Policy Council to the Science Policy Council and the Science Policy Council Steering Committee regarding Implementation of the Cancer Guidelines and Accompanying Supplemental Guidance.

  17. Promoting Implementation of Tobacco Control Laws and Policies in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Following an analysis of six possible areas for action, the government chose smoke-free initiatives and taxation disincentives as priorities. This grant will support enforcement of an existing smoke-free policy in Abuja State and its introduction in Osun State, and initiate policy discussion on the use of taxation as a tool for ...

  18. Towards the implementation of the Nigerian cultural policy for the ...

    African Journals Online (AJOL)

    Nigeria is among one of the African countries that took a cue from Ghana to formulate its national cultural policy at the insistence of the United Nations Education Scientific and Cultural Organisation (UNESCO). Since 1976 when Nigerian formulated her cultural policy till date (2009), gaping loopholes exist which hinder the ...

  19. Adopting and Implementing CSR Policies in Travel Agency Business: The Case of Romania

    Directory of Open Access Journals (Sweden)

    Ovidiu-Ioan Moisescu

    2015-12-01

    Full Text Available The paper investigates the extent to which Romania’s largest travel agencies adopt and implement corporate social responsibility (CSR policies, correlating these findings with their business performance reflected by their net turnover and net profit. In order to evaluate the level of CSR policies adoption and implementation, an online survey was conducted among top managers from each travel agency. The questionnaire comprised several sets of items reflecting workplace, environmental, marketplace, community, and, respectively, company values policies. Our results point to the fact that the CSR policies adopted and implemented to the highest degree are those concerning the marketplace, while the least embraced CSR policies refer to the environment. Our findings also suggest that there are several CSR policies which are adopted and implemented to a higher degree by larger travel agencies in terms of net turnover, while some other CSR policies are adopted more thoroughly by smaller ones. The results also indicate positive correlations between the profitability of travel agencies and the adoption and implementation of certain CSR policies. Last but not least, our research suggests that marketplace policies adoption and implementation could have a significant positive impact on business performance of travel agencies in terms of both net turnover and net profitability.

  20. The project organization as a policy tool in implementing welfare reforms in the public sector.

    Science.gov (United States)

    Jensen, Christian; Johansson, Staffan; Löfström, Mikael

    2013-01-01

    Organizational design is considered in policy literature as a forceful policy tool to put policy to action. However, previous research has not analyzed the project organization as a specific form of organizational design and, hence, has not given much attention to such organizations as a strategic choice when selecting policy tools. The purpose of the article is to investigate the project as a policy tool; how do such temporary organizations function as a specific form of organization when public policy is implemented? The article is based on a framework of policy implementation and is illustrated with two welfare reforms in the Swedish public sector, which were organized and implemented as project organizations. The case studies and the analysis show that it is crucial that a project organization fits into the overall governance structure when used as a policy tool. If not, the project will remain encapsulated and will not have sufficient impact on the permanent organizational structure. The concept of encapsulation indicates a need to protect the project from a potential hostile environment. The implication of this is that organizational design as a policy tool is a matter that deserves more attention in the strategic discussion on implementing public policies and on the suitability of using certain policy tools. Copyright © 2012 John Wiley & Sons, Ltd.

  1. Implementation challenges of free maternity services policy in Kenya: the health workers' perspective.

    Science.gov (United States)

    Wamalwa, Emmanuel Wekesa

    2015-01-01

    Kenya implemented the policy of free maternity services to reduce maternal mortality and morbidity. For successful implementation of this policy, there is need to monitor the implementation progress, identify the challenges and mitigate them and determine better strategies for implementation based on emerging implementation issues. This study was carried out to determine the challenges facing policy implementation and strategies for better implementation. This was a cross-sectional descriptive study carried at the Rift Valley Provincial General Hospital (RVPGH) and Bondeni maternity. All the staff who work at Bondeni Maternity (including nursing officer in-charge) were included in the study. All the staff who work at the Maternity Unit of the RVPGH were included in the study, as well as the Medical Superintendent of the facility. A total of 110 respondents were sampled. A questionnaire and interview guide were used to collect data. Data was analyzed using SPSS software. A response rate of 91% (n=100) was achieved. Major implementation challenges include inadequate supplies (86%), inadequate funding (38%), staff shortage (92%), lack of motivation among health workers (62%), overwhelming workload (89%) and abuse of services by clients (32%). Strategies for better implementation include employment of more staff, motivation of health workers, improvement in policy financing, training of health workers and provision of adequate supplies. Implementation of free maternity services policy in Kenya is facing challenges but there exists strategies, which, if implemented, will help address these challenges.

  2. Democratic Model of Public Policy Accountability. Case Study on Implementation of Street Vendors Empowerment Policy in Makassar City

    Directory of Open Access Journals (Sweden)

    Rulinawaty Kasmadsi

    2015-08-01

    Full Text Available Policy accountability is a form of manifestation of public officials responsible to the people. One form of policy accountability that is discussed here is street vendors policy accountability, because they are a group of citizens who have the economic activities in public spaces. The existence of this policy how-ever, the number of street vendors from year to year increase in Makassar City. Therefore, this study seeks to uncover and explain the democratic policy ac-countability through the street vendors’ responses and expectations to the implementation of street ven-dors empowerment policy in Makassar City; and to uncover and explain the democratic policy account-ability through the stakeholders’ responses and ex-pectations to the implementation of street vendors empowerment policy in Makassar City. To achieve these objectives, the study uses democracy theory, in which this theory focuses on togetherness in dis-cussing solutions to the various problems of street vendors and in the policy implementation as well.This study used a qualitative design and case studies strat-egy. Data collection techniques used was observa-tion, interview, and documentation. Data were ana-lyzed with case description its settings. The results of this study pointed out that the interests and needs of the street vendors are not met through the empow-erment policies vendors. This is caused by the ab-sence of accountability forum as a place of togeth-erness all of street vendors empowerment stakehold-ers’. Street vendors empowerment policy in Makassar City are designed base on a top-down approach, so they are considered as objects, which must accept all government programs aimed at them.

  3. Technical analysis, contestation and politics in policy agenda setting and implementation : the rise and fall of primary care maternal services from Ghana’s capitation policy

    NARCIS (Netherlands)

    Koduah, A.; Dijk, van J.W.M.; Agyepong, I.A.

    2016-01-01

    Background: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and implementation. This paper seeks to advance our understanding of health policy agenda

  4. Realistic nurse-led policy implementation, optimization and evaluation: novel methodological exemplar.

    Science.gov (United States)

    Noyes, Jane; Lewis, Mary; Bennett, Virginia; Widdas, David; Brombley, Karen

    2014-01-01

    To report the first large-scale realistic nurse-led implementation, optimization and evaluation of a complex children's continuing-care policy. Health policies are increasingly complex, involve multiple Government departments and frequently fail to translate into better patient outcomes. Realist methods have not yet been adapted for policy implementation. Research methodology - Evaluation using theory-based realist methods for policy implementation. An expert group developed the policy and supporting tools. Implementation and evaluation design integrated diffusion of innovation theory with multiple case study and adapted realist principles. Practitioners in 12 English sites worked with Consultant Nurse implementers to manipulate the programme theory and logic of new decision-support tools and care pathway to optimize local implementation. Methods included key-stakeholder interviews, developing practical diffusion of innovation processes using key-opinion leaders and active facilitation strategies and a mini-community of practice. New and existing processes and outcomes were compared for 137 children during 2007-2008. Realist principles were successfully adapted to a shorter policy implementation and evaluation time frame. Important new implementation success factors included facilitated implementation that enabled 'real-time' manipulation of programme logic and local context to best-fit evolving theories of what worked; using local experiential opinion to change supporting tools to more realistically align with local context and what worked; and having sufficient existing local infrastructure to support implementation. Ten mechanisms explained implementation success and differences in outcomes between new and existing processes. Realistic policy implementation methods have advantages over top-down approaches, especially where clinical expertise is low and unlikely to diffuse innovations 'naturally' without facilitated implementation and local optimization. © 2013

  5. Malaria Treatment Policy Change and Implementation: The Case of Uganda

    Directory of Open Access Journals (Sweden)

    Miriam Nanyunja

    2011-01-01

    Full Text Available Malaria due to P. falciparum is the number one cause of morbidity and mortality in Uganda where it is highly endemic in 95% of the country. The use of efficacious and effective antimalarial medicines is one of the key strategies for malaria control. Until 2000, Chloroquine (CQ was the first-line drug for treatment of uncomplicated malaria in Uganda. Due to progressive resistance to CQ and to a combination of CQ with Sulfadoxine-Pyrimethamine, Uganda in 2004 adopted the use of ACTs as first-line drug for treating uncomplicated malaria. A review of the drug policy change process and postimplementation reports highlight the importance of managing the policy change process, generating evidence for policy decisions and availability of adequate and predictable funding for effective policy roll-out. These and other lessons learnt can be used to guide countries that are considering anti-malarial drug change in future.

  6. Malaria treatment policy change and implementation: the case of Uganda.

    Science.gov (United States)

    Nanyunja, Miriam; Nabyonga Orem, Juliet; Kato, Frederick; Kaggwa, Mugagga; Katureebe, Charles; Saweka, Joaquim

    2011-01-01

    Malaria due to P. falciparum is the number one cause of morbidity and mortality in Uganda where it is highly endemic in 95% of the country. The use of efficacious and effective antimalarial medicines is one of the key strategies for malaria control. Until 2000, Chloroquine (CQ) was the first-line drug for treatment of uncomplicated malaria in Uganda. Due to progressive resistance to CQ and to a combination of CQ with Sulfadoxine-Pyrimethamine, Uganda in 2004 adopted the use of ACTs as first-line drug for treating uncomplicated malaria. A review of the drug policy change process and postimplementation reports highlight the importance of managing the policy change process, generating evidence for policy decisions and availability of adequate and predictable funding for effective policy roll-out. These and other lessons learnt can be used to guide countries that are considering anti-malarial drug change in future.

  7. DOE's radioactively - contaminated metal recycling: The policy and its implementation

    International Nuclear Information System (INIS)

    Warren, S.; Rizkalla, E.

    1997-01-01

    In 1994, the Department of Energy's Office of Environmental Restoration initiated development of a recycling policy to minimize the amount of radioactively-contaminated metal being disposed of as waste. During the following two years, stakeholders (including DOE and contractor personnel, regulators, members of the public, and representatives of labor and industry) were invited to identify key issues of concern, and to provide input on the final policy. As a result of this process, a demonstration policy for recycling radioactively-contaminated carbon steel resulting from decommissioning activities within the Environmental Management program was signed on September 20, 1996. It specifically recognizes that the Office of Environmental Management has a tremendous opportunity to minimize the disposal of metals as waste by the use of disposal containers fabricated from contaminated steel. The policy further recognizes the program's demand for disposal containers, and it's role as the major generator of radioactively-contaminated steel

  8. Technology Opportunities: Implementation of Deployment Health Policy in Operational Theaters

    National Research Council Canada - National Science Library

    Martinez-Lopez, Lester

    2004-01-01

    It is U.S. policy that medical and personnel information systems be designed, integrated, and utilized with military medical surveillance to protect the physical and mental health of Service members throughout...

  9. HIV policy implementation in two health and demographic surveillance sites in Uganda: findings from a national policy review, health facility surveys and key informant interviews.

    Science.gov (United States)

    McRobie, Ellen; Wringe, Alison; Nakiyingi-Miiro, Jessica; Kiweewa, Francis; Lutalo, Tom; Nakigozi, Gertrude; Todd, Jim; Eaton, Jeffrey William; Zaba, Basia; Church, Kathryn

    2017-04-05

    Successful HIV testing, care and treatment policy implementation is essential for realising the reductions in morbidity and mortality those policies are designed to target. While adoption of new HIV policies is rapid, less is known about the facility-level implementation of new policies and the factors influencing this. We assessed implementation of national policies about HIV testing, treatment and retention at health facilities serving two health and demographic surveillance sites (HDSS) (10 in Kyamulibwa, 14 in Rakai). Ugandan Ministry of Health HIV policy documents were reviewed in 2013, and pre-determined indicators were extracted relating to the content and nature of guidance on HIV service provision. Facility-level policy implementation was assessed via a structured questionnaire administered to in-charge staff from each health facility. Implementation of policies was classified as wide (≥75% facilities), partial (26-74% facilities) or minimal (≤25% facilities). Semi-structured interviews were conducted with key informants (policy-makers, implementers, researchers) to identify factors influencing implementation; data were analysed using the Framework Method of thematic analysis. Most policies were widely implemented in both HDSS (free testing, free antiretroviral treatment (ART), WHO first-line regimen as standard, Option B+). Both had notable implementation gaps for policies relating to retention on treatment (availability of nutritional supplements, support groups or isoniazid preventive therapy). Rakai implemented more policies relating to provision of antiretroviral treatment than Kyamulibwa and performed better on quality of care indicators, such as frequency of stock-outs. Factors facilitating implementation were donor investment and support, strong scientific evidence, low policy complexity, phased implementation and effective planning. Limited human resources, infrastructure and health management information systems were perceived as major

  10. 78 FR 10695 - Mortgage Servicing Rules Under the Real Estate Settlement Procedures Act (Regulation X)

    Science.gov (United States)

    2013-02-14

    .... Miller, Iowa Att'y Gen.) (``Miller Testimony''). See also, Kurt Eggert, Limiting Abuse and Opportunism by... Part 1024 Mortgage Servicing Rules Under the Real Estate Settlement Act (Regulation X); Final Rule #0... 3170-AA14 Mortgage Servicing Rules Under the Real Estate Settlement Procedures Act (Regulation X...

  11. 78 FR 79729 - Integrated Mortgage Disclosures Under the Real Estate Settlement Procedures Act (Regulation X...

    Science.gov (United States)

    2013-12-31

    ... and the borrower, a single transaction may involve a seller, mortgage broker, real estate agent... Parts 1024 and 1026 Integrated Mortgage Disclosures Under the Real Estate Settlement Procedures Act... Under the Real Estate Settlement Procedures Act (Regulation X) and the Truth In Lending Act (Regulation...

  12. Implementing hospital quality assurance policies in Iran: balancing licensing, annual evaluation, inspections and quality management systems.

    Science.gov (United States)

    Aghaei Hashjin, Asgar; Delgoshaei, Bahram; Kringos, Dionne S; Tabibi, Seyed Jamaladin; Manouchehri, Jila; Klazinga, Niek S

    2015-01-01

    The purpose of this paper is to provide an overview of applied hospital quality assurance (QA) policies in Iran. A mixed method (quantitative data and qualitative document analysis) study was carried out between 1996 and 2010. The QA policy cycle forms a tight monitoring system to assure hospital quality by combining mandatory and voluntary methods in Iran. The licensing, annual evaluation and grading, and regulatory inspections statutorily implemented by the government as a national package to assure and improve hospital care quality, while implementing quality management systems (QMS) was voluntary for hospitals. The government's strong QA policy legislation role and support has been an important factor for successful QA implementation in Iran, though it may affected QA assessment independency and validity. Increased hospital evaluation independency and repositioning, updating standards, professional involvement and effectiveness studies could increase QA policy impact and maturity. The study highlights the current QA policy implementation cycle in Iranian hospitals. It provides a basis for further quality strategy development in Iranian hospitals and elsewhere. It also raises attention about finding the optimal balance between different QA policies, which is topical for many countries. This paper describes experiences when implementing a unique approach, combining mandatory and voluntary QA policies simultaneously in a developing country, which has invested considerably over time to improve hospital quality. The experiences with a mixed obligatory/voluntary approach and comprehensive policies in Iran may contain lessons for policy makers in developing and developed countries.

  13. California renewable energy policy and implementation issues: An overview of recent regulatory and legislative action

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, R.; Pickle, S.; Goldman, C.

    1996-09-01

    This paper has three primary goals: (1) to provide a brief account of recent events in California renewables policy; (2) to outline the California State Legislature`s ultimate decision on renewable energy policy; and (3) to aid other states in their efforts with renewables policy by summarizing some of the key implementation issues and political conflicts that may occur when crafting some of the potential threats and opportunities that electricity restructuring presents to the development of renewable energy. We then outline the renewables policy debate in California since the California Public Utility Commission`s ``Blue Book``, including both regulatory and legislative developments. We also provide some insight into the minimum renewables purchase requirement (MRPR) versus surcharge-based renewables policy debate in California. Finally, we identify and discuss key renewables policy implementation issues that have driven the dialogue and recent decisions in California`s renewables policy.

  14. Design and implementation of carbon cap and dividend policies

    Energy Technology Data Exchange (ETDEWEB)

    Kunkel, Catherine M. [Energy and Resources Group (United States); Kammen, Daniel M. [Goldman School of Public Policy, University of California, Berkeley, CA 94720-3050 (United States)

    2011-01-15

    An important concept in discussions of carbon management policies is cap and dividend, where some fraction of the revenues of an auction on emission allowances is returned to citizens on an equal per capita basis. This policy tool has some important features; it emphasizes the fact that the atmosphere is a common property resource, and it is a highly transparent measure that can be effectively used to protect the income of low-income individuals. In this paper we examine this policy in the California context, and focus on the costs and impacts of a cap and dividend scheme when applied to carbon emissions associated with electricity, natural gas and transportation services. We find that cap and dividend can effectively be used to address the economic impacts of carbon management policies, making them progressive for the lowest-income members of society. We find that the majority of households receive positive net benefits from the policy even with the government retaining half of the auction revenue. If auction revenues are instead dedicated only to low-income households, the majority of low-income households can be fully compensated even with the state government retaining upwards of 90% of auction revenues for other purposes. (author)

  15. MODERN APPROACHES TO THE IMPLEMENTATION OF MONETARY POLICY AND THE REGULATION OF FINANCIAL SYSTEMS

    Directory of Open Access Journals (Sweden)

    Radu CUHAL

    2013-01-01

    Full Text Available This study determines the modern approaches to the implementation of monetary policy and regulation of financial systems. Set of measures to prevent and overcome the financial crisis is grounded taking into consideration different areas of research and the IMF. New tasks of monetary policy in central banks are specified and they are intended to ensure the financial stability of the state (within the common fiscal policy. The main directions of elaboration and implementation of new monetary policy mechanism, which is intended to ensure the effective solution of problems in macro prudential supervision and financial stability, are examined.

  16. Modern approaches to the implementation of monetary policy and the regulation of financial systems

    Directory of Open Access Journals (Sweden)

    Basistîi Nicolae

    2013-01-01

    Full Text Available This study determines the modern approaches to the implementation of monetary policy and regulation of financial systems. Set of measures to prevent and overcome the financial crisis is grounded taking into consideration different areas of research and the IMF.New tasks of monetary policy in central banks are specified and they are intended to ensure the financial stability of the state (within the common fiscal policy.The main directions of elaboration and implementation of new monetary policy mechanism, which is intended to ensure the effective solution of problems in macro prudential supervision and financial stability, are examined.

  17. Using game theory to analyze green stormwater infrastructure implementation policies

    Science.gov (United States)

    William, R. K.; Garg, J.; Stillwell, A. S.

    2017-12-01

    While green stormwater infrastructure is a useful approach in addressing multiple challenges facing the urban environment, little consensus exists on how to best incentivize its adoption by private landowners. Game theory, a field of study designed to model conflict and cooperation between two or more agents, is well-suited to address this policy question. We used a cooperative game theory framework to analyze the impacts of three different policy approaches frequently used to incentivize the uptake of green infrastructure by private landowners: municipal regulation, direct grants, and stormwater fees. The results indicate that municipal regulation leads to the greatest environmental benefits; however, the choice of "best" regulatory approach is dependent on a variety of different factors including political and financial considerations. Policy impacts are also highly dependent on agents' spatial positions within the stormwater network. This finding leads to important questions of social equity and environmental justice.

  18. Defining Moments in Policy Development, Direction, and Implementation in Irish Initial Teacher Education Policy

    Science.gov (United States)

    O'Doherty, Teresa

    2014-01-01

    This paper explores the impact of significant OECD documents on the development of Irish education policy, specifically teacher education policy, over the last half century. While other commentators have argued that Irish education has been predominantly influenced by policy developments in the UK, US or Europe, this paper identifies the OECD as a…

  19. Environmental Education Policy Implementation in Botswana:The ...

    African Journals Online (AJOL)

    It focuses on environmental education as practised by education officers and school heads. The results indicate some constraints regarding the logistics and official commitment of these key role players. The paper also puts forward some recommendations for further research and review of environmental education policy ...

  20. The stuttering implementation of language policies in the South ...

    African Journals Online (AJOL)

    The article decries the lack of commitment on the part of native speakers of indigenous African languages, in some instances, to invest in their languages, as a retrogressive step in the promotion and development of these languages. Keywords: Language policy, African languages, multilingualism, indigenous African ...

  1. Implementation challenges of free maternity services policy in Kenya ...

    African Journals Online (AJOL)

    100) was achieved. Major implementation challenges include inadequate supplies (86%), inadequate funding (38%), staff shortage (92%), lack of motivation among health workers (62%), overwhelming workload (89%) and abuse of services by ...

  2. Assessment of school wellness policies implementation by benchmarking against diffusion of innovation framework.

    Science.gov (United States)

    Harriger, Dinah; Lu, Wenhua; McKyer, E Lisako J; Pruitt, Buzz E; Goodson, Patricia

    2014-04-01

    The School Wellness Policy (SWP) mandate marks one of the first innovative and extensive efforts of the US government to address the child obesity epidemic and the influence of the school environment on child health. However, no systematic review has been conducted to examine the implementation of the mandate. The study examines the literature on SWP implementation by using the Diffusion of Innovations Theory as a framework. Empirically based literature on SWP was systematically searched and analyzed. A theory-driven approach was used to categorize the articles by 4 diffusion stages: restructuring/redefining, clarifying, routinizing, and multiple stages. Twenty-one studies were identified, and 3 key characteristics of the reviewed literature were captured: (1) uniformity in methodology, (2) role of context in analyzing policy implementation, and (3) lack of information related to policy clarification. Over half of the studies were published by duplicate set of authors, and only 1 study employed a pure qualitative methodology. Only 2 articles include an explicit theoretical framework to study theory-driven constructs related to SWP implementation. Policy implementation research can inform the policy process. Therefore, it is essential that policy implementation is measured accurately. Failing to clearly define implementation constructs may result in misguided conclusion. © 2014, American School Health Association.

  3. Immediate challenge of combating climate change: Effective implementation of energy efficiency policies

    Energy Technology Data Exchange (ETDEWEB)

    Morvaj, Zoran; Bukarica, Vesna

    2010-09-15

    Energy efficiency is the most readily available, rapid and cost-effective way to achieve desired greenhouse gases reductions. Therefore, it is the focus of energy and climate change policies world wide. The results of these policies are still missing in the desired extent, even in the EU, which has the most advanced energy efficiency policy. The main reason behind this policy failure is a complete lack of focus on implementing capacities that would ensure full policy uptake. Embracing full-scale energy management systems in public and business sectors and mobilisation of and cooperation between all stakeholders are the way towards higher efficiency.

  4. U.S. weapons-useable plutonium disposition policy: Implementation of the MOX fuel option

    International Nuclear Information System (INIS)

    Woods, A.L.; Gonzalez, V.L.

    1998-10-01

    A comprehensive case study was conducted on the policy problem of disposing of US weapons-grade plutonium, which has been declared surplus to strategic defense needs. Specifically, implementation of the mixed-oxide fuel disposition option was examined in the context of national and international nonproliferation policy, and in contrast to US plutonium policy. The study reveals numerous difficulties in achieving effective implementation of the mixed-oxide fuel option including unresolved licensing and regulatory issues, technological uncertainties, public opposition, potentially conflicting federal policies, and the need for international assurances of reciprocal plutonium disposition activities. It is believed that these difficulties can be resolved in time so that the implementation of the mixed-oxide fuel option can eventually be effective in accomplishing its policy objective

  5. Implementing Indigenous Education Policy Directives in Ontario Public Schools: Experiences, Challenges and Successful Practices

    Directory of Open Access Journals (Sweden)

    Emily Milne

    2017-08-01

    Full Text Available The Ontario Ministry of Education has declared a commitment to Indigenous student success and has advanced a policy framework that articulates inclusion of Indigenous content in schooling curriculum (Ontario Ministry of Education, 2007. What are the perceptions among educators and parents regarding the implementation of policy directives, and what is seen to encourage or limit meaningful implementation? To answer these questions, this article draws on interviews with 100 Indigenous (mainly Haudenosaunee, Anishinaabe, and Métis and non-Indigenous parents and educators from Ontario Canada. Policy directives are seen to benefit Indigenous and non-Indigenous students. Interviews also reveal challenges to implementing Indigenous curricular policy, such as unawareness and intimidation among non-Indigenous educators regarding how to teach material. Policy implications are considered.

  6. U.S. weapons-usable plutonium disposition policy: Implementation of the MOX fuel option

    Energy Technology Data Exchange (ETDEWEB)

    Woods, A.L. [ed.] [Amarillo National Resource Center for Plutonium, TX (United States); Gonzalez, V.L. [Texas A and M Univ., College Station, TX (United States). Dept. of Political Science

    1998-10-01

    A comprehensive case study was conducted on the policy problem of disposing of US weapons-grade plutonium, which has been declared surplus to strategic defense needs. Specifically, implementation of the mixed-oxide fuel disposition option was examined in the context of national and international nonproliferation policy, and in contrast to US plutonium policy. The study reveals numerous difficulties in achieving effective implementation of the mixed-oxide fuel option including unresolved licensing and regulatory issues, technological uncertainties, public opposition, potentially conflicting federal policies, and the need for international assurances of reciprocal plutonium disposition activities. It is believed that these difficulties can be resolved in time so that the implementation of the mixed-oxide fuel option can eventually be effective in accomplishing its policy objective.

  7. Evidence-informed policy formulation and implementation: a comparative case study of two national policies for improving health and social care in Sweden.

    Science.gov (United States)

    Strehlenert, H; Richter-Sundberg, L; Nyström, M E; Hasson, H

    2015-12-08

    Evidence has come to play a central role in health policymaking. However, policymakers tend to use other types of information besides research evidence. Most prior studies on evidence-informed policy have focused on the policy formulation phase without a systematic analysis of its implementation. It has been suggested that in order to fully understand the policy process, the analysis should include both policy formulation and implementation. The purpose of the study was to explore and compare two policies aiming to improve health and social care in Sweden and to empirically test a new conceptual model for evidence-informed policy formulation and implementation. Two concurrent national policies were studied during the entire policy process using a longitudinal, comparative case study approach. Data was collected through interviews, observations, and documents. A Conceptual Model for Evidence-Informed Policy Formulation and Implementation was developed based on prior frameworks for evidence-informed policymaking and policy dissemination and implementation. The conceptual model was used to organize and analyze the data. The policies differed regarding the use of evidence in the policy formulation and the extent to which the policy formulation and implementation phases overlapped. Similarities between the cases were an emphasis on capacity assessment, modified activities based on the assessment, and a highly active implementation approach relying on networks of stakeholders. The Conceptual Model for Evidence-Informed Policy Formulation and Implementation was empirically useful to organize the data. The policy actors' roles and functions were found to have a great influence on the choices of strategies and collaborators in all policy phases. The Conceptual Model for Evidence-Informed Policy Formulation and Implementation was found to be useful. However, it provided insufficient guidance for analyzing actors involved in the policy process, capacity-building strategies

  8. Law Policy Implementation as the Determinant of the Legal Development of Society

    Directory of Open Access Journals (Sweden)

    Bakardzhiev Ya. V.

    2015-04-01

    Full Text Available The article focuses on the forms and mechanism of implementation of law policy, aspects of its interaction with different legal and social factors and determinants specifying its formation and enforcement.

  9. The Implementation of Preferential Procurement Policy in Gauteng Province: Challenges and Solutions

    Directory of Open Access Journals (Sweden)

    John Nkwananchi Hlakudi

    2015-03-01

    Full Text Available The South African government established the Preferential Procurement Policy (PP Policy to provide Historically Disadvantaged Individuals (HDIs economic opportunity in the state procurement process. There were a number of challenges in the implementation of the policy. The challenges include non compliance with procurement processes, limited knowledge of preferential procurement targets, late payments of suppliers, and fraud and corruption. In addition to putting measures to improve inefficiencies embedded in the preferential procurement system, this article asserts that the achievement of the objectives of the Preferential Procurement Policy lies mainly in the commitment by top management and the empowerment of the people tasked with the implementation of the policy. This means that the top management should receive training about the importance of the policy to create economic opportunities for black people. Furthermore, Supply Chain Management (SCM officials in government should be given appropriate authority in the public procurement system.

  10. National ownership in the implementation of global climate policy in Uganda

    DEFF Research Database (Denmark)

    Olsen, K.H.

    2006-01-01

    question asked is to what extent external interventions have formed part of a country-driven approach in Uganda. The conflicting national and global priorities concerning the need for adaptation to the impacts of climate change versus the need for global mitigation of greenhouse gases (GHGs) are explored...... first. Against this background, Uganda's policy response to climate change is reviewed. National climate policies are found not to exist, and the implementation of global policies is not integrated into national policy frameworks, partly due to conflicting national and global priorities. Given limited......This article explores the history, from a developing country perspective, of how external interventions to implement global policies on the Climate Convention and the Clean Development Mechanism (CDM) have been integrated into national development policy frameworks in the period 1990-2005. The main...

  11. Environment Protection and Implementation of its Policies in Romania

    Directory of Open Access Journals (Sweden)

    Marieta Stanciu

    2008-11-01

    Full Text Available In its step European Union Starts from the idea there is no contradiction between economic growth and maintaining an acceptable qualitative level of environment. That’s whip the measures of environment integration amoug the economic and politic activities must action together in order to reduce polluation and improve economy’s function.In conclusion, the best strategy for environment integration in to the economic policy must be the creation on improvement of environment goods market function.

  12. Awareness, Facilitators, and Barriers to Policy Implementation Related to Obesity Prevention for Primary School Children in Malaysia.

    Science.gov (United States)

    Chan, Camelina; Moy, Foong Ming; Lim, Jennifer N W; Dahlui, Maznah

    2018-03-01

    To assess the awareness, facilitators, and barriers to policy implementation related to obesity prevention for primary school children. A cross-sectional study administered using an online questionnaire. Conducted in 447 primary schools in a state in Malaysia. One school administrator from each school served as a participant. The questionnaires consisted of 32 items on awareness, policy implementation, and facilitators and barriers to policy implementation. Descriptive analysis was used to describe the awareness, facilitators, and barriers of policies implementation. Association between schools' characteristics and policy implementation was assessed using logistic regression. The majority (90%) of school administrators were aware of the policies. However, only 50% to 70% of schools had implemented the policies fully. Reported barriers were lack of equipment, insufficient training, and limited time to complete implementation. Facilitators of policy implementation were commitment from the schools, staff members, students, and canteen operators. Policy implementation was comparable in all school types and locality; except the policy on "Food and Drinks sold at the school canteens" was implemented by more rural schools compared to urban schools (odds ratio: 1.74, 95% confidence interval: 1.13-2.69). Majority of the school administrators were aware of the existing policies; however, the implementation was only satisfactory. The identified barriers to policy implementation were modifiable and thus, the stakeholders should consider restrategizing plans in overcoming them.

  13. Explaining willingness of public professionals to implement public policies: Content, context and personality characteristics

    OpenAIRE

    Steijn, Bram; Tummers, Lars; Bekkers, Victor

    2009-01-01

    textabstractCurrently, there is an intense debate on pressures facing public professionals. This debate often focuses on the (un)willingness of professionals - such as teachers and physicians - to implement new policies. In explaining this willingness, scholars often looked at the policy content, using qualitative case-studies. This has not led to a satisfactory explanatory framework. The aim of this research is twofold: (1) building a more all-encompassing, three-factor model (policy content...

  14. Researching implementation of formative assessment in different educational cultures in order to change educational policy

    DEFF Research Database (Denmark)

    Dolin, Jens

    2015-01-01

    This paper reports from a four year international research project, Assess Inquiry in Science, Technology and Mathematics Education (ASSIST-ME) involving 10 partners in 8 European countries (http://assistme.ku.dk/), running 2012-2016. The project combines research on implementation of innovative...... assessment methods with a policy aspect in order to influence educational policy....

  15. Explaining willingness of public professionals to implement public policies: Content, context and personality characteristics

    NARCIS (Netherlands)

    A.J. Steijn (Bram); L.G. Tummers (Lars); V.J.J.M. Bekkers (Victor)

    2009-01-01

    textabstractCurrently, there is an intense debate on pressures facing public professionals. This debate often focuses on the (un)willingness of professionals - such as teachers and physicians - to implement new policies. In explaining this willingness, scholars often looked at the policy content,

  16. Adopting and Implementing Globalised Policies of Intercultural Education: The Example of Cyprus

    Science.gov (United States)

    Hajisoteriou, Christina; Angelides, Panayiotis

    2017-01-01

    Globalisation has heavily influenced the terrain of intercultural education policy development and implementation in multiple countries around the world. To this end, in this article, we seek to introduce a broader focus of analysis encompassing not only the development of globalised policies of intercultural education, but also the adoption,…

  17. EXplaining The Willingness Of Public Professionals To Implement Public Policies: Content, Context, And Personality Characteristics

    NARCIS (Netherlands)

    L.G. Tummers (Lars); A.J. Steijn (Bram); V.J.J.M. Bekkers (Victor)

    2012-01-01

    textabstractThe willingness of public professionals to implement policy programmes is important for achieving policy performance. However, few scholars have developed and tested systematic frameworks to analyze this issue. In this study, we address this by building and testing an appropriate

  18. A District's Use of Data and Research to Inform Policy Formation and Implementation

    Science.gov (United States)

    Seager, Andrew; Madura, John P.; Cox, Joshua; Carey, Rebecca

    2015-01-01

    This descriptive study of a change initiative by the Syracuse (NY) City School District informs the question, "How do school boards and districts better use research and data to inform policy decisions?" Researchers used interviews and artifacts to describe how the district developed and implemented a new discipline policy, the Syracuse…

  19. Evaluation of Alabama Public School Wellness Policies and State School Mandate Implementation

    Science.gov (United States)

    Gaines, Alisha B.; Lonis-Shumate, Steven R.; Gropper, Sareen S.

    2011-01-01

    Background: This study evaluated wellness policies created by Alabama public school districts and progress made in the implementation of Alabama State Department of Education (ALSDE) school food and nutrition mandates. Methods: Wellness policies from Alabama public school districts were compared to minimum requirements under the Child Nutrition…

  20. Balancing Tensions in Educational Policy Reforms: Large-Scale Implementation of Assessment for Learning in Norway

    Science.gov (United States)

    Hopfenbeck, Therese N.; Flórez Petour, María Teresa; Tolo, Astrid

    2015-01-01

    This study investigates how different stakeholders in Norway experienced a government-initiated, large-scale policy implementation programme on "Assessment for Learning" ("AfL"). Data were collected through 58 interviews with stakeholders in charge of the policy; Ministers of Education and members of the Directorate of…

  1. Implementing Internationalization Policy in Higher Education Explained by Regulatory Control in Neoliberal Times

    Science.gov (United States)

    Chang, Dian-Fu

    2015-01-01

    This research investigated the internationalization policy and involved evaluating the effects of policy-driven reform on universities in the context of neoliberal theory. In this study, 293 professors from various universities were invited to express their opinions on the selected indicators reflected the implementation of internationalization in…

  2. Towards local implementation of Dutch health policy guidelines: a concept-mapping approach.

    Science.gov (United States)

    Kuunders, Theo J M; van Bon-Martens, Marja J H; van de Goor, Ien A M; Paulussen, Theo G W M; van Oers, Hans A M

    2017-02-22

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful implementation of the guideline were identified. Differences and similarities in perceptions of these characteristics between RHSs and developers were explored. Separate concept mapping procedures were executed in two RHSs, one with representatives from partner local health organizations and municipalities, the second with RHS members only. A third map was conducted with the developers of the guideline. All mapping procedures followed the same design of generating statements up to interpretation of results with participants. Concept mapping, as a practical implementation tool, will be discussed in the context of international research literature on guideline implementation in public health. Guideline developers consider implementation successful when substantive components (health issues) of the guidelines, content are visible in local policy practice. RHSs, local organizations and municipalities view the implementation process itself within and between organizations as more relevant, and state that usability of the guideline for municipal policy and commitment by officials and municipal managers are critical targets for successful implementation. Between the RHSs, differences in implementation targets were smaller than between RHSs and guideline developers. For successful implementation, RHSs tend to focus on process targets while developers focus more on the thematic contents of the guideline. Implications of these different orientations for implementation strategies are dealt with in the discussion. © The Author 2017. Published by Oxford University Press.

  3. Waste Management Policy Implementation in South Africa: An ...

    African Journals Online (AJOL)

    The need to eliminate plastic shopping bags from South Africa's environment has resulted in the formation and implementation of the Plastic Carrier Bags and Plastics Flat Bags Regulations (hereafter referred to as the Plastic Bags Regulations).The new law requires manufacturers to produce thicker, reusable and ...

  4. Factors affecting ICT Policy Implementation in Rural Namibian Schools

    African Journals Online (AJOL)

    In order to describe the rural area situation with regard to ICT implementation in the education sector, a quantitative approach was used to collect data from a sample 137 science teachers and 107 principals out of the 163 participating secondary schools in three rural regions. In this research school level data were used to ...

  5. Sexual Harassment in Public Schools: Policy Design, Policy Implementation, and the Perceptions of Employees Participating in Investigations

    Science.gov (United States)

    Bratge, Katrina

    2009-01-01

    This study of two cases of sexual harassment investigates employee perceptions and organizational characteristics associated with policy and implementation procedures in two public school districts in New York State which experienced different outcomes to litigation in response to formal complaints of sexual harassment. Using documentary evidence…

  6. Strength and Comprehensiveness of District School Wellness Policies Predict Policy Implementation at the School Level

    Science.gov (United States)

    Schwartz, Marlene B.; Henderson, Kathryn E.; Falbe, Jennifer; Novak, Sarah A.; Wharton, Christopher M.; Long, Michael W.; O'Connell, Meghan L.; Fiore, Susan S.

    2012-01-01

    Background: In 2006, all local education agencies in the United States participating in federal school meal programs were required to establish school wellness policies. This study documented the strength and comprehensiveness of 1 state's written district policies using a coding tool, and tested whether these traits predicted school-level…

  7. From Policy to Practice: Implementation of Water Policies in Child Care Centers in Connecticut

    Science.gov (United States)

    Middleton, Ann E.; Henderson, Kathryn E.; Schwartz, Marlene B.

    2013-01-01

    Objective: Child care policies may contribute to healthy beverage consumption patterns. This study documented availability and accessibility of water and correspondence with state and federal policy and accreditation standards in child care centers. Design: One-day observations were conducted in a random sample of 40 Child and Adult Care Food…

  8. Moving towards a new vision: implementation of a public health policy intervention.

    Science.gov (United States)

    Valaitis, Ruta; MacDonald, Marjorie; Kothari, Anita; O'Mara, Linda; Regan, Sandra; Garcia, John; Murray, Nancy; Manson, Heather; Peroff-Johnston, Nancy; Bursey, Gayle; Boyko, Jennifer

    2016-05-17

    Public health systems in Canada have undergone significant policy renewal over the last decade in response to threats to the public's health, such as severe acute respiratory syndrome. There is limited research on how public health policies have been implemented or what has influenced their implementation. This paper explores policy implementation in two exemplar public health programs -chronic disease prevention and sexually-transmitted infection prevention - in Ontario, Canada. It examines public health service providers', managers' and senior managements' perspectives on the process of implementation of the Ontario Public Health Standards 2008 and factors influencing implementation. Public health staff from six health units representing rural, remote, large and small urban settings were included. We conducted 21 focus groups and 18 interviews between 2010 (manager and staff focus groups) and 2011 (senior management interviews) involving 133 participants. Research assistants coded transcripts and researchers reviewed these; the research team discussed and resolved discrepancies. To facilitate a breadth of perspectives, several team members helped interpret the findings. An integrated knowledge translation approach was used, reflected by the inclusion of academics as well as decision-makers on the team and as co-authors. Front line service providers often were unaware of the new policies but managers and senior management incorporated them in operational and program planning. Some participants were involved in policy development or provided feedback prior to their launch. Implementation was influenced by many factors that aligned with Greenhalgh and colleagues' empirically-based Diffusion of Innovations in Service Organizations Framework. Factors and related components that were most clearly linked to the OPHS policy implementation were: attributes of the innovation itself; adoption by individuals; diffusion and dissemination; the outer context

  9. An interoperable architecture and principles for implementing strategy and policy in operational processes

    NARCIS (Netherlands)

    Gong, Y.; Janssen, M.

    2013-01-01

    In today's economy managers expect new strategies and policies to be implemented quickly. Yet practice shows that current systems are not able to implement changes within a short time frame. Nowadays a variety of technologies including semantic web services, business rules and software agents are

  10. Tracing the Policy Mediation Process in the Implementation of a Change in the Life Sciences Curriculum

    Science.gov (United States)

    Singh-Pillay, Asheena; Alant, Busisiwe

    2015-01-01

    This paper accounts for the enacted realities of curriculum reform in South Africa, in particular the mediation of curriculum change. Curriculum implementation is viewed as a complex networked process of transforming or mediating policy into classroom practice. The fact that curriculum implementation is seen as problematic requires attention for…

  11. Evaluation of implementation viability gap funding (VGF) policy on toll road investment in Indonesia

    Science.gov (United States)

    Mahani, Iris; Tamin, Rizal Z.; Pribadi, Krishna S.; Wibowo, Andreas

    2017-11-01

    VGF policy for toll road investment in Indonesia must be reviewed. Since 2012 the Government of Indonesia (GOI) has issued viability gap funding (VGF) policy for PPP infrastructure project through ministry of finance decision (PMK) No.223/2012. One of VGF purpose is to improve the financial feasibility. In the toll road investment in Indonesia, the implementation of this policy has some problems. This study aimed to evaluate the policy by seeking implementation constraints so can be given an alternative. This research was conducted qualitatively, included aspects of implementation process VGF policy. The analysis process is based on literature study and in-depth interviews to related parties include business entity, ministry of finance, and the ministry of public works, Indonesia Toll Road Authority (BPJT) and professional societies. The literature review conducted by reviewing existing policies and best practices in countries that already practice VGF. The conclusion of this study are 1) There is a conflict of regulation in viability gap funding (VGF) for toll road investment in Indonesia; 2) If Government of Indonesia (GOI) want implement construction grant as VGF, so the regulation must improve in time limited for submission and clearly define limited given in regulation; 3) If GOI want implement partial construction as VGF, so the regulation must be improve in guideline for submission and given.

  12. Designing and implementing science-based methane policies

    Science.gov (United States)

    George, F.

    2017-12-01

    The phenomenal growth in shale gas production across the U.S. has significantly improved the energy security and economic prospects of the country. Natural gas is a "versatile" fuel that has application in every major end-use sector of the economy, both as a fuel and a feedstock. Natural gas has also played a significant role in reducing CO2 emissions from the power sector by displacing more carbon intensive fossil fuels. However, emissions of natural gas (predominantly methane) from the wellhead to the burner tip can erode this environmental benefit. Preserving the many benefits of America's natural gas resources requires smart, science-based policies to optimize the energy delivery efficiency of the natural gas supply chain and ensure that natural gas remains a key pillar in our transition to a low-carbon economy. Southwestern Energy (SWN) is the third largest natural gas producer in the United States. Over the last several years, SWN has participated in a number of scientific studies with regulatory agencies, academia and non-governmental entities that have led to over a dozen peer-reviewed papers on methane emissions from oil and gas operations. This presentation will review how our participation in these studies has informed our internal policies and procedures, as well as our external programs, including the ONE Future coalition (ONE Future). In particular, the presentation will highlight the impact of such studies on our Leak Detection and Repair (LDAR) program, designing new methane research and on the ONE Future initiatives - all with the focus of improving the delivery efficiency of oil and gas operations. Our experience supports continued research in the detection and mitigation of methane emissions, with emphasis on longer duration characterization of methane emissions from oil and gas facilities and further development of cost-effective methane detection and mitigation techniques. We conclude from our scientific and operational experiences that a

  13. Implementing nationally determined contributions: building energy policies in India’s mitigation strategy

    Science.gov (United States)

    Yu, Sha; Evans, Meredydd; Kyle, Page; Vu, Linh; Tan, Qing; Gupta, Ashu; Patel, Pralit

    2018-03-01

    The Nationally Determined Contributions are allowing countries to examine options for reducing emissions through a range of domestic policies. India, like many developing countries, has committed to reducing emissions through specific policies, including building energy codes. Here we assess the potential of these sectoral policies to help in achieving mitigation targets. Collectively, it is critically important to see the potential impact of such policies across developing countries in meeting national and global emission goals. Buildings accounted for around one third of global final energy use in 2010, and building energy consumption is expected to increase as income grows in developing countries. Using the Global Change Assessment Model, this study finds that implementing a range of energy efficiency policies robustly can reduce total Indian building energy use by 22% and lower total Indian carbon dioxide emissions by 9% in 2050 compared to the business-as-usual scenario. Among various policies, energy codes for new buildings can result in the most significant savings. For all building energy policies, well-coordinated, consistent implementation is critical, which requires coordination across different departments and agencies, improving capacity of stakeholders, and developing appropriate institutions to facilitate policy implementation.

  14. 75 FR 63703 - Privacy Act of 1974; Privacy Act Regulation

    Science.gov (United States)

    2010-10-18

    ... FEDERAL RESERVE SYSTEM 12 CFR Part 261a [Docket No. R-1313] Privacy Act of 1974; Privacy Act... implementing the Privacy Act of 1974 (Privacy Act). The primary changes concern the waiver of copying fees... records under the Privacy Act; the amendment of special procedures for the release of medical records to...

  15. Waste management policy and its implementation in Argentina

    International Nuclear Information System (INIS)

    Migliori de Beninson, A.; Palacios, E.

    1984-01-01

    The Argentine nuclear programme is an example of an expanding nuclear power development programme which provides for the reprocessing of spent fuel and the recycling of the plutonium produced. It also covers all stages of the natural uranium fuel cycle. The present paper outlines the radioactive waste management policy behind the programme, with particular reference to high-level waste and actinides. The basic criteria are the limitation of individual risks, taking into account the probability of, and doses resulting from, events disrupting the geological insulation, and the optimization of protection engineering aspects, equal monetary weight being given to present and future collective doses. An estimate of the impact (represented by the collective dose due to the repository) per unit of electricity generated by the nuclear programme has been used to analyse the acceptability of the solution adopted. (author)

  16. Strategies to manage barriers in policy formation and implementation of road pricing packages

    DEFF Research Database (Denmark)

    Sørensen, Claus Hedegaard; Isaksson, Karolina; Macmillen, James

    2014-01-01

    In the transport policy domain, as in other highly-contested spheres of public policy, it is commonplace for certain policy measures to emerge as promising only to then remain unimplemented. Road pricing is one example of a theoretically well-developed transport policy measure that has proven...... for the formulation and implementation of politically-contentious road pricing packages-addressing issues of measure combination, flexibility, legitimacy, communication, timing and organisational dynamics. While acknowledging the primacy of broader external and contextual issues, the conclusion is that taking...

  17. Implementation of information security policies in public organizations : Top management as a success factor

    OpenAIRE

    Kamariza, Yvette

    2017-01-01

    The purpose of this thesis is to investigate potential success factors related to the implementation of an information security in organizations, with a specific focus on the role of top management in implementing information security policies in organizations. The following are the research questions: What are the factors related to the implementation of an information security in organization according to the literature and what is the organization’s view of these factors? What is the role ...

  18. FDI Global Caries Initiative; implementing a paradigm shift in dental practice and the global policy context.

    Science.gov (United States)

    Fisher, J; Johnston, S; Hewson, N; van Dijk, W; Reich, E; Eiselé, J-L; Bourgeois, D

    2012-08-01

    The implementation of a new paradigm for caries management is necessary for the profession to respond effectively to changing population health needs. The FDI Global Caries Initiative (GCI) is a 10 year programme aimed at developing and implementing a new paradigm for caries management, one that would contribute to a common vision of health. The article reviews the global health policy landscape and examines how it might influence and shape the implementation of the GCI. © 2012 FDI World Dental Federation.

  19. National public health policy in a local context--implementation in two Swedish municipalities.

    Science.gov (United States)

    Jansson, Elisabeth; Fosse, Elisabeth; Tillgren, Per

    2011-12-01

    In 2003 the wide-ranging Swedish National Public Health Policy (SNPHP), with a focus on health determinants, was adopted by the Swedish parliament. In the context of multilevel governance, SNPHP implementation is dependent on self-governed municipalities and counties. The aim of the study is, from a municipal perspective, to investigate public-health policies in two municipalities. Content analysis of documents and interviews provided a foundation for an explorative case study. The SNPHP at national level is overriding but politically controversial. At local level, a health-determinants perspective was detectable in the policies implemented, but none regarding to health equality. At local level, the SNPHP is not regarded as implementable; rather, limited parts have, to varying degrees, been reconciled with local public-health goals, according to municipal needs and conditions. A success-promoting factor in the two municipalities was the presence of committed and knowledgeable actors/implementers. Also, the municipality with a more centrally controlled and stable party-political leadership succeeded better in implementing structural and intersectoral community-wide policies for coordinated local health promotion. The contents of national and local public-health policies differ, and municipalities that have implemented their own local health policies do not seem to regard the SNPHP as justifiable or adoptable. If the SNPHP overall aim regarding equal health is to be achieved homogeneously in Swedish municipalities, its contents and purpose need clearer management and negotiation, so that implementation of the national policy locally is understandable and motivated. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  20. The Impact of Implementing Tobacco Control Policies: The 2017 Tobacco Control Policy Scorecard.

    Science.gov (United States)

    Levy, David T; Tam, Jamie; Kuo, Charlene; Fong, Geoffrey T; Chaloupka, Frank

    2018-01-17

    The Tobacco Control Scorecard, published in 2004, presented estimates of the effectiveness of different policies on smoking rates. Since its publication, new evidence has emerged. We update the Scorecard to include recent studies of demand-reducing tobacco policies for high-income countries. We include cigarette taxes, smoke-free air laws, media campaigns, comprehensive tobacco control programs, marketing bans, health warnings, and cessation treatment policies. To update the 2004 Scorecard, a narrative review was conducted on reviews and studies published after 2000, with additional focus on 3 policies in which previous evidence was limited: tobacco control programs, graphic health warnings, and marketing bans. We consider evaluation studies that measured the effects of policies on smoking behaviors. Based on these findings, we derive estimates of short-term and long-term policy effect sizes. Cigarette taxes, smoke-free air laws, marketing restrictions, and comprehensive tobacco control programs are each found to play important roles in reducing smoking prevalence. Cessation treatment policies and graphic health warnings also reduce smoking and, when combined with policies that increase quit attempts, can improve quit success. The effect sizes are broadly consistent with those previously reported for the 2004 Scorecard but now reflect the larger evidence base evaluating the impact of health warnings and advertising restrictions.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

  1. Disaster event: Window of opportunity to implement global disaster policies?

    Directory of Open Access Journals (Sweden)

    Siambabala B. Manyena

    2013-10-01

    Full Text Available Disasters have been predominantly construed as destructive events causing loss of lives, livelihoods and hard-won development. Much less attention has been paid to the constructive nature of disasters as creating potential windows of opportunities to address the overlooked and neglected aspects of disaster risk reduction. Using material from Zimbabwe, this article examines whether the humanitarian crisis, as manifested in the cholera disaster of 2008–2009, created a window of opportunity to accelerate the implementation of the Hyogo Framework for Action. The findings suggest that the humanitarian crisis did not necessarily create a window of opportunity to accelerate the implementation of the framework, owing to (1 inadequate authority and power of the agency responsible for disaster risk reduction, (2 an inadequate legal and institutional framework that outlines clear coordination, accountability mechanisms, resource mobilisation, community participation, and integration of development with regard to disaster risk reduction and (3 a lack of an integrated evidence-based approach to advocate disaster risk reduction in Zimbabwe.

  2. Disaster event: Window of opportunity to implement global disaster policies?

    Directory of Open Access Journals (Sweden)

    Siambabala B. Manyena

    2013-03-01

    Full Text Available Disasters have been predominantly construed as destructive events causing loss of lives, livelihoods and hard-won development. Much less attention has been paid to the constructive nature of disasters as creating potential windows of opportunities to address the overlooked and neglected aspects of disaster risk reduction. Using material from Zimbabwe, this article examines whether the humanitarian crisis, as manifested in the cholera disaster of 2008–2009, created a window of opportunity to accelerate the implementation of the Hyogo Framework for Action. The findings suggest that the humanitarian crisis did not necessarily create a window of opportunity to accelerate the implementation of the framework, owing to (1 inadequate authority and power of the agency responsible for disaster risk reduction, (2 an inadequate legal and institutional framework that outlines clear coordination, accountability mechanisms, resource mobilisation, community participation, and integration of development with regard to disaster risk reduction and (3 a lack of an integrated evidence-based approach to advocate disaster risk reduction in Zimbabwe.

  3. Implementing Intervention Research into Public Policy-the "I3-Approach".

    Science.gov (United States)

    Spiel, Christiane; Schober, Barbara; Strohmeier, Dagmar

    2018-04-01

    Evidence-based intervention programs have become highly important in recent years, especially in educational contexts. However, transferring these programs into practice and into the wider field of public policy often fails. As a consequence, the field of implementation research has emerged, several implementation frameworks have been developed, and implementation studies conducted. However, intervention research and implementation research have not yet been connected systematically and different traditions and research groups are involved. Implementation researchers are mostly given mandates by politicians to take on the implementation of already existing interventions. This might be one of the key reasons why there are still many problems in translating programs into widespread community practice. In this paper, we argue for a systematic integration of intervention and implementation research ("I 3 -Approach") and recommend a six-step procedure (PASCIT). This requires researchers to design and develop intervention programs using a field-oriented and participative approach. In particular, the perspective of policymakers has to be included as well as an analysis of which factors support or hinder evidence-based policy in contrast to opinion-based policy. How this systematic connection between intervention and implementation research can be realized, is illustrated by means of the development and implementation of the ViSC school program, which intends to reduce aggressive behavior and bullying and to foster social and intercultural competencies.

  4. Promoting health-enhancing physical activity in Europe: Current state of surveillance, policy development and implementation.

    Science.gov (United States)

    Breda, João; Jakovljevic, Jelena; Rathmes, Giulia; Mendes, Romeu; Fontaine, Olivier; Hollmann, Susanne; Rütten, Alfred; Gelius, Peter; Kahlmeier, Sonja; Galea, Gauden

    2018-02-03

    This study aims to present information on the surveillance, policy developments, and implementation of physical activity policies in the 28 European Union (EU) countries. Data was collected on the implementation of the EU Recommendation on health-enhancing physical activity (HEPA) across sectors. In line with the monitoring framework proposed in the Recommendation, a questionnaire was designed to capture information on 23 physical activity indicators. Of the 27 EU countries that responded to the survey, 22 have implemented actions on more than 10 indicators, four countries have implemented more than 20 indicators, and one country has fully addressed and implemented all of the 23 indicators of the monitoring framework. The data collected under this HEPA monitoring framework provided, for the first time, an overview of the implementation of HEPA-related policies and actions at the national level throughout the EU. Areas that need more investment are the "Senior Citizens" sector followed by the "Work Environment", and the "Environment, Urban Planning, and Public Safety" sectors. This information also enabled comparison of the state of play of HEPA policy implementation between EU Member States and facilitated the exchange of good practices. Copyright © 2018. Published by Elsevier B.V.

  5. A comprehensive model for the implementation of national public policies and guidelines : Empangeni Education District / Bhekefini Sibusiso Vincent Mthethwa

    OpenAIRE

    Mthethwa, Bhekefini Sibusiso Vincent

    2014-01-01

    The phenomenon of the public policy process, which encapsulates the public policy implementation, has been in existence long before the political transformation that took place in South Africa in 1994. However, the ushering in of the new dispensation saw the integration of the existing public policies. In addition, it inevitably heralded the introduction of the new public policies and national guidelines across all sectors of the South African public institutions. Public policy implementation...

  6. Environmental innovation through transport policy. The implementation of the free fare policy on public transport in Tallinn, Estonia

    Energy Technology Data Exchange (ETDEWEB)

    Gabaldon-Estevan, D.

    2016-07-01

    Urban areas are of increasing relevance when it comes to sustainability: First, about half of the world’s population now lives in cities (increasing to 60% by 2030). Second, cities are nowadays responsible for levels of resource consumption and waste generation that are higher beyond their share on world population. Third, cities are more vulnerable to disruptive events that can lead to restrictions on the provision of resources and to changes on the environment caused by climate change. And fourth, because they concentrate key resources (political, social, cultural…), cities are seen as strategic scenarios where to experiment and develop solutions to cope with the prevailing sustainability challenges driven by the major social and environmental transformations. Urban agglomerations can be seen as complex innovation systems where human activities are shaped in order to transform societies towards sustainable development. For this paper, we focus on the case of an environmental innovation regarding transport policy, the implementation of the fare-free policy on public transport for all inhabitants of Tallinn, Estonia. Tallinn, with 414,000 inhabitants in 2015, is the capital of Estonia and the largest city in the country. Over the last two decades the share of public transport trips decreased dramatically. After a public opinion poll in 2012, in which over 75% of the participants voted for a fare-free public transportation system (FFPTS) in Tallinn, the new policy was implemented on 1st January 2013. From that date on inhabitants of Tallinn could use all public transport services (busses, trams, trolly-busses) operated by city-run operators for free. Later the fare-free system was implemented also on trains within Tallinn. In this paper we analyze the context, in which this policy was implemented, the main characteristics of its implementation and its actual situation. (Author)

  7. Policies and procedures: a tool to support the implementation of clinical guidelines?

    Science.gov (United States)

    St-Pierre, Isabelle; Davies, Barbara; Edwards, Nancy; Griffin, Patricia

    2007-01-01

    To explore the use of policies and procedures as a tool to support the implementation of clinical guidelines and to determine the relationship between organizational support and stability with nurses' perception of policy change. Secondary analysis of qualitative and quantitative data collected in the post-intervention phase of the study entitled Evaluation of the Dissemination and Utilization of Best Practice Guidelines by Registered Nurses in Ontario. Eleven agencies across Ontario, Canada. Fifty nursing staff, 32 nurse administrators and 22 clinical resource nurses (90% response) participated in semi-structured interviews. A total of 316 randomly selected nursing staff from 23 participating units in 11 agencies completed questionnaires (65% response). Qualitative data from semi-structured interviews were examined to determine whether participants had modified their policies and procedures as part of the implementation of clinical guidelines. Using SPSS 11.0 for Windows, the authors assessed, using independent t-tests, the relationship between the perception of modification of policies and procedures and the perceptions of organizational support an organisational stability. While modifications to policies and procedures were made at each agency as part of the implementation of clinical guidelines, 27% of staff disagreed that modifications had been made. Nursing staff who agreed that changes had been made to policies and procedures were significantly more likely to report positive organizational support for clinical guideline implementation. Findings suggest the need to increase nursing staffs' awareness of changes to policies and procedures during clinical guideline implementation. Furthermore, results indicate that organizational support may have a positive influence on modifications to policies and procedures that are guided by research-based clinical guideline recommendations.

  8. Implementing multiple intervention strategies in Dutch public health-related policy networks.

    Science.gov (United States)

    Harting, Janneke; Peters, Dorothee; Grêaux, Kimberly; van Assema, Patricia; Verweij, Stefan; Stronks, Karien; Klijn, Erik-Hans

    2017-10-13

    Improving public health requires multiple intervention strategies. Implementing such an intervention mix is supposed to require a multisectoral policy network. As evidence to support this assumption is scarce, we examined under which conditions public health-related policy networks were able to implement an intervention mix. Data were collected (2009-14) from 29 Dutch public health policy networks. Surveys were used to identify the number of policy sectors, participation of actors, level of trust, networking by the project leader, and intervention strategies implemented. Conditions sufficient for an intervention mix (≥3 of 4 non-educational strategies present) were determined in a fuzzy-set qualitative comparative analysis. A multisectoral policy network (≥7 of 14 sectors present) was neither a necessary nor a sufficient condition. In multisectoral networks, additionally required was either the active participation of network actors (≥50% actively involved) or active networking by the project leader (≥monthly contacts with network actors). In policy networks that included few sectors, a high level of trust (positive perceptions of each other's intentions) was needed-in the absence though of any of the other conditions. If the network actors were also actively involved, an extra requirement was active networking by the project leader. We conclude that the multisectoral composition of policy networks can contribute to the implementation of a variety of intervention strategies, but not without additional efforts. However, policy networks that include only few sectors are also able to implement an intervention mix. Here, trust seems to be the most important condition. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. The KwaZulu-Natal School Library Policy and its feasibility for implementation

    Directory of Open Access Journals (Sweden)

    Mariana Du Toit

    2013-03-01

    Full Text Available The research took into account accepted standards of good policy formulation to provide perspective and contextualise the study, and delineated educational challenges for the sector.The following theoretical frameworks guided the study: a constructivist approach in interpreting and  evaluating the role of school libraries within an education system based in constructivist principles, the traditional policy model to evaluate policy formulation and design, and a social constructionist view of policy in the interpreting of policy development and implementation. The epistemological basis for the main   methodology, the Delphi technique, was social constructivism.The research design comprised two phases.  Qualitative data collected from the Delphi panel's expert opinion was interpreted to analyse the policy document critically and assess its implementation strategy.  Quantitative data from an analysis of existing surveys and reports provided an overview of the current state of school  library provisioning in KwaZulu-Natal.  School library models already being implemented in the province were evaluated against this background.The research results provide guidelines for reviewing and refining the provincial policy intervention and  brought to the fore several issues that need to be resolved to facilitate school library development in South Africa.

  10. Air Quality in Mexico City: Policies Implemented for its Improvement

    Science.gov (United States)

    Paramo, V.

    2007-12-01

    stringent emission levels of the gasoline fleet; update the detention of pollutant vehicles program; partial exemption of the inspection and maintenance program for cleaner and or highly efficient vehicles; substitution of 3,000 microbuses, 40,000 taxis and 1,200 buses; commissioning of the first Bus Rapid Transit system; implementation of a program for the emissions reduction for the 300 most polluted industrial facilities; and continuous update of the air quality environmental management programs. To continue improving the air quality in the MCMA, the environmental authorities will continue the implementation of the 2002-2010 Air Quality Improvement Program. In 2007 the Green Program was started, this includes those actions that have proven to be effective reduction of pollutant emissions and incorporates new actions for the reduction of local and global pollutant emissions. The most important of these new actions are: substitution of 9,500 microbuses; renewal of all the taxis fleet; commissioning of 10 Bus Rapid Transit lines; commissioning of Line 12 of the underground system; schedules and routes limitations to the cargo fleet; increase 5 percent the number of non-motorized trips (bicycling and walking); regulation of the private public transport passenger stops; requirement of private schools to provide school transport; regulation of non-occupied taxis in circulation; modifications to the circulation of 350 critical crossing points in the city; adoption of intelligent traffic lights systems; complete substitution of the local government vehicle's fleet; implement the inspection and maintenance of the cargo fleet; introduction of low- sulfur diesel, among other measures.

  11. Implementation of Disaster and Risk Management Policy in the East-Cost of Madagascar

    Directory of Open Access Journals (Sweden)

    Faramalala Rakotondrasoa

    2016-05-01

    Full Text Available The implementation of Disaster and Risk Management (DRM policy in Madagascar was a great success and an evolution from its birth until today thanks to these different stakeholders. This implementation that has helped a lot the improvement of living standards of the local population in eastern of Madagascar before, during and after the passage of an aleas. Yet blocking factors even been known because the implementation is not fully satisfactory. This study aims to analyze the problems of implementation. Despite unceasing improvement, the local population still has a very low impact strength and after each cyclone crossing ,the same situation returns. To improve this implementation, I will also suggest few solutions that could solve these problems, so that each level actors can improve their own policy and work method. Note that these solutions were made after long lived with the community.

  12. Qualitative analysis of the dynamics of policy design and implementation in hospital funding reform.

    Directory of Open Access Journals (Sweden)

    Karen S Palmer

    Full Text Available As in many health care systems, some Canadian jurisdictions have begun shifting away from global hospital budgets. Payment for episodes of care has begun to be implemented. Starting in 2012, the Province of Ontario implemented hospital funding reforms comprising three elements: Global Budgets; Health Based Allocation Method (HBAM; and Quality-Based Procedures (QBP. This evaluation focuses on implementation of QBPs, a procedure/diagnosis-specific funding approach involving a pre-set price per episode of care coupled with best practice clinical pathways. We examined whether or not there was consensus in understanding of the program theory underpinning QBPs and how this may have influenced full and effective implementation of this innovative funding model.We undertook a formative evaluation of QBP implementation. We used an embedded case study method and in-depth, one-on-one, semi-structured, telephone interviews with key informants at three levels of the health care system: Designers (those who designed the QBP policy; Adoption Supporters (organizations and individuals supporting adoption of QBPs; and Hospital Implementers (those responsible for QBP implementation in hospitals. Thematic analysis involved an inductive approach, incorporating Framework analysis to generate descriptive and explanatory themes that emerged from the data.Five main findings emerged from our research: (1 Unbeknownst to most key informants, there was neither consistency nor clarity over time among QBP designers in their understanding of the original goal(s for hospital funding reform; (2 Prior to implementation, the intended hospital funding mechanism transitioned from ABF to QBPs, but most key informants were either unaware of the transition or believe it was intentional; (3 Perception of the primary goal(s of the policy reform continues to vary within and across all levels of key informants; (4 Four years into implementation, the QBP funding mechanism remains

  13. The Policy Implementation in Development Water Front City in District Senapelan Pekanbaru

    Directory of Open Access Journals (Sweden)

    Panca Setyo Prihatin

    2013-02-01

    Full Text Available Structuring urban areas, especially the Pekanbaru City, is necessary given the problem of development of Pekanbaru City is more and more complex and highly in need of a better arrangement, especially concerning on the improvement of the environment (Water Front City in Siak River surroundings. This is a descriptive qualitative research with population sample of the Office of Settlement and Regional Infrastructure of Pekanbaru City, Senapelan District Government, NGOs, community leaders, and private parties. Data are collected through interview, observation and documentation, which is then analyzed using qualitative analysis technique. This research finds that the policy of the development of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru is not implemented optimally. This situation can be seen through a variety of indicators related to the implementation of development policies of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru in that the effect of interest policies, benefits, desire for change, the process of decision-making, implementing programs and supporting resources have not been implemented effectively. The curbing factors in implementing development policies in the District Water Front City Senapelan Pekanbaru are mostly due to the lack of human resources, process of compensation and other inadequate financing, and managerial instruments that are unsupported to the implementation of development programs of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru.

  14. “In Accordance with Local Conditions”: Policy Design and Implementation of Agrarian Change Policies in Rural China

    Directory of Open Access Journals (Sweden)

    René Trappel

    2016-01-01

    Full Text Available An important part of Beijing’s strategy to reduce the welfare gap between urban and rural parts of China has been the promotion of urbanisation. Replacing peasant agriculture with commercial operations of scale is an integral part of this endeavour. This article analyses the implementation of policies meant to transform the structure of Chinese agriculture. It argues that the central government is using a set of very flexible policies, project-based implementation and adaption to local conditions to guide and support an existing dynamic of structural transformation in agriculture. Local governments, in turn, appreciate the flexibility, the political predictability, the potential revenue improvements and the cognitive framework inherent in these programmes. The article is primarily based on interviews with leading cadres at the township and county levels in the provinces of Shandong, Sichuan and Guizhou between 2008 and 2010.

  15. The implementation of Health in All Policies initiatives: a systems framework for government action.

    Science.gov (United States)

    Shankardass, Ketan; Muntaner, Carles; Kokkinen, Lauri; Shahidi, Faraz Vahid; Freiler, Alix; Oneka, Goldameir; M Bayoumi, Ahmed; O'Campo, Patricia

    2018-03-15

    There has been a renewed interest in broadening the research agenda in health promotion to include action on the structural determinants of health, including a focus on the implementation of Health in All Policies (HiAP). Governments that use HiAP face the challenge of instituting governance structures and processes to facilitate policy coordination in an evidence-informed manner. Due to the complexity of government institutions and the policy process, systems theory has been proposed as a tool for evaluating the implementation of HiAP. Our multiple case study research programme (HiAP Analysis using Realist Methods On International Case Studies - HARMONICS) has relied on systems theory and realist methods to make sense of how and why the practices of policy-makers (including politicians and civil servants) from specific institutional environments (policy sectors) has either facilitated or hindered the implementation of HiAP. Herein, we present a systems framework for the implementation of HiAP based on our experience and empirical findings in studying this process. We describe a system of 14 components within three subsystems of government. Subsystems include the executive (heads of state and their appointed political elites), intersectoral (the milieu of policy-makers and experts working with governance structures related to HiAP) and intrasectoral (policy-makers within policy sectors). Here, HiAP implementation is a process involving interactions between subsystems and their components that leads to the emergence of implementation outcomes, as well as effects on the system components themselves. We also describe the influence of extra-governmental systems, including (but not limited to) the academic sector, third sector, private sector and intergovernmental sector. Finally, we present a case study that applies this framework to understand the implementation of HiAP - the Health 2015 Strategy - in Finland, from 2001 onward. This framework is useful for helping to

  16. Correlates of smoke-free housing policies and interest in implementing policies among multiunit housing owners in New York City.

    Science.gov (United States)

    Farley, Shannon M; Waddell, Elizabeth Needham; Coady, Micaela H; Grimshaw, Victoria; Wright, Danielle A; Mandel-Ricci, Jenna; Kansagra, Susan M

    2015-04-01

    Secondhand smoke exposure is a concern in multiunit housing, where smoke can migrate between apartments. In 2012, the New York City (NYC) Department of Health and Mental Hygiene conducted a cross-sectional mail and phone survey among a random sample of low-income and market-rate multiunit housing owners and managers in NYC. The study compared experiences and attitudes regarding smoke-free policies between owners/managers (owners) with and without low-income units. Logistic regression analysis was used to assess the correlates of smoke-free residential unit rules and interest in adopting new smoke-free rules. Perceived benefits and challenges of implementing smoke-free rules were also examined. Overall, one-third of owners prohibited smoking in individual units. Among owners, nearly one-third owned or managed buildings with designated certified low-income units. Owners with low-income units were less likely than those without to have a smoke-free unit policy (26 vs. 36 %, p smoke-free building policies (60 vs. 70 %, p smoke-free policies were more likely to have a smoke-free unit policy, while current smokers and owners of larger buildings were less likely to have a policy. Nearly three quarters of owners without smoke-free units were interested in prohibiting smoking in all of their building/units (73 %). Among owners, correlates of interest in prohibiting smoking included awareness that secondhand smoke is a health issue and knowledge of their legal rights to prohibit smoking in their buildings. Current smokers were less likely to be interested in future smoke-free policies. Educational programs promoting awareness of owners' legal right to adopt smoke-free policies in residential buildings may improve the availability of smoke-free multiunit housing.

  17. Evaluation of implementation status of national policy on Indian systems of medicine and homeopathy 2002: Stakeholders′ perspective

    Directory of Open Access Journals (Sweden)

    Balpreet Singh

    2013-01-01

    Results and Conclusion: Response rate was 61%. Majority of experts considered implementation status of ISM and H Policy as poor. Lack of quality education was mentioned as major factor responsible for current scenario of ISM and H Policy by most of experts. Lack of funds and government support were emerged as major bottlenecks in implementation of ISM and H Policy.

  18. Dynamics in national agri-environmental policy implementation under changing EU policy priorities

    DEFF Research Database (Denmark)

    Vesterager, Jens Peter; Frederiksen, P.; Kristensen, Søren Bech Pilgaard

    2016-01-01

    decision structures in the Netherlands, Denmark, Greece, Austria and Romania. Second, we examine the extent to which various factors have influenced the development of national policies over time. The study identifies development based on the theory of ‘process of institutional change’, i.e. we...

  19. Public policy and regulatory implications for the implementation of Opportunistic Cloud Computing Services for Enterprises

    DEFF Research Database (Denmark)

    Kuada, Eric; Olesen, Henning; Henten, Anders

    2012-01-01

    Opportunistic Cloud Computing Services (OCCS) is a social network approach to the provisioning and management of cloud computing services for enterprises. This paper discusses how public policy and regulations will impact on OCCS implementation. We rely on documented publicly available government...... and corporate policies on the adoption of cloud computing services and deduce the impact of these policies on their adoption of opportunistic cloud computing services. We conclude that there are regulatory challenges on data protection that raises issues for cloud computing adoption in general; and the lack...... of a single globally accepted data protection standard poses some challenges for very successful implementation of OCCS for companies. However, the direction of current public and corporate policies on cloud computing make a good case for them to try out opportunistic cloud computing services....

  20. Climate paradox of the G-8: legal obligations, policy declarations and implementation gap

    Directory of Open Access Journals (Sweden)

    Hans Guenter Brauch

    2012-01-01

    Full Text Available This article analyzes the climate policy performance of the G-8 from 1992 to 2012 based on their legal commitments (Annex-1 and Annex-B countries under the UNFCCC (1992 and the Kyoto Protocol (1997 and their policy declarations on their GHG reduction goals until 2050. A climate paradox has emerged due to a growing implementation gap in Canada, USA and Japan, while Russia, Germany, UK, France and Italy fulfilled their GHG reduction obligation.

  1. The Implementation of Monetary Policy in an Emerging Economy: The Case of Chile

    OpenAIRE

    Christian A Johnson; Rodrigo Vergara

    2005-01-01

    Central bank authorities base implementation of monetary policy on an analysis of multiple variables known as monetary policy indicators. In a small open economy such as Chile, these indicators may include in-flation misalignments, unemployment, GDP growth, money growth, the current account balance, exchange rate volatility and international re-serves. A neural network approach is used to establish the correspond-ing weights considered by the Board of the Central Bank of Chile dur-ing the per...

  2. Implementing an Open Access Policy – Modeling KAUST in the Region

    KAUST Repository

    Baessa, Mohamed A.

    2014-11-12

    The presentation will discuss different open access approaches, and what can well-fit academic and governmental institutions. As a case study of KAUST, presenters will discuss how it can be initiated in a university set-up, how to get academic stakeholder engaged with support, and how the final stage is reached. Details about the KAUST Open Access Policy for research articles, theses and dissertations and the required tools and workflow to implement the policies will be highlighted.

  3. Explaining the non-implementation of health-improving policies related to solid fuels use in South Africa

    International Nuclear Information System (INIS)

    Matinga, Margaret Njirambo; Clancy, Joy S.; Annegarn, Harold J.

    2014-01-01

    In 1998, the South African government developed an energy policy that focused on a pro-poor agenda. Its objectives included addressing the health impacts of solid fuel use in households. Fourteen years later, and with household electrification at over 80%, millions still use solid fuels and yet ambitious policy objectives to address this situation are not being met. Using three theoretical frameworks; institutional capacity, policy inheritance and the symbolic use of policy, this paper analyses the reasons why household energy policy objectives related to solid fuels and health, as stated in the 1998 South African energy policy, have not been implemented. The results of the analysis show that the symbolic use of policy, including meanings of objects used for meeting policy objectives is the most critical explanation. The paper illustrates that political and historical contexts are critical to understanding policy outcomes in developing and transition countries which often experience tensions between implementing what may seem as objective policies, and that matches their political and historical experiences and aspirations. We recommend that policy analysts in the energy sector complement currently common methods to include political contexts of policy development and implementation in order to better understand why policy makers chose to implement certain policies over others. - Highlights: • Policy non-implementation in developing countries focuses on lack of resources. • We add policy inheritance and policy symbolism to assess non-implementation. • South Africa's racial politics affect how policies are perceived and implemented. • Politically, firewood and electricity symbolise repression and emancipation. • Electricity and firewood's symbolic meanings affect policy makers' focus on these

  4. Public policy for children in Brazil – the process of implementation of a new model

    Directory of Open Access Journals (Sweden)

    Rodrigo Stumpf González

    2015-06-01

    Full Text Available Recently happened the 25th anniversary of the approval of the Child and Adolescent Statute. Which goals are achieved? What changed? This work analyses the Brazilian case in implementation of a new paradigm of children rights and his impact in the definition of aconcrete agenda of public policies, doing an evaluation of the new model and the changes, with focus of the development of a agenda of policies in four subjects: creation of councils, attention for the young lawbreakers, exploitation of child labour and sexual violence against children. At the end are discussed motivation for partial success in implementation of the agenda and responsibilities of the institutional actors involved.

  5. Implementation of a health care policy: An analysis of barriers and facilitators to practice change

    Directory of Open Access Journals (Sweden)

    Sword Wendy

    2005-08-01

    Full Text Available Abstract Background Governments often create policies that rely on implementation by arms length organizations and require practice changes on the part of different segments of the health care system without understanding the differences in and complexities of these agencies. In 2000, in response to publicity about the shortening length of postpartum hospital stay, the Ontario government created a universal program offering up to a 60-hour postpartum stay and a public health follow-up to mothers and newborn infants. The purpose of this paper is to examine how a health policy initiative was implemented in two different parts of a health care system and to analyze the barriers and facilitators to achieving practice change. Methods The data reported came from two studies of postpartum health and service use in Ontario Canada. Data were collected from newly delivered mothers who had uncomplicated vaginal deliveries. The study samples were drawn from the same five purposefully selected hospitals for both studies. Questionnaires prior to discharge and structured telephone interviews at 4-weeks post discharge were used to collect data before and after policy implementation. Qualitative data were collected using focus groups with hospital and community-based health care practitioners and administrators at each site. Results In both studies, the respondents reflected a population of women who experienced an "average" or non-eventful hospital-based, singleton vaginal delivery. The findings of the second study demonstrated wide variance in implementation of the offer of a 60-hour stay among the sites and focus groups revealed that none of the hospitals acknowledged the 60-hour stay as an official policy. The uptake of the offer of a 60-hour stay was unrelated to the rate of offer. The percentage of women with a hospital stay of less than 25 hours and the number with the guideline that the call be within 48 hours of hospital discharge. Public health

  6. Evidence-Based Policy Making and the Implementation of Regulatory Impact Assessment in Croatia

    Directory of Open Access Journals (Sweden)

    Zdravko Petak

    2015-06-01

    Full Text Available Purpose: This study is dealing with the application of evidence-based policy-making in Croatian public administration and the general role of applied policy analysis in the Croatian system of governance. Methodology: This development is illustrated by the peculiarities of introducing regulatory impact assessment (RIA tools in Croatian public administrative structures. Findings: The author is pointing out various limitations in the usage of policy analysis tools in formulating, implementing and evaluating public policies in Croatia. The crucial role of RIA for enhancing executive capacity of governance structures is particularly stressed in the study. The final part of the article is devoted to the prospects of further development of RIA as an applied policy analysis tool within the Croatian system of governance.

  7. Mental health care user participation in mental health policy development and implementation in South Africa.

    Science.gov (United States)

    Kleintjes, Sharon; Lund, Crick; Swartz, Leslie; Flisher, Alan

    2010-01-01

    This paper describes current support for mental health care user participation in policy development and implementation in South Africa and suggests strategies for improving participation. The World Health Organization (WHO) Mental Health Policy Checklist and WHO Mental Health Legislation Checklist were completed. Between August 2006 and August 2009 96 semi-structured interviews with national, regional and district stakeholders were conducted. Most respondents felt that inclusion of user perspectives in policy processes would improve policy development. In practice, mental health care user consultation in policy development and implementation has been limited during the 16 years of democracy in South Africa. Strategies to create a supportive environment for user participation include social action directed at reducing stigma, advocating for acceptance of users' rights to participate in decision making, crafting a supportive regulatory framework to promote participation, and equipping providers and policy makers to support inclusion. User capacity for participation could be strengthened through early and effective access to treatment and support, development of a national user lobby, skills training and practical exposure to the policy and service development environment.

  8. Evaluating Evaluation Systems: Policy Levers and Strategies for Studying Implementation of Educator Evaluation. Policy Snapshot

    Science.gov (United States)

    Matlach, Lauren

    2015-01-01

    Evaluation studies can provide feedback on implementation, support continuous improvement, and increase understanding of evaluation systems' impact on teaching and learning. Despite the importance of educator evaluation studies, states often need support to prioritize and fund them. Successful studies require expertise, time, and a shared…

  9. Good governance in national solid waste management policy (NSWMP) implementation: A case study of Malaysia

    Science.gov (United States)

    Wee, Seow Ta; Abas, Muhamad Azahar; Mohamed, Sulzakimin; Chen, Goh Kai; Zainal, Rozlin

    2017-10-01

    The National Solid Waste Management Policy (NSWMP) was introduced in 2007 under the Act 672. The execution of NSWMP involves stakeholders from various government agencies and a collaboration with the private sectors. Despite the initiatives taken by the stakeholders, the objectives of NSWMP failed to materialise. One of the major constraints is weak governance among stakeholders with regards to the NSWMP implementation. This paper will explore the good governance practices implemented by the stakeholders. Identifying the current good governance practices implemented by the stakeholders is crucial as it will serve as a guideline to improve good governance practice in the future. An exploratory research approach is applied in this study through in-depth interviews with several government agencies and concessionaires involved in the NSWMP implementation. A total of six respondents took part in this study. The findings of this study show that there are several good governance practices implemented in policy promotion, participation of stakeholders, and capacity enhancement programme for the staff. This study also proposed some points on good governance practices in the context of policy promotion and staff development. A paradigm shift by the stakeholders is imperative so as to enhance the good governance practice in NSWMP implementation towards an efficient solid waste management in Malaysia.

  10. Shaping legal abortion provision in Ghana: using policy theory to understand provider-related obstacles to policy implementation

    Science.gov (United States)

    2013-01-01

    Background Unsafe abortion is a major public health problem in Ghana; despite its liberal abortion law, access to safe, legal abortion in public health facilities is limited. Theory is often neglected as a tool for providing evidence to inform better practice; in this study we investigated the reasons for poor implementation of the policy in Ghana using Lipsky’s theory of street-level bureaucracy to better understand how providers shape and implement policy and how provider-level barriers might be overcome. Methods In-depth interviews were conducted with 43 health professionals of different levels (managers, obstetricians, midwives) at three hospitals in Accra, as well as staff from smaller and private sector facilities. Relevant policy and related documents were also analysed. Results Findings confirm that health providers’ views shape provision of safe-abortion services. Most prominently, providers experience conflicts between their religious and moral beliefs about the sanctity of (foetal) life and their duty to provide safe-abortion care. Obstetricians were more exposed to international debates, treaties, and safe-abortion practices and had better awareness of national research on the public health implications of unsafe abortions; these factors tempered their religious views. Midwives were more driven by fundamental religious values condemning abortion as sinful. In addition to personal views and dilemmas, ‘social pressures’ (perceived views of others concerning abortion) and the actions of facility managers affected providers’ decision to (openly) provide abortion services. In order to achieve a workable balance between these pressures and duties, providers use their ‘discretion’ in deciding if and when to provide abortion services, and develop ‘coping mechanisms’ which impede implementation of abortion policy. Conclusions The application of theory confirmed its utility in a lower-middle income setting and expanded its scope by showing that

  11. Early Elective Delivery Disparities between Non-Hispanic Black and White Women after Statewide Policy Implementation.

    Science.gov (United States)

    Kozhimannil, Katy B; Muoto, Ifeoma; Darney, Blair G; Caughey, Aaron B; Snowden, Jonathan M

    2017-12-19

    In 2011, Oregon implemented a policy that reduced the state's rate of early (before 39 weeks' gestation) elective (without medical need) births. This analysis measured differential policy effects by race, examining whether Oregon's policy was associated with changes in non-Hispanic Black-White disparities in early elective cesarean and labor induction. We used Oregon birth certificate data, defining prepolicy (2008-2010) and postpolicy (2012-2014) periods, including non-Hispanic Black and White women who gave birth during these periods (n = 121,272). We used longitudinal spline models to assess policy impacts by race and probability models to measure policy-associated changes in Black-White disparities. We found that the prepolicy Black-White differences in early elective cesarean (6.1% vs. 4.3%) were eliminated after policy implementation (2.8% vs. 2.5%); adjusted models show decreases in the odds of elective early cesarean among Black women after the policy change (adjusted odds ratio, 0.47; 95% confidence interval, 0.22-1.00; p = .050) and among White women (adjusted odds ratio, 0.79; 95% confidence interval, 0.67-0.93; p = .006). Adjusted probability models indicated that policy implementation resulted in a 1.75-percentage point narrowing (p = .011) in the Black-White disparity in early elective cesarean. Early elective induction also decreased, from 4.9% and 4.7% for non-Hispanic Black and non-Hispanic White women to 3.8% and 2.5%, respectively; the policy was not associated with a statistically significant change in disparities. A statewide policy reduced racial disparities in early elective cesarean, but not early elective induction. Attention to differential policy effects by race may reveal changes in disparities, even when that is not the intended focus of the policy. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  12. The influence of formal and informal policies and practices on health care innovation implementation: A mixed-methods analysis.

    Science.gov (United States)

    DiMartino, Lisa D; Birken, Sarah A; Hanson, Laura C; Trogdon, Justin G; Clary, Alecia S; Weinberger, Morris; Reeder-Hayes, Katherine; Weiner, Bryan J

    2018-03-12

    The implementation science literature has contributed important insights regarding the influence of formal policies and practices on health care innovation implementation, whereas informal implementation policies and practices have garnered little attention. The broader literature suggests that informal implementation policies and practices could also influence innovation use. We used the Organizational Theory of Innovation Implementation to further understand the role of formal and informal implementation policies and practices as determinants of implementation effectiveness. We examined their role within the context of initiatives to increase palliative care consultation in inpatient oncology. We used a case study design in two organizational settings within one academic medical center: medical and gynecologic oncology. We completed semistructured interviews with medical (n = 12) and gynecologic (n = 10) oncology clinicians using questions based on organizational theory. Quantitative data assessed implementation effectiveness, defined as aggregated palliative care consult rates within oncology services from 2010 to 2016. Four palliative care clinicians were interviewed to gain additional implementation context insights. Medical oncology employed multiple formal policies and practices including training and clinician prompting to support palliative care consultation and a top-down approach, yet most clinicians were unaware of the policies and practices, contributing to a weak implementation climate. In contrast, gynecologic oncology employed one formal policy (written guideline of criteria for initiating a consult) but also relied on informal policies and practices, such as spontaneous feedback and communication; they adopted a bottom-up approach, contributing to broader clinician awareness and strong implementation climate. Both services exhibited variable, increasing consult rates over time. Informal policies and practices may compensate or substitute for formal

  13. Spatial misfits in a multi-level renewable energy policy implementation process on the Small Island State of Malta

    International Nuclear Information System (INIS)

    Kotzebue, Julia R.; Bressers, Hans Th.A.; Yousif, Charles

    2010-01-01

    One of the priorities of energy policies of the European Union (EU) is to generate 20% of EU's total energy consumption from renewable energy (RE) sources by 2020. The EU policy framework mainly emphasizes economical and technical aspects of RE sources, and promotes large scale projects. However the local implementation of RE EU policies can lead to spatial misfits if the policy implementation neglects the peculiarities of the place. It is important to understand the misfits and relationship between the EU RE policies and the local implementation process, as misfits can affect the policy implementation process and subsequently policy outcomes can be different from those intended, leading to inapt or inapplicable measures. This article presents findings of a qualitative in-depth study of Malta's RE policy implementation. The paper shows that planning of central large-scale RE projects in Malta provokes land and marine use conflicts and can cause difficulties in implementation. The concerned key actors implement the policies according to their motivation, perception, and capacity, and the context in which they are embedded. Hence, both the EU RE policy framework and the national interaction process influence the implementation process, which can lead to spatial mismatches.

  14. A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

    Science.gov (United States)

    Laharnar, Naima; Glass, Nancy; Perrin, Nancy; Hanson, Ginger; Kent Anger, W.

    2013-01-01

    Background Effective policy implementation is essential for a healthy workplace. The Ryan-Kossek 2008 model for work-life policy adoption suggests that supervisors as gatekeepers between employer and employee need to know how to support and communicate benefit regulations. This article describes a workplace intervention on a national employee benefit, Family and Medical Leave Act (FMLA), and evaluates the effectiveness of the intervention on supervisor knowledge, awareness, and experience with FMLA. Methods The intervention consisted of computer-based training (CBT) and a survey measuring awareness and experience with FMLA. The training was administered to 793 county government supervisors in the state of Oregon, USA. Results More than 35% of supervisors reported no previous training on FMLA and the training pre-test revealed a lack of knowledge regarding benefit coverage and employer responsibilities. The CBT achieved: (1) a significant learning effect and large effect size of d = 2.0, (2) a positive reaction to the training and its design, and (3) evidence of increased knowledge and awareness regarding FMLA. Conclusion CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA. PMID:24106648

  15. EXPLORING TAX HOLIDAY POLICY IMPLEMENTATION FOR INDONESIAN INVESTMENT CLIMATE: HAS IT BEEN EFFECTIVE?

    Directory of Open Access Journals (Sweden)

    Mulyono R.D.P.

    2017-07-01

    Full Text Available This study aims to explore the reasons for the ineffectiveness of tax holiday policy implementation in Indonesia as well as the government’s strategies to improve the investment climate. This research uses exploratory study type which does not test theory or hypothesis by using preliminary survey method, conducting direct or indirect interview via e-mail to certain informant by giving questionnaire and direct observation passively observing the field and related websites supporting statistical data in this study in depth. In testing the validity of research data used source triangulation and method triangulation. The progress that has been achieved to date in the implementation of tax holiday policy is to provide ease of bureaucracy administration and simplicity of licensing services in investing by improving coordination among government to improve foreign investors' confidence when investing in Indonesia. So technically, the implementation of tax holiday policy is quite effective in attracting foreign direct investment because it can perform the right obligations according to the regulations. In the investment point of view, tax holiday policy is not effective in attracting foreign direct investment or not becoming the main factor of investor's goal in investment. The cause of the ineffectiveness of the tax holiday policy in attracting foreign direct investment in Indonesia is another indicator that becomes an assessment among others the ease of investment licensing, infrastructure, electricity supply, investor protection, minority and tax administration. Indonesian government's strategy to improve the investment climate is through deregulation, debureaucracy, law enforcement and business certainty for investors.

  16. THE IMPLEMENTATION OF ENGLISH-ONLY POLICY IN THE TERTIARY EFL CONTEXT IN TAIWAN

    Directory of Open Access Journals (Sweden)

    David Dirkwen Wei

    2013-01-01

    Full Text Available Abstract: The implementation of English-only policy in the English classes at Wenzao Ursuline College of Languages in Taiwan has continued for nearly 40 years. Its advantages and disadvantages have also been debated and challenged because of the rising demands on students’ English proficiency in Taiwan. This study intended to reexamine the efficiency of the implementation of English-only policy in the English learning at a college of languages in Taiwan. Both quantitative and qualitative methods were used in the process of data collection. 279 English major and non-English major students were invited to answer questionnaires, and six participants were invited to join interviews. The process of data analysis included the analysis of both the quantitative questionnaire data and the qualitative interview data. This study found students’ progress in English listening and speaking proficiency in the basic and lower-intermediate levels because of English-only policy. However, the interaction between teachers and some students was hampered because of the policy. Also, the ambiguity emerging in the insistence on using English only blocked some learners from comprehending the meanings of the texts they were learning, specifically the texts in the upper-intermediate and intermediate-advanced levels of English reading and writing courses. This study also found that proper tolerance of using both students’ native language and English in TEFL classes in the way of code-switching may help students more than the implementation of English-only policy in a tertiary TEFL context.

  17. A Cognitive Perspective on Policy Implementation : Reform Beliefs, Sensemaking, and Social Networks

    NARCIS (Netherlands)

    Siciliano, Michael D.; Moolenaar, Nienke M.; Daly, Alan J.; Liou, Yi Hwa

    2017-01-01

    Utilizing a cognitive perspective, this article examines the social processes through which teachers come to understand the Common Core State Standards. The authors begin by identifying three beliefs that have important implications for policy implementation: self-efficacy, resource adequacy, and

  18. 75 FR 57006 - Addressing Policy and Logistical Challenges to Smart Grid Implementation

    Science.gov (United States)

    2010-09-17

    ... Commissions studying smart grid and smart meter applications in pilots? In conducting pilots, what best... right to opt out of receiving and paying for smart grid technologies or programs like meters, in home... DEPARTMENT OF ENERGY Addressing Policy and Logistical Challenges to Smart Grid Implementation...

  19. Sharing Best Practices in Barbados and Trinidad and Tobago: Patterns of Policy Implementation and Resistance

    Science.gov (United States)

    Lam, Elaine

    2011-01-01

    This article outlines policies from multilateral organisations that advocate sharing best practices between developing nations. The article discusses the degree to which these best practices are implemented by small states as indicated by teachers, academics and policymakers in Barbados and Trinidad and Tobago. For the purpose of this article, a…

  20. "Brown v. Board of Education" (1954): An Analysis of Policy Implementation, Outcomes, and Unintended Consequences

    Science.gov (United States)

    McCullough, Carla M.

    2012-01-01

    "Brown v. Board of Education" (1954) was a significant court case fought to provide equal educational opportunities for African-American students. Though the case was fought with good intentions, there may have been unintended consequences that occurred due to the policy implementation. The purpose of this research was to explore the…

  1. Walking the Line: Quality Assurance Policy Development and Implementation in Vi?t Nam

    Science.gov (United States)

    Madden, Meggan

    2014-01-01

    Although Vi?t Nam's experiences with quality assurance (QA) policy development have been influenced by its relationships with, and funding from, the World Bank and regional organizations, the state-centric values of the Socialist Republic of Vi?t Nam still navigate the implementation process. The development of QA in Vietnamese higher education…

  2. Sermons, Carrots or Sticks? Explaining Successful Policy Implementation in a Low Performance Institution

    Science.gov (United States)

    Salazar-Morales, Diego Alonso

    2018-01-01

    This article explains how after 43 years of unsatisfactory outcomes, the Ministry of Education of Peru (MoE) suddenly ranked at the top of governmental performance tables. To do so, this study relies on implementation and major discussions of policy instrument theories to provide a comprehensive explanation of the reasons underlying the MoE's…

  3. Speaking Conflict: Ideological Barriers to Bilingual Policy Implementation in Civil War Sri Lanka

    Science.gov (United States)

    Davis, Christina P.

    2015-01-01

    This article presents a holistic view of ideological barriers to bilingual policy implementation in Sri Lanka, a conflict-ridden postcolonial nation-state. I examine Sinhalese youth and adults' Tamil as a second language (TSL) learning and speaking practices across three contexts: a multilingual school, a program for government servants, and an…

  4. Tracking the implementation of green credit policy in China: top-down perspective and bottom-up reform.

    Science.gov (United States)

    Zhang, Bing; Yang, Yan; Bi, Jun

    2011-04-01

    The Chinese government has introduced the green credit policy to mitigate the environmental impact of industrialization by reining in credit loans to companies and projects with poor environmental performance. This research investigated the implementation of the green credit policy both at the national and provincial levels. Our results show that the green credit policy is not fully implemented. The wide-ranging impact on high-polluting and high energy-consuming industries, vague policy details unclear implementing standards, and lack of environmental information are the main problems in the implementation of the green credit policy in China. On the other hand, the practice at local level (Jiangsu Province) is more practical by integrating green credit policy with the environmental performance rating system. Finally, suggestions are outlined to improve China's green credit policy. Copyright © 2010 Elsevier Ltd. All rights reserved.

  5. Implementation of a Health Policy Advisory Committee as a Knowledge Translation Platform: The Nigeria Experience

    Directory of Open Access Journals (Sweden)

    Chigozie Jesse Uneke

    2015-03-01

    Full Text Available Background In recent times, there has been a growing demand internationally for health policies to be based on reliable research evidence. Consequently, there is a need to strengthen institutions and mechanisms that can promote interactions among researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The Health Policy Advisory Committee (HPAC is one of such mechanisms that can serve as an excellent forum for the interaction of policy-makers and researchers. Therefore, the need to have a long term mechanism that allows for periodic interactions between researchers and policy-makers within the existing government system necessitated our implementation of a newly established HPAC in Ebonyi State Nigeria, as a Knowledge Translation (KT platform. The key study objective was to enhance the capacity of the HPAC and equip its members with the skills/competence required for the committee to effectively promote evidence informed policy-making and function as a KT platform. Methods A series of capacity building programmes and KT activities were undertaken including: i Capacity building of the HPAC using Evidence-to-Policy Network (EVIPNet SUPPORT tools; ii Capacity enhancement mentorship programme of the HPAC through a three-month executive training programme on health policy/health systems and KT in Ebonyi State University Abakaliki; iii Production of a policy brief on strategies to improve the performance of the Government’s Free Maternal and Child Health Care Programme in Ebonyi State Nigeria; and iv Hosting of a multi-stakeholders policy dialogue based on the produced policy brief on the Government’s Free Maternal and Child Health Care Programme. Results The study findings indicated a noteworthy improvement in knowledge of evidence-to-policy link among the HPAC members; the elimination of mutual mistrust between policy-makers and researchers; and an increase in the awareness of importance of HPAC in the

  6. Implementation of a health policy advisory committee as a knowledge translation platform: the Nigeria experience

    Science.gov (United States)

    Uneke, Chigozie Jesse; Ndukwe, Chinwendu Daniel; Ezeoha, Abel Abeh; Uro-Chukwu, Henry Chukwuemeka; Ezeonu, Chinonyelum Thecla

    2015-01-01

    Background: In recent times, there has been a growing demand internationally for health policies to be based on reliable research evidence. Consequently, there is a need to strengthen institutions and mechanisms that can promote interactions among researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The Health Policy Advisory Committee (HPAC) is one of such mechanisms that can serve as an excellent forum for the interaction of policy-makers and researchers. Therefore, the need to have a long term mechanism that allows for periodic interactions between researchers and policy-makers within the existing government system necessitated our implementation of a newly established HPAC in Ebonyi State Nigeria, as a Knowledge Translation (KT) platform. The key study objective was to enhance the capacity of the HPAC and equip its members with the skills/competence required for the committee to effectively promote evidence informed policy-making and function as a KT platform. Methods: A series of capacity building programmes and KT activities were undertaken including: i) Capacity building of the HPAC using Evidence-to-Policy Network (EVIPNet) SUPPORT tools; ii) Capacity enhancement mentorship programme of the HPAC through a three-month executive training programme on health policy/health systems and KT in Ebonyi State University Abakaliki; iii) Production of a policy brief on strategies to improve the performance of the Government’s Free Maternal and Child Health Care Programme in Ebonyi State Nigeria; and iv) Hosting of a multi-stakeholders policy dialogue based on the produced policy brief on the Government’s Free Maternal and Child Health Care Programme. Results: The study findings indicated a noteworthy improvement in knowledge of evidence-to-policy link among the HPAC members; the elimination of mutual mistrust between policy-makers and researchers; and an increase in the awareness of importance of HPAC in the Ministry

  7. Governance by green taxes: Implementing clean water policies in Europe 1970 - 1990

    DEFF Research Database (Denmark)

    Andersen, Mikael Skou

    1999-01-01

    This article analyzes the use of economic instruments for environmental policy in four European countries. The study employs data from national and international sources for an ex post evaluation of the effects of economic policy instruments in the clean water programs of Denmark, France, Germany...... for the implementation of public policies; on the other hand it provides some unexpected findings regarding the significance of the institutional context for the design and operation of market-based instruments. It is argued that institutionalized practices of public policy making influenced the specific design...... to the significance of taking into account the institutional setting of the design and operation of market-based instruments, an observation with both theoretical and practical implications....

  8. Addressing the challenges to health sector decentralization in Nepal: an inquiry into the policy and implementation processes.

    Science.gov (United States)

    Dhakal, R; Ratanawijitrasin, S; Srithamrongsawat, S

    2009-09-01

    The objective of the study was to analyze the status and explore the challenges to decentralization policy implementation in Nepal. Thirty seven key informants rich in experience and knowledge, seven focus group discussions, observation of six health facilities and analysis of about 25 key policy documents provided the data for this study. The study identified the challenges to the implementation of decentralization reforms in the public health sector as: (i) centralised and weak management and programming practices of the government; (ii) weak legal and institutional framework; (iii) conflicting policy objectives; (iv) lack of implementation strategy; (v) poor financial and human resource management system; (vi) lack of adequate preparation for managing the reform; (vii) weak capacity at all levels; (viii) political instability. It was revealed that the implementation of the policy in Nepal was extremely poor as many of the important policy measures were either never initiated or they were only partially implemented. The challenges lie both at - policy design and implementation phase. Clear policy objectives, appropriate structure, sound planning, financing and human resources policy, adequate capacity, responsive information system, defined service packages, active participation of stakeholders and a conducive socio-political environment are considered imperative for successful implementation of the policy. Preparation for managing reform implementation at national and district levels is prerequisite for decentralization to work. Pushing for decentralization in a politically fragile environment may rather lead to further fragmentation, instead of strengthening government legitimacy.

  9. Change in dietary energy density after implementation of the Texas Public School Nutrition Policy.

    Science.gov (United States)

    Mendoza, Jason A; Watson, Kathy; Cullen, Karen Weber

    2010-03-01

    Consumption of energy-dense foods has been associated with rising obesity rates and the metabolic syndrome. Reducing dietary energy density is an important strategy to address obesity, but few studies have examined the effect of nutrition policies on children's energy density. The study's objective was to assess the impact of the Texas Public School Nutrition Policy on children's energy density by using a pre- and post-policy evaluation. Analysis of variance/covariance and nonparametric tests compared energy density after the Texas policy change to intakes at baseline. Two years of lunch food records were collected from middle school students in Southeast Texas at three public middle schools: baseline (2001-2002) and 1 year after implementation of the Texas Policy (2005-2006). Students recorded the amount and source of foods consumed. The Texas Public School Nutrition Policy was designed to promote a healthy school environment by restricting portion sizes of high-fat and high-sugar snacks and sweetened beverages, fat content of foods, and serving of high-fat vegetables like french fries. Energy density (kcal/g): energy density-1 was the energy of foods only (no beverages) divided by the gram weight and has been previously associated with obesity and insulin resistance; energy density-2 included all food and beverages to give a complete assessment of all sources of calories. Following implementation of the Texas policy, students' energy density-1 significantly decreased from 2.80+/-1.08 kcal/g to 2.17+/-0.78 kcal/g (PNutrition Policy was associated with desirable reductions in energy density, which suggests improved nutrient intake as a result of student school lunch consumption. Copyright 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  10. Work–life balance policies: Challenges and benefits associated with implementing flexitime

    Directory of Open Access Journals (Sweden)

    Caroline Downes

    2011-02-01

    Full Text Available Orientation: Helping employees to balance their work and family lives is a business imperative. Work–life balance policies (like flexitime aim to support employees to do so. However, implementing these policies is problematic.Research purpose: The aim of this article is to report on the challenges and benefits associated with implementing flexitime as a work–life balance policy.Motivation for the study: Organisations must develop and implement work–life balance policies. This requires human resource practitioners to investigate and understand experiences and perceptions about the challenges and benefits of flexitime.Research design, approach and method: The researcher used a qualitative research design with an exploratory approach. She drew a nonprobability purposive and voluntary sample (n = 15 from the financial sector. She used semi-structured in-depth interviews to collect the data and conducted content analyses to analyse and interpret them.Main findings: The researcher extracted four main themes (individual and general challenges, the aspects organisations need to implement flexitime effectively and the benefits that would follow its implementation from the data. Its benefits vary from work–life balance to employee loyalty and commitment. Some challenges are maintaining productivity, a shortage of critical resources and understanding flexitime.Practical/managerial implications: The research identified requirements that human resource practitioners should attend to in order to ensure that organisations use flexitime more effectively.Contribution/value-add: The researcher obtained unique findings about the minimum requirements for implementing flexitime effectively. They could assist organisations to address the challenges that employees face.

  11. Governing China’s Clean Energy Transition: Policy Reforms, Flexible Implementation and the Need for Empirical Investigation

    Directory of Open Access Journals (Sweden)

    Kevin Lo

    2015-11-01

    Full Text Available In the ten years since committing to clean energy transition, China has formulated a large number of policies and programs to achieve some very ambitious targets. This paper argues that the dearth of empirical studies concerning the implementation of these new policies and programs has created a knowledge gap between official policy documents, which are vague and lacking in specifics, and official policy outcomes, which are unreliable. In particular, the merits and limitations of flexible implementation with regard to desirable outcomes need to be debated and clarified. This paper calls for more empirical investigation in four areas as a starting point: (1 the nature and extent of flexibility in the implementation; (2 implementation strategies and their impacts; (3 factors that shape the behavior of local officials responsible for implementation; and (4 the relationship between the central-local relation and policy implementation.

  12. Implementation Of Conservation Policy Through The Protection Of Life Support System In The Karimunjawa National Park

    Science.gov (United States)

    Ariyani, Nur Anisa Eka; Kismartini

    2018-02-01

    The Karimunjawa National Park as the only one marine protected area in Central Java, managed by zonation system has decreased natural resources in the form of decreasing mangrove forest area, coral cover, sea biota population such as clams and sea cucumbers. Conservation has been done by Karimunjawa National Park Authority through protection of life support system activities in order to protect the area from degradation. The objective of the research is to know the implementation of protection and security activities of Karimunjawa National Park Authority for the period of 2012 - 2016. The research was conducted by qualitative method, processing secondary data from Karimunjawa National Park Authority and interview with key informants. The results showed that protection and security activities in The Karimunjawa National Park were held with three activities: pre-emptive activities, preventive activities and repressive activities. Implementation of conservation policy through protection of life support system is influenced by factors of policy characteristic, resource factor and environmental policy factor. Implementation of conservation policy need support from various parties, not only Karimunjawa National Park Authority as the manager of the area, but also need participation of Jepara Regency, Central Java Provinces, communities, NGOs, researchers, developers and tourism actors to maintain and preserve existing biodiversity. Improving the quality of implementors through education and training activities, the availability of the state budget annually and the support of stakeholders is essential for conservation.

  13. Midwife Acceptability in Implementation of Labor Warranty Policy in the District Mojokerto

    Directory of Open Access Journals (Sweden)

    Agung Dwi Laksono

    2014-08-01

    Full Text Available Background: The existence of midwive as the Jampersal main guard so important. Midwive acceptability has become Jampersal issue’s at district level, then the reason is enough to do a policy analysis of Jampersal.It is important to ensure successful implementation in the field, so the aim of improving access to maternal and child health services, as well as further reduction of MMR and IMR can be achieved. This study aimed to analyze the midwifes acceptability to the implementation of Jampersal in Mojokerto regency. Methods: This research is observational study. This study is also the policy analysis research on policy implementation stage.Policy research is classified as an ‘analysis of policy’. In-depth interviews and focus group discussions withthe data obtained from the field actors. Content analysis is done by analyzing the acceptability of thematically based midwives in Mojokerto regency to the Jampersal membership, benefit package, accountability, and the tariff. Result: Research shows that midwives most accept to the Jampersal accountability. It is perceived more easily than other health financing. For the acceptability of the benefit package and the tariff, midwives could still accept although with little objection. For Jampersal membership, most midwives still objected to the Jampersal membership models. Conclution: It needs to be disseminated to a deeper understanding of the meaning and purpose of the Jampersal philosophy. Recommendation: Socialization is also able to explain what the background of every detail measures taken, including what makes the midwife objected.

  14. Implementation Of Conservation Policy Through The Protection Of Life Support System In The Karimunjawa National Park

    Directory of Open Access Journals (Sweden)

    Anisa Eka Ariyani Nur

    2018-01-01

    Full Text Available The Karimunjawa National Park as the only one marine protected area in Central Java, managed by zonation system has decreased natural resources in the form of decreasing mangrove forest area, coral cover, sea biota population such as clams and sea cucumbers. Conservation has been done by Karimunjawa National Park Authority through protection of life support system activities in order to protect the area from degradation. The objective of the research is to know the implementation of protection and security activities of Karimunjawa National Park Authority for the period of 2012 - 2016. The research was conducted by qualitative method, processing secondary data from Karimunjawa National Park Authority and interview with key informants. The results showed that protection and security activities in The Karimunjawa National Park were held with three activities: pre-emptive activities, preventive activities and repressive activities. Implementation of conservation policy through protection of life support system is influenced by factors of policy characteristic, resource factor and environmental policy factor. Implementation of conservation policy need support from various parties, not only Karimunjawa National Park Authority as the manager of the area, but also need participation of Jepara Regency, Central Java Provinces, communities, NGOs, researchers, developers and tourism actors to maintain and preserve existing biodiversity. Improving the quality of implementors through education and training activities, the availability of the state budget annually and the support of stakeholders is essential for conservation.

  15. Improvements in middle school student dietary intake after implementation of the Texas Public School Nutrition Policy.

    Science.gov (United States)

    Cullen, Karen Weber; Watson, Kathy; Zakeri, Issa

    2008-01-01

    We assessed the effect of the Texas Public School Nutrition Policy on middle school student lunchtime food consumption. Three years of lunch food records were collected from middle school students in southeast Texas: baseline (2001-2002), after local district changes (2002-2003), and 1 year after implementation of the Texas Public School Nutrition Policy (2005-2006). Students recorded amount and source of foods and beverages they consumed. Analysis of variance and covariance and nonparametric tests were used to compare intake after the policy change with intake during the 2 previous years. After implementation of the nutrition policy, student lunch consumption of vegetables, milk, and several nutrients increased (protein, fiber, vitamins A and C, calcium, and sodium), and consumption of less desirable items (sweetened beverages, snack chips) decreased, as did percentage of energy from fat. Most of the desired nutrients and foods (vegetables and milk) were obtained from the National School Lunch Program meal. Fewer sweetened beverages, candy, chips, and dessert foods were purchased and consumed, but more of these items were brought from home and purchased from the snack bar. Overall, state school nutrition policies can improve the healthfulness of foods consumed by students at lunch.

  16. An analysis of policy levers used to implement mental health reform in Australia 1992-2012.

    Science.gov (United States)

    Grace, Francesca C; Meurk, Carla S; Head, Brian W; Hall, Wayne D; Carstensen, Georgia; Harris, Meredith G; Whiteford, Harvey A

    2015-10-24

    Over the past two decades, mental health reform in Australia has received unprecedented government attention. This study explored how five policy levers (organisation, regulation, community education, finance and payment) were used by the Australian Federal Government to implement mental health reforms. Australian Government publications, including the four mental health plans (published in 1992, 1998, 2003 and 2008) were analysed according to policy levers used to drive reform across five priority areas: [1] human rights and community attitudes; [2] responding to community need; [3] service structures; [4] service quality and effectiveness; and [5] resources and service access. Policy levers were applied in varying ways; with two or three levers often concurrently used to implement a single initiative or strategy. For example, changes to service structures were achieved using various combinations of all five levers. Attempts to improve service quality and effectiveness were instead made through a single lever-regulation. The use of some levers changed over time, including a move away from prescriptive, legislative use of regulation, towards a greater focus on monitoring service standards and consumer outcomes. Patterns in the application of policy levers across the National Mental Health Strategy, as identified in this analysis, represent a novel way of conceptualising the history of mental health reform in Australia. An improved understanding of the strategic targeting and appropriate utilisation of policy levers may assist in the delivery and evaluation of evidence-based mental health reform in the future.

  17. Disempowered doctors? A relational view of public health policy implementation in urban India.

    Science.gov (United States)

    Sheikh, Kabir; Porter, John D H

    2011-01-01

    This article analyses the nature of power relationships between urban hospital practitioners and other groups of actors involved in the implementation of public health policies in India, and the effects of enacting different strategies to strengthen implementation, in the context of these balances of power. It is based on an empirical research study conducted over 18 months in five Indian cities involving 61 in-depth interviews with medical practitioners and policy actors, and an interpretivist analytical approach. An issue case study-of the implementation of national HIV testing guidelines-was used to focus the interviews on specific events and phenomena. Respondents' accounts revealed that practitioners in both private and government hospitals tended to successfully resist or subvert the attempts of regulators and administrators to enforce the guidelines. However, in spite of often possessing perspectives and convictions that differed from the nationally sanctioned guidelines, practitioners were not able to effectively communicate these ideas to other health systems actors, or introduce them into mainstream policy discourse. The metaphor of public health guideline implementation throws light on the problematical nature of the power possessed by medical practitioners in relation to public health systems in India. Even as practitioners wield 'negative' power in their ability to resist authority, they appear to lack the 'positive' power to contribute intellectually to the policy process. This mix of political obduracy and intellectual demoralization among practitioners also underpins a subtle trend in public health, of the separation of the world of ideas from the world of actions. Study findings highlight that stronger regulations and provisions for accountability in Indian health systems critically need to be balanced by measures to develop collective intellectual capital and include the voices of frontline practitioners in public health policy discourse.

  18. Implementation of public policy on alcohol and other drugs in Brazilian municipalities: comparative studies.

    Science.gov (United States)

    Mota, Daniela Belchior; Ronzani, Telmo Mota

    2016-07-01

    One of the challenges with respect to public health and the abuse of alcohol and other drugs is to implement policies in support of greater co-ordination among various levels of government. In Brazil, policies are formulated by the Secretaria Nacional de Políticas sobre Drogas (SENAD - State Department for Policies on Drugs) and the Ministério da Saúde (MS - Ministry of Health). This study aims to compare implementation of policies adopted by SENAD and MS at the municipal level. Three municipalities were intentionally selected: Juiz de Fora having a larger network of treatment services for alcohol and drug users; Lima Duarte, a small municipality, which promotes the political participation of local actors (COMAD - Municipal Council on Alcohol and Drugs); and São João Nepomuceno, also a small municipality, chosen because it has neither public services specialised to assist alcohol and other drugs users, nor COMAD. Data collection was conducted through interviews with key informants (n = 19) and a review of key documents concerned with municipal policies. Data analysis was performed using content analysis. In Juiz de Fora, there are obstacles regarding the integration of the service network for alcohol and other drug users and also the articulation of local actors, who are predominant in the mental health sector. In Lima Duarte, while there is a link between local actors through COMAD, their actions within the local service network have not been effective. In São João Nepomuceno, there were no public actions in the area of alcohol and drugs, and consequently insufficient local debate. However, some voluntary, non-governmental work has been undertaken. There were weaknesses in the implementation of national-level policies by SENAD and the MS, due to the limited supply of available treatment, assistance and the lack of integration among local actors. © 2015 John Wiley & Sons Ltd.

  19. 20 CFR 626.4 - Table of contents for the Job Training Partnership Act regulations.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Table of contents for the Job Training..., DEPARTMENT OF LABOR INTRODUCTION TO THE REGULATIONS UNDER THE JOB TRAINING PARTNERSHIP ACT § 626.4 Table of contents for the Job Training Partnership Act regulations. The table of contents for the regulations under...

  20. 20 CFR 626.2 - Format of the Job Training Partnership Act regulations.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Format of the Job Training Partnership Act regulations. 626.2 Section 626.2 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR INTRODUCTION TO THE REGULATIONS UNDER THE JOB TRAINING PARTNERSHIP ACT § 626.2 Format of the Job...

  1. 20 CFR 626.3 - Purpose, scope, and applicability of the Job Training Partnership Act regulations.

    Science.gov (United States)

    2010-04-01

    ... ADMINISTRATION, DEPARTMENT OF LABOR INTRODUCTION TO THE REGULATIONS UNDER THE JOB TRAINING PARTNERSHIP ACT § 626.3 Purpose, scope, and applicability of the Job Training Partnership Act regulations. (a) Parts 626..., part C of the Job Training Partnership Act) establish the Federal programmatic and administrative...

  2. 77 FR 51115 - Integrated Mortgage Disclosures Under the Real Estate Settlement Procedures Act (Regulation X...

    Science.gov (United States)

    2012-08-23

    ..., mortgage broker, real estate agent, settlement agent, appraiser, multiple insurance providers, and local... Parts 1024 and 1026 Integrated Mortgage Disclosures Under the Real Estate Settlement Procedures Act... Mortgage Disclosures Under the Real Estate Settlement Procedures Act (Regulation X) and the Truth In...

  3. 76 FR 10516 - Transfer and Reorganization of Bank Secrecy Act Regulations-Technical Amendment.

    Science.gov (United States)

    2011-02-25

    ..., 1023, 1024, 1025, 1026, 1027, and 1028 RIN 1506-AA92 Transfer and Reorganization of Bank Secrecy Act... covered individuals and financial institutions. The reorganization is not intended to have any substantive... (October 26, 2010) (Transfer and Reorganization of Bank Secrecy Act Regulations Final Rule). On April 14...

  4. The European Union Cohesion Policy in Romania - Strategic Approach to the Implementation Process

    Directory of Open Access Journals (Sweden)

    LAZAR Szilard

    2012-06-01

    Full Text Available Achieving economic, social and territorial cohesion by reducing existing disparities between regions through investing in infrastructure, human resources and diversification of regional economies remains a major goal for the EU Member States. The achievement of this goal would not be possible without the development and implementation of regional policy strategic instruments at national and EU level. This study presents the role, the essential elements, and objectives of instruments such as the Community Strategic Guidelines on Cohesion, the National Strategic Reference Framework, and the Romanian Operational Programmes for the programming period 2007-2013. Since the success of the cohesion policy is tied to its implementation, we also present the management and control system applicable for the operational programmes. The final part of the study deals with issues concerning the payment rate of Structural Funds in Romania, with a focus on the main challenges of the implementation process. An important task for the Romanian government is to remove the obstacles that brake the effective implementation of the Cohesion policy and the absorption of Structural and Cohesion Funds.

  5. [Facilitators and barriers to implementation of intercultural health policy in Chile].

    Science.gov (United States)

    Pérez, Camila; Nazar, Gabriela; Cova, Félix

    2016-02-01

    Objective To identify elements that either facilitate or hinder implementation of Chile's intercultural health policy. Methods A descriptive study was conducted with the participation of health services users from the Mapuche ethnic group, biomedical health professionals, intercultural facilitators, and key informants in two health facilities serving towns with a high density of Mapuche population. The information was obtained through semi-structured interviews that were analyzed thematically. Results Factors identified as facilitating the implementation of this policy include laws and regulations pertaining to the rights of indigenous peoples, the empowerment of users around their rights, the formation of implementation teams, the presence of professionals of Mapuche origin in health facilities, and the existence of processes for systematization of the work carried out. The asymmetric relationship between the Mapuche people and the state, and between the Mapuche health system and the biomedical model, constitutes a fundamental barrier. Other obstacles include the lack of theoretical and practical clarity around the concept of intercultural health and a lack of resources. Conclusions Despite the facilitators identified and the achievements to date, meaningful progress in implementation of an intercultural health policy is limited by barriers that are hard to change. These include the usual forms of government planning and the hegemony of the biomedical model.

  6. Implementation of Compulsory Study 12 Year Policy to Increase Education Quality in Kudus Regency

    Directory of Open Access Journals (Sweden)

    Asih Widi Lestari

    2015-02-01

    Full Text Available Education is an important instrument in improving the human resources quality. Kudus Regency has implemented compulsory study since 2010 through Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 (Twelve Years. While, Central Government issued compulsory study 12 year policy in June 2013 through Ministry of Education and Culture Regulation Number 80/2013 about Universal Secondary Education. Obviously, this is a bold step of Kudus Regency Government in improving the education quality at Kudus Regency. The research objectives are: to know, analyze, and describe about Implementation of compulsory study 12 years policy to increase education in Kudus Regency; and to know, analyze, and describe about supporting and inhibiting factors toward implementation of compulsory study 12 years policy to increase education quality in Kudus Regency. This research resulted that the implementation compulsory study 12 years policy in Kudus Regency has been successfully, viewed from the actor that completely carry out their duties and responsibilities; the existence of funding and programs from Kudus Regency Government and Central Government is supporting the mechanism implementation in accordance with the provisions. The compulsory study 12 years policy in Kudus Regency had positive impact in improving the education quality at Kudus Regency, it is seen from the increase of Gross Enrollment Ratio (GER for secondary education from 60% in 2008 to 80,59% in 2013. The success in improving the education quality is also seen from achievement of Kudus Regency in obtained champions in various championships. The supporting factors are The content of the Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 Years and the Minister of Education and Culture Regulation Number 80/ 2013 about Universal Secondary Education which clear and easy to understand; the willingness of Kudus Society in receiving the compulsory study 12 years policy

  7. The implementation limitations of and alternative policy solutions for Indonesia's REDD+ program concerning peatland restoration

    Directory of Open Access Journals (Sweden)

    Sarah Guzick

    2013-07-01

    Full Text Available Recent increases in global demand for palm oil have resulted in rapid, widespread deforestation in Indonesia, making Indonesia the third largest emitter of greenhouse gases in the world. Although the Indonesian government has sought to pursue progressive environmental policies to curb deforestation, such as through REDD+, implementation has been hampered by legal loopholes, corruption and weak rule of law. This paper will examine two alternative carbon sequestration policies to REDD+: a drying up of the palm oil market and a buy-out of palm oil plantations.

  8. IMPLEMENTATION OF THE POLICY OF REGIONAL EXPANSION IN NORTH MAMUJU REGENCY OF WEST SULAWESI

    Directory of Open Access Journals (Sweden)

    Syamsuddin Maldun

    2016-11-01

    Full Text Available this study aims to: (1 Analyze and explain the stages of the implementation of the policy of regional expansion, and (2 analyze and explain the factors that support the implementation of the policy of regional expansion, in order to support national integration in North Mamuju Regency of West Sulawesi Province. This research is a kind of exploratory research using qualitative analysis approach. Data collection carried through; observation, interviews, and documents. Informant research include; Assistant I, II, III, Assistant to the Preparatory Committee the establishment of district (PPPK, head of the Central Bureau of statistics, the head of the Agency for the unity of the nation, the head of the Office library, Archives, and documents, the head of the Department of organization and Personnel, the head of the General section of the Secretariat of the Parliament, members of Religious Communication Forum (FKUB, the leadership of Dharma Wanita, professors, students, and community leaders. While the data analysis done in a descriptive qualitative. Technique of data analysis is interactive analysis: Data collection, (2 Data reduction, (3 Data Display, and (4 the Conclusion/verification. This is intended to give description in a systematic, factual and actual against objects that are examined. Research results show that; (1 the policy implementation stages of the extraction region North Mamuju Regency has been implemented in accordance with the legislation governing the extraction of such areas; the establishment of local governance devices, preparation of the vision and mission, the preparation of regional development strategies, and preparation of the regional development programs, and the factors that support the implementation of regional expansion policy is the existence of natural resources, capital investment (investment, infrastructure, transport and communications, openness toward outsiders, and support public (community

  9. Food Availability in School Stores in Seoul, South Korea after Implementation of Food- and Nutrient-Based Policies

    Science.gov (United States)

    Choi, Seul Ki; Frongillo, Edward A.; Blake, Christine E.; Thrasher, James F.

    2017-01-01

    Background: To improve school store food environments, the South Korean government implemented 2 policies restricting unhealthy food sales in school stores. A food-based policy enacted in 2007 restricts specific food sales (soft drinks); and a nutrient-based policy enacted in 2009 restricts energy-dense and nutrient-poor (EDNP) food sales. The…

  10. Unearthing the Discursive Shift in the "fCUBE" Policy Implementation in Ghana: Using Critical Discourse Analysis

    Science.gov (United States)

    Nudzor, Hope Pius

    2013-01-01

    This article analyses selected texts from documents on the Free Compulsory Universal Basic Education (fCUBE) policy implementation in Ghana to unearth the discursive shift in policy (i.e. from predominantly socialist/social democratic towards neo-liberal ideological policy direction) in recent time. The methodological approach involves the…

  11. Arsenal of democracy in the face of change: Issues underlying the implementation of industrial mobilization policy

    Energy Technology Data Exchange (ETDEWEB)

    Brinkerhoff, J.R. (Brinkerhoff Associates, Burke, VA (USA))

    1990-05-01

    This paper reviews the background and current status of industrial preparedness in the United States and analyzes ways to implement new policy procedures. What will it take to assure that the United States can be mobilize its industry rapidly to support a major conventional war The report reaches nine important conclusions: (1) Mobilization and industrial preparedness policy must be linked and integrated with other aspects of national security policy and the national military strategy. (2) The United States cannot reverse the flow of time and go back to a period of industrial superiority and self-sufficiency. (3) The United States must come to grips with its responsibilities for providing war materiel for Allies. (4) Similarly, the United States must recognize the interdependency of international trade and industrial production. (5) Graduated Mobilization Response needs to be adopted by the government and DOD and integrated into industrial preparedness policy. (6) The DOD industrial surge program should be fully funded. (7) Industrial preparedness planning should be funded now on a priority basis. (8) Organizational responsibilities and relationships for industrial preparedness have to be clarified, strengthened, and supported. (9) Finally, it is necessary to pay attention to this problem now. The report concludes by suggesting that the United States must develop a unified, clear statement of preparedness policy, linked with other security/military policies and strategies. This must be accomplished with some swiftness, and with the cognizance of current (and most likely to continue) domestic an international economic interdependencies.

  12. The development and implementation of the Chicago public schools emergency EpiPen® policy.

    Science.gov (United States)

    Zadikoff, Emily H; Whyte, Stephanie A; Desantiago-Cardenas, Lilliana; Harvey-Gintoft, Blair; Gupta, Ruchi S

    2014-05-01

    Food allergy affects 1 in 13 children, or 2 children per classroom. Food allergies are the leading cause of anaphylaxis, a severe allergic reaction that can result in death. In fact, 25% of first-time anaphylactic reactions among children occur in school. To address this, the Chicago Public Schools (CPS) Office of Student Health and Wellness amended the Administration of Medication Policy in 2012. The CPS Administration of Medication Policy was reviewed and analyzed. The policy allows all CPS district schools to be stocked with EpiPens and authorizes school nurses to administer them to students that the nurse in good faith professionally believes is having a first-time anaphylactic reaction. Although the policy has proven effective, CPS faces challenges during implementation. CPS school nurse coverage is low, and therefore, there are times when no nurse is onsite to administer EpiPen treatment to a student experiencing a first-time reaction. This landmark policy provides quick and easy access to lifesaving treatment and protects nurses from liability in the event of an anaphylactic emergency. A challenge to this policy's utilization includes the lack of funding for daily nurse coverage in each school. © 2014, American School Health Association.

  13. Discursive gaps in the implementation of public health policy guidelines in India: the case of HIV testing.

    Science.gov (United States)

    Sheikh, Kabir; Porter, John

    2010-12-01

    The implementation of standardized policy guidelines for care of diseases of public health importance has emerged as a subject of concern in low and middle-income countries (LMIC) globally. We conducted an empirical research study using the interpretive policy analysis approach to diagnose reasons for gaps in the implementation of national guidelines for HIV testing in Indian hospitals. Forty-six in-depth interviews were conducted with actors involved in policy implementation processes in five states of India, including practitioners, health administrators, policy-planners and donors. We found that actors' divergences from their putative roles in implementation were underpinned by their inhabitation of discrete 'systems of meaning' - frameworks for perceiving policy problems, acting and making decisions. Key gaps in policy implementation included conflicts between different actors' ideals of performance of core tasks and conformance with policy, and problems in communicating policy ideas across systems of meaning. These 'discursive' gaps were compounded by the lack of avenues for intellectual intercourse and by unaccounted interrelationships of power between implementing actors. Our findings demonstrate the importance of thinking beyond short-sighted ideals of aligning frontline practices with global policymakers' intentions. Recognising the deliberative nature of implementation, and strengthening discourse and communications between involved actors may be critical to the success of public health policies in Indian and comparable LMIC settings. Effective policy implementation in the long term also necessitates enhancing practitioners' contributions to the policy process, and equipping country public health functionaries to actualize their policy leadership roles. Copyright © 2010 Elsevier Ltd. All rights reserved.

  14. Work–life balance policies: Challenges and benefits associated with implementing flexitime

    Directory of Open Access Journals (Sweden)

    Caroline Downes

    2011-10-01

    Research purpose: The aim of this article is to report on the challenges and benefits associated with implementing flexitime as a work–life balance policy. Motivation for the study: Organisations must develop and implement work–life balance policies. This requires human resource practitioners to investigate and understand experiences and perceptions about the challenges and benefits of flexitime. Research design, approach and method: The researcher used a qualitative research design with an exploratory approach. She drew a nonprobability purposive and voluntary sample (n = 15 from the financial sector. She used semi-structured in-depth interviews to collect the data and conducted content analyses to analyse and interpret them. Main findings: The researcher extracted four main themes (individual and general challenges, the aspects organisations need to implement flexitime effectively and the benefits that would follow its implementation from the data. Its benefits vary from work–life balance to employee loyalty and commitment. Some challenges are maintaining productivity, a shortage of critical resources and understanding flexitime. Practical/managerial implications: The research identified requirements that human resource practitioners should attend to in order to ensure that organisations use flexitime more effectively. Contribution/value-add: The researcher obtained unique findings about the minimum requirements for implementing flexitime effectively. They could assist organisations to address the challenges that employees face.

  15. Transforming the way we live together: a model to move communities from policy to implementation.

    Science.gov (United States)

    Keyes, Laura; Phillips, Deborah R; Sterling, Evelina; Manegdeg, Tyrone; Kelly, Maureen; Trimble, Grace; Mayerik, Cheryl

    2014-01-01

    Most cities, counties, and neighborhoods are not designed for an aging population. By providing a range of services to all residents, Lifelong Communities allow individuals to age in place. Although the Lifelong Communities Initiative is based on established guiding principles, little information exists regarding the realities of moving from policy to implementation. The Atlanta Regional Commission conducted a case study in Mableton, Georgia, and found successful implementation requires a combination of support from local citizen groups and government. The Atlanta Regional Commission is replicating these best practices in other communities and providing support to those aspiring to launch or expand Lifelong Communities.

  16. METHODOLOGICAL ASPECTS OF DEVELOPMENT AND IMPLEMENTATION OF MANAGEMENT POLICY AT INDUSTRIAL ENTERPRISES

    Directory of Open Access Journals (Sweden)

    Natalia SKOROBOGATOVA

    2017-04-01

    Full Text Available The article examines the essence, main principles and objectives of the management policy at the enterprise. Author investigates in the position of management accounting in the enterprise management and structures the levels of management of the economic entity. A conceptual framework of management accounting has been developed in the paper, which includes the purpose, content, methods and results of the process of management accounting. On the example of the chemical industry, the international and domestic experience in the development and implementation of management policy within the structure of industrial enterprises were analyzed, as well as the positive and negative aspects of accounting practices were highlighted. Based on the analysis of foreign experience and taking into account the specificity of economic development of Ukraine, the author elaborates on the areas for the methodological approaches to the development of management policy of Ukrainian companies to be improved.

  17. Physical education and student activity: evaluating implementation of a new policy in Los Angeles public schools.

    Science.gov (United States)

    Lafleur, Mariah; Strongin, Seth; Cole, Brian L; Bullock, Sally Lawrence; Banthia, Rajni; Craypo, Lisa; Sivasubramanian, Ramya; Samuels, Sarah; García, Robert

    2013-02-01

    California law has standards for physical education (PE) instruction in K-12 public schools; audits found that the Los Angeles Unified School District did not enforce the standards. In 2009, the district adopted a PE policy to comply with these standards. This study aimed to evaluate the outcomes of the PE policy in district schools. PE class observations were conducted using the System for Observing Fitness Instruction Time in the 2010-2011 and 2011-2012 school years in an income-stratified random sample of 34 elementary, middle, and high schools to assess changes in PE class size, class duration, and time students spent in moderate to vigorous physical activity. PE class duration increased in high-income elementary schools. Mean class size decreased in low-income middle schools. There was limited implementation of the PE policy 2 years after passage. Opportunities exist to continue monitoring and improving PE quantity and quality.

  18. Implementing a corporate-wide policy for dealing with naturally occurring radioactive material

    International Nuclear Information System (INIS)

    Woods, S.E.; Abernathy, S.E.

    1993-01-01

    With the increased environmental awareness about naturally occurring radioactive materials (NORM), many companies are adopting policies to address the exposure and contamination issues associated with this material. In developing and implementing a NORM policy, every aspect of a business must be thoroughly evaluated to determine at what point the material is encountered and what processes tend to concentrate the material. Once all areas having elevated levels of NORM are identified, the interrelationships between these areas must be evaluated. Corporate policy regarding NORM is discussed, including employee exposure, environmental contamination, facility and equipment contamination, logistics of moving between facilities covered by different regulations, existing and proposed regulations, trends of proposed regulations, disposal of NORM, training and survey equipment. 14 refs., 7 figs

  19. Monetary policy implementation and money demand instability during the financial crisis

    OpenAIRE

    Svatopluk Kapounek

    2011-01-01

    The author focuses on the money endogeneity in the context of common monetary policy implementation in the euro area. The empirical analysis shows money demand function instability during the financial crisis. The instability is described by decrease in credit money creation and money velocity changes. The cointegration tests identifed long-run positive relationship between monetary aggregates and economic activity. Concurrently, the economic activity is treated to be weakly exogenous in the ...

  20. Implementing a practical fuelwood conservation policy. The case of Sri Lanka

    Energy Technology Data Exchange (ETDEWEB)

    Meier, P.; Munasinghe, M.

    1987-04-01

    Despite the almost universal recognition of the importance of fuelwood conservation and management in developing countries, the formulation and implementation of practical programmes has proved to be difficult. This paper describes the recent experience in Sri Lanka in establishing a National Fuelwood Conservation Programme (NFCP) within the overall context of a national energy strategy (NES). Among the important factors leading to a workable policy consensus were institutional reforms and the use of simple but plausible models to demonstrate the dire consequences of inaction.

  1. A feasibility study of implementing a bring-your-own-computing-device policy

    OpenAIRE

    Carideo, Jeffrey W.; Walker, Timothy P.; Williams, Jason C.

    2013-01-01

    Approved for public release; distribution is unlimited. Our team conducted an information technology study on the feasibility of reduction of hardware and software procurement expenditures at the Naval Postgraduate School, Graduate School of Business and Public Policy (GSBPP). The objectives were to calculate the total cost of the GSBPPs current expenditures, develop alternative hardware and software procurement plans, and measure these costs against the alternative plan of implementing a ...

  2. Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes.

    Science.gov (United States)

    Rose, Margaret

    2010-12-31

    Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800's that governments sought to enact legislation to protect animals from cruelty. In the 1950's, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

  3. Implementing energy efficiency policy in Croatia: Stakeholder interactions for closing the gap

    International Nuclear Information System (INIS)

    Bukarica, Vesna; Robić, Slavica

    2013-01-01

    Despite the substantial efforts made to develop sound energy efficiency policies, the desired effects in terms of achieved energy savings are lacking. This phenomenon is known as the energy efficiency gap and has been extensively investigated in the literature. Barrier models to explain the gap are primarily oriented towards the technical aspects of energy efficiency and often disregard its social aspects. The aim of our research was to identify the social structures that play a prominent role in moving society towards greater energy efficiency, to investigate their perceptions of the levers for and brakes to greater participation in the implementation of energy efficiency measures and to provide recommendations for policy enhancement. Four groups of stakeholders were identified: public institutions, businesses, civil society organisations and the media. A survey was administered to 93 representatives of these groups in Croatia. The results indicate that to encourage the society to adopt energy efficiency improvements, it is crucial for public institutions to play a leading role with the support of strong and visible political commitment. The level of benefit recognition among all groups is weak, which together with the slow progression of dialogue between and within the analysed groups is preventing full policy uptake. - Highlights: • We analyse attitudes of Croatian stakeholders towards energy efficiency. • Responses are gathered from public institutions, businesses, CSOs and media. • Lacking political will and public dialogue dominantly cause and maintain the gap. • Participative policy making and clear leadership in implementing are needed

  4. The mediating role of social workers in the implementation of regional policies targeting energy poverty

    International Nuclear Information System (INIS)

    Scarpellini, Sabina; Sanz Hernández, M. Alexia; Llera-Sastresa, Eva; Aranda, Juan A.; López Rodríguez, María Esther

    2017-01-01

    This paper aims to provide a socio-political reflection of the role played by social workers in regional policies and of the real needs of households affected by energy poverty. The paper also examines the impact of technical-specialised training on the ability of social workers to prevent and mitigate conditions of household energy poverty in Europe. The adoption of a research-action-participation methodological framework and a training research approach has permitted the opinions of social workers to be collected through surveys, and their central role in implementing regional policies to be highlighted. The conclusions obtained have made possible the construction of a self-diagnosis and data-collection tool which increases the ability of social workers to mediate and implement urgent mitigation measures for energy poverty. Finally, regional policies which aim to mitigate household energy poverty are examined from the professional perspective of social workers. - Highlights: • Social workers play a mediating role in the certification of household energy poverty. • Specific training for social workers contributes to the prevention of energy poverty. • National wide regulation would enable the implementation of equitable measures for energy poverty. • It is recommendable to define progressive subsidies depending on the level of energy vulnerability of the households.

  5. Hotel smoking policies and their implementation: a survey of California hotel managers.

    Science.gov (United States)

    Zakarian, Joy M; Quintana, Penelope J E; Winston, Carl H; Matt, Georg E

    2017-01-01

    Most states in the U.S. permit hotels to allow smoking in some guest rooms, and only five (Indiana, Michigan, North Dakota, Vermont, and Wisconsin) require that all hotel and motel rooms be 100% smoke-free (State and local 100% smokefree hotel and motel guest room laws enacted as of July 3, 2017). Little is known, however, about how hotels' smoking policies have been implemented. This study examined hotels' smoking policies and their implementation. A telephone survey of a random sample of 383 California hotel managers was conducted. Overall, 60.6% of hotels reported that smoking was prohibited in all guest rooms, and 4.7% reported that smoking was prohibited everywhere on their property. While California law permitted smoking in up to 65% of guest rooms, only 6.9% of rooms were reported as smoking-permitted. Over 90% of hotels had smoking rooms scattered among nonsmoking rooms, and about half of the smoking hotels reported that guests requesting either smoking or nonsmoking rooms were sometimes assigned to the other room type. When guests smoked in nonsmoking rooms fees could be substantial, but were often uncollected. Hotel smoking policies and their implementation fall short of protecting nonsmoking guests and workers from exposure to secondhand and thirdhand smoke. Complete indoor smoking bans for all hotels are needed to close existing loopholes. Nonsmokers who wish to protect themselves from exposure to tobacco smoke should avoid hotels that permit smoking and instead stay in completely smoke-free hotels.

  6. Implementation science approaches for integrating eHealth research into practice and policy.

    Science.gov (United States)

    Glasgow, Russell E; Phillips, Siobhan M; Sanchez, Michael A

    2014-07-01

    To summarize key issues in the eHealth field from an implementation science perspective and to highlight illustrative processes, examples and key directions to help more rapidly integrate research, policy and practice. We present background on implementation science models and emerging principles; discuss implications for eHealth research; provide examples of practical designs, measures and exemplar studies that address key implementation science issues; and make recommendations for ways to more rapidly develop and test eHealth interventions as well as future research, policy and practice. The pace of eHealth research has generally not kept up with technological advances, and many of our designs, methods and funding mechanisms are incapable of providing the types of rapid and relevant information needed. Although there has been substantial eHealth research conducted with positive short-term results, several key implementation and dissemination issues such as representativeness, cost, unintended consequences, impact on health inequities, and sustainability have not been addressed or reported. Examples of studies in several of these areas are summarized to demonstrate this is possible. eHealth research that is intended to translate into policy and practice should be more contextual, report more on setting factors, employ more responsive and pragmatic designs and report results more transparently on issues important to potential adopting patients, clinicians and organizational decision makers. We outline an alternative development and assessment model, summarize implementation science findings that can help focus attention, and call for different types of more rapid and relevant research and funding mechanisms. Published by Elsevier Ireland Ltd.

  7. Multi-strategic intervention to enhance implementation of healthy canteen policy: a randomised controlled trial.

    Science.gov (United States)

    Wolfenden, Luke; Nathan, Nicole; Janssen, Lisa M; Wiggers, John; Reilly, Kathryn; Delaney, Tessa; Williams, Christopher M; Bell, Colin; Wyse, Rebecca; Sutherland, Rachel; Campbell, Libby; Lecathelinais, Christophe; Oldmeadow, Chris; Freund, Megan; Yoong, Sze Lin

    2017-01-11

    Internationally, governments have implemented school-based nutrition policies to restrict the availability of unhealthy foods from sale. The aim of the trial was to assess the effectiveness of a multi-strategic intervention to increase implementation of a state-wide healthy canteen policy. The impact of the intervention on the energy, total fat, and sodium of children's canteen purchases and on schools' canteen revenue was also assessed. Australian primary schools with a canteen were randomised to receive a 12-14-month, multi-strategic intervention or to a no intervention control group. The intervention sought to increase implementation of a state-wide healthy canteen policy which required schools to remove unhealthy items (classified as 'red' or 'banned') from regular sale and encouraged schools to 'fill the menu' with healthy items (classified as 'green'). The intervention strategies included allocation of a support officer to assist with policy implementation, engagement of school principals and parent committees, consensus processes with canteen managers, training, provision of tools and resources, academic detailing, performance feedback, recognition and marketing initiatives. Data were collected at baseline (April to September, 2013) and at completion of the implementation period (November, 2014 to April, 2015). Seventy schools participated in the trial. Relative to control, at follow-up, intervention schools were significantly more likely to have menus without 'red' or 'banned' items (RR = 21.11; 95% CI 3.30 to 147.28; p ≤ 0.01) and to have at least 50% of menu items classified as 'green' (RR = 3.06; 95% CI 1.64 to 5.68; p ≤ 0.01). At follow-up, student purchases from intervention school canteens were significantly lower in total fat (difference = -1.51 g; 95% CI -2.84 to -0.18; p = 0.028) compared to controls, but not in energy (difference = -132.32 kJ; 95% CI -280.99 to 16.34; p = 0.080) or sodium (difference = -46

  8. The use of social science knowledge in implementing the Nuclear Waste Policy Act

    International Nuclear Information System (INIS)

    Bradbury, J.A.

    1989-01-01

    This study investigates the use of social science knowledge by the Office of Civilian Radioactive Waste Management (OCRWM), a division of the U.S. Department of Energy (DOE), in implementing the Nuclear Waste Policy Act of 1982. The use of social science is examined both generally and in relation to a body of knowledge most relevant to the program, the social science risk literature. The study is restricted to the use by headquarters staff in relation to the largest repository and Monitored Retrievable Storage (MRS) projects. The literature on knowledge utilization and the Sabatier framework on knowledge use and policy learning provide the theoretical framework for the study. The research adopts a multistrategy approach, collecting data from two sources: (1) program documents, policy guidance, and meeting records; and (2) interviews with OCRWM officials. The constructs knowledge and use are conceptualized in different ways, each of which forms the basis for a different analytic approach. The research findings showed a very limited use of social science, more especially by the first repository program. Two reasons are advanced. First, the agency has viewed social science knowledge through technical lens and has applied an approach suited to technical problems to its structuring of waste management policy problems. Second, the degree of societal conflict over nuclear power and nuclear waste has prevented a constructive dialogue among the parties and thus reduced the possibility of policy learning

  9. Implementing the Green City Policy in Municipal Spatial Planning: The Case of Buffalo City Metropolitan Municipality

    Directory of Open Access Journals (Sweden)

    Abongile Dlani

    2015-06-01

    Full Text Available The term “eco-city,” and similar concepts such as “green” and “sustainable” cities, has evolved overtime concurrent to the development of the understanding of social change and mankind’s impact on environmental and economic health. With the advent of climate change impacts, modern economies developed the green city policy to create sustainable urban development, low emission, and environmentally friendly cities. In South Africa municipalities, including Buffalo City Metropolitan Municipality (BCMM have been tasked to and implement the green city policy. However, BCMM is yet to develop the green city policy that clearly articulate how the municipality will combat climate change and reduce its Green House Gases (GHG emissions in its spatial planning designs. Against this background, this article reviews and analyses green policy landscape in Metropolitan Municipalities. It is envisaged that the research will provide the basis for the development of a comprehensive green policy strategies and programmes for the local transition to action in Buffalo City Metropolitan Municipality, in the Eastern Cape Province.

  10. 78 FR 23171 - Amendments to the 2013 Escrows Final Rule Under the Truth in Lending Act (Regulation Z)

    Science.gov (United States)

    2013-04-18

    ...' exposure to collateral- based lending, potentially harmful prepayment penalties and other harms. The price... Amendments to the 2013 Escrows Final Rule Under the Truth in Lending Act (Regulation Z) AGENCY: Bureau of... Requirements Under the Truth in Lending Act (Regulation Z) (2013 Escrows Final Rule),\\1\\ issued on January 10...

  11. A public school district's vending machine policy and changes over a 4-year period: implementation of a national wellness policy.

    Science.gov (United States)

    Han-Markey, T L; Wang, L; Schlotterbeck, S; Jackson, E A; Gurm, R; Leidal, A; Eagle, K

    2012-04-01

    The school environment has been the focus of many health initiatives over the years as a means to address the childhood obesity crisis. The availability of low-nutrient, high-calorie foods and beverages to students via vending machines further exacerbates the issue of childhood obesity. However, a healthy overhaul of vending machines may also affect revenue on which schools have come to depend. This article describes the experience of one school district in changing the school environment, and the resulting impact on food and beverage vending machines. Observational study in Ann Arbor public schools. The contents and locations of vending machines were identified in 2003 and surveyed repeatedly in 2007. Overall revenues were also documented during this time period. Changes were observed in the contents of both food and beverage vending machines. Revenue in the form of commissions to the contracted companies and the school district decreased. Local and national wellness policy changes may have financial ramifications for school districts. In order to facilitate and sustain school environment change, all stakeholders, including teachers, administrators, students and healthcare providers, should collaborate and communicate on policy implementation, recognizing that change can have negative financial consequences as well as positive, healthier outcomes. Copyright © 2012 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  12. Economic Security of Russian Economy under the Conditions of Import Substitution Policy Implementation

    Directory of Open Access Journals (Sweden)

    Natalya Viktorovna Andreeva

    2015-12-01

    Full Text Available In the article, the authors analyze the conditions of import substitution by types of activity from the perspective of the threat to the economic security of Russia. The factors of import substitution are presented. The main factor is the increase of economic and social security by the modernization of Russian economy. Today, a critical measure of the country’s economic security increase is the implementation of import substitution policy. The issue of economic modernization remains of current interest but stays unsolved, especially in the branches where the issue of import substitution is crucial: industry, agriculture, etc. The types of economic activity that can be labeled as open to import substitution are the ones with the high or medium indicators of competitiveness, investment and innovation activity. Within those types, the import substitution policy can be implemented without a threat to economic security. The analysis of the main features of import substitution such as the levels of competitiveness, innovations and investment by the types of economic activity, — is the basis to work out a smart import substitution policy, which will carry no threat to the country’s economic security. The main types of economic activity with the high dependency on import are metallurgical production, chemical industry, wood processing, electrical machines and equipment production, machinery and equipment production, textile manufacture, fishery and fish farming. In the result of the analysis, the following conclusions are drawn: the level of investment for all the types of economic activity presented is critically law; according to the level of innovation and competitiveness, metallurgic production is seen more advantageous on the back of negative dynamics and chemical industry as less advantageous. The other types of activity will face a threat to economic security if the policy of import substitution is implemented without government financing

  13. Health system capacity: maternal health policy implementation in the state of Gujarat, India.

    Science.gov (United States)

    Sanneving, Linda; Kulane, Asli; Iyer, Aditi; Ahgren, Bengt

    2013-03-22

    The Government of Gujarat has for the past couple of decades continuously initiated several interventions to improve access to care for pregnant and delivering women within the state. Data from the last District Family Heath survey in Gujarat in 2007-2008 show that 56.4% of women had institutional deliveries and 71.5% had at least one antenatal check-up, indicating that challenges remain in increasing use of and access to maternal health care services. To explore the perceptions of high-level stakeholders on the process of implementing maternal health interventions in Gujarat. Using the policy triangle framework developed by Walt and Gilson, the process of implementation was approached using in-depth interviews and qualitative content analysis. Based on the analysis, three themes were developed: lack of continuity; the complexity of coordination; and lack of confidence and underutilization of the monitoring system. The findings suggest that decisions made and actions advocated and taken are more dependent on individual actors than on sustainable structures. The findings also indicate that the context in which interventions are implemented is challenged in terms of weak coordination and monitoring systems that are not used to evaluate and develop interventions on maternal health. The implementation of interventions on maternal health is dependent on the capacity of the health system to implement evidence-based policies. The capacity of the health system in Gujarat to facilitate implementation of maternal health interventions needs to be improved, both in terms of the role of actors and in terms of structures and processes.

  14. Geriatric health policy in India: The need for scaling-up implementation

    Directory of Open Access Journals (Sweden)

    N Sherin Susan Paul

    2016-01-01

    Full Text Available In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor. Due to breakdown of the joint family system and the migration of the younger generation to the towns and cities, the elderly parents in the villages are left to fend for themselves. Too old to work and with little or no source of income, the elders are struggling even to satisfy their basic needs. This article primarily focuses on the various facets of elderly care in India. As a fledgling nation in elderly care, we should take cues from other nations who have pioneered in this field and should constantly evolve to identify and face the various challenges that come up, especially from rural India. The Rural Unit for Health and Social Affairs Department of a well-known Medical College in South India has developed a “senior recreation day care” model which proves to be a useful replicable model to improve the quality of life and nutritional status of the elderly in the lower rungs of society. More than a decade since its inception, it is now the right time to assess the implementation of our geriatric health policy and scale-up programs so that the elderly in our country, irrespective of urban and rural, will have a dignified and good quality life.

  15. Implementing Health and Safety Policy Changes at the High School Level From a Leadership Perspective

    Science.gov (United States)

    Pagnotta, Kelly D.; Mazerolle, Stephanie M.; Pitney, William A.; Burton, Laura J.; Casa, Douglas J.

    2016-01-01

    Context:  Although consensus statements and recommendations from professional organizations aim to reduce the incidence of injury or sudden death in sport, nothing is mandated at the high school level. This allows states the freedom to create and implement individual policies. An example of a recommended policy is heat acclimatization. Despite its efficacy in reducing sudden death related to heat stroke, very few states follow the recommended guidelines. Objective:  To retroactively examine why and how 3 states were able to facilitate the successful creation and adoption of heat-acclimatization guidelines. Design:  Qualitative study. Setting:  High school athletic associations in Arkansas, Georgia, and New Jersey. Patients or Other Participants:  Eight men and 3 women (n = 11; 6 athletic trainers; 2 members of high school athletic associations; 2 parents; 1 physician) participated. Participant recruitment ceased when data saturation was reached. Data Collection and Analysis:  All phone interviews were digitally recorded and transcribed verbatim. A grounded-theory approach guided analysis and multiple analysts and peer review were used to establish credibility. Results:  Each state had a different catalyst to change (student-athlete death, empirical data, proactivity). Recommendations from national governing bodies guided the policy creation. Once the decision to implement change was made, the states displayed 2 similarities: shared leadership and open communication between medical professionals and members of the high school athletic association helped overcome barriers. Conclusions:  The initiating factor that spurred the change varied, yet shared leadership and communication fundamentally allowed for successful adoption of the policy. Our participants were influenced by the recommendations from national governing bodies, which align with the institutional change theory. As more states begin to examine and improve their health and safety policies

  16. Implementing Health and Safety Policy Changes at the High School Level From a Leadership Perspective.

    Science.gov (United States)

    Pagnotta, Kelly D; Mazerolle, Stephanie M; Pitney, William A; Burton, Laura J; Casa, Douglas J

    2016-04-01

    Although consensus statements and recommendations from professional organizations aim to reduce the incidence of injury or sudden death in sport, nothing is mandated at the high school level. This allows states the freedom to create and implement individual policies. An example of a recommended policy is heat acclimatization. Despite its efficacy in reducing sudden death related to heat stroke, very few states follow the recommended guidelines. To retroactively examine why and how 3 states were able to facilitate the successful creation and adoption of heat-acclimatization guidelines. Qualitative study. High school athletic associations in Arkansas, Georgia, and New Jersey. Eight men and 3 women (n = 11; 6 athletic trainers; 2 members of high school athletic associations; 2 parents; 1 physician) participated. Participant recruitment ceased when data saturation was reached. All phone interviews were digitally recorded and transcribed verbatim. A grounded-theory approach guided analysis and multiple analysts and peer review were used to establish credibility. Each state had a different catalyst to change (student-athlete death, empirical data, proactivity). Recommendations from national governing bodies guided the policy creation. Once the decision to implement change was made, the states displayed 2 similarities: shared leadership and open communication between medical professionals and members of the high school athletic association helped overcome barriers. The initiating factor that spurred the change varied, yet shared leadership and communication fundamentally allowed for successful adoption of the policy. Our participants were influenced by the recommendations from national governing bodies, which align with the institutional change theory. As more states begin to examine and improve their health and safety policies, this information could serve as a valuable resource for athletic trainers in other states and for future health and safety initiatives.

  17. Geriatric health policy in India: The need for scaling-up implementation.

    Science.gov (United States)

    Paul, N Sherin Susan; Asirvatham, Mathew

    2016-01-01

    In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor. Due to breakdown of the joint family system and the migration of the younger generation to the towns and cities, the elderly parents in the villages are left to fend for themselves. Too old to work and with little or no source of income, the elders are struggling even to satisfy their basic needs. This article primarily focuses on the various facets of elderly care in India. As a fledgling nation in elderly care, we should take cues from other nations who have pioneered in this field and should constantly evolve to identify and face the various challenges that come up, especially from rural India. The Rural Unit for Health and Social Affairs Department of a well-known Medical College in South India has developed a "senior recreation day care" model which proves to be a useful replicable model to improve the quality of life and nutritional status of the elderly in the lower rungs of society. More than a decade since its inception, it is now the right time to assess the implementation of our geriatric health policy and scale-up programs so that the elderly in our country, irrespective of urban and rural, will have a dignified and good quality life.

  18. Regional media coverage influences the public's negative attitudes to policy implementation success in Sweden.

    Science.gov (United States)

    Fredriksson, Mio; Tiainen, Anne; Hanning, Marianne

    2015-12-01

    One central aspect of health literacy is knowledge of patients' rights. Being an important source of information about health and health care, the media may influence health literacy and act as a policy implementer. To investigate whether regional news media coverage in Sweden is linked to (i) the public's awareness and knowledge of a patient's rights policy, the waiting-time guarantee and (ii) the public's attitudes to how the guarantee's time limits are met, that is, implementation success. Three types of data are used. First, a national telephone survey of the public's awareness, knowledge and attitudes; second, media coverage information from digital media monitoring; and third, official waiting-time statistics. Bivariate and multivariate regression analyses are performed with the 21 Swedish county councils/regions as a base. In the county councils/regions, non-awareness ranged from 1 to 15% and knowledge from 47 to 67%. There are relatively large differences between population groups. The amount of regional media coverage shows no significant correlation to the level of awareness and knowledge. There is, however, a significant correlation to both positive and negative attitudes; the latter remains after controlling for actual waiting times. At the national level, the media function as a policy implementer, being the primary source of information. At the regional level, the media are part of the political communication, reporting more extensively in county councils/regions where the population holds negative views towards the achievement in implementing the guarantee. We conclude that Swedish authorities should develop its communication strategies to bridge health literacy inequalities. © 2014 John Wiley & Sons Ltd.

  19. Global, National, and Local Goals: English Language Policy Implementation in an Indonesian International Standard School

    Directory of Open Access Journals (Sweden)

    Eddy Haryanto

    2012-12-01

    Full Text Available The purpose of this study was to examine the achievement of students in math and science subjects as the impact of using English as a medium of instruction at an international standard school. A questionnaire was used as a research instrument to 190 students at one international standard school in Jambi Province, Indonesia. A focus group discussion (FGD approach was undertaken to validate and verify the data gathered through the questionnaire and clarify some issues raised in the questionnaire. Data were analyzed by using descriptive statistics and Pearson Product Moment Correlation. It was found that the students’ demographic profile, attitude toward English and grades in math and science subjects were significantly related with their academic achievement. However, students’ perception on methods and techniques was not significantly related with their academic achievement in English, math, and the science subjects. The result showed that the implementation of English as a medium of instruction was not done well in the international standard school. This is perhaps due to the difficulty of learning science and math in English. This study provided information for policy makers, school leaders, researchers, and teacher educators to understand how the policy is implemented at the school level. The challenges of attempting too ambitious linguistic and academic goals in the school were discussed as were policy implications and future research.

  20. Policies for including disabled people in education. obstacles and facilitating factors for their implementation: Bucaramanga, 2010

    Directory of Open Access Journals (Sweden)

    Claudia P. Serrano R

    2011-07-01

    Full Text Available Objective: to explore the factors enabling or hindering the implementation of inclusive education policies for the disabled population of Bucaramanga. Methodology: a descriptive study, involving representatives from governmental agencies (EG, members of the faculty boards of educational institutions (DIE and guardians of disabled individuals (APSD. Physical, social, and political obstacles and facilitating factors that could potentially determine the implementation of these policies were analyzed. Data was collected through interviews. Results: there was a total of 2, 32, and 34 participants from the EG, DIE, and APSD groups respectively. Identified obstacles included: lack of strategies to support educational institutions, poor or limited teacher training, high tuition fees, and negative attitude towards disability. The facilitating factors included: availability of places, inclusion of this issue in the political agenda, and desire of the disabled individuals’ families to provide them with education. Discussion: These findings provide useful information for further research on this issue and show how action has been taken, as well as how urgent it is to establish a direct relationship between academia and the public sector to propose strategies for assessing and modifying these policies.

  1. Advancing One Health Policy and Implementation Through the Concept of One Medicine One Science.

    Science.gov (United States)

    Cardona, Carol; Travis, Dominic A; Berger, Kavita; Coat, Gwenaële; Kennedy, Shaun; Steer, Clifford J; Murtaugh, Michael P; Sriramarao, P

    2015-09-01

    Numerous interspecies disease transmission events, Ebola virus being a recent and cogent example, highlight the complex interactions between human, animal, and environmental health and the importance of addressing medicine and health in a comprehensive scientific manner. The diversity of information gained from the natural, social, behavioral, and systems sciences is critical to developing and sustainably promoting integrated health approaches that can be implemented at the local, national, and international levels to meet grand challenges. The Concept of One Medicine One Science (COMOS) as outlined herein describes the interplay between scientific knowledge that underpins health and medicine and efforts toward stabilizing local systems using 2 linked case studies: the food system and emerging infectious disease. Forums such as the International Conference of One Medicine One Science (iCOMOS), where science and policy can be debated together, missing pieces identified, and science-based collaborations formed among industry, governmental, and nongovernmental policy makers and funders, is an essential step in addressing global health. The expertise of multiple disciplines and research foci to support policy development is critical to the implementation of one health and the successful achievement of global health security goals.

  2. The spirit of democracy in the implementation of public information policy at the provincial government of West Java

    Science.gov (United States)

    Sjoraida, D. F.; Asmawi, A.; Anwar, R. K.

    2018-03-01

    This article analyses the implementation of Law Number 14/2008 on Public Information Disclosure on the Provincial Government of West Java. This descriptive-qualitative study presents a discussion of the spirit of democracy in the implementation of the abovem-entioned policy in West Java Province. With the theory of policy implementation and democratization, data obtains that the element of democratic spirit in the implementation of public information policy in the government of West Java is quite thick. Therefore, there must be a massification of the implementation of the law in West Java, especially its socialization to districts/cities and society in general. It was found that the democratization of the West Java Provincial Government in implementing the Act has been well received in the community. However, the lack of publicity about this Law can reduce the strength of moral messages that exist in the law to the public.

  3. Health in All Policies: From rhetoric to implementation and evaluation - the Finnish experience.

    Science.gov (United States)

    Ståhl, Timo

    2018-02-01

    The principles of the Health in All Policies (HiAP) approach are not new. Their international roots can be traced back to 1978 and the Alma-Ata Declaration and the 1986 Ottawa Charter. In Finland, the roots of HiAP go back to 1972 when the Economic Council of Finland, chaired by the Prime Minister, launched the 'Report of the working group exploring the goals of health'. The paper discusses the history, rationale, and implementation of the principles underlying the umbrella concept of HiAP. A rationale for implementing a new concept - HiAP in 2006 during the Finnish European Union presidency - is given. The focus here will be on implementation of HiAP. International material supporting the implementation is introduced and practical examples from Finland presented. The Benchmarking System for Health Promotion Capacity Building is introduced, since it has been used as a primary source of information for monitoring and evaluating HiAP in Finland at the local level. The experience from Finland clearly indicates that HiAP as an approach and as a way of working requires long-term commitment and vision. For working across sectors it is crucial to have data on health and health determinants and analyses of the links between health outcomes, health determinants, and policies across sectors and levels of governance. Intersectoral structures, processes, and tools for the identification of problems and solutions, decisions, and implementation across sectors are prerequisites of HiAP. Legislative backing has proven to be useful, especially in providing continuation and sustainability.

  4. Revisiting the impacts of oil price increases on monetary policy implementation in the largest oil importers

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    Nurtac Yildirim

    2015-06-01

    Full Text Available The aim of this paper is to test the impacts of oil price increases on monetary policy implementation in the largest oil importers. For that purpose, we estimate structural vector error correction (SVEC models to show the impacts of oil price increases on industrial production, consumer prices and immediate interest rates which are the elements of Taylor rule for the four largest oil importers (the USA, the EU, China and Japan. Our results indicate that oil price increases transmit to output and inflation and lead to fluctuations in industrial production, consumer prices and immediate interest rates which in turn influence the monetary policy stance in the following periods. The basic conclusion of research is that the channels through which oil prices affect output, inflation and interest rates should be identified by the monetary policy authorities of the USA, the EU, China and Japan. We also emphasize the importance of the determination of the optimal monetary policy framework to eliminate the negative consequences of oil price increases.

  5. Relations between educational research, policy, planning and implementation: The Thai experience

    Science.gov (United States)

    Ketudat, Sippanondha; Fry, Gerald

    1981-06-01

    The relations between educational research, policy, planning and implementation in Thailand are the topic of this paper. The major focus is on the research/policy linkage. A complex educational administrative structure and a pluralistic informal power structure characterize the Thai research context. A tetrahedral model of linkages provides the conceptual framework for the analysis. Details are then provided with respect to the actual operationalization of the model in terms of the Thai approach in practice. Major elements in the Thai approach include the use of expert policy committees, joint committees involving both administrators and researchers, problem-oriented seminars, and commissioned research. Actual examples of research efforts described are an educational reform study, local level school mapping, a school cluster experiment, a budget exercise to improve the equity of primary school resource allocations, and a policy evaluation of sub-district secondary schools. Finally, lessons to be learned from the Thai experience are summarized. Thailand has experienced some success in building analytical educational research capacity and ensuring its utilization. Key elements in this success have been an emphasis on strengthening human capacities; judging political will in a timely, flexible manner; creatively utilizing bureaucratic forms such as committees; and remaining both politically detached and sensitive.

  6. IMPLEMENTATION OF TRADE LAWS: IMPLICATIONS IN THE PRICE CONTROL POLICY OF COMMUNITY NEEDS

    Directory of Open Access Journals (Sweden)

    Engkus Engkus

    2018-01-01

    Full Text Available [Implementation Of Trade Laws: Implications In The Price Control Policy Of Community Needs] Issuing the act no 7 year 2014 about tade, Indonesia has new hope to design the obscene of social basic requirements were going on all this time. The main problem in the research that “increasing and decreasing pricefluctuatively” has became repeatedly in Ramadhan. It has been caused by some factors: Unbalancing Supply and demand not done optimally yet. The aim of the research to collect data, facta and problems analyses them and directly or indirectlywe want to know and increase for academic nuance as theorital, also who want to know about them deeply. The research is qualitative research, using the technical of theresearch are observation, interview, documental history and documental audio visual. The results of research, before, at the moment, after Ramadhan, the price of social basic requirements still increasely and fluctuatively. Government intervention, by short term policy not touched social basic requirements continously yet. So piling them were not clearness of official. Raring supply, increasing demand, It has been caused by social increasing consumption, Finally high increasing price. Conclusion: The price control social basic requirements policy, complately by redesign comprehensive, transparancy, participative and continuosly policy, from central government to local government towards nation autonomy in food. Keywords: Increasing Price, clearness of official, Control.

  7. Tensions in implementing the “energy-conservation/carbon-reduction” policy in Taiwanese culture

    International Nuclear Information System (INIS)

    Chiu, Mei-Shiu

    2013-01-01

    The aim of this study is to investigate the Taiwanese public's perceptions of tensions between the implementation of an energy policy and the practice of traditional culture. The energy policy calls for public actions to conserve energy and reduce carbon emissions. The research participants are 94 people, selected by balancing sexes, ages, and residential areas, from a wide range of vocations. The research data were collected by semi-structured interview with the participants individually. Interview questions were designed to elicit the participants' constructs, beliefs, behaviours, and tensions in relation to energy policy and traditional culture. Data analysis was performed based on a qualitative methodology by the procedure of open coding, theme finding, constant comparison, and theory generation. The analysis identifies four tensions: (1) tensions in knowledge bases between energy conservation and carbon reduction, (2) tensions in lifestyles between having and being, (3) tensions in social systems between authority and conformity, and (4) tensions in creation boundaries between technology and nature. The themes underlying the four tensions are uncertainty, pleasure, power, and control, respectively. Solutions to the four tensions may include practical knowledge, pragmatic idealism, hierarchical collaboration, and sustainable innovation. - Highlights: ► Tensions occur between energy policy and traditional culture. ► Tensions occur in knowledge, life, society, and creation in Taiwan. ► The themes of the four tensions are uncertainty, pleasure, power, and control

  8. Words vs. deeds: Americans' energy concerns and implementation of green energy policies

    Science.gov (United States)

    Brinker, Garrett C.

    As the effects of climate change become increasingly clear, nations, international organizations, and corporations are working together to help mitigate these negative effects before they become irreversible. The United States, as the world's largest emitter per capita, has a responsibility to take quick and decisive action to decrease carbon emissions. And while an overwhelming majority of Americans believe that green energy policies are the right step forward, few have taken meaningful steps to actually implement these policies. Green and energy efficient technologies such as hybrid and electric cars, smart meters, and solar panels---technologies that would reduce our carbon footprint---are currently purchased or used by very few households. There is a clear gap between our words and deeds. Using the University of Texas at Austin Energy Poll dataset, this paper examines this gap and analyzes how income may influence what people say, versus how they act, seeking to better understand how income influences peoples' energy behaviors. Previous literature suggests that income has proven to be an inconsistent measure of concern for energy use. Through two OLS models, this paper finds that income is negatively correlated with Americans' concern for energy usage, while finding that there is a positive correlation between income and Americans' implementation of energy efficient technologies. Further, there is a nonlinear relationship between income groups and how Americans both think about their energy usage and actually implement more energy efficient measures.

  9. Expanding the Abortion Provider Workforce: A Qualitative Study of Organizations Implementing a New California Policy.

    Science.gov (United States)

    Battistelli, Molly Frances; Magnusson, Sara; Biggs, M Antonia; Freedman, Lori

    2018-03-01

    Access to abortion care in the United States varies according to multiple factors, including location, state regulation and provider availability. In 2013, California enacted a law that authorized nurse practitioners (NPs), certified nurse-midwives (CNMs) and physician assistants (PAs) to provide first-trimester aspiration abortions; little is known about organizations' experiences in implementing this policy change. Beginning 10 and 24 months after implementation of the new law, semistructured interviews were conducted with 20 administrators whose five organizations trained and employed NPs, CNMs and PAs as providers of aspiration abortions. Interview data on the organizations' experiences were analyzed thematically, and facilitators of and barriers to implementation were identified. Administrators were committed to the provision of aspiration abortions by NPs, CNMs and PAs, and nearly all identified improved access to care and complication management as clear benefits of the policy change. However, integration of the new providers was uneven and depended on a variety of circumstances. Organizational disincentives included financial and logistical costs incurred in trying to deploy and integrate the different types of providers. Some administrators found that increased costs were outweighed by improved patient care, whereas others did not. In general, having a strong administrative champion within the organization made a critical difference. California's expansion of the abortion-providing workforce had a positive impact on patient care in the sampled organizations. However, various organizational obstacles must be addressed to more fully realize the benefits of having NPs, CNMs and PAs provide aspiration abortions. Copyright © 2018 by the Guttmacher Institute.

  10. Implementation of School Uniform Policy and the Violation of Students’ Human Rights in Schools

    Directory of Open Access Journals (Sweden)

    Vimbi Petrus Mahlangu

    2017-05-01

    Full Text Available The paper highlights the violations of students’ human rights in schools. The problem is the incident that took place at a school in Pretoria in 2016 where Black girls protested against the School’s Code of Conduct relating to hairstyle. Qualitative approach was used to collect information through a literature review and desk-top research methods. Black girls claimed they were discriminated against and the protest serves as an example to demonstrate students’ human rights violations when schools implement school uniform policies. Inequality in schools is rife in South Africa. School uniform policies with regard to dress codes are expected to reduce school violence, prevent discipline issues, and improve in school safety. Students have rights and their rights can include issues regarding cultural, economic, and political freedoms. Students, especially adolescents, respond very negatively to school uniforms.

  11. Implementing the European policies for alien species – networking, science, and partnership in a complex environment

    Directory of Open Access Journals (Sweden)

    Stelios Katsanevakis

    2013-02-01

    Full Text Available The European Commission has recognized the need for more stringent action to manage biological invasions and has committed to develop adedicated legislative instrument. Under this upcoming legislation, European countries and their relevant institutions will have additional obligations and commitments in respect to invasive alien species. In September 2012, the European Commission’s Joint Research Centre (JRC launched the European Alien Species Information Network (EASIN to facilitate the exploration of existing alien species information from distributed sources and to assist the implementation of European policies on biological invasions. Subsequent to the launching of EASIN, there was an evident need to define its niche within a complex environment of global, European, regional and national information systems. Herein we propose an organizational chart clearly defining the role of each actor in this framework, and we emphasize the need for collaboration in order to effectively support EU policies.

  12. Institutional Control Policies and Implementation for the Area 5 and Area 3 Radioactive Waste Management Sites

    Energy Technology Data Exchange (ETDEWEB)

    Vefa Yucel, Greg Shott, Denise Wieland, et al.

    2007-11-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has implemented varying institutional control policies in performance assessment/composite analysis (PA/CA) calculations for the Area 5 and Area 3 Radioactive Waste Management Sites (RWMSs) (Shott et al., 1998; 2000; Bechtel Nevada [BN] and Neptune and Company Inc. [Neptune], 2006). The facilities are within the actively maintained boundaries of the Nevada Test Site (NTS) that are enforced by NNSA/NSO. Under current policies, access required for exposure of the member of public (MOP) or the inadvertent human intruder (IHI) is prohibited. Uncertainties affecting institutional control policies are the duration and effectiveness of the controls during the post-closure period. Implementing a uniform set of institutional control policies for the RWMSs that encompasses waste management and environmental restoration programs and is consistent with the end-state vision for the environmental management programs for the NTS (DOE, 2006) is a primary goal of the maintenance program. The NNSA/NSO Performance Management Plan (DOE, 2002) complies with DOE Policy P455.1, 'Use of Risk-Based End States' (DOE, 2003a). Expected future land uses are a driver in selecting acceptable end state conditions and clean-up goals for the NTS. NNSA/NSO Environmental Management's (EM's) land management assumptions and framework for Environmental Management activities are as follows: The NTS will remain under federal control in perpetuity as an NNSA test site, and the large buffer zone surrounding the NTS (the Nevada Test and Training Range) is assumed to remain under the control of the U.S. Air Force. There are no plans for transfer of any NTS lands to other agencies or public entities. Access will continue to be restricted to the NTS and the surrounding areas. For management purposes, NNSA/NV EM activities have been established based on the source of contamination and

  13. Institutional Control Policies and Implementation for the Area 5 and Area 3 Radioactive Waste Management Sites

    International Nuclear Information System (INIS)

    Vefa Yucel; Greg Shott; Denise Wieland

    2007-01-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has implemented varying institutional control policies in performance assessment/composite analysis (PA/CA) calculations for the Area 5 and Area 3 Radioactive Waste Management Sites (RWMSs) (Shott et al., 1998; 2000; Bechtel Nevada [BN] and Neptune and Company Inc. [Neptune], 2006). The facilities are within the actively maintained boundaries of the Nevada Test Site (NTS) that are enforced by NNSA/NSO. Under current policies, access required for exposure of the member of public (MOP) or the inadvertent human intruder (IHI) is prohibited. Uncertainties affecting institutional control policies are the duration and effectiveness of the controls during the post-closure period. Implementing a uniform set of institutional control policies for the RWMSs that encompasses waste management and environmental restoration programs and is consistent with the end-state vision for the environmental management programs for the NTS (DOE, 2006) is a primary goal of the maintenance program. The NNSA/NSO Performance Management Plan (DOE, 2002) complies with DOE Policy P455.1, 'Use of Risk-Based End States' (DOE, 2003a). Expected future land uses are a driver in selecting acceptable end state conditions and clean-up goals for the NTS. NNSA/NSO Environmental Management's (EM's) land management assumptions and framework for Environmental Management activities are as follows: The NTS will remain under federal control in perpetuity as an NNSA test site, and the large buffer zone surrounding the NTS (the Nevada Test and Training Range) is assumed to remain under the control of the U.S. Air Force. There are no plans for transfer of any NTS lands to other agencies or public entities. Access will continue to be restricted to the NTS and the surrounding areas. For management purposes, NNSA/NV EM activities have been established based on the source of contamination and type of waste

  14. The Propensity to Tax Competition: The Case of Implementation Local Tax Policy by Polish Local Governments

    Directory of Open Access Journals (Sweden)

    Artur Walasik

    2015-03-01

    Full Text Available The study is dedicated to identify the main factors determining the propensity of local authorities to compete for the access to the limited as well as mobile sources of local tax revenue. The success of such an activity should be discussed in relation to the stabilization of local budget revenues; hence it seems that the barriers of leaving tax jurisdiction could be better index to evaluate of the efficiency of local tax policy. The theoretical approach is based on the assumption that, if central government provides limitations of the right to improve local tax policy means (the scope of local tax jurisdiction, the local governments should focus on both the efficient acquiring the sources of tax revenues, and the stabilization of tax revenues in the future, in particular by the implementation of the barriers of leaving tax jurisdiction. The paper suggests studying a propensity to tax competition. The article formulates desideratum of the efficiency of spending on acquiring the sources of tax revenue, in particular, the need to identify the barriers to leave tax jurisdiction is suggested. The first and foremost way to build the barrier to leave tax jurisdiction could be reducing tax liabilities by local tax authorities, in particular by introducing local tax reliefs and local tax exemptions, as well as lowering local tax rates. Hence, the model of local authorities’ competition for local tax resources could be proposed. The empirical studies are dedicated to identify the actual propensity of Polish local government to execute the legal ability to impose tax policy instruments. The inquiry is based on comparing the fiscal consequences of implementing local tax policy within two groups of local authorities: small towns and countries (gminas and medium-size towns and big cities (cities with powiat status. The period under investigation contains 14 fiscal years, started 2000 and finished in 2013. The method is based on the analysis of the

  15. Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes

    Directory of Open Access Journals (Sweden)

    Margaret Rose

    2010-12-01

    Full Text Available Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800’s that governments sought to enact legislation to protect animals from cruelty. In the 1950’s, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

  16. 'Wrong parents' and 'right parents': shared perspectives about citizen participation in policy implementation.

    Science.gov (United States)

    Potter, Deborah Anne

    2010-06-01

    Government policies, both in Europe and the U.S., increasingly mandate that community-based citizens partner with professionals to plan and implement policy-relevant programs. In the U.S., parents of children with serious emotional disturbances may participate in Community Collaboratives which are charged with implementing children's mental health policy in local communities. This qualitative study examined three Community Collaboratives and identified organizational features associated with how the groups prioritized lay involvement, among other competing goals which they legitimately could pursue. Thirty-four key informants participated in in-depth interviews. Although the overall study identified several factors which permitted greater and lesser degrees of family involvement, this paper reports on one: the symbolic meaning shared by members about lay participation in their shared perspectives about "wrong parents" and "right parents." Furthermore, two alternate types of "right parents" identified a psychologized version of parents as consumers, and a civic vision of parents as partners. Results from this study are applicable to a wide array of lay-professional partnerships. This study suggests that in order to foster lay-professional partnerships in policy initiatives, lay participants must possess additional, civic-based skills, beyond those needed in the service delivery arena. Furthermore, organizational and professional change may be required to address professional dominance. Within mental health, lack of acceptance of nationally touted recovery-based models is a significant barrier. Finally, sociological implications of developing a civic-based framework for lay-professional partnerships are discussed. Copyright 2010 Elsevier Ltd. All rights reserved.

  17. State-Level Renewable Energy Policy Implementation: How and Why Do Stakeholders Participate?

    Directory of Open Access Journals (Sweden)

    Valerie Rountree

    2018-02-01

    Full Text Available For most of the twentieth century, large-scale, utility-owned power plants dominated electricity generation in the United States. Today, however, a growing share of electricity comes from renewable energy sources such as solar and wind energy, which are often small-scale and distributed. In the absence of significant national policies, the Renewable Portfolio Standard has emerged as the key state-level policy governing the deployment and use of renewable energy sources. While renewable energy offers new possibilities for clean energy generation, it also poses new regulatory and governance challenges as a wide range of stakeholders, such as the utilities, regulatory agencies, environmental and consumer advocacy groups, electricity generators, and private citizens, increasingly seek to influence how Renewable Portfolio Standards are implemented. In this study, we ask how and why do stakeholders participate in decision-making about how these policies are implemented? Given the unique context of renewable energy policy, the long-term and iterative nature of renewable energy policy implementation, and the wide range of actors involved, we look at the suite of participatory opportunities available to stakeholders. We interview stakeholders in two states—Colorado and Nevada—to identify the mechanisms through which stakeholders participate and the incentives (or disincentives that influence their willingness to do so. We find that while decision makers in both the states use a variety of mechanisms to engage stakeholders in decision-making, meaningful participation may be limited to stakeholder groups that are knowledgeable about the issues, have the resources to engage in long-term and sustained participation, and have long-standing relationships with decision makers and other stakeholders. Although many stakeholders participate in multiple types of processes to achieve a broader range of benefits, they often perceive their participation as

  18. Political insights on implementing the Nuclear Waste Policy Act of 1982

    International Nuclear Information System (INIS)

    Edwards, J.B.

    1986-01-01

    The author discusses the options available for implementing the Nuclear Waste Policy Act (NWPA) of 1982. The author concludes that the federal and state governments must cooperate because this is a political problem. Two sites must be selected because this gets the Western states supporting the act and provides a backup if problems develop at one site. The author says once 2-4 sites are chosen as finalists, an educational campaign must be done in those states to stress safety. Solving the waste problem will give the nuclear industry a brighter future

  19. Monetary policy implementation and money demand instability during the financial crisis

    Directory of Open Access Journals (Sweden)

    Svatopluk Kapounek

    2011-01-01

    Full Text Available The author focuses on the money endogeneity in the context of common monetary policy implementation in the euro area. The empirical analysis shows money demand function instability during the financial crisis. The instability is described by decrease in credit money creation and money velocity changes. The cointegration tests identifed long-run positive relationship between monetary aggregates and economic activity. Concurrently, the economic activity is treated to be weakly exogenous in the model.The conclusions are discussed with Postkeynesians’ assumption, that central banks cannot fix the stock of money in a country. The causality is directed from economic activity to money demand.

  20. Challenges in implementing individual placement and support in the Australian mental health service and policy context.

    Science.gov (United States)

    Stirling, Yolande; Higgins, Kate; Petrakis, Melissa

    2018-02-01

    Objective Although Australia's service and policy context differs from that of the US, studies have highlighted potential for individual placement and support (IPS) to support competitive employment outcomes for people with severe and persistent mental illness. The aim of the present study was to explore why the model is not yet widely available. Methods A document analysis was conducted to discern reasons for challenges in implementation of IPS practice principles within the Australian service context. Results The document analysis illustrated that although policy acknowledges the importance of increasing employment rates for people with severe and persistent mental illness, consistent measures, change indicators, direction and time frames are lacking in policy and strategy documentation. Further, IPS principles are not consistently evident in guiding operational documentation that government-funded Disability Employment Services (DES) programs are mandated to adhere to. Conclusions For IPS to be readily implemented, it is necessary for government to offer support to agencies to partner and formal endorsement of the model as a preferred approach in tendering processes. Obligations and processes must be reviewed to ensure that model fidelity is achievable within the Australian Commonwealth policy and service context for programs to achieve competitive employment rates comparable to the most successful international programs. What is known about the topic? The IPS model has been established as the most efficacious approach to support people with severe and persistent mental ill health to gain and sustain employment internationally, yet little is known as to why this model has had very limited uptake in the Australian adult mental health service and policy context. What does this paper add? This paper provides an investigation into the achievability of IPS within DES philosophical and contractual arrangements. What are the implications for practitioners? Mental

  1. [An overview of the definition and implementation of the Brazilian National Policy on Health Data and Information Technology].

    Science.gov (United States)

    Cavalcante, Ricardo Bezerra; Kerr-Pinheiro, Marta Macedo; Guimarães, Eliete Albano de Azevedo; Miranda, Richardson Machado

    2015-05-01

    The This qualitative study aimed to analyze the development and implementation of the Brazilian National Policy on Health Data and Information Technology (NPIIH). We analyzed documents and applied an online questionnaire to the experts involved in developing the policy. The data were submitted to content analysis using the categorical thematic modality. The PNIIS is the target of debate and proposals at various levels. Provisions have appeared in parallel to regulate measures on health data and information technology. Community participation in developing this policy and the convergence of laws, standards, resolutions, and policy-making levels in a common and broadly acknowledged and enforced policy are challenges, in addition to linking the public and private sectors. The study concludes that the National Policy on Health Data and Information Technology is making gradual progress, predominantly in theoretical debates, revisions, and updates. There are numerous challenges for its implementation and a prevailing need for legitimation.

  2. Local and Regional Authorities as Resources for Implementing Universal Design Policy in Norway.

    Science.gov (United States)

    Lund, Einar

    2016-01-01

    The municipalities and regional authorities are in general resources for achieving national goals. Their management and works are crucial to the development and implementation of Universal Design. Through several programmes, national authorities have worked for activating the local and regional levels. The results are visible. We can see a long-term national strategy to help make society accessible to everyone and prevent discrimination. Participating municipalities and regional authorities are now able to create their own policy and strategies and implement solutions. The national programs have involved interested and motivated municipalities. All the 18 counties in Norway have been involved more or less in different periods and the same with up to a third of the about good 400 municipalities.

  3. The dilemmas and complexities of implementing language-in-education policies: perspectives from urban and rural contexts in Uganda

    NARCIS (Netherlands)

    Altinyelken, H.K.; Moorcroft, S.; van der Draai, H.

    2014-01-01

    Language-in-education policies are a highly debated topic in Africa and at the root of understanding inequalities in Africa's education systems. This article explores the implementation of Uganda's recent local language education policy; how it has been received and practiced in urban and rural

  4. The local implementation of clean(er) fuels policies in Europe. A Handbook with guidelines. Final version

    International Nuclear Information System (INIS)

    Mulder, F.; Amara, Sliman Abu; Uustal, M.; Pelkmans, L.; Devriendt, N.; Rogulska, M.; Defranceschi, P.

    2009-05-01

    This handbook aims to guide the local/regional governments all over Europe who are involved in implementing clean(er) fuel policies in transport. The general challenge these governments are facing is how local policies on clean(er) fuels and vehicles can be made operational. Hence, how can the step be made from a vision on the strategic policy level, to a vision on the implementation of these policies. A local/regional policy on clean(er) fuels and vehicles is commonly part of the larger category 'sustainable transport policy', which in itself is part of a broader local environmental policy. The encompassing local/regional sustainable mobility policy will in most cases be based on the three well known main policy aims in this area: CO2 reduction; Improving the local air quality; and Improving the security of supply (locally often less stressed). This handbook will focus on the actual implementation of a clean(er) fuels and vehicles policy. It will describe the main challenges and how these can be overcome. It will describe how the market conditions for clean(er) fuels and vehicles can be created by establishing the vital market elements and which process is required to do so. And it will show how local enterprises can be involved and what the role of the local governments in this process can be. In order to identify the local success factors in overcoming the main challenges for implementation, case studies have been carried out in three European cities, namely Stockholm (Sweden), Graz (Austria) and Lille (France). The choice of these cities was based on their successes in implementing clean(er) fuel policies (although they followed different paths) and the fact that they managed to achieve ambitious clean(er) fuel/ clean(er) vehicle targets. These cities may thus be considered as ?good practice examples?. The case studies are based on existing literature, on multiple stakeholders? interviews in all three cities, and on two small surveys. The objectives of this

  5. POLITICS OF LANGUAGE IN THE ACT REGULATING MATTERS PERTAINING TO SPECIFIC AUTONOMY FOR PAPUA : Critical Discourse Perspective

    Directory of Open Access Journals (Sweden)

    Hugo Warami

    2014-08-01

    Full Text Available This article aims to illustrate that the politics of language marked power relations framed by a form of power between the dominating and the dominated in the Act Regulating Matters Pertaining to Specific Autonomy for Papua (hereinafter called UU Otsus Papua. The politics of language involves a high degree of knowledge and power that is marked by the symbolic interactions in the ethnic diversity of the archipelago UU Otsus Papua is a form of political discourse and the medium of language diplomacy containing an authority and political competence of the central government over the people of Papua; including a number of authorities and policies, as well as to explore the power of language in the language politics networks through the system of government of the Republic of Indonesia. Politics of language in this article will be disclosed through the paradigm of Critical Discourse Analysis (CDA. This article will focus on the efforts of uncovering: “Language Politics in UU Otsus Papua”, by projecting the problems including: (i the form of the politics of language, and (ii the political function of language in the UU Otsus Papua.  

  6. Transcalar networks for policy transfer and implementation: the case of global health policies for malaria and HIV/AIDS in Cameroon.

    Science.gov (United States)

    Ngoasong, Michael Zisuh

    2011-01-01

    This paper explores the nature and type of policy transfer promoted by global health partnerships to facilitate access to medication in Cameroon and the associated implementation challenges. Using concepts from policy transfer, multi-level governance and the politics of scale, the paper conceptualizes the social spaces (global-national-local linkages) through which global health policies are negotiated as transcalar networks. The framework is used to analyse policy documents, technical and media reports and journal articles focusing on two global health partnerships (GHPs)-Roll Back Malaria and the Accelerating Access Initiative-in Cameroon. Both GHPs helped to create the national Malaria and HIV/AIDS programmes in Cameroon, respectively. Global policies are negotiated through dialogue processes involving global, national and local partners who constitute the national HIV/AIDS and malaria committees. Successful policy transfer is evident from the consensual nature of decision-making. Analysis of policy implementation reveals that GHPs offer a 'technical fix' based on specific medical intervention programmes with a relatively limited focus on disease prevention. The GHP approach imposes new governance challenges due to policy resistance strategies (strategic interests of international agencies and country-specific challenges). Evidence of this is seen in the existence of several overlapping programmes and initiatives that distort accountability and governance mechanisms defined by the national committees. Finally, the implications of these challenges for achieving access to medication are discussed.

  7. Assessment of environmental policy implementation in solid waste management in Kathmandu, Nepal.

    Science.gov (United States)

    Dangi, Mohan B; Schoenberger, Erica; Boland, John J

    2017-06-01

    In Nepal, full-fledged environmental legislation was rare before the democratic constitution of 1990. The first law covering the environment and sustainability was the Environment Protection Act 1997. While the Solid Waste Act was introduced in 1987, the problem of solid waste management still surfaces in Kathmandu. In order to understand the bedrock of this unrelenting failure in solid waste management, the manuscript digs deeper into policy implementation by dissecting solid waste rules, environmental legislations, relevant local laws, and solid waste management practices in Kathmandu, Nepal. A very rich field study that included surveys, interviews, site visits, and literature review provided the basis for the article. The study shows that volumes of new Nepalese rules are crafted without effective enforcement of their predecessors and there is a frequent power struggle between local government bodies and central authority in implementing the codes and allocating resources in solid waste management. The study concludes that Kathmandu does not require any new instrument to address solid waste problems; instead, it needs creation of local resources, execution of local codes, and commitment from central government to allow free exercise of these policies.

  8. Policy dilemmas in Latino health care and implementation of the Affordable Care Act.

    Science.gov (United States)

    Ortega, Alexander N; Rodriguez, Hector P; Vargas Bustamante, Arturo

    2015-03-18

    The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos' health and ACA implementation: (a) the need to extend coverage to the undocumented; (b) the growth of Latino populations in states with limited insurance expansion; (c) demands on public and private systems of care; and (d) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.

  9. Development through sustainable tourism and effective policy implementation: Practices of Puerto Princesa City, Philippines

    Directory of Open Access Journals (Sweden)

    Jazztin Jairum P. Manalo

    2017-02-01

    Full Text Available Sustainable tourism has been considered by many local governments as part of their initiatives for economic upliftment. It is one of the major sources of income through the use of their tourist attraction without compromising the natural resources situated within. The enactment and effective implementation of the local government’s policy have achieved a promising efficient outcome for sustainable tourism.. The city of Puerto Princesa had a long history considering its transformation from an environmentally degraded city into one of the major ecotourism sites around the world. Thus, this paper presents the case of Puerto Princesa and its practices as well as economic development by practicing sustainable tourism and effective policy implementation. The City Ordinance No. 163-91 and 640 has improved the lives of the communities by practicing cleanliness and effective waste management their surrounding and tourist destinations. Economic development and benefits from sustainable tourism reflects the city of Puerto Princesa as a role model for Local Government Units. The passing of City Ordinances on Cleanliness drive have played an important role in effective waste management of the city. The key role of having a strong political will in the local government has strongly maintained its best practices for two decades up to the present.

  10. Implementation of the Juvenile Justice and Welfare Act of 2006 (RA 9344: Inputs to Policy Amendments

    Directory of Open Access Journals (Sweden)

    DR. FREDDY E. BILOG

    2014-06-01

    Full Text Available The study aimed to assess the status of implementation of RA 9433 or Juvenile Justice and Welfare Act of 2006 with respect to the various sectors namely: police; city social welfare and development and family court.. It also determine the problems encountered by the three groups of respondents and test the difference among the responses of the three groups: to determine the implication of implementation of RA 9344 to the community as perceived by three groups of respondents and based on the findings to propose inputs to policy amendments. It was found out that majority of the juvenile offenders in Batangas City are 15-17 years old, single, males, finished elementary education with crime of theft committed in 2012 and under the custody of their parents or legal guardians. Objectives, compliance, evaluation and monitoring as status of RA 9344 were implemented as a new approach in criminal justice system with juvenile offenders. Each sector experiences problems in implementing RA 9344 especially when it comes to insufficient knowledge of the child, and the parents regarding the child’s severity of crime and constitutional rights. The study found a significant relationship between the status of implementation of RA 9344 and the problems encountered. Further, there are differences between the responses of the three groups of respondents. Exemption of youth offenders in criminal responsibility has an impact on the community since the youth may repeat the crime or they could commit crime that is more severe than the previous crime committed. Additionally, compliance, evaluation and monitoring were found to be significantly related to the impact of exemption of youth offenders in criminal responsibility. Based on the findings, the study identified inputs for possible amendments of policies that govern RA 9344 towards a more efficient and effective implementation. These intervention programs such as child management training and rehabilitative program

  11. Analysis of policy options and implementation measures promoting electricity from renewable biomass in the EU

    International Nuclear Information System (INIS)

    Kautto, N.

    2005-04-01

    Biomass as a renewable energy source holds a great potential in responding to energy challenges of the future as well as meeting renewable energy targets set by the European Union. The objective of this study was to analyse various policy options and implementation measures promoting electricity from renewable biomass in the European Union, including new Member States (EU-25). The main political driving force behind this investigation was the RES-E Directive (2001/77/EC). The effectiveness of policy instruments regarding the development of electricity from biomass and biogas in the period of 1990-2002, and the framework conditions, i.e. success and risk factors, for this progress were assessed though a 'five-step approach'. Past development in terms of bioelectricity production and generating capacity was assessed based on statistics of Eurostat and the IEA. Policy instruments promoting bioelectricity and the framework factors on the national level in each EU Member State (excluding Cyprus and Malta) were investigated using the EU and governmental documents, independent evaluations and expert contacts as information sources. It became clear that determination of the effectiveness of policy instruments cannot be separated from the environment these mechanisms are applied to: mapping of the frame conditions for development is essential. Instead of selecting distinct policy instruments, successful Member State/bioelectricity combinations were chosen. The most successful combinations were found to be Germany, United Kingdom, Spain and Finland, whereas examples of unsuccessful measures were found in Greece, Luxembourg and the new Member States. Bioelectricity has clearly benefited from feed-in tariff system in countries like Germany but the use of biomass has essentially increased even without this measure in Sweden and Finland, where favourable taxation and strong links between forestry and power industries are defining factors for positive development. This study

  12. Policies and Procedures That Facilitate Implementation of Evidence-Based Clinical Guidelines in U.S. Dental Schools.

    Science.gov (United States)

    Polk, Deborah E; Nolan, Beth A D; Shah, Nilesh H; Weyant, Robert J

    2016-01-01

    The aim of this study was to determine the degree to which dental schools in the United States have policies and procedures in place that facilitate the implementation of evidence-based clinical guidelines. The authors sent surveys to all 65 U.S. dental schools in 2014; responses were obtained from 38 (58%). The results showed that, of the nine policies and procedures examined, only two were fully implemented by 50% or more of the responding schools: guidelines supported through clinical faculty education or available chairside (50%), and students informed of guidelines in both the classroom and clinic (65.8%). Although 92% of the respondents reported having an electronic health record, 80% of those were not using it to track compliance with guidelines. Five schools reported implementing more policies than the rest of the schools. The study found that the approach to implementing guidelines at most of the responding schools did not follow best practices although five schools had an exemplary set of policies and procedures to support guideline implementation. These results suggest that most dental schools are currently not implementing guidelines effectively and efficiently, but that the goal of schools' having a comprehensive implementation program for clinical guidelines is achievable since some are doing so. Future studies should determine whether interventions to improve implementation in dental schools are needed.

  13. Domestic policy consequences of new implementation models. Consequences for industrial niches; Industripolitiske konsekvenser av nye gjennomfoeringsmodeller. Konsekvenser for nisjebedriftene

    Energy Technology Data Exchange (ETDEWEB)

    Johannessen, T.

    1995-12-31

    The paper relates to the consequences of domestic policy with the focus on new implementation models used for cost reduction of offshore development projects in Norway. The paper puts the attention to the consequences from implementation models on industrial niches (subcontractors)

  14. River Water Pollution Status and Water Policy Scenario in Ethiopia: Raising Awareness for Better Implementation in Developing Countries.

    Science.gov (United States)

    Awoke, Aymere; Beyene, Abebe; Kloos, Helmut; Goethals, Peter L M; Triest, Ludwig

    2016-10-01

    Despite the increasing levels of pollution in many tropical African countries, not much is known about the strength and weaknesses of policy and institutional frameworks to tackle pollution and ecological status of rivers and their impacts on the biota. We investigated the ecological status of four large river basins using physicochemical water quality parameters and bioindicators by collecting samples from forest, agriculture, and urban landscapes of the Nile, Omo-Gibe, Tekeze, and Awash River basins in Ethiopia. We also assessed the water policy scenario to evaluate its appropriateness to prevent and control pollution. To investigate the level of understanding and implementation of regulatory frameworks and policies related to water resources, we reviewed the policy documents and conducted in-depth interviews of the stakeholders. Physicochemical and biological data revealed that there is significant water quality deterioration at the impacted sites (agriculture, coffee processing, and urban landscapes) compared to reference sites (forested landscapes) in all four basins. The analysis of legal, policy, and institutional framework showed a lack of cooperation between stakeholders, lack of knowledge of the policy documents, absence of enforcement strategies, unavailability of appropriate working guidelines, and disconnected institutional setup at the grass root level to implement the set strategies as the major problems. In conclusion, river water pollution is a growing challenge and needs urgent action to implement intersectoral collaboration for water resource management that will eventually lead toward integrated watershed management. Revision of policy and increasing the awareness and participation of implementers are vital to improve ecological quality of rivers.

  15. River Water Pollution Status and Water Policy Scenario in Ethiopia: Raising Awareness for Better Implementation in Developing Countries

    Science.gov (United States)

    Awoke, Aymere; Beyene, Abebe; Kloos, Helmut; Goethals, Peter L. M.; Triest, Ludwig

    2016-10-01

    Despite the increasing levels of pollution in many tropical African countries, not much is known about the strength and weaknesses of policy and institutional frameworks to tackle pollution and ecological status of rivers and their impacts on the biota. We investigated the ecological status of four large river basins using physicochemical water quality parameters and bioindicators by collecting samples from forest, agriculture, and urban landscapes of the Nile, Omo-Gibe, Tekeze, and Awash River basins in Ethiopia. We also assessed the water policy scenario to evaluate its appropriateness to prevent and control pollution. To investigate the level of understanding and implementation of regulatory frameworks and policies related to water resources, we reviewed the policy documents and conducted in-depth interviews of the stakeholders. Physicochemical and biological data revealed that there is significant water quality deterioration at the impacted sites (agriculture, coffee processing, and urban landscapes) compared to reference sites (forested landscapes) in all four basins. The analysis of legal, policy, and institutional framework showed a lack of cooperation between stakeholders, lack of knowledge of the policy documents, absence of enforcement strategies, unavailability of appropriate working guidelines, and disconnected institutional setup at the grass root level to implement the set strategies as the major problems. In conclusion, river water pollution is a growing challenge and needs urgent action to implement intersectoral collaboration for water resource management that will eventually lead toward integrated watershed management. Revision of policy and increasing the awareness and participation of implementers are vital to improve ecological quality of rivers.

  16. nstitutional Capacities and Social Policy Implementation: Maternal Child Health and Nutrition Programmes in Argentina and Chile (1930-2000

    Directory of Open Access Journals (Sweden)

    Alma Idiart

    2013-01-01

    Full Text Available This article compares maternal child health and nutrition programmes in Argentina and Chile, focusing on long-term institutional features and the central neo-liberal trends organizing social reforms during the 1980s and the 1990s. Objective: To carry out a comparative study of the ransformations of Maternal Child Health and Nutrition Programmes, taking into account three intertwined issues: social policies, institutional capacity, and policy implementation. Methodology: The documentary analysis done in this article is framed in the structural force model of Carmelo Mesa-Lago and the polity-centred structure model of Theda Skocpol. Conclusions: Despite relatively similar policy lines implemented in both countries, the contrasting long-term institutional features (Chilean programmes addressed maternal and child health more efficiently than the Argentines account for most of the variation in the overall process of reform implementation and the performance of maternal and child health policies.

  17. [Implementation of Italian guidelines on public health genomics in Italy: a challenging policy of the NHS].

    Science.gov (United States)

    Boccia, Stefania; Federici, Antonio; Colotto, Marco; Villari, Paolo

    2014-01-01

    Genomics and related fields are becoming increasingly relevant in health care practice. Italy is the first European country that has a structured policy of Public Health Genomics. Nevertheless, what should be the role of genomics in a public health perspective and how public health professionals should engage with advances in genomics' knowledge and technology, is still not entirely clear. A description of the regulatory framework made-up by the Italian government in the last years is provided. In order to implement the national guidelines on Public Health Genomics published in 2013, key issues including the ethical, legal and social aspects within an evidence-based framework should be warranted and are herewith discussed. Genomics and predictive medicine are considered one of the main intervention areas by the National Prevention Plan 2010-2012, and dedicated guidelines were published in 2013. In order to implement such guidelines, we envisage a coordinated effort between stakeholders to guide development in genomic medicine, towards an impact on population health. There is also room to implement knowledge on how genomics can be integrated into health systems in an appropriate and sustainable way. Learning programs are needed to spread knowledge and awareness of genomics technology, in particular on genomic testing for complex diseases.

  18. Investigation into promotion/disincentive factors and proposal of support policy in implementation of risk assessment

    International Nuclear Information System (INIS)

    Nagasaka, Akihiko; Tomizawa, Norio

    2012-01-01

    The implementation of risk assessment (RA) has been mandated effort in business place of the type of industry that must elect a safe hygiene manager by the enforcement of the revised Occupational Safety and Health Act of April, 2006. However, it is guessed that some problems are still left unfinished in many business places to promote RA effectively. In this study, at first the authors investigated promotion factors and disincentive factors when implementing RA by literature survey. As the result, factors to show as follows were classified in some categories such as participation of the top, the organization which promotes RA, the use of the existing safety activity, matching of RA technique and work, etc. unlike conventional safety activity to learn from a disaster, infiltrating significance of RA to prevent a risk enough, letting a worker engaged in work participate in RA. Next, the authors performed the visit investigation for 8 business places and extracted a new promotion factors to show as follows. incorporating RA in usual duties, utilizing results of RA effectively. In reference to above promotion factors, the authors examined a policy to implement RA smoothly. (author)

  19. Understanding the dynamics of the Seguro Popular de Salud policy implementation in Mexico from a complex adaptive systems perspective.

    Science.gov (United States)

    Nigenda, Gustavo; González-Robledo, Luz María; Juárez-Ramírez, Clara; Adam, Taghreed

    2016-05-13

    In 2003, Mexico's Seguro Popular de Salud (SPS), was launched as an innovative financial mechanism implemented to channel new funds to provide health insurance to 50 million Mexicans and to reduce systemic financial inequities. The objective of this article is to understand the complexity and dynamics that contributed to the adaptation of the policy in the implementation stage, how these changes occurred, and why, from a complex and adaptive systems perspective. A complex adaptive systems (CAS) framework was used to carry out a secondary analysis of data obtained from four SPS's implementation evaluations. We first identified key actors, their roles, incentives and power, and their responses to the policy and guidelines. We then developed a causal loop diagram to disentangle the feedback dynamics associated with the modifications of the policy implementation which we then analyzed using a CAS perspective. Implementation variations were identified in seven core design features during the first 10 years of implementation period, and in each case, the SPS's central coordination introduced modifications in response to the reactions of the different actors. We identified several CAS phenomena associated with these changes including phase transitions, network emergence, resistance to change, history dependence, and feedback loops. Our findings generate valuable lessons to policy implementation processes, especially those involving a monetary component, where the emergence of coping mechanisms and other CAS phenomena inevitably lead to modifications of policies and their interpretation by those who implement them. These include the difficulty of implementing strategies that aim to pool funds through solidarity among beneficiaries where the rich support the poor when there are no incentives for the rich to do so. Also, how resistance to change and history dependence can pose significant challenges to implementing changes, where the local actors use their significant power

  20. Fading vision: knowledge translation in the implementation of a public health policy intervention.

    Science.gov (United States)

    Tomm-Bonde, Laura; Schreiber, Rita S; Allan, Diane E; MacDonald, Marjorie; Pauly, Bernie; Hancock, Trevor

    2013-06-04

    implement a collaborative, evidence-informed policy intervention, there were several barriers to the realization of the vision for core public health functions implementation, at least in the early stages. In neglecting the implementation process, it seems unlikely that the expected benefits of the public health renewal process will be realized.

  1. Principles for Nearly Zero-energy Buildings. Paving the way for effective implementation of policy requirements

    Energy Technology Data Exchange (ETDEWEB)

    Boermans, T.; Hermelink, A.; Schimschar, S.; Groezinger, J.; Offermann, M. [Ecofys Germany, Berlin (Germany); Engelund Thomsen, K.; Rose, J.; Aggerholm, S.O. [Danish Building Research Institute SBi, Aalborg University, Hoersholm (Denmark)

    2011-11-15

    The overarching objective of this study is to contribute to a common and cross-national understanding on: an ambitious, clear definition and fast uptake of nearly Zero-Energy Buildings (nZEB) in all EU Member States; principles of sustainable, realistic nearly Zero-Energy Buildings, both new and existing; possible technical solutions and their implications for national building markets, buildings and market players. The study builds on existing concepts and building standards, analyses the main methodological challenges and their implications for the nZEB definition, and compiles a possible set of principles and assesses their impact on reference buildings. Subsequently the technological, financial and policy implications of these results are evaluated. Finally, the study concludes by providing an outlook on necessary further steps towards a successful implementation of nearly Zero-Energy Buildings.

  2. A LEGISLATIVE CASE STUDY OF THE EVOLUTION OF POLYVICTIMIZATION RESEARCH AND POLICY IMPLEMENTATION: MENTAL HEALTH PROFESSIONALS' DUTY TO ENGAGE IN PUBLIC POLICY ADVOCACY.

    Science.gov (United States)

    Culyba, Alison Journey; Patton, William Wesley

    2016-01-01

    One reason that scientific research takes so long to reach patients is that medical researchers and practitioners often lack training in public policy implementation theory and strategy. General medical and specific psychiatric ethical precepts in the United States and in international ethics codes invest public policy duties in psychiatric researchers and individual clinicians. This essay discusses those medical ethical rules and suggests means for training psychiatrists to meet their public health policy duties in legal fora. The discussion presents a case study of the evolution of polyvictimization research, its initial lack of implementation in clinical practice and public policy debates, and a detailed demonstration of the incorporation of polyvictimization research in informing legislative action. Through systematic efforts to expand training and involvement of psychiatrists, we can expedite the implementation of psychiatric research by marshalling individual psychiatrists to affect decisions in legislative, executive, and judicial proceedings. These individual efforts can occur synergistically with ongoing psychiatric and psychological organizations' efforts to better effect timely incorporation of evidence-based policies to improve mental health at the local, state, national, and international levels.

  3. Implementation of decentralized power generation by biogas digester: Policy and perspective

    Directory of Open Access Journals (Sweden)

    Nirmalendunath Ghosh

    2015-04-01

    Full Text Available This paper aims to evolve innovative system for fast track implementation of decentralized power generation by biogas digester across the country commensurate with estimated potential of this energy resource. The methodology is based on the principle that necessity of a process or facility for human liveli hood generates demand of a new system if that is competitive enough to impress society by its value to meet the standard of usability economically and technically in all respect. Firstly, the study described a network of communication to propagate knowledge about the benefit, cost and operation of biogas digester to serve multiple purposes among policy makers and other stakeholders all over the country through distance mode programme and training of the human resources by simulating the process for training programme. Secondly, analysis by cause and effect method focused on major issues related to implementation of power generation by biogas that identified factors corresponding to the problems. Next the study attempt to focus on supply chain management for controlling those factors supported by administration with financial, technical facilities ensuring trouble free dynamic process from procurement of substrate through input to digester till delivery of electricity to the consumers. The study identified driving variables between resource centre and delivery stage of the supply chain that has influence on methane production related to power generation. The mathematical analysis reveal that optimum yield of biogas is independent of daily feed stock and improving methane fraction of biogas is possible by monitoring temperature and pH value within limited span of Hydraulic Retention period (HRT.The study observed by mathematical analysis that cost of power generation from biogas digester is dependent on the cost of substrate for biogas generation and the other fixed cost of the process. Bio gas digester cum power generation policy has been

  4. Policy Implementation Study on Spatial Planning for Environmental Conflict (Study Location: Rembang Regency)

    Science.gov (United States)

    Kusyuniadi, Indraya

    2018-02-01

    This study aims to see the impact and benefits as an outcome of a policy, where this policy is in the form of spatial planning (Regional Planning). As known RTRW is a product that can be regarded as "the book of development" in every region both in the provincial and regional levels. One of them is as a decision tool for investors (investors) in increasing local development investment, spatial planning (RTRW) is also expected to maintain the environment, in order to support the sustainability of regional development. In reality, there are still many conflicts of interest in the implementation process of regional development, especially between economic and environmental interests. Often the interests of regional sustainability are placed at a lower level (less priority) than investment / economy. Land conversion that is inconsistent with district / city spatial planning RTRW is relatively still occurring, especially for economic purposes. Lack of policy called spatial plan in this case RTRW Province and Regency in responding to existing condition in field. How can a product that is said to be "Scripture" a regional planning is powerless in fulfilling the space for investment in the form of industry, commercial, housing and so forth. There are several results that can be concluded in this study. Basically, the importance of the environment at least can be used as the basis or priority of the main decision makers above economic interests and other politic interests. The current Spatial Plan / RTRW document still holds a big question whether at the time of compilation it follows the norms and rules in a plan (data accuracy, through input process from the community).

  5. Implementation of Solid Waste Policies in Pernambuco: a study from the institutional theory and interorganizational networks

    Directory of Open Access Journals (Sweden)

    Maria Luciana de Almeida

    2015-09-01

    Full Text Available Solid waste is a problem in the Brazilian context, not only because it is growing in larger proportions than the population and leading to soil and water contamination, but also because it is a vector for diseases and causes economic losses, since much of what is discarded can be reused. After several years of intense debate, the Brazilian law applying to national solid waste policy was sanctioned; this law contains goals to be achieved and challenges to be overcome. Since this is a major issue, the purpose of this paper is to discuss the implementation of public policies on solid waste, emphasizing the initiatives carried out in the state of Pernambuco, from the perspectives of institutional theory and inter-organizational networks. By analysing the provisions of the law, we can observe a coercive tendency to bring the states and municipalities to establish networks in order to meet demands related to solid waste, since the pertinent legislation induces the involved entities to develop this kind of partnership in order to obtain resources

  6. Contextual positive psychology: Policy recommendations for implementing positive psychology into schools.

    Directory of Open Access Journals (Sweden)

    Joseph Ciarrochi

    2016-10-01

    Full Text Available There has been a rapid growth in positive psychology, a research and intervention approach that focuses on promoting optimal functioning and well-being. Positive psychology interventions are now making their way into classrooms all over the world. However, positive psychology has been criticized for being decontextualized and coercive, and for putting an excessive emphasis on positive states, whilst failing to adequately consider negative experiences. Given this, how should policy be used to regulate and evaluate these interventions? We review evidence that suggests these criticisms may be valid, but only for those interventions that focus almost exclusively on changing the content of people’s inner experience (e.g., make it more positive and personality (improving character strength, and overemphasize the idea that inner experience causes action. We describe a contextualized form of positive psychology that not only deals with the criticisms, but also has clear policy implications for how to best implement and evaluate positive education programs so that they do not do more harm than good.

  7. Contextual Positive Psychology: Policy Recommendations for Implementing Positive Psychology into Schools.

    Science.gov (United States)

    Ciarrochi, Joseph; Atkins, Paul W B; Hayes, Louise L; Sahdra, Baljinder K; Parker, Philip

    2016-01-01

    There has been a rapid growth in positive psychology, a research and intervention approach that focuses on promoting optimal functioning and well-being. Positive psychology interventions are now making their way into classrooms all over the world. However, positive psychology has been criticized for being decontextualized and coercive, and for putting an excessive emphasis on positive states, whilst failing to adequately consider negative experiences. Given this, how should policy be used to regulate and evaluate these interventions? We review evidence that suggests these criticisms may be valid, but only for those interventions that focus almost exclusively on changing the content of people's inner experience (e.g., make it more positive) and personality (improving character strength), and overemphasize the idea that inner experience causes action. We describe a contextualized form of positive psychology that not only deals with the criticisms, but also has clear policy implications for how to best implement and evaluate positive education programs so that they do not do more harm than good.

  8. The Fiscal Stimuli for the Implementing Ukraine’s Energy Policy and Reforming Higher Education

    Directory of Open Access Journals (Sweden)

    Synyutka Nataliya G.

    2017-07-01

    Full Text Available The article attempts to revise the issue of the State regulation of the macroeconomic processes associated with the economic, energy, fiscal, and educational reforms that are being carried out in Ukraine. In order to implement the State energy policy, fiscal approaches have been emphasized. The use of the fiscal stimulus of «carbon tax» can be seen as an effective measure for implementation of the existing State energy strategy. A review of introduction of such a tax in the developed countries confirms the expediency of applying fiscal mechanism in order to encourage investment in energy-efficient technologies. Prospects for introduction of this tax in Ukraine were considered. To this end, actual CO2 emissions have been generalized and prediction calculations for the energy sector have been accomplished. The calculated estimates of possible tax revenues have been provided. For further studies on the outlined topic, there is an impelling need to detalize the financial statistics of the ecologic tax revenues in terms of sources.

  9. The influence of public procurement policies on the implementation of procurement best practices in South African universities

    Directory of Open Access Journals (Sweden)

    Winnie Dlamini

    2012-11-01

    Full Text Available The relationship between public procurement policies and procurement best practices (PBPs in higher education institutions is inevitable. Higher education institutions (HEIs in South Africa play a crucial role in contributing to the economic, social and environmental development of the country. Hence the implementation of PBPs has a key role in creating a competitive advantage for higher education. The purpose of this article is to determine the influence of public procurement policies on the implementation of PBPs in the public HEIs in South Africa. The article employs a theoretical review of related literature on public procurement and PBPs. The article articulates that public procurement policies influence the implementation of PBPs in public HEIs in South Africa.

  10. Renewable energy policy in remote rural areas of Western China. Implementation and socio-economic benefits

    Energy Technology Data Exchange (ETDEWEB)

    Shyu, Chian-Woei

    2010-05-19

    Electricity is essential for rural development. In 2005, 1.6 billion people, around a quarter of the world's population, living mostly in rural areas of developing countries, had no access to electricity. In general, remote rural areas in developing countries have little prospect of having access to grid-based electricity, which usually only extends to densely populated urban areas, where a large customer base justifies heavy expenditure for electricity infrastructure. One option for electrification in remote rural areas is to decentralize electricity systems based on renewable energy sources. However, such an option is not universally agreed upon. This dissertation examines a renewable energy-based rural electrification program, the 'Township Electrification Program', launched by the Chinese government in 2002. The Program was implemented in 1013 non-electrified townships in remote rural areas of 11 western provinces, providing electricity for 300,000 households and 1.3 million people. And at the time of research, the Program was known as the world's largest renewable energy-based rural electrification program in terms of investment volume ever carried out by a country. Two townships, Saierlong Township in Qinghai Province and Namcuo Township in Tibet Autonomous Region, were selected as cases for an in-depth examination of rural electrification practices in remote rural areas of western China. Both qualitative (interviews, observations, mapping, and transition walk) and quantitative (household survey) methods were applied in the field to collect data. The main findings of the study are summarized as follows: First, political leaders' concern over the unequal economic development of eastern and western China, as well as rural and urban areas, was the main factor triggering inclusion of the policy issue, electricity access in remote rural areas of western China, in the government's policy agenda. Second, like other energy policies, the

  11. Implementation of a Positive Youth Development Program in a Chinese Context: The Role of Policy, Program, People, Process, and Place

    Directory of Open Access Journals (Sweden)

    Daniel T. L. Shek

    2008-01-01

    Full Text Available In this paper, a case study is presented based on one school, conducted to examine the factors that influenced the process and quality of implementation of the Tier 1 Program of the Project P.A.T.H.S. Through interviews with the school contact person and focus group interviews with the instructors, an integration of the findings showed that several factors related to the program, people, process, policy, and place (5 “P”s facilitated the implementation process of the Tier 1 Program in the school. Obstacles and difficulties with reference to the 5 “P”s that affected the quality of implementation were also identified. Overall, the quality of program implementation in the school was good, and the program was well received by the program implementers. Implications of the present findings for future program implementation with reference to school administrative arrangements and implementation issues are discussed.

  12. The constraints of good governance practice in national solid waste management policy (NSWMP) implementation: A case study of Malaysia

    Science.gov (United States)

    Wee, Seow Ta; Abas, Muhamad Azahar; Chen, Goh Kai; Mohamed, Sulzakimin

    2017-10-01

    Nowadays, international donors have emphasised on the adoption of good governance practices in solid waste management which include policy implementation. In Malaysia, the National Solid Waste Management Policy (NSWMP) was introduced as the main guideline for its solid waste management and the Malaysian government has adopted good governance practice in the NSMWP implementation. However, the good governance practices implemented by the Malaysian government encountered several challenges. This study was conducted to explore the good governance constraints experienced by stakeholders in the NSWMP implementation. An exploratory research approach is applied in this study through in-depth interviews with several government agencies and concessionaires that involved in the NSWMP implementation in Malaysia. A total of six respondents took part in this study. The findings revealed three main good governance constraints in the NSWMP implementation, namely inadequate fund, poor staff's competency, and ambiguity of policy implementation system. Moreover, this study also disclosed that the main constraint influenced the other constraints. Hence, it is crucial to identify the main constraint in order to minimise its impact on the other constraints.

  13. How evidence becomes authoritative in public policy implementation : Lessons from three Dutch white ravens

    NARCIS (Netherlands)

    J.A.M. Hufen (Hans); J.F.M. Koppenjan (Joop)

    2014-01-01

    markdownabstractPolicy scientists and public policymakers are continuously struggling with the troublesome relationship between knowledge and policy. On the one hand, policy and policy processes are generally recognized as having a political nature because they prioritize the generation of will

  14. 'Whistle-blowing' and the quandary of policy implementation in Nigeria

    African Journals Online (AJOL)

    Nigeria as a country has undergone series of economic policies and Programs to bring her economy back on track. These policies range from National Development Plan to the present day whistle-blowing policy. The whistle blowing policy was introduced by the administration of President Buhari in December, 2016, with a ...

  15. Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease.

    Science.gov (United States)

    Wolfenden, Luke; Nathan, Nicole K; Sutherland, Rachel; Yoong, Sze Lin; Hodder, Rebecca K; Wyse, Rebecca J; Delaney, Tessa; Grady, Alice; Fielding, Alison; Tzelepis, Flora; Clinton-McHarg, Tara; Parmenter, Benjamin; Butler, Peter; Wiggers, John; Bauman, Adrian; Milat, Andrew; Booth, Debbie; Williams, Christopher M

    2017-11-29

    A number of school-based policies or practices have been found to be effective in improving child diet and physical activity, and preventing excessive weight gain, tobacco or harmful alcohol use. Schools, however, frequently fail to implement such evidence-based interventions. The primary aims of the review are to examine the effectiveness of strategies aiming to improve the implementation of school-based policies, programs or practices to address child diet, physical activity, obesity, tobacco or alcohol use.Secondary objectives of the review are to: Examine the effectiveness of implementation strategies on health behaviour (e.g. fruit and vegetable consumption) and anthropometric outcomes (e.g. BMI, weight); describe the impact of such strategies on the knowledge, skills or attitudes of school staff involved in implementing health-promoting policies, programs or practices; describe the cost or cost-effectiveness of such strategies; and describe any unintended adverse effects of strategies on schools, school staff or children. All electronic databases were searched on 16 July 2017 for studies published up to 31 August 2016. We searched the following electronic databases: Cochrane Library including the Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; MEDLINE In-Process & Other Non-Indexed Citations; Embase Classic and Embase; PsycINFO; Education Resource Information Center (ERIC); Cumulative Index to Nursing and Allied Health Literature (CINAHL); Dissertations and Theses; and SCOPUS. We screened reference lists of all included trials for citations of other potentially relevant trials. We handsearched all publications between 2011 and 2016 in two specialty journals (Implementation Science and Journal of Translational Behavioral Medicine) and conducted searches of the WHO International Clinical Trials Registry Platform (ICTRP) (http://apps.who.int/trialsearch/) as well as the US National Institutes of Health registry (https://clinicaltrials.gov). We

  16. HIV testing implementation in two urban cities: practice, policy, and perceived barriers.

    Directory of Open Access Journals (Sweden)

    Camden J Hallmark

    Full Text Available Although funding has supported the scale up of routine, opt-out HIV testing in the US, variance in implementation mechanisms and barriers in high-burden jurisdictions remains unknown.We conducted a survey of health care organizations in Washington, DC and Houston/Harris County to determine number of HIV tests completed in 2011, policy and practices associated with HIV testing, funding mechanisms, and reported barriers to testing in each jurisdiction and to compare results between jurisdictions.In 2012, 43 Houston and 35 DC HIV-testing organizations participated in the survey. Participants represented 85% of Department of Health-supported testers in DC and 90% of Department of Health-supported testers in Houston. The median number of tests per organization was 568 in DC and 1045 in Houston. Approximately 50% of organizations in both DC and Houston exclusively used opt-in consent and most conducted both pre- and post-test counseling with HIV testing (80% of organizations in DC, 70% in Houston. While the most frequent source of funding in DC was the Department of Health, Houston organizations primarily billed the patient or third-party payers. Barriers to testing most often reported were lack of funding, followed by patient discomfort/refusal with more barriers reported in DC.Given unique policies, resources and programmatic contexts, DC and Houston have taken different approaches to support routine testing. Many organizations in both cities reported opt-in consent approaches and pre-test counseling, suggesting 2006 national HIV testing recommendations are not being followed consistently. Addressing the barriers to testing identified in each jurisdiction may improve expansion of testing.

  17. State transformation and policy networks: The challenging implementation of new water policy paradigms in post-apartheid South Africa

    Directory of Open Access Journals (Sweden)

    Magalie Bourblanc

    2017-06-01

    Full Text Available For many years, South Africa had represented a typical example of a hydrocracy. Following the democratic transition in South Africa, however, new policy paradigms emerged, supported by new political elites from the ANC. A reform of the water policy was one of the priorities of the new Government, but with little experience in water management, they largely relied on 'international best practices' in the water sector, although some of these international principles did not perfectly fit the South African water sector landscape. In parallel, a reform called 'transformation' took place across all public organisations with the aim of allowing public administrations to better reflect the racial components in South African society. As a result, civil engineers lost most of their power within the Department of Water Affairs and Sanitation (DWS. However, despite these changes, demand-side management has had difficulties in materializing on the ground. The paper aims at discussing the resilience of supply-side management within the Ministry, despite its new policy orientation. Using a policy network concept, the paper shows that the supply-side approach still prevails today, due to the outsourcing of most DWS tasks to consulting firms with whom DWS engineers have nourished a privileged relationship since the 1980s. The article uses the decision-making process around the Lesotho Highlands Water Project (LHWP Phase 2 as an emblematic case study to illustrate such developments. This policy network, which has enjoyed so much influence over DWS policies and daily activities, is now being contested. As a consequence, we argue that the fate of the LHWP Phase 2 is ultimately linked to a competition between this policy network and a political one.

  18. The Influence Of Policy Implementation From The Change Of Institutional Status Toward Quality Of Patient Service In Hospital

    Directory of Open Access Journals (Sweden)

    Dadang Kusnadi

    2015-08-01

    Full Text Available Abstract Fenomenon and comunity problem in goverment hospital management not aware to wont and need public. Silent safety and consumen satisfaction is fenomenon lack quallity care. Goal this research goal for analysis about influence of policy implementation of hospital change institution status to the quality of patien service in Hospital. Kind of reserch is the quantity desain on approach the eksplanatory survey research analysis regresi linier multipel with analysis method validitas product moment pearson exam and reliability exam is alpha cronbach technique to hypotesis exam is path analysis and statistic exam t. Datum transformation is Skala Likert with measurement the method succesive interval. The population one thausand seventh two person with sample technique stratified random sampling the instrument research is quesioner and interview patien on caunter imforman. The result of assuming research that it is anticipated that implementation of change policy of institution status of hospital X there is significant influence to quality of service of patient Y is 66.31 and the other factor e is 33.69. In the implementation factor is significant to positif influence to quality service is communication X1 is 049 human resources X2 is 025 disposition X3 is 032 and structure birocratic X4 is 033. The conculsion from four factor independen variable X is the implementation of policy to quality service patient Y to influence and can receive in knowledge. To concept the development in implementation of policy need culture job factor because every product policy to contac direct with the community as to basic public policy.

  19. Canada's implementation of the Paragraph 6 Decision: is it sustainable public policy?

    Directory of Open Access Journals (Sweden)

    Cosio Andre

    2007-12-01

    Full Text Available Abstract Background Following the Implementation of Paragraph 6 of the Doha Declaration on TRIPS and Public Health, Canada was among the first countries globally to amend its patent law, which resulted in Canada's Access to Medicines Regime (CAMR. CAMR allows the production and export of generic drugs to developing countries without the requisite manufacturing capacity to undertake a domestic compulsory license. CAMR has been the subject of much criticism lodged at its inability to ensure fast access to urgent medicines for least developing and developing countries in need. Only recently did the Canadian government grant Apotex the compulsory licenses required under CAMR to produce and export antiretroviral therapy to Rwanda's population. Methods The objective of this research is to investigate whether the CAMR can feasibly achieve its humanitarian objectives given the political interests embedded in the crafting of the legislation. We used a political economy framework to analyze the effect of varied institutions, political processes, and economic interests on public policy outcomes. In-depth, semi-structured interviews were conducted with nineteen key stakeholders from government, civil society and industry. Qualitative data analysis was performed using open-coding for themes, analyzing by stakeholder group. Results CAMR is removed from the realities of developing countries and the pharmaceutical market. The legislation needs to include commercial incentives to galvanize the generic drug industry to make use of this legislation. CAMR assumes that developing country governments have the requisite knowledge and human resource capacity to make use of the regime, which is not the case. The legislation does not offer sufficient incentives for countries to turn to Canada when needed drugs may be procured cheaply from countries such as India. In the long term, developing and least developing countries seek sustainable solutions to meet the health

  20. Assessing the implementation and influence of policies that support research and innovation systems for health: the cases of Mozambique, Senegal, and Tanzania.

    Science.gov (United States)

    Mugwagwa, Julius; Edwards, Daniel; de Haan, Sylvia

    2015-04-18

    Without good policies it will be difficult to provide guidance to research and innovation systems. However, policies need to be followed through and implemented to have the desired effect. We studied the policies and strategies in place to support research and innovation systems for health in Mozambique, Senegal, and Tanzania, and looked at the extent to which these policies and strategies have been implemented. We reviewed documents and reports and conducted in-depth interviews with 16 key informants representing various actors of the national research for health systems. The results illustrate that there are various policies and strategies governing research and innovation for health in the three countries. However, implementation of these policies and strategies is generally rated as being poor. The reasons highlighted for this include lack of policy coherence, lack of enforcement and accountability mechanisms, and a lack of financing for implementing the policies. These contextual factors seem to be of such importance that even the increased stakeholder involvement and political leadership, as mentioned by the interviewees, cannot guarantee policy implementation. We conclude that due to the contextual realities of the study countries, there is need for greater focus on policy implementation than on developing additional policies. Government institutions should play a central role in all stages of the policy process, and should ensure implementation of defined policies. Strong mechanisms, including financing, that strengthen the position and role of government in policy coordination and the oversight of the policy process will help increase efficient and impactful implementation of research and innovation for health policies.

  1. Policy implementation and financial incentives for nurses in South Africa: a case study on the occupation-specific dispensation.

    Science.gov (United States)

    Ditlopo, Prudence; Blaauw, Duane; Rispel, Laetitia C; Thomas, Steve; Bidwell, Posy

    2013-01-24

    In 2007, the South African government introduced the occupation-specific dispensation (OSD), a financial incentive strategy, to attract, motivate, and retain health professionals in the public sector. Implementation commenced with the nursing sector, but there have been unintended negative consequences. First, to examine implementation of the OSD for nurses using Hogwood and Gunn's framework that outlines 'perfect implementation' pre-conditions. Second, to highlight the conditions for the successful implementation of financial incentives. A qualitative case study design using a combination of a document review and in-depth interviews with 42 key informants. The study found that there were several implementation weaknesses. Only a few of the pre-conditions were met for OSD policy implementation. The information systems required for successful policy implementation, such as the public sector human resource data base and the South African Nursing Council register of specialised nurses were incomplete and inaccurate, thus undermining the process. Insufficient attention was paid to time and resources, dependency relationships, task specification, and communication and coordination. The implementation of financial incentives requires careful planning and management in order to avoid loss of morale and staff grievances.

  2. Application of Implementation Science Methodology to Immediate Postpartum Long-Acting Reversible Contraception Policy Roll-Out Across States.

    Science.gov (United States)

    Rankin, Kristin M; Kroelinger, Charlan D; DeSisto, Carla L; Pliska, Ellen; Akbarali, Sanaa; Mackie, Christine N; Goodman, David A

    2016-11-01

    Purpose Providing long-acting reversible contraception (LARC) in the immediate postpartum period is an evidence-based strategy for expanding women's access to highly effective contraception and for reducing unintended and rapid repeat pregnancy. The purpose of this article is to demonstrate the application of implementation science methodology to study the complexities of rolling-out policies that promote immediate postpartum LARC use across states. Description The Immediate Postpartum LARC Learning Community, sponsored by the Association of State and Territorial Health Officials (ASTHO), is made up of multi-disciplinary, multi-agency teams from 13 early-adopting states with Medicaid reimbursement policies promoting immediate postpartum LARC. Partners include federal agencies and maternal and child health organizations. The Learning Community discussed barriers, opportunities, strategies, and promising practices at an in-person meeting. Implementation science theory and methods, including the Consolidated Framework for Implementation Research (CFIR), and a recent compilation of implementation strategies, provide useful tools for studying the complexities of implementing immediate postpartum LARC policies in birthing facilities across early adopting states. Assessment To demonstrate the utility of this framework for guiding the expansion of immediate postpartum LARC policies, illustrative examples of barriers and strategies discussed during the in-person ASTHO Learning Community meeting are organized by the five CFIR domains-intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and process. Conclusion States considering adopting policies can learn from ASTHO's Immediate Postpartum LARC Learning Community. Applying implementation science principles may lead to more effective statewide scale-up of immediate postpartum LARC and other evidence-based strategies to improve women and children's health.

  3. Public Health Activist Skills Pyramid: A Model for Implementing Health in All Policies.

    Science.gov (United States)

    Damari, Behzad; Ehsani Chimeh, Elham

    2017-01-01

    Affecting public health for society requires various competencies. In fact, the prerequisite for the implementation of health in all policies should be effectiveness of public health activists (PHAs) in these competencies. This study aims to determine the competencies of the activists in public health. The present qualitative study reviewed the literature and adopted qualitative methods like content analysis, stakeholder interviews, and conducted focus group discussions with related experts. In each stage, the required competencies were extracted through drawing the main action processes of a PHA. Thereafter, the authors reached an ultimately best-suited working model by classifying and approving extracted competencies. The competencies comprise a pyramid set of three main categories of basic, specialized/professional, and individual updating competencies. Personal management, communication, teamwork, project management, ability to apply principles and concepts of public health, anatomy, physiology, and pathology in the organizations of the society should be included in the basic category. Specialized skills should include ability to plan, public participation, intersectoral collaboration, social marketing, working with the media/media friendly attitude, advocacy, research management and knowledge translation, evaluation of health programs, network establishment and management, deployment and institutionalization, operational research, empowerment and consultation, and protocol and service pack design. Last but not least, individual updating is defined as being informed of the latest scientific articles and reports about health and its situation in different countries as well as determinants that affect health. Implementation of this pyramid requires design and establishment of specific centers for transferring effective public health competencies. This pyramid has also functional use for the revision of educational curriculums in all health study fields. Moreover

  4. Developing and implementing global gender policy to reduce HIV and AIDS in low- and middle-income countries: policy makers' perspectives.

    Science.gov (United States)

    Olinyk, Shannon; Gibbs, Andrew; Campbell, Catherine

    2014-09-01

    Gender inequalities have been recognised as central to the HIV epidemic for many years. In response, a range of gender policies have been developed in attempts to mitigate the impact and transform gender relations. However, the effects of these policies have been less than successful. In March 2010 the Joint United Nations Programme on HIV/AIDS (UNAIDS) launched the Agenda for accelerated country level action on women, girls, gender equality and HIV (the Agenda), an operational plan on how to integrate women, girls and gender equality into the HIV response. This paper explores the perspectives of those involved in developing and implementing the Agenda to understand its strengths and limitations. In-depth one-on-one interviews were conducted with 16 individuals involved in the development and implementation of the Agenda. The data were analysed using thematic network analysis. Facilitators of the Agenda centred on the Agenda's ability to create political space for women and girls within the global HIV/AIDS response and the collaborative process of developing the Agenda. Barriers to the implementation and development of the Agenda include the limited financial and non-financial resources, the top-down nature of the Agenda's development and implementation and a lack of political will from within UNAIDS to implement it. We suggest that the Agenda achieved many goals, but its effect was constrained by a wide range of factors.

  5. Consumption of Fruits and Vegetables in Middle School Students Following the Implementation of a School District Wellness Policy

    Science.gov (United States)

    Young, Kathleen D.; Snelling, Anastasia; Maroto, Maya; Young, Katherine A.

    2013-01-01

    Purpose/Objectives: In 2010, a large urban school district implemented a district-wide school wellness policy that addressed childhood obesity by requiring schools to increase health and physical education contact hours for students and to improve the nutritional standards of school meals. Schools were required to serve a different fruit and…

  6. FEATURES OF ACCOUNTING ORGANIZATION OF LIABILITIES FOR TAXES AND DUTIES UNDER CIRCUMSTANCES OF ENVIRONMENTAL POLICY IMPLEMENTATION IN UKRAINE

    Directory of Open Access Journals (Sweden)

    T. Murovana

    2013-05-01

    Full Text Available The main problems of accounting organization of liabilities for taxes and duties under current complicated economic and environmental conditions were investigated. Measures for improving tax calculation reflecting, environmental tax and other environmental liabilities in accounting, tax and financial reporting in order to simplify the accounting process, improve organization of business activities, ensure implementation of environmental policy balance were developed.

  7. Discussing Terrorism: A Pupil-Inspired Guide to UK Counter-Terrorism Policy Implementation in Religious Education Classrooms in England

    Science.gov (United States)

    Quartermaine, Angela

    2016-01-01

    My research into pupils' perceptions of terrorism and current UK counter-terrorism policy highlights the need for more detailed and accurate discussions about the implementation of the educational aims, in particular those laid out by the Prevent Strategy. Religious education (RE) in England is affected by these aims, specifically the challenging…

  8. Interests and Conflicts: Exploring the Context for Early Implementation of a Dual Language Policy in One Middle School

    Science.gov (United States)

    Forman, Stephanie

    2016-01-01

    Dual language immersion program models represent a potentially effective way to serve growing numbers of English language learners (ELLs) in schools and districts. However, local challenges, such as interpersonal conflict, can impact the process of implementing dual language policies and programs, limiting the extent to which they are able to meet…

  9. The Impact of School Socioeconomic Status on Student Lunch Consumption after Implementation of the Texas Public School Nutrition Policy

    Science.gov (United States)

    Cullen, Karen Weber; Watson, Kathleen B.; Fithian, Ashley R.

    2009-01-01

    Background: This study compares the impact of the Texas Public School Nutrition Policy on lunch consumption of low- and middle-income students in sixth through eighth grades. Methods: Students in 1 middle socioeconomic status (SES) and 1 low SES school completed lunch food records before (2001/2002) and after (2005/2006) implementation of the…

  10. Implementation plan of the environmental impact statement on a proposed policy for acceptance of foreign research reactor spent nuclear fuel

    International Nuclear Information System (INIS)

    Matos, J.E.

    1996-01-01

    This paper provides a summary of selected portions of the United States Department of Energy's ''Implementation Plan for the Environmental Impact Statement on a Proposed Policy for Acceptance of Foreign Research Reactor Spent Nuclear Fuel'', DOE/EIS-0218, October 1994

  11. Potentials and challenges in implementing feed-in tariff policy in Indonesia and the Philippines

    International Nuclear Information System (INIS)

    Bakhtyar, B.; Sopian, K.; Zaharim, A.; Salleh, E.; Lim, C.H.

    2013-01-01

    Located in Southeast Asia, Indonesia and the Philippines are characterized by a tropical climate and high amounts of rainfall that render their high potential for hydro-power and wind energy deployment. The volcanic geography of both countries also indicates their high geothermal potential compared with that of other countries, and their high solar radiation level makes them suitable areas to establish power plants. The present study is an archival-statistical overview of the potential generation of renewable energy in Indonesia and the Philippines and the implementation of the Feed-in-tariff (FiT) policy. This research focuses on the challenges encountered by politicians and policymakers and confirms the insufficient production of energy from wind, solar, and bio-gas sources despite the potential and the attempts to deploy FiT. Results show that the role of the government in providing support to investors is not clear in both countries. In addition, inflation rates have not been calculated. However, FiT has benefitted both countries by preventing degression during the primary years. - Highlights: • Both countries are unsuccessful in finalizing a fixed Feed-in-tariff payment. • Both have the same aims from FiT but they have different mechanisms. • The Philippines has shown good ability in managing geothermal energy. • Indonesia's energy generation from biomass is better managed than the Philippines. • Both do not have significant energy production from the wind, solar and biogas

  12. From Policy to Implementation. The Status of Europe's Smart Metering Market

    International Nuclear Information System (INIS)

    Shargal, M.

    2009-04-01

    In the last five years there has been a major policy shift from keeping the electricity price as low as possible in a free and competitive market to reducing carbon emissions. This shift has also resulted in decisions to look at the deployment of smart meters to help customers understand when they use electricity and to help them plan savings. Today, smart metering and smart grid initiatives are forcing another major transformation in the utility industry. Many utilities are rethinking their business models and business processes as a result of the shift in the way energy is generated, delivered and consumed. The state of the regulation and implementation of smart metering varies across Europe on a country by country basis. This results in wide a difference as to which is leading the smart meters rollout - the government or the industry. The variance leads to different players taking the initiative - regulatory pull to utilities push. To a large extent the adoption of smart metering in Europe is driven by regulation. National concerns over the future energy situation and European initiatives such as EU Energy Efficiency have led several countries to define mandatory requirements for the deployment of smart metering within a set timeframe. But the reality is that the compliance-based industry in which utilities operate does not offer enough incentive for consumers, regulators or utilities to take the difficult steps necessary to make electrical energy markets operate efficiently.

  13. POLICY OF SOCIAL CONFLICT RESOLUTION: IMPLEMENTATION OF THE MALINO AGREEMENT IN MALUKU

    Directory of Open Access Journals (Sweden)

    Saidin Ernas

    2012-08-01

    Full Text Available Maluku conflict (Ambon occurred in 1999 to 2003 is one of the most heartbreaking human tragedies in the history of Modern Indonesia. Various attempts have been made by the government to resolve the conflict, including by carrying out Malino Agreement for Maluku. This paper discusses the process of implementation of the Malino Agreement and analyzes the impact on the resolution of Maluku conflict. By using methods of descriptive analysis and a qualitative approach, this study can present some important findings. First, the Malino Agreement is one strategy (policy to resolve SARA(racial conflict well and democratically. It is seen from the atmosphere of the negotiation which is peaceful, honest and democratic. Parties had 11 points of peace agreement due to a strong desire to end the conflict in Maluku. Second, the Malino Agreement has brought positive impacst, i.e lack of escalation of conflict and violence in Maluku, even a year since the Malino Agreement, the peace has been enforced in Maluku. However, this paper also found that conflict resolution model such as Malino agreement still needs refinement, as Malino Agreement factually succeeded in pushing the cessation of conflict, but substantively has not resolved various problems that trigger conflicts in Maluku.

  14. “In Accordance with Local Conditions”: Policy Design and Implementation of Agrarian Change Policies in Rural China

    Directory of Open Access Journals (Sweden)

    René Trappel

    2016-01-01

    Full Text Available An important part of Beijing’s strategy to reduce the welfare gap between urban and rural parts of China has been the promotion of urbanisation. Replacing peasant agriculture with commercial operations of scale is an integral part of this endeavour. This article analyses the implementation of policies meant to transform the structure of Chinese agriculture. It argues that the central government is using a set of very flexible policies, project-based implementation and adaption to local conditions to guide and support an existing dynamic of structural transformation in agriculture. Local governments, in turn, appreciate the flexibility, the political predictability, the potential revenue improvements and the cognitive framework inherent in these programmes. The article is primarily based on interviews with leading cadres at the township and county levels in the provinces of Shandong, Sichuan and Guizhou between 2008 and 2010.

  15. The impact of school socioeconomic status on student lunch consumption after implementation of the Texas Public School Nutrition Policy.

    Science.gov (United States)

    Cullen, Karen Weber; Watson, Kathleen B; Fithian, Ashley R

    2009-11-01

    This study compares the impact of the Texas Public School Nutrition Policy on lunch consumption of low- and middle-income students in sixth through eighth grades. Students in 1 middle socioeconomic status (SES) and 1 low SES school completed lunch food records before (2001/2002) and after (2005/2006) implementation of the Texas policy. Students recorded amount and source of foods/beverages consumed. Two-way analyses of variance with year and school SES as factors were performed to compare consumption by school SES before and after implementation of the Texas policy. Regardless of year, the low SES group consumed less fat, sweetened beverages, and candy and more vitamin C and calcium than the middle SES group. There were more significant improvements in dietary patterns for the middle SES school students post-policy, particularly from the National School Lunch Program (NSLP) meal. The middle SES school students reported significantly higher percentages of less healthy items from home post-policy. Overall, low SES school students consumed more healthy lunches at school compared with middle SES school students, and the Texas policy improved middle SES school student dietary intakes. Whether the dietary behaviors in school influence dietary intake for the entire day is unknown.

  16. Towards co-operative governance in the development and implementation of cross-sectoral policy: water policy as an example

    CSIR Research Space (South Africa)

    MacKay, HM

    2004-01-01

    Full Text Available Water, because it is so fundamental and irreplaceable to humans and their activities, is an all pervasive issue that underpins the social fabric of every society. This means that water policy is cross-sectoral, directly and indirectly affecting...

  17. Adaptive and compliant policy implementation : Creating administrative processes using semantic web services and business rules

    NARCIS (Netherlands)

    Gong, Y.; Janssen, M.

    2013-01-01

    Adapting to and complying with frequently changing policy against low costs requires flexible business processes. Yet, existing systems are unrelated, consist of operating silos, involve many human translation tasks and policies are hardcoded in business processes. From a technology perspective,

  18. The Role of Policy Champions and Learning in Implementing Horizontal Environmental Policy Integration: Comparative Insights from European Structural Fund Programmes in the U.K.

    Directory of Open Access Journals (Sweden)

    Tony Gore

    2014-08-01

    Full Text Available This paper examines attempts to integrate environmental sustainability goals into the design and implementation of projects funded by the EU Structural Funds programmes in the U.K. between 2000 and 2006. It does so by comparing how the two “horizontal priorities” (environmental sustainability and gender equality fared in terms of understanding and acceptance by project applicants. It places this material within the wider context of literature on environmental policy integration and inter-agency cooperation. A “policy coordination” framework is used as a heuristic device to construct an account of the ways in which the two themes were handled through the interplay of the myriad of actors and organisations involved in the process. A key part in this involved the deployment of “policy champions” to work with external organisations bidding for funding to support projects that formed the core of programme implementation. The paper also examines the variable reactions on the part of project designers to the requirement to incorporate environmental and gender goals and the greater inter-professional networking that these implied. The comparison between the two priorities clearly demonstrates the difficulties inherent in the breadth and complexity of environmental issues and the need in the first instance to link them to relatively simple actions directly associated with economic development activity. The study concludes that this is essentially the first step in a more protracted “policy learning” process.

  19. Policy implementation and financial incentives for nurses in South Africa: a case study on the occupation-specific dispensation

    Directory of Open Access Journals (Sweden)

    Duane Blaauw

    2013-01-01

    Full Text Available Background: In 2007, the South African government introduced the occupation-specific dispensation (OSD, a financial incentive strategy, to attract, motivate, and retain health professionals in the public sector. Implementation commenced with the nursing sector, but there have been unintended negative consequences. Objective: First, to examine implementation of the OSD for nurses using Hogwood and Gunn's framework that outlines ‘perfect implementation’ pre-conditions. Second, to highlight the conditions for the successful implementation of financial incentives. Methods: A qualitative case study design using a combination of a document review and in-depth interviews with 42 key informants. Results: The study found that there were several implementation weaknesses. Only a few of the pre-conditions were met for OSD policy implementation. The information systems required for successful policy implementation, such as the public sector human resource data base and the South African Nursing Council register of specialised nurses were incomplete and inaccurate, thus undermining the process. Insufficient attention was paid to time and resources, dependency relationships, task specification, and communication and coordination. Conclusion: The implementation of financial incentives requires careful planning and management in order to avoid loss of morale and staff grievances.

  20. Progress and Challenges for Language Policy Implementation at the University of KwaZulu-Natal

    Science.gov (United States)

    Ndimande-Hlongwa, Nobuhle; Balfour, Robert J.; Mkhize, Nhlanhla; Engelbrecht, Charlotte

    2010-01-01

    The University of KwaZulu-Natal approved its bilingual language policy in 2006 based on the framework of the National Language Policy for Higher Education of 2002. The guiding principles of this policy suggest that the university develops the use of isiZulu as a language of instruction and communication, in line with recommendations of the…

  1. Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.

    Science.gov (United States)

    Wolfenden, Luke; Jones, Jannah; Williams, Christopher M; Finch, Meghan; Wyse, Rebecca J; Kingsland, Melanie; Tzelepis, Flora; Wiggers, John; Williams, Amanda J; Seward, Kirsty; Small, Tameka; Welch, Vivian; Booth, Debbie; Yoong, Sze Lin

    2016-10-04

    Despite the existence of effective interventions and best-practice guideline recommendations for childcare services to implement policies, practices and programmes to promote child healthy eating, physical activity and prevent unhealthy weight gain, many services fail to do so. The primary aim of the review was to examine the effectiveness of strategies aimed at improving the implementation of policies, practices or programmes by childcare services that promote child healthy eating, physical activity and/or obesity prevention. The secondary aims of the review were to:1. describe the impact of such strategies on childcare service staff knowledge, skills or attitudes;2. describe the cost or cost-effectiveness of such strategies;3. describe any adverse effects of such strategies on childcare services, service staff or children;4. examine the effect of such strategies on child diet, physical activity or weight status. We searched the following electronic databases on 3 August 2015: the Cochrane Central Register of Controlled trials (CENTRAL), MEDLINE, MEDLINE In Process, EMBASE, PsycINFO, ERIC, CINAHL and SCOPUS. We also searched reference lists of included trials, handsearched two international implementation science journals and searched the World Health Organization International Clinical Trials Registry Platform (www.who.int/ictrp/) and ClinicalTrials.gov (www.clinicaltrials.gov). We included any study (randomised or non-randomised) with a parallel control group that compared any strategy to improve the implementation of a healthy eating, physical activity or obesity prevention policy, practice or programme by staff of centre-based childcare services to no intervention, 'usual' practice or an alternative strategy. The review authors independently screened abstracts and titles, extracted trial data and assessed risk of bias in pairs; we resolved discrepancies via consensus. Heterogeneity across studies precluded pooling of data and undertaking quantitative

  2. 'Implementation deficit' and 'street-level bureaucracy': policy, practice and change in the development of community nursing issues.

    Science.gov (United States)

    Bergen, Ann; While, Alison

    2005-01-01

    The present paper examines the mechanisms by which health and social care policies put forward by the Government may be translated into community nursing practice. Data from a research project on community nurse case managers were re-examined in the light of two classic theories often cited by policy analysts (i.e. implementation theory and 'street-level bureaucracy'). It was found that the extent to which nurses adopted the case management role, and the model of choice, depended on four major interrelated variables, namely: (1) the clarity of policy guidance; (2) the extent to which it coincided with professional (nursing) values; (3) local practices and policies; and (4) the personal vision of the community nurse. It is argued that this framework may have wider relevance, and this was tested out in two ways. First, major change in one of these variables (Government policy) over time was analysed for its effect on case management practice via the remaining variables. Secondly, an unrelated, but policy-initiated, nursing issue (nurse prescribing) was briefly examined in the light of the framework. It is suggested that this framework may be of some use when considering the likely practice response to policy-related changes in community nursing.

  3. Animal Welfare Policy: Implementation in the Context of Wildlife Research--Policy Review and Discussion of Fundamental Issues.

    Science.gov (United States)

    Paul, Ellen; Sikes, Robert S; Beaupre, Steven J; Wingfield, John C

    2016-01-01

    The use of vertebrate animals in research and education in the United States is subject to a number of regulations, policies, and guidelines under the immediate oversight of Institutional Animal Care and Use Committees (IACUCs), which are charged with ensuring the ethical and appropriate use of the animal subjects. In almost all instances, this regulatory and oversight landscape of animal use has been developed around domesticated animals in biomedical research environments. When the research activities involve wild species, especially in their natural habitat rather than a laboratory, oversight personnel and investigators alike struggle with determining what constitutes ethical and appropriate activities. These difficulties stem from fundamental differences in biology between wild and domesticated animals and from the differences in research objectives and methods in wildlife compared with biomedical research. Here we discuss the various policies, regulations, and guidance documents for animal use in the context of wildlife research. We compare the expectations of the various oversight agencies and how these expectations are met when working with wild vertebrates. We make recommendations for how IACUCs can use available resources to ensure that activities involving wild species are conducted in compliance with existing regulations and policies and in ways that are biologically appropriate for these nondomesticated species. © The Author 2016. Published by Oxford University Press on behalf of the Institute for Laboratory Animal Research. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  4. Association of US State Implementation of Newborn Screening Policies for Critical Congenital Heart Disease With Early Infant Cardiac Deaths.

    Science.gov (United States)

    Abouk, Rahi; Grosse, Scott D; Ailes, Elizabeth C; Oster, Matthew E

    2017-12-05

    In 2011, critical congenital heart disease was added to the US Recommended Uniform Screening Panel for newborns, but whether state implementation of screening policies has been associated with infant death rates is unknown. To assess whether there was an association between implementation of state newborn screening policies for critical congenital heart disease and infant death rates. Observational study with group-level analyses. A difference-in-differences analysis was conducted using the National Center for Health Statistics' period linked birth/infant death data set files for 2007-2013 for 26 546 503 US births through June 30, 2013, aggregated by month and state of birth. State policies were classified as mandatory or nonmandatory (including voluntary policies and mandates that were not yet implemented). As of June 1, 2013, 8 states had implemented mandatory screening policies, 5 states had voluntary screening policies, and 9 states had adopted but not yet implemented mandates. Numbers of early infant deaths (between 24 hours and 6 months of age) coded for critical congenital heart disease or other/unspecified congenital cardiac causes for each state-month birth cohort. Between 2007 and 2013, there were 2734 deaths due to critical congenital heart disease and 3967 deaths due to other/unspecified causes. Critical congenital heart disease death rates in states with mandatory screening policies were 8.0 (95% CI, 5.4-10.6) per 100 000 births (n = 37) in 2007 and 6.4 (95% CI, 2.9-9.9) per 100 000 births (n = 13) in 2013 (for births by the end of July); for other/unspecified cardiac causes, death rates were 11.7 (95% CI, 8.6-14.8) per 100 000 births in 2007 (n = 54) and 10.3 (95% CI, 5.9-14.8) per 100 000 births (n = 21) in 2013. Early infant deaths from critical congenital heart disease through December 31, 2013, decreased by 33.4% (95% CI, 10.6%-50.3%), with an absolute decline of 3.9 (95% CI, 3.6-4.1) deaths per 100 000 births after

  5. 75 FR 41788 - Amendment to the Bank Secrecy Act Regulations-Definitions and Other Regulations Relating to...

    Science.gov (United States)

    2010-07-19

    ... proposing to revise the Bank Secrecy Act (``BSA'') regulations applicable to Money Services Businesses with... Financial Crimes Enforcement Network 31 CFR Part 103 RIN 1506-AB07 Amendment to the Bank Secrecy Act Regulations--Definitions and Other Regulations Relating to Prepaid Access AGENCY: Financial Crimes Enforcement...

  6. 78 FR 13298 - Notice of Retrospective Review of the Americans With Disabilities Act Regulations for Over-the...

    Science.gov (United States)

    2013-02-27

    ... accessible OTRB service. An OTRB is defined as ``a bus characterized by an elevated passenger deck located...] Notice of Retrospective Review of the Americans With Disabilities Act Regulations for Over-the-Road Bus... bus (OTRB) operators. The DOT will review regulations specified in the SUPPLEMENTARY INFORMATION...

  7. 76 FR 39007 - Native American Graves Protection and Repatriation Act Regulations- Definition of “Indian Tribe”

    Science.gov (United States)

    2011-07-05

    ..., the NAGPRA definition does not. According to the legislative history of NAGPRA, the definition of... and Repatriation Act Regulations-- Definition of ``Indian Tribe'' AGENCY: Office of the Secretary... definition of ``Indian tribe,'' because it is inconsistent with the statutory definition of that term. DATES...

  8. 77 FR 33635 - Amendment to the Bank Secrecy Act Regulations-Requirement That Clerks of Court Report Certain...

    Science.gov (United States)

    2012-06-07

    ... DEPARTMENT OF THE TREASURY Financial Crimes Enforcement Network 31 CFR Part 1010 RIN 1506-AB17 Amendment to the Bank Secrecy Act Regulations--Requirement That Clerks of Court Report Certain Currency...: FinCEN is amending the rules relating to the reporting of certain currency transactions consistent...

  9. 76 FR 72878 - Financial Crimes Enforcement Network; Amendment to the Bank Secrecy Act Regulations-Imposition of...

    Science.gov (United States)

    2011-11-28

    ...; Amendment to the Bank Secrecy Act Regulations--Imposition of Special Measure Against the Islamic Republic of... delegate, the Director of FinCEN, found that reasonable grounds exist for concluding that the Islamic... the jurisdiction; The extent to which that jurisdiction is characterized as an offshore banking or...

  10. The co-production of a "relevant" expertise - administrative and scientific cooperation in the French water policies elaboration and implementation

    Science.gov (United States)

    Deroubaix, J. F.

    2007-10-01

    This paper aims at understanding the social and political uses of the principle of integrated management and its possible impacts on the elaboration and implementation processes of public policies in the French water management field. The academic and political innovations developed by scientists and agents of the administration these last 25 years are analysed, using some of the theoretical tools developed by the science studies and public policy analysis. We first focus on the construction of intellectual public policy communities such as the GIP Hydro systems, at the origin of large interdisciplinary research programs in the 1990s. A common cognitive framework is clearly built during this period on the good governance of the aquatic ecosystems and on the corresponding needs and practices of research. The second part of the paper focuses on the possibilities to build political communities and more or less integrated expertises in the decision making processes concerning various issues related to water management. Eutrophication and its inscription on the French political agenda is a very significant case for analysing the difficulty to build such a political community. On the contrary, when there is an opportunity for policy evaluation, which was the case concerning the management of wetlands in France or the implementation of compulsory flows on the French rivers, these communities can emerge. However, the type of integrated expertise and management proposed in these cases of policy evaluations much depends on their methodological choices.

  11. Perspectives and Practices of Athletic Trainers and Team Physicians Implementing the 2010 NCAA Sickle Cell Trait Screening Policy.

    Science.gov (United States)

    McDonald, Mary Anne; Creary, Melissa S; Powell, Jill; Daley, Lori-Ann; Baker, Charlotte; Royal, Charmaine Dm

    2017-12-01

    Sickle cell trait (SCT) is usually benign. However, there are some conditions that may lead to SCT-related problems and put athletes with the trait at particular risk. In 2010 the National Collegiate Athletic Association (NCAA) issued a policy that required all Division I (DI) student-athletes to confirm their SCT status or sign a liability waiver to opt out of testing. Athletic trainers and team physicians play key roles in the policy implementation and we examined their perceptions and practices. Between December 2013 and March 2014 we interviewed 13 head athletic trainers and team physicians at NCAA Division I colleges and universities in North Carolina. We used an interview guide with open-ended questions covering knowledge of SCT, historical screening and education practices, current implementation, and policy benefits and challenges. Participants were knowledgeable about SCT and thought the policy was beneficial in providing SCT health information to and for student-athletes. Schools varied in provision of genetic counseling, offering the waiver, SCT tests administered, and other aspects. Challenges included: insufficient guidance from the NCAA; financial considerations; and misunderstanding of the relationships of race and ancestry to SCT risk. Athletic staff found the policy valuable, but felt it needs clarity and standardization.

  12. Behavior Of Bureaucracy In Good Program Policy Implementation In District Bombana

    Directory of Open Access Journals (Sweden)

    Syafruddin

    2015-04-01

    Full Text Available Abstract The existence of the bureaucracy and the device has a very important role and vital in the life of modern man. This is because the bureaucracy is interpreted as an official institution that performs the functions of service to the public needs. Internal conditions bureaucratic organization itself does not stand alone but it has the internal and external sustainability. One of the most prominent aspect in the review of the bureaucratic organization is bureaucratic behavior. Good bureaucracy is based on bureaucratic behavior professional. Behavior embodiment bureaucracy itself can be grouped into four 4 main models ie models autocratic custodial models models of supportive and collegial models. One of the flagship program of work undertaken by the Building Movement Bombana is Bombana with Ridha Allah GLAD. In a way this program found some key problems in the realm of bureaucratic organization studies. Some issues such as village-level bureaucrats dependence greatly to the district government the low professionalism and competence of the bureaucratic apparatus and the difficulty of implementation of inter-agency coordination is still a topic interesting study. The problem of bureaucratic behavior is a complex element that can be influenced by factors that are subjectively individual and that associated with the condition in which the bureaucratic organization is located. Therefore the condition of the organization is divided into four 4 elements namely the organizational structure organizational culture policies and practices of human resources as well as the design work which are all expected to shape the behavior of bureaucracy Fun program.

  13. Managing between the agendas: implementing health care reform policy in an acute care hospital.

    Science.gov (United States)

    Sorensen, Roslyn; Paull, Glenn; Magann, Linda; Davis, JanMaree

    2013-01-01

    This paper aims to assess administrative and clinical manager stances on health system reform. Understanding these stances will help to identify cultural differences and competing agendas between these two key health service stakeholders and contribute to developing strategies to improve organisational performance. A qualitative methodology was used comprising in-depth open-ended interviews conducted in 2007 with 26 administrative and clinical managers who managed clinical units. This paper provides empirical insights into the ways that administrative and clinical mangers conceive of their managerial roles in relation to health care reform and performance improvement in health services. The findings suggest that developing a hybrid clinical manager culture as a means to bridge the gap between administrative and clinical manager stances on reform objectives, while possible, is not yet being realised. The research has relevance for health services that are experiencing organisational transformation. However, its location in one health service limits the generalisability of findings to other sites. Further research is needed to assess the opportunities for a hybrid culture to emerge as well as its effect. While attention is predominantly directed to clinician groups as a key stakeholder in implementing health reform policies, this paper has implications for how administrative managers also structure their roles and responsibilities to create an organisational climate conducive to change. This will include strategies to support clinical managers to make the transition from a predominantly clinical, to a clinical managerial, orientation. This paper addresses a significant problem in health service governance, namely the divide between the value stances of dual hierarchies. This problem is only now gaining prominence as a significant barrier to health reform.

  14. Views of policy makers and health promotion professionals on factors facilitating implementation and maintenance of interventions and policies promoting physical activity and healthy eating: results of the DEDIPAC project.

    Science.gov (United States)

    Muellmann, Saskia; Steenbock, Berit; De Cocker, Katrien; De Craemer, Marieke; Hayes, Catherine; O'Shea, Miriam P; Horodyska, Karolina; Bell, Justyna; Luszczynska, Aleksandra; Roos, Gun; Langøien, Lars Jørun; Rugseth, Gro; Terragni, Laura; De Bourdeaudhuij, Ilse; Brug, Johannes; Pischke, Claudia R

    2017-12-06

    The uptake, implementation, and maintenance of effective interventions promoting physical activity (PA) and a healthy diet and the implementation of policies targeting these behaviors are processes not well understood. We aimed to gain a better understanding of what health promotion professionals and policy makers think are important factors facilitating adoption, implementation, and maintenance of multi-level interventions and policies promoting healthy eating and PA in Belgium, Germany, Ireland, Norway, and Poland. Six interventions and six policies were identified based on pre-defined criteria. Forty semi-structured interviews were conducted with stakeholders from various sectors to elicit information on factors impacting adoption, implementation, and maintenance of these interventions and policies. All interview transcripts were coded in NVivo, using a common categorization matrix. Coding in the respective countries was done by one researcher and validated by a second researcher. Active involvement of relevant stakeholders and good communication between coordinating organizations were described as important factors contributing to successful adoption and implementation of both interventions and policies. Additional facilitating factors included sufficient training of staff and tailoring of materials to match needs of various target groups. The respondents indicated that maintenance of implemented interventions/policies depended on whether they were embedded in existing or newly created organizational structures in different settings and whether continued funding was secured. Despite considerable heterogeneity of interventions and health policies in the five countries, stakeholders across these countries identify similar factors facilitating adoption, implementation, and maintenance of these interventions and policies.

  15. State-Level Implementation of Health and Safety Policies to Prevent Sudden Death and Catastrophic Injuries Within Secondary School Athletics.

    Science.gov (United States)

    Adams, William M; Scarneo, Samantha E; Casa, Douglas J

    2017-09-01

    Sudden death and catastrophic injuries during sport can be attenuated with the implementation of evidence-based health and safety policies. However, the extent of the implementation of these policies within secondary school athletics is unknown. To provide an assessment of the implementation of health and safety policies pertaining to the leading causes of sudden death and catastrophic injuries in sport within secondary school athletics in the United States. Descriptive epidemiology study. A rubric for evidence-based practices for preventing the leading causes of death and catastrophic injuries in sport was created. The rubric comprised 5 equally weighted sections for sudden cardiac arrest, head injuries, exertional heat stroke, appropriate medical coverage, and emergency preparedness. State high school athletic association (SHSAA) policies, enacted legislation, and Department of Education policies were extensively reviewed for all 50 states and the District of Columbia. States meeting the specific criteria in the rubric, which required policies to be mandated for all SHSAA member schools, were awarded credit; the weighted scores were tabulated to calculate an aggregate score. States were then ranked from 1 (best) to 51 (worst) based on the aggregate score achieved. The median score on the rubric was 47.1% (range, 23.00%-78.75%). States ranked 1 through 10 (from 78.75% to 56.98%) were North Carolina, Kentucky, Massachusetts, New Jersey, South Dakota, Missouri, Washington, Hawaii, Wisconsin, and Georgia, respectively. States ranked 11 through 20 (from 56.03% to 50.55%) were Arkansas, New York, Mississippi, West Virginia, Oregon, Illinois, Tennessee, Arizona, Texas, and District of Columbia, respectively. States ranked 21 through 30 (from 49.40% to 44.00%) were Virginia, Pennsylvania, Florida, New Mexico, Alabama, Maine, Rhode Island, Indiana, Nevada, and Utah, respectively. States ranked 31 through 40 (from 43.93% to 39.80%) were Ohio, Delaware, Alaska, Vermont

  16. Structural and Logical Stepwise Design of Mechanism of Implementing the Socio-Economic Policy of the Region

    Directory of Open Access Journals (Sweden)

    Zadorozhneva Yuliya Vladimirovna

    2014-12-01

    Full Text Available The socio-economic policy of the region is characterized in two ways. On the one hand, it is an organizational form of interaction of the entities of regional socio-economic policy. This form defines the specifics of their relations, taking into account the existing conditions, resources and factors. On the other hand, it is a process of purposeful interaction between the entities and the impact on objects by the methods and tools. This process contributes to the spatio-temporal changes in the economic and social status of the regional economic system. Therefore, the structural and logical stepwise design of the mechanism of implementing the socio-economic policy of the region will allow to systematically present the content and the interconnections of its constituent entities. The author comes to the conclusion that the mechanism of implementing the socio-economic policy of the region, based on the subject-object and dynamic approaches, involves the allocation of: actors, objects, and the mechanism of actors interaction and the impact on objects within this policy. This mechanism includes the purpose, objectives, methods and tools for their achievement, as well as information and analytical system of monitoring and integrated evaluation, on the basis of which a decision is made on the effectiveness of socio-economic policy and the need for adjusting the initial goal and objectives, or choice of methods and tools for its implementation. This is reflected in the author’s structural and logical scheme of the considered mechanism, the practical significance of which lies in the ability to project in detail the main stages of implementation of socio-economic policy of the region on the basis of the principles of consistency, adequacy, resources integration, priority character, efficiency, responsibility. Each step of the suggested mechanism corresponds to the definite level of functional and structural organization – program

  17. Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain

    Science.gov (United States)

    Martínez, Cristina; Fu, Marcela; Martínez-Sánchez, Jose M; Ballbè, Montse; Puig, Montse; García, Montse; Carabasa, Esther; Saltó, Esteve; Fernández, Esteve

    2009-01-01

    Background Diverse projects and guidelines to assist hospitals towards the attainment of comprehensive smoke-free policies have been developed. In 2006, Spain government passed a new smoking ban that reinforce tobacco control policies and banned completely smoking in hospitals. This study assesses the progression of tobacco control policies in the Catalan Network of Smoke-free Hospitals before and after a comprehensive national smoking ban. Methods We used the Self-Audit Questionnaire of the European Network for Smoke-free Hospitals to score the compliance of 9 policy standards (global score = 102). We used two cross-sectional surveys to evaluate tobacco control policies before (2005) and after the implementation of a national smoking ban (2007) in 32 hospitals of Catalonia, Spain. We compared the means of the overall score in 2005 and 2007 according to the type of hospital, the number of beds, the prevalence of tobacco consumption, and the number of years as a smoke-free hospital. Results The mean of the implementation score of tobacco control policies was 52.4 (95% CI: 45.4–59.5) in 2005 and 71.6 (95% CI: 67.0–76.2) in 2007 with an increase of 36.7% (p 300 beds (41.1% increase; p policies (74.2% increase; p < 0.01). Conclusion The national smoking ban appears to increase tobacco control activities in hospitals combined with other non-bylaw initiatives such as the Smoke-free Hospital Network. PMID:19473549

  18. A feasible example of implementation of the one-child policy in the countryside: an evaluation of the results of implementation of family planning policies in Heishan County.

    Science.gov (United States)

    Qiao, X

    1992-01-01

    The impact of the family planning (FP) program on fertility and contraceptive behavior in Heishan County of Liaoning Province, China, is examined in the periods before 1973, 1973-79, and 1980-84 and after 1984. A sample of 1906 women aged 15-64 years provided information on marital and fertility status. The average age at first marriage was high at 22.23 years for the period 1964-88. In the analysis of women age 30 years and older in 1988, it appears that the average age at first marriage declined as the average age of the women surveyed increased. The highest proportion of marriages were in the 18-24 year group. The trend has been for a high age at first marriage, a high late marriage rate, and a low early marriage rate. Recently, early marriage and the early marriage rate have increased somewhat. In the analysis of distribution of children according to the 4 stages of FP policy, it appears that women were having 2-4 children before FP went into effect. An FP movement in rural villages was begun after 1973 with the message of later, longer, and fewer; fertility dropped to 1-3 children and fertility was highest for 2 children followed by 24.2% having 1 child. 20.7% had 3 children, and very few had 4 or more children. Success was achieved during this period. After 1980, the 1-child policy went into effect. Between 1980 and 1984 in Heishan County, 76% of women had only 1 child and 21.4% had 2 children. Very few had 3 children and multiple parities were gone entirely. After 1985, a relaxed FP regime was practiced. Single parity women dropped to 62.9% and 2 parities rose by 5.4%. The relaxation did not have as strong an effect as in other parts of China because of the awareness and acceptance of the idea of FP and the moderate economic level. Fertility occurred primarily within 3 years in Heishan County (about 80%). The usual practice is to use natural birth control until the birth of the first child. The second birth occurs in 67.3% of the cases within 5 years

  19. Local implementation of climate policy in the Netherlands : facing the challenges of mitigation and adaption

    NARCIS (Netherlands)

    van den Berg, Maya; Hoppe, Thomas; Coenen, Franciscus H.J.M.

    2013-01-01

    Ever since the Kyoto protocol became effective (1997), national governments have been delegating climate policies to local governments. In the Netherlands, national climate policy has been effective since 1999 while targeting at a multi-governmental approach. In 2010, a survey found that local

  20. National Policies for Military Unmanned Systems That Implement Joint Fires Missions

    Science.gov (United States)

    2015-06-12

    vehicles ( UCAVs ), a subset of the unmanned systems discussed in this thesis, is “ UCAVs —Technological, Policy, and Operational Challenges” by Charles L...whole. Specifically, they address the issue of how to categorize UCAVs in arms control treaties, and the related policies for sharing unmanned systems

  1. Implementing Free Primary Education Policy in Malawi and Ghana: Equity and Efficiency Analysis

    Science.gov (United States)

    Inoue, Kazuma; Oketch, Moses

    2008-01-01

    Malawi and Ghana are among the numerous Sub-Saharan Africa countries that have in recent years introduced Free Primary Education (FPE) policy as a means to realizing the 2015 Education for All and Millennium Development Goals international targets. The introduction of FPE policy is, however, a huge challenge for any national government that has…

  2. Implementing hospital quality assurance policies in Iran Balancing licensing, annual evaluation, inspections and quality management systems

    NARCIS (Netherlands)

    Aghaei Hashjin, Asgar; Delgoshaei, Bahram; Kringos, Dionne S.; Tabibi, Seyed Jamaladin; Manouchehri, Jila; Klazinga, Niek S.

    2015-01-01

    Purpose - The purpose of this paper is to provide an overview of applied hospital quality assurance (QA) policies in Iran. Design/methodology/approach - A mixed method (quantitative data and qualitative document analysis) study was carried out between 1996 and 2010. Findings - The QA policy cycle

  3. Threats to Inclusive Education in Lesotho: An Overview of Policy and Implementation Challenges

    Science.gov (United States)

    Mosia, Paseka Andrew

    2014-01-01

    This study looks at how the education of Learners with Special Education Needs (LSEN) has developed in Lesotho as a result of international policies on human rights and education. In particular, it explores various challenges to inclusive education such as proper understanding of inclusive education, the development of a policy on special and…

  4. Measuring Sustainable Development Effectiveness in EU’s Policies Implementation in Romania

    Directory of Open Access Journals (Sweden)

    Roxana Damian

    2013-04-01

    Full Text Available With the 2004 and 2007 EU enlargement, the main incentive for 12 candidate countries - the actual membership - has been ruled out. EU cannot play the „sticks and carrots” game while the impact of the pre-accession policies and 2007-2013 funding infusion can now be fully measured. The literature covering the Europeanization of domestic policies and their results for the new Member States does not count too many successes but argues that it is the domestic policies that have the relevant impact. We analyze the case of sustainable development for Romania and argue that although it is a core horizontal principle of EU policies its impact is very limited and it is rather a subject of good wording due to several policy shortcomings.

  5. The effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare: a systematic review.

    Science.gov (United States)

    Sarkies, Mitchell N; Bowles, Kelly-Ann; Skinner, Elizabeth H; Haas, Romi; Lane, Haylee; Haines, Terry P

    2017-11-14

    It is widely acknowledged that health policy and management decisions rarely reflect research evidence. Therefore, it is important to determine how to improve evidence-informed decision-making. The primary aim of this systematic review was to evaluate the effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare. The secondary aim of the review was to describe factors perceived to be associated with effective strategies and the inter-relationship between these factors. An electronic search was developed to identify studies published between January 01, 2000, and February 02, 2016. This was supplemented by checking the reference list of included articles, systematic reviews, and hand-searching publication lists from prominent authors. Two reviewers independently screened studies for inclusion, assessed methodological quality, and extracted data. After duplicate removal, the search strategy identified 3830 titles. Following title and abstract screening, 96 full-text articles were reviewed, of which 19 studies (21 articles) met all inclusion criteria. Three studies were included in the narrative synthesis, finding policy briefs including expert opinion might affect intended actions, and intentions persisting to actions for public health policy in developing nations. Workshops, ongoing technical assistance, and distribution of instructional digital materials may improve knowledge and skills around evidence-informed decision-making in US public health departments. Tailored, targeted messages were more effective in increasing public health policies and programs in Canadian public health departments compared to messages and a knowledge broker. Sixteen studies (18 articles) were included in the thematic synthesis, leading to a conceptualisation of inter-relating factors perceived to be associated with effective research implementation strategies. A unidirectional, hierarchal flow was described from (1

  6. The effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare: a systematic review

    Directory of Open Access Journals (Sweden)

    Mitchell N. Sarkies

    2017-11-01

    Full Text Available Abstract Background It is widely acknowledged that health policy and management decisions rarely reflect research evidence. Therefore, it is important to determine how to improve evidence-informed decision-making. The primary aim of this systematic review was to evaluate the effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare. The secondary aim of the review was to describe factors perceived to be associated with effective strategies and the inter-relationship between these factors. Methods An electronic search was developed to identify studies published between January 01, 2000, and February 02, 2016. This was supplemented by checking the reference list of included articles, systematic reviews, and hand-searching publication lists from prominent authors. Two reviewers independently screened studies for inclusion, assessed methodological quality, and extracted data. Results After duplicate removal, the search strategy identified 3830 titles. Following title and abstract screening, 96 full-text articles were reviewed, of which 19 studies (21 articles met all inclusion criteria. Three studies were included in the narrative synthesis, finding policy briefs including expert opinion might affect intended actions, and intentions persisting to actions for public health policy in developing nations. Workshops, ongoing technical assistance, and distribution of instructional digital materials may improve knowledge and skills around evidence-informed decision-making in US public health departments. Tailored, targeted messages were more effective in increasing public health policies and programs in Canadian public health departments compared to messages and a knowledge broker. Sixteen studies (18 articles were included in the thematic synthesis, leading to a conceptualisation of inter-relating factors perceived to be associated with effective research implementation strategies. A

  7. CCUS Policy: an Argument for the Implementation of the Precautionary Principle

    Science.gov (United States)

    Augustin, C. M.; Broad, K.; Swart, P. K.

    2013-12-01

    Too often in crafting national energy and environmental policy, US lawmakers follow the reactionary rather than precautionary principle. This 'wait and see' approach encourages a state of deregulation that inhibits widespread commercial adoption of new technologies because it provides no framework for those technologies to operate within. [1] Reactionary policy encourages risk taking that can only be curbed once incontrovertible evidence of harm has been presented. [2] Despite the fact that private and public entities have embraced carbon capture, utilization, and storage (CCUS) the implementation of the technology raises serious concerns problems that have been largely ignored. Notably, the United States is guided by the reactionary principle with respect to CCUS legislation. The US lacks a clear accounting not only of what happens to injected carbon dioxide, but it also does not have clear of legal guidelines covering other CCUS issues such as subsurface ownership or environmental remediation. Absent a comprehensive suite of CCUS regulation, states are forced to self-regulate, setting the stage for significant transboundary conflict in the event of leakage. This is not an unknown issue, in fact the 2005 IPCC report on CCUS identified as primary research concerns 1) the lack of clear regulatory framework, 2) the lack of probabilistic methods for risk analysis and 3) lack of understanding of potential leakages. Answers to these three concerns were described as essential for CCUS deployment. In the seven years since the IPCC report was published, there has been an exponential rise in industry and government managed injection sites, with no corresponding rise in research-based law. The result of this imbalance is that law is proposed and interpreted at all levels, from the local to federal to international, leading to overlapping and conflicting regulatory regimes. This has led to a near-universal reluctance to invest in the technology, and an assumption that CCUS

  8. Efficacy of recent transport policy making and implementation in South Africa

    Directory of Open Access Journals (Sweden)

    Malcolm Mitchell

    2011-11-01

    Full Text Available Despite the importance of transport to the social and economic development of a country, very little, if any, work appears to have been done in South Africa to assess the impact of transport policy in achieving its aims and objectives. Two policy areas that have wide social and economic impacts are the public transport industry and the development of the national roads network. Public transport, or more specifically commuter bus transport policy, is aimed at improving the mobility and affordability of the travelling public while at the same time increasing the transparency of the subsidy system through a tender and negotiated contract regimen. The policy on national roads directly impacts the general economy as an estimated 88% of all freight tonnage (excluding the dedicated iron ore and coal lines of Transnet Freight Rail is moved over the road network of South Africa with the national roads linking the main economic centres of the country. This research assesses the impact of these two areas of policy making by comparing policies for commuter bus transport and primary (national roads for two policy periods, namely, 1986 to 1994 and 1994 to 2004. The research methodology used is that of the mixed-methods research procedure explained more fully in the article and the annexure to the paper. The research arrives at conclusions in respect of the impact of the policy on the problems and issues in the two separate sectors of transport during the policy periods analysed. It also draws conclusions on the policy-making process used as well as identifying deficiencies in the process. Finally it makes recommendations to address these inadequacies.

  9. Reduction of central venous catheter associated blood stream infections following implementation of a resident oversight and credentialing policy

    Directory of Open Access Journals (Sweden)

    West Cheri E

    2011-06-01

    Full Text Available Abstract Background This study assesses the impact that a resident oversight and credentialing policy for central venous catheter (CVC placement had on institution-wide central line associated bloodstream infections (CLABSI. We therefore investigated the rate of CLABSI per 1,000 line days during the 12 months before and after implementation of the policy. Methods This is a retrospective analysis of prospectively collected data at an academic medical center with four adult ICUs and a pediatric ICU. All patients undergoing non-tunneled CVC placement were included in the study. Data was collected on CLABSI, line days, and serious adverse events in the year prior to and following policy implementation on 9/01/08. Results A total of 813 supervised central lines were self-reported by residents in four departments. Statistical analysis was performed using paired Wilcoxon signed rank tests. There were reductions in median CLABSI rate (3.52 vs. 2.26; p = 0.015, number of CLBSI per month (16.0 to 10.0; p = 0.012, and line days (4495 vs. 4193; p = 0.019. No serious adverse events reported to the Pennsylvania Patient Safety Authority. Conclusions Implementation of a new CVC resident oversight and credentialing policy has been significantly associated with an institution-wide reduction in the rate of CLABSI per 1,000 central line days and total central line days. No serious adverse events were reported. Similar resident oversight policies may benefit other teaching institutions, and support concurrent organizational efforts to reduce hospital acquired infections.

  10. Evaluating the implementation and impact of policy, practice, and environmental changes to prevent childhood obesity in 49 diverse communities.

    Science.gov (United States)

    Brennan, Laura K; Kemner, Allison L; Donaldson, Kate; Brownson, Ross C

    2015-01-01

    The purpose of this article is to assess and understand the intervention reach, dose, and impact of policy, practice, and environmental changes implemented by the 49 Healthy Kids, Healthy Communities (HKHC) community partnerships across the United States and in Puerto Rico. These partnerships planned and implemented healthy eating and active living policy, system, and environmental interventions to support healthier communities for children and families, with special emphasis on reaching children at highest risk for obesity. Using a mixed-methods, participatory evaluation design, investigators analyzed multiple qualitative and quantitative data sources collected during the HKHC initiative from 2009 to 2014. Evaluators used an inductive approach to develop indicators to assess intervention reach, dose, and impact for 6 cross-site strategies, including corner stores, farmers' markets, child care nutrition standards, child care physical activity standards, active transportation, and parks and play spaces. Across HKHC community partnerships, 4261 policy, practice, or environmental changes occurred in 1536 intervention settings. Several trends emerged from the data related to how different levels of intervention (ie, community-level, setting-level, and within-setting), the size and access to intervention settings, the stage of implementation, and the sociodemographic composition of the intervention settings play important roles in the way policy, practice, and environmental changes "count" toward intervention reach, dose, and impact. This exploratory analysis provided a method and typology for increasing understanding in the field related to the reach, dose, and impact of policy, practice, and environmental changes promoting healthy eating and active living in order to reduce childhood overweight and obesity.

  11. Working with Policy and Regulatory Factors to Implement Universal Design in the Built Environment: The Australian Experience

    Directory of Open Access Journals (Sweden)

    Helen Larkin

    2015-07-01

    Full Text Available Built environments that are usable by all provide opportunities for engagement in meaningful occupations. However, enabling them in day to day design processes and practice is problematic for relevant professions. The purpose of this phenomenological study was to gain greater understanding of the policy and regulatory influences that promote or hinder the uptake of universal design in built environments, to inform better future design. Focus groups or telephone interviews were undertaken with 28 key building industry and disability stakeholders in Australia. Four themes were identified: the difficulties of definition; the push or pull of regulations and policy; the role of formal standards; and, shifting the focus of design thinking. The findings highlight the complexity of working within policy and regulatory contexts when implementing universal design. Occupational therapists working with colleagues from other professions must be aware of these influences, and develop the skills to work with them for successful practice.

  12. Working with Policy and Regulatory Factors to Implement Universal Design in the Built Environment: The Australian Experience.

    Science.gov (United States)

    Larkin, Helen; Hitch, Danielle; Watchorn, Valerie; Ang, Susan

    2015-07-15

    Built environments that are usable by all provide opportunities for engagement in meaningful occupations. However, enabling them in day to day design processes and practice is problematic for relevant professions. The purpose of this phenomenological study was to gain greater understanding of the policy and regulatory influences that promote or hinder the uptake of universal design in built environments, to inform better future design. Focus groups or telephone interviews were undertaken with 28 key building industry and disability stakeholders in Australia. Four themes were identified: the difficulties of definition; the push or pull of regulations and policy; the role of formal standards; and, shifting the focus of design thinking. The findings highlight the complexity of working within policy and regulatory contexts when implementing universal design. Occupational therapists working with colleagues from other professions must be aware of these influences, and develop the skills to work with them for successful practice.

  13. Policy Implementation Of Special Autonomy Funds Case Study Of Education Funding In The District Manokwari West Papua Indonesia

    Directory of Open Access Journals (Sweden)

    Baesara Wael

    2015-04-01

    Full Text Available ABSTRACT Regulations special autonomy Papua is a product policy given by the central government in an effort to promote development in various aspects of the four main program priorities for the economy education health and infrastructure. in the context of policy implementation then this can be considered as one of the factors that interfere with activities especially in relation to the legal rules of the program is not yet clear. the focus of this study is how can the implementation of special autonomy fund policies in education in Manokwari West Papua province. This study used a descriptive study with a qualitative approach. This study seeks to identify and analyze on the implementation of policy autonomy special funds Education in Manokwari West Papua Province through qualitative interpretation. This study seeks to reveal how the implementation of the Special Autonomy Fund for Education in Manokwari West Papua Province. The research concludes that the Communication External and Internal communication is not maximized. The quality of human resources is still minimal and not understand the working procedures due to no regulation or supported by PERDASI PERDASUS governing socialisation Education and lack of special autonomy or special autonomy funds in terms of the form of facilities or equipment Resource inadequate facilities. In terms of the funds Resources regarding the distribution of the Special Autonomy Fund of uneven and has not touched most of the basic needs of the people of Papua especially Papuan society itself as well as in terms of the Resource Authority regarding the delegation of authority from supervisor to subordinate unclear because there is no standard operating Procedure SOP. Furthermore in terms of structure in an organizational bureaucracy that there should be a very clear organization structure to facilitate the delegation of authority and accountability.

  14. Health information technology implementation - impacts and policy considerations: a comparison between Israel and Portugal.

    Science.gov (United States)

    Catan, Gabriel; Espanha, Rita; Mendes, Rita Veloso; Toren, Orly; Chinitz, David

    2015-01-01

    The use of Information and Communications Technology (ICT) in health systems is increasing worldwide. While it is assumed that ICT holds great potential to make health services more efficient and grant patients more empowerment, research on these trends is at an early stage. Building on a study of the impact of ICT on physicians and patients in Israel, a Short Term Scientific Mission (STSM) sponsored by COST Net in conjunction with CIES/ISCTE IUL (Portugal) facilitated a comparison of ICT in health in Israel and Portugal. The comparison focused on patient empowerment, physician behavior and the role of government in implementing ICT. The research in both countries was qualitative in nature. In-depth interviews with the Ministry of Health (MOH), the private sector, patients associations, health plans and researchers were used to collect data. Purposeful sampling was used to select respondents, and secondary sources were used for triangulation. The findings indicate that respondents in both countries feel that patient empowerment has indeed been furthered by introduction of ICT. Regarding physicians, in both countries ICT is seen as providing more information that can be used in medical decision making. Increased access of patients to web-based medical information can strengthen the role of patients in decision making and improve the physician-patient relationship, but also shift the latter in ways that may require adjustments in physician orientation. Physician uptake of ICT in both countries involves overcoming certain barriers, such as resistance to change. At the national level, important differences were found between the two countries. While in Israel, ICT was promoted and adopted by the meso level of the health system, in particular the health plans and government intervention can be found in a later stage, in Portugal the government was the main developer and national strategies were built from the beginning. These two approaches present different advantages

  15. First Implementation of Transfusion Consent Policy in Oman; Audit of compliance from a tertiary care university hospital

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    Arwa Z. Al-Riyami

    2016-08-01

    Full Text Available Objectives: Transfusions are a common medical intervention. Discussion of the benefits, risks and alternatives with the patient is mandated by many legislations prior to planned transfusions. At the Sultan Qaboos University Hospital (SQUH, Muscat, Oman, a written transfusion consent policy was introduced in March 2014. This was the first time such a policy was implemented in Oman. This study therefore aimed to assess adherence to this policy among different specialties within SQUH. Methods: The medical records of patients who underwent elective transfusions between June and August 2014 were reviewed to assess the presence of transfusion consent forms. If present, the consent forms were examined for completeness of patient, physician and witness information. Results: In total, the records of 446 transfused patients (299 adult and 147 paediatric patients were assessed. Haematology patients accounted for 50% of adult patients and 71% of paediatric patients. Consent was obtained for 75% of adult and 91% of paediatric patients. The highest adherence rate was observed among adult and paediatric haematology specialists (95% and 97%, respectively. Consent forms were correctly filled out with all details provided for 51% and 52% of adult and paediatric patients, respectively. Among inadequately completed forms, the most common error was a lack of witness details (20–25%. Conclusion: In most cases, the pre-transfusion consent policy was successfully adhered to at SQUH. However, further work is required to ensure full compliance with the consent procedure within different specialties. Implementation of transfusion consent in other hospitals in the country is recommended.

  16. Exploring Implementation of the Ontario School Food and Beverage Policy at the Secondary-School Level: A Qualitative Study.

    Science.gov (United States)

    Vine, Michelle M; Elliott, Susan J; Raine, Kim D

    2014-09-01

    The purpose of this study was to explore the implementation of the Ontario School Food and Beverage Policy (P/PM 150) from the perspective of secondary-school students. This research, informed by the ANGELO framework, undertook three focus groups with secondary students (n = 20) in 2 school boards representing both high- and low-income neighbourhoods in fall 2012. Focus groups were transcribed verbatim for subsequent analysis. Key themes were generated deductively from the research objectives and inductively as they emerged from transcripts. Perceived impacts of P/PM 150 included high-priced policy-compliant food for sale, lower revenue generation, and food purchased off-campus. Limited designated eating spaces, proximity to external, nonpolicy-compliant food, and time constraints acted as key local level barriers to healthy eating. Pricing strategies are needed to ensure that all students have access to nutritious food, particularly in the context of vulnerable populations. Recognition of the context and culture in which school nutrition policies are being implemented is essential. Future research to explore the role of public health dietitians in school nutrition policy initiatives and how to leverage local resources and stakeholder support in low income, rural and remote populations is needed.

  17. How to Implement Return Policies in a Two-Echelon Supply Chain?

    Directory of Open Access Journals (Sweden)

    Wei Hu

    2012-01-01

    Full Text Available We integrate a retailer's return policy and a supplier's buyback policy within a modeling framework. In this setting, consumers decide whether to buy and then whether to return the product, the retailer sets the retail price, quantity, and refund price, and the supplier chooses the wholesale price and buyback price. Both the demand uncertainty and consumers' valuation uncertainty are considered; consumers realize their valuations only after purchase. We discuss four scenarios for each party in the supply chain that may offer or not offer return policy. We characterize each party's optimal decisions for all scenarios and we show that the supplier's best choice is to provide buyback policy and the retailer's optimal response is to set refund price to be the same as supplier's buyback price.

  18. Privacy Protection: Mandating New Arrangements to Implement and Assess Federal Privacy Policy and Practice

    National Research Council Canada - National Science Library

    Relyea, Harold C

    2004-01-01

    When Congress enacted the Privacy Act of 1974, it established a temporary national study commission to conduct a comprehensive assessment of privacy policy and practice in both the public and private...

  19. Who is Next? Identifying Communities with the Potential for Increased Implementation of Sustainability Policies and Programs

    Science.gov (United States)

    Understanding the system of connections between societal contexts and policy outcomes in municipal governments provides important insights into how community sustainability happens, and why it happens differently in various communities. A growing body of research in recent years ...

  20. Encouraging the Arts through Higher Education Institutions: Arts Policy Implementation in Virginia

    OpenAIRE

    Keeney, Katherine Preston

    2014-01-01

    This dissertation investigates the role of public higher education institutions in state-level arts policy in the state of Virginia. The strength of public support for the arts historically has been measured by per capita arts spending, as determined by appropriations to state arts agencies. However, this is a very thin measure that misses an increasingly important contributor to the arts policy landscape - higher education institutions. As direct sources of funding for the arts decline, univ...

  1. Power of the policy: how the announcement of high-stakes clinical examination altered OSCE implementation at institutional level

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    Lin Chi-Wei

    2013-01-01

    Full Text Available Abstract Background The Objective Structured Clinical Examination (OSCE has been widely applied as a high-stakes examination for assessing physicians’ clinical competency. In 1992, OSCE was first introduced in Taiwan, and the authorities announced that passing the OSCE would be a prerequisite for step-2 medical licensure examination in 2013. This study aimed to investigate the impacts of the announced national OSCE policy on implementation of OSCE at the institutional level. Further, the readiness and the recognition of barriers toward a high-stakes examination were explored. Methods In 2007 and 2010, the year before and after the announcement of high-stakes OSCE policy in 2008, respectively, questionnaires on the status of OSCE implementation were distributed to all hospitals with active OSCE programs in Taiwan. Information on OSCE facilities, equipment, station length, number of administrations per year, and the recognition of barriers to the success of implementing an OSCE were collected. The missing data were completed by telephone interviews. The OSCE format, administration, and facilities before and after the announcement of the nationwide OSCE policy were compared. Results The data were collected from 17 hospitals in 2007 and 21 in 2010. Comparing the OSCE formats between 2007 and 2010, the number of stations increased and the station length decreased. The designated space and the equipment for OSCE were also found to have been improved. As for the awareness of OSCE implementation barriers, the hospital representatives concerned mostly about the availability and quality of standardized patients in 2007, as well as space and facilities in 2010. Conclusions The results of this study underscored an overall increase in the number of OSCE hospitals and changes in facilities and formats. While recruitment and training of standardized patients were the major concerns before the official disclosure of the policy, space and facilities became the

  2. Power of the policy: how the announcement of high-stakes clinical examination altered OSCE implementation at institutional level.

    Science.gov (United States)

    Lin, Chi-Wei; Tsai, Tsuen-Chiuan; Sun, Cheuk-Kwan; Chen, Der-Fang; Liu, Keh-Min

    2013-01-24

    The Objective Structured Clinical Examination (OSCE) has been widely applied as a high-stakes examination for assessing physicians' clinical competency. In 1992, OSCE was first introduced in Taiwan, and the authorities announced that passing the OSCE would be a prerequisite for step-2 medical licensure examination in 2013. This study aimed to investigate the impacts of the announced national OSCE policy on implementation of OSCE at the institutional level. Further, the readiness and the recognition of barriers toward a high-stakes examination were explored. In 2007 and 2010, the year before and after the announcement of high-stakes OSCE policy in 2008, respectively, questionnaires on the status of OSCE implementation were distributed to all hospitals with active OSCE programs in Taiwan. Information on OSCE facilities, equipment, station length, number of administrations per year, and the recognition of barriers to the success of implementing an OSCE were collected. The missing data were completed by telephone interviews. The OSCE format, administration, and facilities before and after the announcement of the nationwide OSCE policy were compared. The data were collected from 17 hospitals in 2007 and 21 in 2010. Comparing the OSCE formats between 2007 and 2010, the number of stations increased and the station length decreased. The designated space and the equipment for OSCE were also found to have been improved. As for the awareness of OSCE implementation barriers, the hospital representatives concerned mostly about the availability and quality of standardized patients in 2007, as well as space and facilities in 2010. The results of this study underscored an overall increase in the number of OSCE hospitals and changes in facilities and formats. While recruitment and training of standardized patients were the major concerns before the official disclosure of the policy, space and facilities became the focus of attention after the announcement. The study results

  3. Façade insulation retrofitting policy implementation process and its effects on health equity determinants: A realist review

    International Nuclear Information System (INIS)

    Camprubí, Lluís; Malmusi, Davide; Mehdipanah, Roshanak

    2016-01-01

    Fuel poverty and cold housing constitute a significant public health problem. Energy efficiency interventions, such as façade retrofitting, address the problem from a structural and long-term perspective. Despite evidence of the health benefits of insulation, little is known about the political and social contexts that contribute to social inequalities in receiving and experiencing health benefits from these interventions. We used a realist review methodology to better understand the mechanisms that explain how and why variations across different social groups appear in receiving energy efficiency façade retrofitting interventions and in their impact on health determinants. We considered the four stages of the policy implementation framework: public policy approach; policy; receiving intervention and impact on health determinants. We found strong evidence that certain social groups (low-income, renters, elderly) suffering most from fuel poverty, experience more barriers for undertaking a building retrofitting (due to factors such as upfront costs, “presentism” thinking, split incentives, disruption and lack of control), and that some public policies on housing energy efficiency may exacerbate these inequalities. This can be avoided if such policies specifically aim at tackling fuel poverty or social inequities, are completely free to users, target the most affected groups and are adapted to their needs. - Highlights: •Health benefits of housing façade insulation more pronounced in fuel poor groups. •Social groups suffering most from fuel poverty least likely to undergo insulation. •Energy efficiency policies focused solely on CO 2 reduction may increase inequalities. •Split Incentives and “Take-Back” effect show socioeconomic and contextual variability. •Universal policies without targeting increase inequalities in retrofitting uptake.

  4. Implementation of China`s three synchronizations policy: Case studies of wastewater treatment measures at new and renovated factories

    Energy Technology Data Exchange (ETDEWEB)

    Sinkule, B.J.

    1994-03-01

    The Three Synchronizations Policy requires that the design, construction, and operation of a new factory, or an existing factory that expands or changes production processes, be synchronized with the design, construction and operation of appropriate waste treatment facilities. Under this policy, when a new factory is designed, wastewater treatment facilities must be included as part of the overall factory design: when the factory is constructed, the wastewater treatment facilities must be constructed along with construction of the production facilities; and finally, when the factory begins to operate, the waste treatment facilities must begin operation as well. This research includes case studies of wastewater treatment measures at sixteen factories in the Pearl River Delta Region of China. Implementation of the Three Synchronizations Policy is examined in detail for two of the factories: Fengfu Weaving and Dyeing Plant and Zhongguan Printing and Dyeing Plant. The results of this research suggest that the Three Synchronizations Policy has been an effective means of forcing new and renovated factories to comply with wastewater discharge standards, mainly because the Three Synchronizations Policy gives environmental protection bureaus authority to regulate at each step of a new industrial facility`s development. In practice, this authority has been exercised through formalizing the {open_quotes}synchronizations{close_quotes} into a management system with specific regulatory requirements, each of which requires EPB approval. EPBs ran stall operation by withholding its approval of certification of a factory`s wastewater treatment facilities; EPBs also use fines and limited time treatment orders to enforce the Three Synchronizations Policy. The research results demonstrate that the Three Synchronizations Policy was more important than the Pollutant Discharge Fee Program in motivating existing factories to build wastewater treatment facilities.

  5. Policy implementation of the Republic Act (RA) No. 9003 in the Philippines: a case study of Cebu City.

    Science.gov (United States)

    Premakumara, Dickella Gamaralalage Jagath; Canete, Aloysius Mariae L; Nagaishi, Masaya; Kurniawan, Tonni Agustiono

    2014-06-01

    Municipal Solid Waste Management (MSWM) is considered to be one of the most serious environmental issues in the Philippines. The annual waste generation was estimated at 10.6 million tonnes in 2012 and this is expected to double in 2025. The Republic Act (RA) No. 9003, widely known as the Ecological Solid Waste Management Act of 2000, provides the required policy framework, institutional mechanisms and mandate to the Local Government Units (LGUs) to achieve 25% waste reduction target through establishing an integrated solid waste management plan based on the 3Rs (reduce, reuse and recycling). Although the initial impact of the LGUs is still very limited in implementing the national mandate, this article highlights the successful experiences of Cebu, the second largest city in the Philippines, in reducing its MSW generation by more than 30% in the past three years. This study also explores the implementation process, innovative actions taken by the Cebu City Government in implementing the national mandate at local level and identifies the factors that influence the policy implementation. The findings suggest that the impacts of the national mandate can be achieved if the LGUs have the high degree of political commitment, planning and development of effective local strategies in a collaborative manner to meet with local conditions, partnership building with other stakeholders, capacity development, adequate financing and incentives, and in the close monitoring and evaluation of performance. Copyright © 2013 Elsevier Ltd. All rights reserved.

  6. Leadership Style, Political Interest and Rationality of Municipal Executive Bodies in the Implementation of Public Policies: the Case of Poland

    Directory of Open Access Journals (Sweden)

    Anna Kołomycew

    2017-08-01

    Full Text Available Purpose and Originality: The article focuses on the circumstances influencing the political and social consequences of the rationalization of the school network with regard to the executive bodies of municipalities. The purpose of the article is to verify whether unpopular decisions made by the local authorities influence the range of political and social support. Method: The article is based on preliminary research. The analysis is mostly focused on the qualitative studies (in-depth interviews, semi-structured interviews conducted among selected actors involved in local educational policy creation and implementation. The theoretical framework of the article defines the concept of transformational leadership. Results: Making unpopular decisions is inevitable for local authorities. Although they are rational from the point of view of the municipality as a whole, they can have negative consequences for local executive bodies. However, the results of the study show that not always the unpopular decision taken by the executive body results in the loss of political support. The study identifies situations in which the leadership style and mode of action were significant. Society: The research problem presented in this article has been present for several years in the Polish public debate as well as in the academic discourse. The question of the style of leadership and its impact on public policies implementation is particularly relevant due to the reform of the education system and consequently changes in the local educational policy. Limitations / further research: The results presented in the following paper are merely initial, but reflect the problem and allow to make only preliminary conclusions. It is necessary to conduct further research focused on the relationship between leadership style and the form of the implementation of public policies in municipalities.

  7. The Veterans Choice Act: A Qualitative Examination of Rapid Policy Implementation in the Department of Veterans Affairs.

    Science.gov (United States)

    Mattocks, Kristin M; Mengeling, Michelle; Sadler, Anne; Baldor, Rebecca; Bastian, Lori

    2017-07-01

    Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 [Veterans Choice Act (VCA)] to improve access to timely, high-quality health care for Veterans. Although Congress mandated that VCA must begin within 90 days of passage of the legislation, no guidelines were provided in the legislation to ensure that Veterans had access to an adequate number of community providers across different specialties of care or distinct geographic areas, including rural areas of the country. To examine VCA policy implementation across a sampling of Veterans Health Administration (VHA) Medical Centers. We conducted a qualitative study of 43 VHA staff and providers by conducting in-person interviews at 5 VA medical centers in the West, South, and Midwest United States. Interview questions focused on perceptions and experiences with VCA and challenges related to implementation for VHA staff and providers. We identified 3 major themes to guide description of choice implementation: (1) VCA implemented too rapidly with inadequate preparation; (2) community provider networks insufficiently developed; and (3) communication and scheduling problems with subcontractors may lead to further delays in care. Our evaluation suggests that VCA was implemented far too rapidly, with little consideration given to the adequacy of community provider networks available to provide care to Veterans. Given the challenges we have highlighted in VCA implementation, it is imperative that the VHA continue to develop care coordination systems that will allow the Veterans to receive seamless care in the community.

  8. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay.

    Science.gov (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2013-05-01

    Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40-65 years and older than 65 years. The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI.

  9. Developing and implementing mental health policy in Zanzibar, a low income country off the coast of East Africa

    Directory of Open Access Journals (Sweden)

    Suleiman Said

    2011-02-01

    Full Text Available Abstract Background The Zanzibar Ministry of Health and Social Welfare, concerned about mental health in the country, requested technical assistance from WHO in 1997. Aims This article describes the facilitation over many years by a WHO Collaborating Centre, of sustainable mental health developments in Zanzibar, one of the poorest countries in the world, using systematic approaches to policy design and implementation. Methods Based on intensive prior situation appraisal and consultation, a multi-faceted set of interventions combining situation appraisal to inform planning; sustained policy dialogue at Union and state levels; development of policy and legislation, development of strategic action plans, establishment of intersectoral national mental health implementation committee, establishment of national mental health coordination system, integration of mental health into primary care, strengthening of primary-secondary care liaison, rationalisation and strengthening of secondary care system, ensuring adequate supply of medicines, use of good practice guidelines and health information systems, development of services for people with intellectual disability, establishment of formal mechanism for close liaison between the mental health services and other governmental, non-governmental and traditional sectors, mental health promotion, suicide prevention, and research and development. Results The policy and legislation introduced in 1999 have resulted in enhanced mental health activities over the ensuing decade, within a setting of extreme low resource. However, advances ebb and flow and continued efforts are required to maintain progress and continue mental health developments. Lessons learnt have informed the development of mental health policies in neighbouring countries. Conclusions A multi-faceted and comprehensive programme can be effective in achieving considerable strengthening of mental health programmes and services even in extremely low

  10. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay

    Science.gov (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2012-01-01

    Background Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Methods Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. Results A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40–65 years and older than 65 years. Conclusions The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI. PMID:22337557

  11. Level of implementation of best practice policies for creating healthy food environments: assessment by state and non-state actors in Thailand.

    Science.gov (United States)

    Phulkerd, Sirinya; Vandevijvere, Stefanie; Lawrence, Mark; Tangcharoensathien, Viroj; Sacks, Gary

    2017-02-01

    To determine and compare the level of implementation of policies for healthy food environments in Thailand with reference to international best practice by state and non-state actors. Data on the current level of implementation of food environment policies were assessed independently using the adapted Healthy Food Environment Policy Index (Food-EPI) by two groups of actors. Concrete actions were proposed for Thai Government. A joint meeting between both groups was subsequently held to reach consensus on priority actions. Thailand. Thirty state actors and twenty-seven non-state actors. Level of policy implementation varied across different domains and actor groups. State actors rated implementation levels higher than non-state actors. Both state and non-state actors rated level of implementation of monitoring of BMI highest. Level of implementation of policies promoting in-store availability of healthy foods and policies increasing tax on unhealthy foods were rated lowest by state and non-state actors, respectively. Both groups reached consensus on eleven priority actions for implementation, focusing on food provision in public-sector settings, food composition, food promotion, leadership, monitoring and intelligence, and food trade. Although the implementation gaps identified and priority actions proposed varied between state and non-state actors, both groups achieved consensus on a comprehensive food policy package to be implemented by the Thai Government to improve the healthiness of food environments. This consensus is a platform for continued policy dialogue towards cross-sectoral policy coherence and effective actions to address the growing burden of non-communicable diseases and obesity in Thailand.

  12. Strategies and policies for improving energy efficiency programs: Closing the loop between evaluation and implementation

    International Nuclear Information System (INIS)

    Vine, Edward

    2008-01-01

    Program implementers often use evaluation results to improve the performance of their programs, but, as described in this paper, this is not always the case. Based on a review of the literature, participation in workshops, and interviews with over 50 program implementers, evaluators, and regulators in the United States and Canada, the utilization of evaluation results is investigated by asking the following questions: (1) How are program evaluation results used by program implementers and other stakeholders? (2) How are program evaluation results communicated to program implementers and other stakeholders? (3) Are the needs of program implementers being met by program evaluation? (4) What is the role of the utility regulator in facilitating the use of program evaluation results? (5) What other mechanisms can facilitate the use of program evaluation results? While there is some consensus on the answers to these questions, the type of interest in and use of evaluation varies by functional role (e.g., evaluator versus implementer), maturity of the energy efficiency market, institutional context (e.g., evaluation and implementation conducted inside the same organization, or evaluation and implementation conducted by separate entities), and by regulatory demands and evaluation interests

  13. The Role of the Principal's Leadership Style in the Implementation of ICT Policy

    Science.gov (United States)

    Hadjithoma-Garstka, Christina

    2011-01-01

    This paper presents findings of a study in information communication technology (ICT) implementation, on the principal's leadership style in relation to other factors that influence implementation. The principal's leadership style is perceived--on the basis of the characteristics of the context where the study was conducted--as a personal quality,…

  14. A Tale of Two Chinese Transit Metropolises and the Implementation of Their Policies: Shenyang and Dalian (Liaoning Province, China

    Directory of Open Access Journals (Sweden)

    Rui Mu

    2018-02-01

    Full Text Available To promote sustainable urbanization and combat the economic, environmental, energy and safety issues that go with rapid motorization, the Ministry of Transport in China has introduced the “Transit Metropolis” program with a substantive amount of funds devoted to the implementation of the program in local governments. This represents the largest ever central government-led effort addressing transit metropolis development in the world. How has the program been implemented locally? Have the selected demonstration cities followed the same principle or taken comparable measures to implement their version of the transit metropolis? What is their performance? These questions remain unknown in the current literature. This article answers the above questions through a literature review, interviews and comparative case studies in Shenyang and Dalian, two large cities in Liaoning Province. It shows that both cities have successfully achieved the target levels for building a transit metropolis. Similarities between the two cities can be found their absence of any policies on automobile restriction and the presence of enormous efforts in transit network expansion and optimization. Differences lie in the fact that Shenyang has been more conventional in developing the transit metropolis, while Dalian has been more innovative and flexible in policy implementation. When comparing our empirical findings with the experience of creating transit metropolis elsewhere in China and in foreign countries, we find that policies and regulations restricting car use and calming traffic are not necessary conditions for successful transit metropolises; however, the attractiveness of transit infrastructure, combined with aesthetic and well-decorated street network is essential for a modal shift for transit. We also find that the perception on the transit metropolis in China more emphasizes transit service improvement, while the concept in Western countries more focuses on

  15. The role of common pool resource institutions in the implementation of Swiss natural resource management policy

    Directory of Open Access Journals (Sweden)

    Jean-David Gerber

    2008-07-01

    Full Text Available By analysing Swiss common pool resource (CPR institutions, this paper aims to contribute to the debate on comanagement while demonstrating how important it is to take into account the structuring role played by public policies in the regulation of natural resource use in western countries characterized by significant state intervention. The comparative analysis of three detailed case studies dealing with hunting, flood protection and landscape management policies leads to three main conclusions: (1 CPR institutions strengthen the coherence of resource regimes to the extent that they constitute social institutions which can facilitate the "mediation process," i.e. the transformation of the collective identity, self-perception and, therefore, behaviour of policy target groups in the direction defined by the stated policy objectives; (2 one of the main conditions for the perpetuation of CPR institutions is their capacity to organize their activities around a collective problem defined as such by a policy; (3 the integration of CPR institutions into the political-administrative arrangement contributes to the reinforcement of the functional and territorial coordination between payers, decision makers and beneficiaries in regional and local institutional regimes.

  16. Implementing Health in All Policies - Time and Ideas Matter Too! Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities".

    Science.gov (United States)

    Clavier, Carole

    2016-06-20

    Carey and Friel suggest that we turn to knowledge developed in the field of public administration, especially new public governance, to better understand the process of implementing health in all policies (HiAP). In this commentary, I claim that theories from the policy studies bring a broader view of the policy process, complementary to that of new public governance. Drawing on the policy studies, I argue that time and ideas matter to HiAP implementation, alongside with interests and institutions. Implementing HiAP is a complex process considering that it requires the involvement and coordination of several policy sectors, each with their own interests, institutions and ideas about the policy. Understanding who are the actors involved from the various policy sectors concerned, what context they evolve in, but also how they own and frame the policy problem (ideas), and how this has changed over time, is crucial for those involved in HiAP implementation so that they can relate to and work together with actors from other policy sectors. © 2016 by Kerman University of Medical Sciences.

  17. From policy to practice: lessons from Karnataka about implementation of tobacco control laws

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    Pragati B Hebbar

    2017-01-01

    Full Text Available Background: Tobacco use accounts for eight to nine lakh adult deaths annually in India. India enacted a national legislation “Cigarettes and Other Tobacco Products Act, 2003” (COTPA to protect health of non-smokers and reduce tobacco consumption. However, even a decade after enacting this law, its implementation remains suboptimal and variable across the Indian states. Karnataka has shown leadership on this front by enacting a state law and implementing COTPA at (sub- district levels. We, therefore, aim to analyze COTPA implementation processes in Karnataka to understand how COTPA can be effectively implemented. Methods: We developed a case study of COTPA implementation in Karnataka using reports from health, police, education, and transport departments as well as government orders and media reports related to COTPA. We analyzed these data to map and understand the role played by the government agencies in COTPA implementation. We used the proportion of the districts reporting COTPA violations, the number of COTPA violations cases reported, and the proportion of schools reporting compliance with COTPA as proxy measures for COTPA implementation. Results: We found that five government agencies (police, education, health, transport, and urban development played a major role in COTPA implementation. All the police districts reported COTPA violations with 59,594 cases in a year (April 2013–March 2014. Three of the district anti-tobacco cells and two of the transport divisions reported 1130 and 14,543 cases of COTPA violations, respectively, in the same year. In addition, 84.7% of schools complied with signage requirements of COTPA. COTPA reporting was made part of the reporting systems within health, police, and education departments. The health department created awareness on tobacco harms and COTPA. Conclusions: COTPA implementation in Karnataka was made possible through integrating COTPA implementation within structure/functions of five

  18. Smart Mobility – Encouraging sustainable mobility behaviour by designing and implementing policies with citizen involvement

    Directory of Open Access Journals (Sweden)

    Edith Maier

    2012-10-01

    Full Text Available The paper discusses the theoretical concepts, design considerations and preliminary findings from Smart Mobility, a research project currently being undertaken with the City of St. Gallen. The project aims at designing measures to encourage the increased use of public and non-motorised transport by integrating behavioural economic principles into public policy. The extensive involvement of citizens and their participation in the design of the measures are to support their democratic legitimization and later acceptance. The paper describes the energy policies behind the project and outlines the theoretical framework for integrating behavioural insights into public policy. The strategies envisaged include participatory instruments and methods, especially the use of existing social media channels, capitalizing on social processes and norms to increase the motivation of individuals to use public transport, creating an open innovation space by means of crowdsourcing as well as the proper framing of political communication to achieve changes in mobility patterns.

  19. Marine renewable energy policy in China and recommendations for improving implementation

    Science.gov (United States)

    Wang, Haifeng; Wang, Ji; Liu, Yuxin; Chen, Libo

    2018-02-01

    Renewable energy is the effective solution for the harmonious coexistence of human and environment as well as for the sustainable development. Marine renewable energy as one of the renewable energies, potentially offer fewer environmental risks and thus community acceptance than other renewable energy developments. Government support is the key and initial power for developing marine renewable energy. To promote the development and utilization of marine renewable energy, the Chinese government has established the special funding plan for marine renewable energy, and released “the 13th Five-years Plan (2016-2020) for marine renewable energy”. This paper describes the mechanisms established by the marine renewable Energy policy in China, and provides a comparative analysis of the Chinese marine renewable energy policy framework. We provides some policy recommendations for future development of marine renewable energy in China.

  20. Implementing the Policy of the U.N. Declaration on the Rights of Indigenous Peoples

    Directory of Open Access Journals (Sweden)

    Roxanne T. Ornelas

    2014-04-01

    Full Text Available On September 13, 2007, the United Nations General Assembly voted to adopt the Declaration on the Rights of Indigenous Peoples (UNDRIP. This was an historic event as work on UNDRIP had been ongoing for 30 years before its passage. Today, UNDRIP provides a framework for addressing human rights protections for Indigenous peoples globally. This article examines the significance of UNDRIP as a public policy tool for developing national policy to support future resource and land management consultations that are based on free, prior, and informed consent.

  1. Implementation of a disability management policy in a large healthcare employer: a quasi-experimental, mixed-methods evaluation.

    Science.gov (United States)

    Mustard, Cameron A; Skivington, Kathryn; Lay, Morgan; Lifshen, Marni; Etches, Jacob; Chambers, Andrea

    2017-06-17

    This study describes the process and outcomes of the implementation of a strengthened disability management policy in a large Canadian healthcare employer. Key elements of the strengthened policy included an emphasis on early contact, the training of supervisors and the integration of union representatives in return-to-work (RTW) planning. The study applied mixed methods, combining a process evaluation within the employer and a quasi-experimental outcome evaluation between employers for a 3-year period prior to and following policy implementation in January 2012. Staff in the implementation organisation (n=4000) and staff in a peer group of 29 large hospitals (n=1 19 000). Work disability episode incidence and duration. Both qualitative and quantitative measures of the implementation process were predominantly positive. Over the 6-year observation period, there were 624 work disability episodes in the organisation and 8604 in the comparison group of 29 large hospitals. The annual per cent change in episode incidence in the organisation was -5.6 (95% CI -9.9 to -1.1) comparable to the annual per cent change in the comparison group: -6.2 (-7.2 to -5.3). Disability episode durations also declined in the organisation, from a mean of 19.4 days (16.5, 22.3) in the preintervention period to 10.9 days (8.7, 13.2) in the postintervention period. Reductions in disability durations were also observed in the comparison group: from a mean of 13.5 days (12.9, 14.1) in the 2009-2011 period to 10.5 days (9.9, 11.1) in the 2012-2014 period. The incidence of work disability episodes and the durations of work disability declined strongly in this hospital sector over the 6-year observation period. The implementation of the organisation's RTW policy was associated with larger reductions in disability durations than observed in the comparison group. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial

  2. Street-level bureaucracy and policy implementation in community public health nursing: a qualitative study of the experiences of student and novice health visitors.

    Science.gov (United States)

    Hughes, Alison; Condon, Louise

    2016-11-01

    Aim To explore the experiences of student and novice health visitors in implementing health visiting policy reform pre- and post-qualification. In England, public health nursing has been subject to major policy reform. The Health Visitor Implementation Plan (2011) set out a plan to recruit increasing numbers of nurses and midwives to the profession to deliver an expanded and refocussed health visiting service. Exploring this policy change from the viewpoint of those new to health visiting offers a unique perspective into how a specific policy vision is translated into nursing practice. A descriptive qualitative study in which participants were enrolled on a one-year post-graduate health visiting course at a University in South West of England. Qualitative data were collected pre- and post-qualification. A total of 16 interviews and a focus group were conducted with nine participants between September 2012 and March 2013. Findings Descriptive data were interpreted using Lipsky's theoretical framework of street-level bureaucracy. Three themes emerged which relate to this 'bottom-up' perspective on policy implementation; readiness to operationalise policy, challenges in delivering the service vision; and using discretion in delivering the vision. Community public health nurses operate as street-level bureaucrats in negotiating the demands of policy and practice, and by this means, attempt to reconcile professional values with institutional constraints. Barriers to policy implementation at a local level mediate the effects of policy reform, ultimately impacting upon outcomes for children and families.

  3. Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care.

    Science.gov (United States)

    Gale, Nicola; Dowswell, George; Greenfield, Sheila; Marshall, Tom

    2017-03-01

    Public services are increasingly operating through network governance, requiring those at all levels of the system to build collaborations and adapt their practice. Agent-focused implementation theories, such as 'street-level bureaucracy', tend to focus on decision-making and the potential of actors to subvert national policy at a local level. While it is acknowledged that network leaders need to be adaptable and to build trust, much less consideration has been given to the requirement for skills of 'diplomacy' needed by those at the front line of delivering public services. In this article, drawing on theoretical insights from international relations about the principles of 'multi-track diplomacy', we propose the concept of street level diplomacy, offer illustrative empirical evidence to support it in the context of the implementation of public health (preventative) policies within primary care (a traditionally responsive and curative service) in the English NHS and discuss the contribution and potential limitations of the new concept. The article draws on qualitative data from interviews conducted with those implementing case finding programmes for cardiovascular disease in the West Midlands. The importance of communication and adaptation in the everyday work of professionals, health workers and service managers emerged from the data. Using abductive reasoning, the theory of multi-track diplomacy was used to aid interpretation of the 'street-level' work that was being accomplished. Copyright © 2017. Published by Elsevier Ltd.

  4. 77 FR 3102 - Procedures for Implementing the National Environmental Policy Act

    Science.gov (United States)

    2012-01-23

    ... Definitions Authority: The National Aeronautics and Space Act of 1958, as amended (51 U.S.C. 20101 et seq... policies and procedures for the early integration of environmental considerations into planning and... Applicability. This subpart applies to all organizational elements of NASA. Sec. 1216.302 Responsibilities. (a...

  5. The Implementation Process of Alcohol Policies in Eight Swedish Football Clubs

    Science.gov (United States)

    Geidne, Susanna; Quennerstedt, Mikael; Eriksson, Charli

    2013-01-01

    Purpose: Alcohol stands in an ambiguous relationship to sports, and there is a common belief that participation in sports prevents alcohol consumption. Although this is not always the case, sports clubs can be important settings for health promoting alcohol policy interventions .The purpose of this paper is to explore the process of implementing…

  6. Healthy Marriage Initiatives: On the Need for Empiricism in Policy Implementation

    Science.gov (United States)

    Johnson, Matthew D.

    2012-01-01

    The association between marriage and well-being has led to policies that promote marital interventions and discourage divorce. These include federal initiatives specifically targeting poor couples and couples of color. While there are many prospective studies on marriage that have informed some couple interventions, the studies that are included…

  7. Protecting the Teaching and Learning Environment: A Hybrid Model for Human Subject Research Public Policy Implementation

    Science.gov (United States)

    Hottenstein, Kristi N.

    2017-01-01

    Regulations for research involving human subjects have long been a critical issue in higher education. Federal public policy for research involving human subjects impacts institutions of higher education by requiring all federally funded research to be passed by an Institutional Review Board (IRB). Undergraduate research is no exception. Given the…

  8. Ethical Principles as a Guide in Implementing Policies for the Management of Food Allergies in Schools

    Science.gov (United States)

    Behrmann, Jason

    2010-01-01

    Food allergy in children is a growing public health problem that carries a significant risk of anaphylaxis such that schools and child care facilities have enacted emergency preparedness policies for anaphylaxis and methods to prevent the inadvertent consumption of allergens. However, studies indicate that many facilities are poorly prepared to…

  9. Implementation of an Education Technology Policy in Namibia's High Schools: Through the Eyes of the Teacher

    Science.gov (United States)

    Boer, Perien Joniell

    2012-01-01

    The purpose of this study was to explore how Namibian high school teachers experienced the ICT policy for education in their schools. This mixed methods sequential explanatory design consists of two distinct phases: quantitative followed by qualitative (Creswell & Plano Clark, 2011). Quantitative data collection involved the distribution and…

  10. The State Investment and Innovation Policy for Development of Forest Sector: the Ecological-Economic Aspects and Mechanisms for Implementation

    Directory of Open Access Journals (Sweden)

    Dzyubenko Oleksandr M.

    2017-09-01

    Full Text Available he need for formation of the State investment and innovation policy for development of forest sector has been substantiated as an important prerequisite for overcoming investment deficits in both the public and the corporate sectors of forest and wood processing production. The main tendencies in the implementation of capital investments by the entities of forestry entrepreneurship, dynamics of involvement of credit resources by forestry enterprises, and shifts in the structure of capital investments in 2016 were analyzed as compared to 2013. It has been found that an important part of the State investment and innovation policy for development of forest sector should be incentives to accelerate the modernization and upgrading of the material-technical base of lumbering and wood processing. The need to form an institutional framework for partnership between the State and business entities in the part of financing the projects of modernization of lumbering and wood processing equipment has been substantiated.

  11. Strategic environmental noise mapping: methodological issues concerning the implementation of the EU Environmental Noise Directive and their policy implications.

    Science.gov (United States)

    Murphy, E; King, E A

    2010-04-01

    This paper explores methodological issues and policy implications concerning the implementation of the EU Environmental Noise Directive (END) across Member States. Methodologically, the paper focuses on two key thematic issues relevant to the Directive: (1) calculation methods and (2) mapping methods. For (1), the paper focuses, in particular, on how differing calculation methods influence noise prediction results as well as the value of the EU noise indicator L(den) and its associated implications for comparability of noise data across EU states. With regard to (2), emphasis is placed on identifying the issues affecting strategic noise mapping, estimating population exposure, noise action planning and dissemination of noise mapping results to the general public. The implication of these issues for future environmental noise policy is also examined. Copyright (c) 2009 Elsevier Ltd. All rights reserved.

  12. Strategic environmental noise mapping: methodological issues concerning the implementation of the EU Environmental Noise Directive and their policy implications.

    LENUS (Irish Health Repository)

    Murphy, E

    2010-04-01

    This paper explores methodological issues and policy implications concerning the implementation of the EU Environmental Noise Directive (END) across Member States. Methodologically, the paper focuses on two key thematic issues relevant to the Directive: (1) calculation methods and (2) mapping methods. For (1), the paper focuses, in particular, on how differing calculation methods influence noise prediction results as well as the value of the EU noise indicator L(den) and its associated implications for comparability of noise data across EU states. With regard to (2), emphasis is placed on identifying the issues affecting strategic noise mapping, estimating population exposure, noise action planning and dissemination of noise mapping results to the general public. The implication of these issues for future environmental noise policy is also examined.

  13. Food sales outlets, food availability, and the extent of nutrition policy implementation in schools in British Columbia.

    Science.gov (United States)

    Rideout, Karen; Levy-Milne, Ryna; Martin, Carla; Ostry, Aleck S

    2007-01-01

    The purpose of this study was to determine the number and types of different food sales outlets, the types of foods offered for sale in all school food outlets, and the extent of nutrition policy implementation in schools in British Columbia. We also directly measured the number and types of snack foods available for sale in each vending machine at each school. Based on a thorough literature review and guided by an expert panel of nutritionists, we developed an instrument to measure the quantity and types of foods offered for sale in vending machines, the types of food for sale in all school food outlets, and the extent of nutrition policy development. The survey response rate was approximately 70%. Approximately 60% of surveyed schools had a permanent food sales outlet. Snack and beverage vending machines were most common in secondary schools, while tuck shops and food-based fundraisers were more common in elementary schools. While few snack vending machines were present in elementary schools, tuck shops stocked items commonly found in snack machines. Approximately 25% of schools had a formal group responsible for nutrition. These schools were more likely to have nutrition policies in place. "Junk" foods were widely available in elementary, middle, and secondary schools through a variety of outlets. Although snack machines are virtually absent in elementary schools, tuck shops and school fundraisers sell foods usually found in snack machines, largely cancelling the positive effect of the absence of snack machines in these schools. Schools with a group responsible for nutrition appear to have a positive impact on nutrition policy implementation.

  14. Implementation of pre-exposure prophylaxis for human immunodeficiency virus infection: progress and emerging issues in research and policy

    Science.gov (United States)

    Cáceres, Carlos F; Borquez, Annick; Klausner, Jeffrey D; Baggaley, Rachel; Beyrer, Chris

    2016-01-01

    Background In this article, we present recent evidence from studies focused on the implementation, effectiveness and cost-effectiveness of pre-exposure prophylaxis (PrEP) for HIV infection; discuss PrEP scale-up to date, including the observed levels of access and policy development; and elaborate on key emerging policy and research issues to consider for further scale-up, with a special focus on lower-middle income countries. Discussion The 2015 WHO Early Release Guidelines for HIV Treatment and Prevention reflect both scientific evidence and new policy perspectives. Those guidelines present a timely challenge to health systems for the scaling up of not only treatment for every person living with HIV infection but also the offer of PrEP to those at substantial risk. Delivery and uptake of both universal antiretroviral therapy (ART) and PrEP will require nation-wide commitment and could reinvigorate health systems to develop more comprehensive “combination prevention” programmes and support wider testing linked to both treatments and other prevention options for populations at highest risk who are currently not accessing services. Various gaps in current health systems will need to be addressed to achieve strategic scale-up of PrEP, including developing prioritization strategies, strengthening drug regulations, determining cost and funding sources, training health providers, supporting user adherence and creating demand. Conclusions The initial steps in the scale-up of PrEP globally suggest feasibility, acceptability and likely impact. However, to prevent setbacks in less well-resourced settings, countries will need to anticipate and address challenges such as operational and health systems barriers, drug cost and regulatory policies, health providers’ openness to prescribing PrEP to populations at substantial risk, demand and legal and human rights issues. Emerging problems will require creative solutions and will continue to illustrate the complexity of Pr

  15. Implementation of pre-exposure prophylaxis for human immunodeficiency virus infection: progress and emerging issues in research and policy.

    Science.gov (United States)

    Cáceres, Carlos F; Borquez, Annick; Klausner, Jeffrey D; Baggaley, Rachel; Beyrer, Chris

    2016-01-01

    In this article, we present recent evidence from studies focused on the implementation, effectiveness and cost-effectiveness of pre-exposure prophylaxis (PrEP) for HIV infection; discuss PrEP scale-up to date, including the observed levels of access and policy development; and elaborate on key emerging policy and research issues to consider for further scale-up, with a special focus on lower-middle income countries. The 2015 WHO Early Release Guidelines for HIV Treatment and Prevention reflect both scientific evidence and new policy perspectives. Those guidelines present a timely challenge to health systems for the scaling up of not only treatment for every person living with HIV infection but also the offer of PrEP to those at substantial risk. Delivery and uptake of both universal antiretroviral therapy (ART) and PrEP will require nation-wide commitment and could reinvigorate health systems to develop more comprehensive "combination prevention" programmes and support wider testing linked to both treatments and other prevention options for populations at highest risk who are currently not accessing services. Various gaps in current health systems will need to be addressed to achieve strategic scale-up of PrEP, including developing prioritization strategies, strengthening drug regulations, determining cost and funding sources, training health providers, supporting user adherence and creating demand. The initial steps in the scale-up of PrEP globally suggest feasibility, acceptability and likely impact. However, to prevent setbacks in less well-resourced settings, countries will need to anticipate and address challenges such as operational and health systems barriers, drug cost and regulatory policies, health providers' openness to prescribing PrEP to populations at substantial risk, demand and legal and human rights issues. Emerging problems will require creative solutions and will continue to illustrate the complexity of PrEP implementation.

  16. A Comparative Analysis of Institutional Capacities for Implementing Disability Policies in East African Countries: Functions of National Councils for Disability

    Directory of Open Access Journals (Sweden)

    Akiko Yokoyama

    2012-08-01

    Full Text Available During the “African Decade of Persons with Disabilities (2000-2009”, East African countries witnessed significant achievements, especially in the development of law, collection of statistics and in funding. However, many persons with disability are still marginalised from opportunities in education, healthcare and employment.Purpose: With the pre-supposition that the lack of institutional capacities for implementing disability policies is the one major stumbling-block which hinders widespread delivery of social services to persons with disabilities in low-income countries, this study makes a comparative analysis of institutional capacities in the disability sectors of Uganda, Kenya and Tanzania.Method: The research methods adopted were a literature survey and a field survey. The framework for analysis consists of: 1 capacities and functions of disability units in central governments, 2 relationships between central and local governments in the disability sector, and 3 relationships between governments and organisations of persons with disability (DPOs. Special attention is paid to the status, roles and functions of national councils for disability (NCDs, the independent statutory bodies recently established in each of the three countries, with clear authority and duties for the implementation of disability policies. The NCDs enable multi-sectoral stakeholders to be involved in the implementation of disability policies; therefore, positive relationships between the governments and DPOs are essential for the smooth functioning of the NCDs.Results: While the result of the field survey in Tanzania reveals several effective approaches for the smooth operation of the NCD, further study is needed to verify whether these approaches would be applicable to other East African countries such as Kenya and Uganda.doi 10.5463/DCID.v23i2.106

  17. Jezebel at the welfare office: How racialized stereotypes of poor women's reproductive decisions and relationships shape policy implementation.

    Science.gov (United States)

    Masters, N Tatiana; Lindhorst, Taryn P; Meyers, Marcia K

    2014-01-01

    Current welfare scholarship lacks an analysis of how caseworkers discuss sexuality-related issues with clients. Seventy-two of 232 transcribed welfare interviews in three states included discussion of reproductive decisions and relationships. Overall, caseworkers' language reflected negative myths regarding African American women's sexuality and motherhood. By virtue of their status as welfare recipients, regardless of their individual races, clients were placed into racialized myths through workers' talk. This analysis demonstrates that though not present in every welfare interview and often veiled in bureaucratic language, negative ideas about poor women's sexuality persist in welfare policy and are deeply embedded in its day-to-day implementation.

  18. Assessing behavioural intention of small and medium enterprises in implementing an HIV/AIDS policy and programme

    Directory of Open Access Journals (Sweden)

    A. Parsadh

    2005-10-01

    Full Text Available Small and Medium Enterprises (SMEs are likely to feel the impact of an HIV/AIDS epidemic through reduced productivity and an increased percentage of absenteeism; staff turnover; recruitment and training costs; cost of employee benefits; and poor staff morale. One of the interventions is to implement an HIV/AIDS policy and programme, yet a literature search showed that psychological studies of SMEs in implementing an HIV/AIDS policy and programme are limited. The present study utilised the model of the theory of planned behaviour (Ajzen, 1988, 1991, which is an extension of the theory of reasoned action (Fishbein & Ajzen, 1975; Ajzen & Fishbein, 1980. The intention to implement an HIV/AIDS policy and programme was predicted by the theory of planned behaviour constructs such as attitude, subjective norm and perceived behavioural control. The theory of planned behaviour was found to have limited use in assessing behavioural intention of SMEs in implementing an HIV/AIDS policy and programme. Opsomming Die uitwerking van die MIV/VIGS pandemie op Klein en Medium Sake-ondernemings sal tot gevolg hê ’n afname in produktiwiteit; ’n toename in personeelafwesigheid, personeelomset, personeelwerwing en –opleidingskoste, personeelvoordele; en swak personeel moraal tot gevolg hê. Een manier om die probleem aan te spreek is om ’n MIV/VIGS beleid en program te implimenteer. Navorsing toon dat psigologiese studies van klein en medium sakeondernemings om ’n HIV/VIGS beleid en program te implimenteer, beperk is. Hierdie navorsing steun op die teorie van planmatige gedrag (Ajzen, 1988; 1991, wat ’n verlenging is van die teorie van beredeneerde optrede (Fishbein & Ajzen, 1975; Ajzen & Fishbein, 1980. Die oogmerk met die implimentering van ’n MIV/VIGS beleid en program is bepaal deur die teorie van planmagtige gedrag soos waargeneem in houding, subjektiewe norme en waargenome gedragskontrole. Die resultate toon dat die teorie van planmagtige gedrag

  19. Challenges of Implementing Renewable Energy Policies at Community Scale: The Case of Strategic Energy Plans in Denmark

    DEFF Research Database (Denmark)

    Petersen, Jens-Phillip

    2017-01-01

    stakeholders. Although a vast amount of demo projects are well-documented, insufficient attention has been given to the average performing municipalities and their challenges in linking technical energy scenarios with their socio-economic realities in practice. This paper analyses the Strategic Energy Plans...... (SEP) of 17 Danish municipalities on their development, inclusion of local communities, affected stakeholders, and on their impact on the municipalities’ working procedures. The main technical, physical, organisational and socio-economic challenges for local energy policy implementation are illustrated...

  20. China’s Water-Saving Irrigation Management System: Policy, Implementation, and Challenge

    Directory of Open Access Journals (Sweden)

    Liuyang Yao

    2017-12-01

    Full Text Available In response to the increased competition for water, the Chinese government has determined to promote water-saving irrigation (WSI followed by a range of institutional arrangements and policy goals. Three management mechanisms are analyzed in this study in terms of effectiveness, including the top-down regulation mechanism using direct control or economic instruments, the design-bid funding mechanism mobilizing local governments by competitive grants program, and the bottom-up participation mechanism transferring more irrigation management responsibilities to end-users. Although the WSI management has achieved notable improvements by the combination of different mechanisms, conflicts among different policy goals, uneven distribution of financial resources, and insufficient participation from water users caused the difficulty in aligning stakeholders’ incentives. Approaches are needed to enable sustainable management by coordinating incentives from different stakeholders in the management, as well as incorporating end water users to assist decision-making.

  1. Women's shelters in Turkey: a qualitative study on shortcomings of policy making and implementation.

    Science.gov (United States)

    Diner, Cagla; Toktaş, Şule

    2013-03-01

    Despite a long history of women's movements and policy-making efforts to ameliorate women's status in Turkey, the number and quality of women's shelters are far from sufficient. This article aims to reveal the shortcomings of shelter policy through the lens of those "at work" on this important social issue using a qualitative research design. Forty semistructured in-depth interviews were conducted with municipal administrative officials, state social workers, and employees of civil society organizations that run shelters. The research findings reveal that there is a lack of effective authority that has the willpower to combat violence against women, and that it is difficult to keep shelters secure in a patriarchal society away from the male gaze. Furthermore, results indicate that there has been an erosion of social services provided by the state.

  2. Contextual Positive Psychology: Policy Recommendations for Implementing Positive Psychology into Schools

    OpenAIRE

    Ciarrochi, Joseph; Atkins, Paul W. B.; Hayes, Louise L.; Sahdra, Baljinder K.; Parker, Philip

    2016-01-01

    There has been a rapid growth in positive psychology, a research and intervention approach that focuses on promoting optimal functioning and well-being. Positive psychology interventions are now making their way into classrooms all over the world. However, positive psychology has been criticized for being decontextualized and coercive, and for putting an excessive emphasis on positive states, whilst failing to adequately consider negative experiences. Given this, how should policy be used to ...

  3. The Influence Of Implementing The Strategic Policy In Creating Business Climate, Business Environment And Providing Support Facilities Towards Business Empowerment On Small Medium Craft Enterprises In Ambon Indonesia

    OpenAIRE

    Papilaya, Josef; Soisa, Thereesje Roza; Akib, Haedar

    2015-01-01

    This study aims at analyzing and explaining whether there was the influence of implementing the strategic policy in creating business climate, business environment and providing support facilities towards empowerment on small and medium enterprises as well as whether there is synchronously influence of implementing the strategic policy in creating business climate, business environment and providing support facilities for business empowerment on small and medium scale enterprises through a s...

  4. Designing strategies to implement research-based policies and procedures: a set of recommendations for nurse leaders based on the PARiHS framework.

    Science.gov (United States)

    Squires, Janet E; Reay, Trish; Moralejo, Donna; Lefort, Sandra M; Hutchinson, Alison M; Estabrooks, Carole A

    2012-05-01

    Organizational policies and procedures are one vehicle for translating research into nursing practice and improving quality and patient and organizational outcomes. However, their existence alone is not sufficient to ensure use. In this article, we describe the Promoting Action on Research Implementation in Health Services framework and how nurse leaders can use the framework to support the implementation of research-based policies and procedures.

  5. Indonesian And Australian Tax Policy Implementation In Food And Agriculture Industry

    Directory of Open Access Journals (Sweden)

    Hanggoro Pamungkas

    2014-01-01

    Full Text Available Tax policy is one of the most important policy in consideration of investment development in certain industry. Research by Newlon (1987, Swenson (1994 and Hines (1996 concluded that tax rate is one of the most important thing considered by investors in a foreign direct investment. One of tax policy could be used to attract foreign direct investment is income tax incentives. The attractiveness of income tax incentives to a foreign direct investment is as much as the attractiveness to a domestic investment (Anwar and Mulyadi, 2012. In this paper, we have conducted a study of income tax incentives in food and agriculture industry; where we conduct a thorough study of income tax incentives and corporate performance in Indonesian and Australian food and agriculture industry. Our research show that there is a significant influence of income tax incentives to corporate performance. Based on our study, we conclude that the significant influence of income tax incentives to Indonesian corporate performance somewhat in a higher degree than the Australian peers. We have also concluded that Indonesian government provide a relatively more interesting income tax incentives compare to Australian government. However, an average method of net income –a method applied in Australia– could be considered by Indonesian government to avoid a market price fluctuation in this industry. 

  6. Identifying Key Stakeholder Groups for Implementing a Place Branding Policy in Saint Petersburg

    Directory of Open Access Journals (Sweden)

    Kulibanova V. V.

    2017-10-01

    Full Text Available Regional brands have become a valuable intangible asset and a crucial competitive resource for forging partnerships. An effective place branding policy is impossible without a precise understanding of the interests of stakeholder groups. It is essential to realize that each region is unique in its own way. Territories differ in the structure of stakeholders, their influence on regional development, and the range of leverages over regional decision-makers. This study aims to give a more precise definition of key groups of stakeholders in Saint Petersburg place branding, and to identify them. The authors employ the method of theoretical and empirical typology of a territory’s stakeholders within a theoretical framework proposed by E. Freeman, P. Kotler, S. Zenker, and E. Brown. The article defines the concept of key regional stakeholders and identifies them. The proposed target audience (stakeholder group model for a place branding policy is tested on the case of Saint Petersburg. The authors show that each target audience of place marketing requires an individual policy. This is explained by the fact that each group enjoys its unique features that should be taken into account when creating and transmitting messages.

  7. Who is Next? Identifying Communities with the Potential for Increased Implementation of Sustainability Policies and Programs

    Directory of Open Access Journals (Sweden)

    Michael B. Nye

    2016-02-01

    Full Text Available Understanding the system of connections between societal contexts and policy outcomes in municipal governments provides important insights into how community sustainability happens, and why it happens differently in various communities. A growing body of research in recent years has focused on understanding the socio-economic characteristics of communities and cities that are recognized as policy leaders in sustainability. In this paper, we expand the focus beyond the leaders in sustainability as we apply a selection of socio-demographic influences of community sustainability to a large sample of U.S. communities using community classification analytics to identity a range of community types and levels of engagement with sustainability. Our typology presents an integrated and comprehensive perspective on the structure of community sustainability in the United States, highlighting key points of comparison between human capital factors such as population size and density, affluence, home ownership, and adoption of sustainability policy. The analysis provides new insights not only about community leaders in sustainability, but also communities with the civic and social capacity to do more, and the challenges that may inhibit sustainability efforts in others.

  8. Ethical issues in the development and implementation of nutrition-related public health policies and interventions: A scoping review.

    Directory of Open Access Journals (Sweden)

    Thierry Hurlimann

    Full Text Available The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc. contexts.The goal of this scoping review is to delineate and "map" the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise.A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O'Malley. Searches using PubMed with Medical Subject Headings (MeSH categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications.The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented.The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this field. More importantly, these

  9. Ethical issues in the development and implementation of nutrition-related public health policies and interventions: A scoping review

    Science.gov (United States)

    Peña-Rosas, Juan Pablo; Saxena, Abha; Zamora, Gerardo

    2017-01-01

    Background The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc.) contexts. Aim The goal of this scoping review is to delineate and “map” the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise. Methods A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O’Malley. Searches using PubMed with Medical Subject Headings (MeSH) categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications. Results The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented. Discussion The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this

  10. Ethical issues in the development and implementation of nutrition-related public health policies and interventions: A scoping review.

    Science.gov (United States)

    Hurlimann, Thierry; Peña-Rosas, Juan Pablo; Saxena, Abha; Zamora, Gerardo; Godard, Béatrice

    2017-01-01

    The limited integration of ethics in nutrition-related public health policies and interventions is one major concern for those who have the task of implementing them. Ethical challenges that are overlooked during the development of such interventions could raise serious ethical issues during their implementation and even after. As a result, these decision makers need technical support and ethical guidance for adaptation of interventions to local (cultural, social, economic, etc.) contexts. The goal of this scoping review is to delineate and "map" the range of ethical issues in nutrition-related public health interventions, as well as the range of the various fields in which they may arise. A scoping review of empirical research and conceptual literature was conducted following the framework of Arksey and O'Malley. Searches using PubMed with Medical Subject Headings (MeSH) categories and Advanced Search Builder as well as in the Global Health Library were performed. The final sample consists of 169 publications. The ethics of public health prevention or treatment of obesity and non-communicable diseases is the most explicitly and frequently discussed subject. In comparison, ethical issues raised by public health interventions in the fields of undernutrition, breastfeeding, vitamin/mineral supplementation and food fortification, food security, food sustainability and food safety are addressed in a lower proportion of the sample. The results illustrate the various natures, types, and scopes of existing public health nutrition-related interventions, and the various ethical issues that may be raised by these interventions, in addition to the numerous and different contexts in which they may be implemented. The ethical issues faced in the development and implementation of nutrition-related public health interventions are varied and cannot be equated with, nor generalized about, when dealing with specific activities in this field. More importantly, these ethical issues

  11. The impact of political institution and structure on health policy making and implementation: Nigeria as a case study.

    Science.gov (United States)

    Adewole, D A

    2015-03-01

    Typical of the political structure of the United States of America, Nigeria operates a federal presidential system of government. Political power is shared between the three levels of Federal, State and the Local Governments. The political affairs of the country at these levels are determined by elected politicians from different political parties, with different political and developmental ideologies. This scenario has implications on policy making and implementation especially in the health sector. This paper sought to discuss the type of political structures and institutions and, the effect of these on health policy implementation in selected countries, with emphasis on Nigeria. CURRENT STATUS OF FINANCING HEALTH CARE: The National Health Insurance Scheme (NHIS) was launched almost a decade ago but currently covers an estimated four percent of the population, majority of which are in the formal sector. The poor coverage of the scheme in Nigeria has been attributed to the type of political institution and structure it operates. This is evident with examples of some countries in the world; whereas, the scheme in Nigeria was implemented almost at the same time like in neighbouring Ghana, the scheme in Ghana has made a considerable progress. Likewise, prepayment scheme for health in Britain has been in practice for decades, the U.S.A. is just currently making progress in the implementation of a nationwide prepayment scheme despite several years of efforts. It is important to note that Nigeria and the U.S.A. has similar political institution and structure different from what Ghana and Britain have in common. The current low level of coverage of the NHIS in Nigeria is largely due to the type of adopted political institution and structure. The implications of this on the health status of the people and national development cannot be overemphasized.

  12. Implementing Domestic Violence Gun Confiscation Policy in Rural and Urban Communities: Assessing the Perceived Risk, Benefits, and Barriers.

    Science.gov (United States)

    Lynch, Kellie R; Logan, T K

    2017-07-01

    The purpose of this study was to gain a deeper understanding of why communities differing in culture and resources are willing and able to implement gun confiscation as part of a protective order in the absence of a uniform statewide gun law. Specifically, the perceived risk of intimate partner homicide and gun violence, effectiveness of implementing gun confiscation, and the barriers to implementing gun confiscation were assessed. Interviews were conducted with key community professionals ( N = 133) who worked in victim services and the justice system in one urban community and four rural, under-resourced communities. Analyses revealed that professionals in the rural communities viewed the risk of intimate partner homicide and gun violence as lower, and the process of implementing gun confiscation as less effective than professionals in the urban community. In addition, urban justice system professionals, in comparison with all other professionals, reported fewer barriers to enforcing the gun confiscation police and were more likely to downplay law enforcement limitations in the community. The results have implications for developing more effective regional strategies in states that lack domestic violence gun laws as a means to increase a community's ability to enforce gun policies and initiatives.

  13. Water quality improvement policies: lessons learned from the implementation of Proposition O in Los Angeles, California

    Science.gov (United States)

    Mi-Hyun Park; Michael Stenstrom; Stephanie Pincetl

    2009-01-01

    This article evaluates the implementation of Proposition O, a stormwater cleanup measure, in Los Angeles, California. The measure was intended to create new funding to help the city comply with the Total Maximum Daily Load requirements under the federal Clean Water Act. Funding water quality objectives through a bond measure was necessary because the city had...

  14. The Philippine Department of Education: Challenges of Policy Implementation amidst Corruption

    Science.gov (United States)

    Reyes, Vicente Chua

    2010-01-01

    This inquiry interrogates the experiences of local implementation actors of the Philippine Department of Education as they navigate through reform efforts within systemic corruption. Departing from dominant analytical paradigms centred on patron-client frameworks, the article introduces the typology of complex linkages where local actors play…

  15. Evaluating Community Readiness to Implement Environmental and Policy-Based Alcohol Abuse Prevention Strategies in Wisconsin

    Science.gov (United States)

    Paltzer, Jason; Black, Penny; Moberg, D. Paul

    2013-01-01

    Background: Matching evidence-based alcohol prevention strat- egies with a community's readiness to support those strategies is the basis for the Tri-Ethnic Community Readiness Model (CRM). The purpose of this evaluation was to assess the association of a community's readiness to address alcohol abuse in their community with the implementation of…

  16. The Bologna Process Policy Implementation in Russia and Ukraine: Similarities and Differences

    Science.gov (United States)

    Luchinskaya, Daria; Ovchynnikova, Olena

    2011-01-01

    The recent establishment of the European Higher Education Area and the ongoing monitoring carried out by the Bologna Follow-up Group raises the question: to what extent have the objectives of the Bologna Process been implemented in the varied higher education systems of the 47 signatory states, including the former Soviet Union states? This…

  17. Feasibility of Implementing a School Nutrition Intervention That Addresses Policies, Systems, and Environment

    Science.gov (United States)

    Bergman, Jacqueline J.; Linnell, Jessica D.; Scherr, Rachel E.; Ginsburg, David C.; Brian, Kelley M.; Carter, Rosemary; Donohue, Susan; Klisch, Shannon; Lawry-Hall, Suzanne; Pressman, Jona; Soule, Katherine; Zidenberg-Cherr, Sheri

    2018-01-01

    We conducted a process evaluation of the Shaping Healthy Choices Program, a multicomponent school-based nutrition program, when implemented in partnership with University of California (UC) CalFresh and UC Cooperative Extension (UCCE). There were positive impacts on participating students, but results varied across counties, possibly due to…

  18. EUREST PLUS - European Regulatory Science on Tobacco: Policy implementation to reduce lung diseases - Proposal (Horizon2020

    Directory of Open Access Journals (Sweden)

    Constantine Vardavas

    2016-03-01

    Full Text Available EUREST-PLUS, a thirteen –partner EU joint proposal, coordinated by ENSP (Coordinator: Constantine Vardavas, aims to monitor and evaluate the impact of the TPD at an EU level. The specific objectives of the proposal are: 1. To evaluate the psychosocial and behavioural impact of TPD implementation and FCTC implementation, through the creation of a longitudinal cohort of adult smokers in 6 EU MS (Germany, Greece, Hungary, Poland, Romania, Spain in a pre- vs. post- study design. 2. To assess support for TPD implementation through secondary dataset analyses of the 2015 Special Eurobarometer on Tobacco Survey (SETS, and through trend analyses on the merged datasets of the 2009, 2012 and2015 SETS datasets. 3. To document changes in e-cigarette product parameters (technical design, labelling, packaging and chemical composition following implementation of Article 20 of the TPD. 4. To enhance innovative joint research collaborations, through the pooling and comparisons across both other EU countries of the International Tobacco Control (ITC Project, and other non-EU countries.

  19. Fidelity of Implementation of a State Antibullying Policy with a Focus on Protected Social Classes

    Science.gov (United States)

    Hall, William J.; Chapman, Mimi V.

    2018-01-01

    Bullying threatens the mental and educational well-being of students. All states have enacted antibullying laws. This study surveyed 634 educators about the implementation of the North Carolina School Violence Prevention Act, which enumerated social classes protected from bullying: race, national origin, gender, socioeconomic status, sexual…

  20. Like Peas and Carrots: Combining Wellness Policy Implementation With Classroom Education for Obesity Prevention in the Childcare Setting.

    Science.gov (United States)

    Cotwright, Caree J; Bales, Diane W; Lee, Jung Sun; Parrott, Kathryn; Celestin, Nathalie; Olubajo, Babatunde

    We evaluated an intervention combining policy training and technical assistance for childcare teachers with a nutrition education curriculum to improve (1) the knowledge and self-efficacy of childcare teachers in implementing obesity prevention policies and practices, (2) the quantity and quality of nutrition and physical activity education, and (3) the childcare wellness environment. Thirteen teachers and 8 administrators (2 of whom were also teachers) from 8 childcare programs in Clarke County, Georgia, participated in the Healthy Child Care Georgia intervention during June-October 2015. The intervention included (1) training and technical assistance on obesity prevention policies, systems, and practices and (2) direct education by teachers using the Eat Healthy, Be Active curriculum. We assessed changes in program wellness policy adoption and teacher knowledge and self-efficacy from pre- to post-intervention through self-report questionnaires, interviews, and focus groups. Teachers' knowledge scores (maximum score = 100) rose significantly from a mean (SD) pre-intervention of 67.1 (14.6) to post-intervention of 83.2 (14.3) ( P < .001). The mean score for "teaching nutrition and activity to children" (maximum score = 105) rose significantly from 86.9 (8.2) to 93.5 (5.2) ( P = .011) and for "modeling and supporting children" (maximum score = 63) from 55.8 (5.1) to 59.5 (4.5) ( P = .015). The mean (SD) scores for breastfeeding and infant feeding policy/practice adoption (maximum score = 6) increased significantly from 2.5 (1.8) to 3.7 (1.9) ( P = .043) and for nutrition education policy/practice adoption (maximum score = 4) from 2.0 (1.3) to 3.3 (1.4) ( P = .019). The combined approach enhanced classroom nutrition education and improved the adoption of best practices. Future studies should examine the effects of using a combined approach to promote nutrition and physical activity policies and practices in the early care and education setting.

  1. Explaining differences in stakeholder take up of disease management programmes: A comparative analysis of policy implementation in Austria and Germany.

    Science.gov (United States)

    Schang, Laura; Thomson, Sarah; Czypionka, Thomas

    2016-03-01

    Understanding why policies to improve care for people with chronic conditions fail to be implemented is a pressing issue in health system reform. We explore reasons for the relatively high uptake of disease management programmes (DMPs) in Germany, in contrast to low uptake in Austria. We focus on the motivation, information and power of key stakeholder groups (payers, physician associations, individual physicians and patients). We conducted a comparative stakeholder analysis using qualitative data from interviews (n=15 in Austria and n=26 in Germany), legal documents and media reports. Stakeholders in Germany appeared to have systematically stronger motivation, exposure to more positive information about DMPs and better ability to implement DMPs than their counterparts in Austria. Policy in Austria focused on financial incentives to physicians only. In Germany, limited evidence about the quality improvement and cost savings potential of DMPs was mitigated by strong financial incentives to sickness funds but proved a fundamental obstacle in Austria. Efforts to promote DMPs should seek to ensure the cooperation of payers and patients, not just physicians, using a mix of financial and non-financial instruments suited to the context. A singular focus on financially incentivising providers is unlikely to stimulate uptake of DMPs. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Clarification - State Implementation Plans (SIPs): Policy Regarding Excess Emissions During Malfunctions, Startup, and Shutdown

    Science.gov (United States)

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  3. State Implementation Plans: Policy Regarding Excess Emissions During Malfunctions, Startup, and Shutdown

    Science.gov (United States)

    This document may be of assistance in applying the New Source Review (NSR) air permitting regulations including the Prevention of Significant Deterioration (PSD) requirements. This document is part of the NSR Policy and Guidance Database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  4. The Intervention of the Judiciary in the Formulation and Implementation of Public Policies in Brazil

    Directory of Open Access Journals (Sweden)

    Glalber da Costa Cypreste Queiroz

    2015-12-01

    Full Text Available The present study aims to discuss the aspects of the intervention of the Judiciary for the enforcement of public policies, developed by Legislative and Executive powers, with aims to accomplish the fundamental rights provided for in the Federal Constitution of 1988. The objective is to find out if there is legitimacy for the jurisdiction to control the actions of the other powers in order to give maximum effectiveness to constitutional requirements, particularly, when there is a violation of those determinations concerned with fundamental rights, since the possibility of such a measure is admitted by thought neoconstitucionalism, not violating the principles of the Democratic State of Law.

  5. Contribution of the EU Budget to the Implementation of the Social Cohesion Policy of the European Union

    Directory of Open Access Journals (Sweden)

    Katarzyna Stabryła-Chudzio

    2016-04-01

    Full Text Available Objective: The aim of the present study is to examine whether the European Union budget comprises significant resources for financing measures relating to social cohesion. The analysis is based on the contents of the Europe 2020 Strategy. Given the constraints of space and for the sake of clarity of the argument, the author focuses on the role of the EU budget rather than all measures aimed at social cohesion undertaken by EU institutions or targeted by policies of individual Member States.Methodology: Documents, studies and reports published by the European Commission constitute the main source of information. In addition, the author has taken into account macroeconomic data demonstrating the deterioration of the social situation since 2009, as well as the instruments that the European Commission has deployed since 2013 in order to respond to post-crisis challenges.Conclusions: It can be roughly estimated that more than 40 percent of total resources within the Multiannual Financial Framework 2014–2020 shall be allocated to the social cohesion policy. Opportunities afforded by the implementation of the Europe 2020 Strategy include primarily the definition of objectives whose priority is indisputable and the introduction of the hitherto neglected analysis of certain socio-economic indicators, classified by country or region and, in certain cases, examined in more detail than required by the European Commission. The monitoring of objectives is conducive to the introduction of new solutions and implementation tools, as exemplified by the new instruments within the Multiannual Financial Framework 2014–2020, as well as the adjustment of available funds in light of the most pressing challenges. The European Semester has facilitated the task of comparing progress in strategy implementation by individual Member States, as well as the provision of recommendations for each of them and an individualized approach.Research implications: This article

  6. The impacts of implementation of National Essential Medicines Policies on primary healthcare institutions: a cross-sectional study in China

    Directory of Open Access Journals (Sweden)

    Zhigang Guo

    2017-11-01

    Full Text Available Abstract Background In 2009, China implemented the National Essential Medicines Policies (NEMPs as part of a new round of medical system reforms. This study aims to evaluate the impacts of the NEMPs on primary healthcare institutions and discuss the roles of the policies in the new healthcare reforms of China. Methods The study selected a total of six representative provinces of China, generating a sample of 261 primary healthcare institutions from August to December in 2010. A questionnaire survey developed by the study team was distributed to all of the primary healthcare institutions. Nine indicators from three dimensions as the outcome variables were used and calculated to evaluate the impacts of implementation of policies. All of the outcome variables were tested using independent-samples T test between the treatment group (with the NEMPs implemented and the control group (without the NEMPs implemented. Results The ratio of drug sales and institution revenues at primary healthcare institutions was 42.99% in the treatment group, which was significantly lower than the control group (53.90%, p < 0.01, while the ratio of financial subsidies of the treatment group was shown to be higher (30.78% VS 20.82%, p < 0.01. The rate of healthcare workers income growth was greater in the treatment group (15.35% VS 5.79%, p = 0.006. The treatment group exhibited higher outpatient and emergency visits per month in urban areas (2720 VS 1763 visits per month and rural areas (3830 VS 3633, and higher prescriptions per month in urban areas (2048 VS 1025, p = 0.005 and rural areas (3806 VS 3251. The treatment group used more essential medicines and received greater income from essential medicines while the drug price markup rate was lower. Conclusions The NEMPs appear to affect the transformation of the operation mechanisms of primary healthcare institutions, the improvement of the mechanisms for government investment, and the healthcare pricing

  7. Groundwater rejuvenation in parts of India influenced by water-policy change implementation.

    Science.gov (United States)

    Bhanja, Soumendra N; Mukherjee, Abhijit; Rodell, Matthew; Wada, Yoshihide; Chattopadhyay, Siddhartha; Velicogna, Isabella; Pangaluru, Kishore; Famiglietti, James S

    2017-08-07

    The dwindling groundwater resource of India, supporting almost one fifth of the global population and also the largest groundwater user, has been of great concern in recent years. However, in contrary to the well documented Indian groundwater depletion due to rapid and unmanaged groundwater withdrawal, here for the first time, we report regional-scale groundwater storage (GWS) replenishment through long-term (1996-2014, using more than 19000 observation locations) in situ and decadal (2003-2014) satellite-based groundwater storage measurements in western and southern parts of India. In parts of western and southern India, in situ GWS (GWS obs ) has been decreasing at the rate of -5.81 ± 0.38 km 3 /year (in 1996-2001) and -0.92 ± 0.12 km 3 /year (in 1996-2002), and reversed to replenish at the rate of 2.04 ± 0.20 km 3 /year (in 2002-2014) and 0.76 ± 0.08 km 3 /year (in 2003-2014), respectively. Here, using statistical analyses and simulation results of groundwater management policy change effect on groundwater storage in western and southern India, we show that paradigm shift in Indian groundwater withdrawal and management policies for sustainable water utilization appear to have started replenishing the aquifers in western and southern parts of India.

  8. The management of evaluating the European programs and policies implemented in Romania

    Directory of Open Access Journals (Sweden)

    Doctoral student ROMAN MIHAELA

    2011-12-01

    Full Text Available Starting with the reform and modernization of the public administration in Romania in the mid 1990s, an important element of this process being the development of the management process, respectively of planning and managing public policies, the Romanian government started also a process of developing the capacity for evaluating public programs and policies, both the ones with European or foreign financing and the ones with domestic financing. Up-to-date analyses and studies have showed, however, that at the level of the national public sector there is a major discrepancy between the progress made in the evaluation of European programs or the ones with foreign financing and the programs financed from public funds, namely that there is a consolidated evaluation practice as regards the first types of programs, which is virtually inexistent as regards programs financed from the public budget.This paper intends to identify the progress made at the level of the Romanian public administration as regards the management of evaluating programs with European financing, to see the characteristics of building the evaluation capacity within the national system of these programs and the motivation stimulating such approaches. The first part of this paper shall contain a presentation of the background of the current evaluation system, including both the legislative framework and the institutional framework with duties of management and evaluation of European programs; further, I shall analyze the evolution of this system in order to be able to draw conclusions regarding the evaluation capacity of Romania.

  9. Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia.

    Science.gov (United States)

    Djellouli, Nehla; Quevedo-Gómez, María Cristina

    2015-05-01

    The Caribbean region presents the highest prevalence of HIV/AIDS worldwide after sub-Saharan Africa; leading to serious social, economic and health consequences at the local scale but also at the regional and global levels. In Colombia, a national plan to tackle the epidemic was formulated with little evidence that its implementation in the local context is effective. This study focused on Cartagena - one of Colombia's largest cities and an international touristic hub - that presents one of the highest HIV prevalences in the country, to investigate whether the national plan accounts for local specificities and what are the barriers to local implementation. Based on the Contextual Interaction Theory (CIT), this qualitative research relied upon 27 interviews and 13 life stories of local inhabitants and stakeholders, collected in a first fieldwork in 2006-2007. A follow-up data collection took place in 2013 with 10 participants: key policymakers and implementers, NGO representatives and local inhabitants. Barriers identified by the participants included: local population's understandings and beliefs on condom use; stigma and discrimination; lack of collaboration from the Church, the education sector and local politicians; corruption; high staff turnover; frequent changes in leadership; lack of economic and human resources; and barriers to health care access. The findings suggest that global influences also have an impact on the CIT framework (e.g. international organisations as a major financier in HIV prevention). The participants put forward several feasible solutions to implementation barriers. We discuss how several of the proposed solutions have been applied in other Latin American and Caribbean countries and yielded positive results. However, further research is needed to find possible ways of overcoming certain barriers identified by this study such as corruption, the lack of collaboration of the Church and barriers to health care access. Copyright © 2015

  10. Regulatory policy issues and the Clean Air Act: An interim report on the state implementation workshops

    Energy Technology Data Exchange (ETDEWEB)

    Rose, K.; Burns, R.E.

    1992-08-01

    The National Regulatory Research Institute (NRRI), with funding from the U.S. Environmental Protection Agency (EPA) and U.S. Department of Energy (DOE), conducted two workshops on state public utility commission implementation of the Clean Air Act Amendments of 1990 (CAAA). The first workshop was held in Charlotte, North Carolina for southern and eastern states in April 1992 and the second was held in St. Louis, Missouri for Midwestern states in May. The workshops had four objectives: (1) discuss key issues and concerns on CAAA implementation, (2) encourage a discussion among states on issues of common interest, (3) attempt to reach consensus, where possible, on some key issues, and (4) provide the workshop participants with information and materials to assist in developing rules, orders, and procedures in their state. Of primary interest from the federal perspective was for workshop participants to return to their states with additional background and understanding of how state commission actions may affect implementation of the CAAA and enable them to provide guidance to their jurisdictional utilities. It was hoped this would reduce some of the uncertainty utilities face and assist in the development of an efficient allowance market. The basic format of the workshops was that invited speakers made presentations on specific issues. {open_quotes}Primary participants{close_quotes} from each state and other workshop attendees then discussed the issues raised by the speakers and other related concerns. The primary participants were state commissioners, commission staff, representatives from state consumer advocate organizations, EPA, DOE, and the Federal Energy Regulatory Commission (FERC). Other attendees were utility representatives, consultants, and other interested parties. All participants were given a workbook with excerpts from an NRRI report on CAAA implementation and papers or outlines from speakers.

  11. Regulatory policy issues and the Clean Air Act: Issues and papers from the state implementation workshops

    Energy Technology Data Exchange (ETDEWEB)

    Rose, K. [ed.; Burns, R.E.

    1993-07-01

    The National Regulatory Research Institute (NRRI), with funding from the US Environmental Protection Agency (EPA) and the US Department of Energy (DOE), conducted four regional workshops` on state public utility commission implementation of the Clean Air Act Amendments of 1990 (CAAA). The workshops had four objectives: (1) to discuss key issues and concerns on CAAA implementation, (2) to encourage a discussion among states on issues of common interests, (3) to attempt to reach consensus, where possible, on key issues, and (4) to provide the workshop participants with information and materials to assist in developing state rules, orders, and procedures. From the federal perspective, a primary goal was to ensure that workshop participants return to their states with a comprehensive background and understanding of how state commission actions may affect implementation of the CAAA and to be able to provide guidance to their jurisdictional utilities. It was hoped that this would reduce some of the uncertainty utilities face and assist in the development of an efficient allowance market. This report is divided into two main sections. In Section II, eleven principal issues are identified and discussed. These issues were chosen because they were either the most frequently discussed or they were related to the questions asked in response to the speakers` presentations. This section does not cover all the issues relevant to state implementation nor all the issues discussed at the workshops; rather, Section II is intended to provide an overview of the,planning, ratemaking, and multistate issues. Part III is a series of workshop papers presented by some of the speakers. Individual papers have been cataloged separately.

  12. Controlling corporate influence in health policy making? An assessment of the implementation of article 5.3 of the World Health Organization framework convention on tobacco control.

    Science.gov (United States)

    Fooks, Gary Jonas; Smith, Julia; Lee, Kelley; Holden, Chris

    2017-03-08

    The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) stands to significantly reduce tobacco-related mortality by accelerating the introduction of evidence-based tobacco control measures. However, the extent to which States Parties have implemented the Convention varies considerably. Article 5.3 of the FCTC, is intended to insulate policy-making from the tobacco industry's political influence, and aims to address barriers to strong implementation of the Convention associated with tobacco industry political activity. This paper quantitatively assesses implementation of Article 5.3's Guidelines for Implementation, evaluates the strength of Parties' efforts to implement specific recommendations, and explores how different approaches to implementation expose the policy process to continuing industry influence. We cross-referenced a broad range of documentary data (including FCTC Party reports and World Bank data on the governance of conflicts of interest in public administration) against Article 5.3 implementation guidelines (n = 24) for 155 Parties, and performed an in-depth thematic analysis to examine the strength of implementation for specific recommendations. Across all Parties, 16% of guideline recommendations reviewed have been implemented. Eighty-three percent of Parties that have taken some action under Article 5.3 have introduced less than a third of the guidelines. Most compliance with the guidelines is achieved through pre-existing policy instruments introduced independently of the FCTC, which rarely cover all relevant policy actors and fall short of the guideline recommendations. Measures introduced in response to the FCTC are typically restricted to health ministries and not explicit about third parties acting on behalf of the industry. Parties systematically overlook recommendations that facilitate industry monitoring. Highly selective and incomplete implementation of specific guideline recommendations facilitates

  13. Water quality improvement policies: lessons learned from the implementation of Proposition O in Los Angeles, California.

    Science.gov (United States)

    Park, Mi-Hyun; Stenstrom, Michael; Pincetl, Stephanie

    2009-03-01

    This article evaluates the implementation of Proposition O, a stormwater cleanup measure, in Los Angeles, California. The measure was intended to create new funding to help the city comply with the Total Maximum Daily Load requirements under the federal Clean Water Act. Funding water quality objectives through a bond measure was necessary because the city had insufficient revenues to deploy new projects in its budget. The bond initiative required a supermajority vote (two-thirds of the voters), hence the public had to be convinced that such funding both was necessary and would be effective. The bond act language included project solicitation from the public, as well as multiple benefit objectives. Accordingly, nonprofit organizations mobilized to present projects that included creating new parks, using schoolyards for flood control and groundwater recharge, and replacing parking lots with permeable surfaces, among others. Yet few, if any, of these projects were retained for funding, as the city itself also had a list of priorities and higher technical expertise in justifying them as delivering water quality improvements. Our case study of the implementation of Proposition O points to the potentially different priorities for the renovation of urban infrastructure that are held by nonprofit organizations and city agencies and the importance of structuring public processes clearly so that there are no misimpressions about funding and implementation responsibilities that can lead to disillusionment with government, especially under conditions of fiscal constraints.

  14. Influence of Selected Factors on the Implementation of Information and Communication Technology Policy in Public Secondary Schools in Naivasha Sub-County, Kenya

    Science.gov (United States)

    Francis, Njoroge Ngugi; Ngugi, Margaret; Kinzi, Joab

    2017-01-01

    The aim of this study was to examine the influence of selected factors on implementation of Information and Communication Technology in public secondary schools in Naivasha sub-county, Kenya. The study investigated whether the ICT infrastructural cost, schools' visions, and teachers' ICT skills hinder effective implementation of ICT policy in…

  15. Tobacco Control Policies in Vietnam: Review on MPOWER Implementation Progress and Challenges.

    Science.gov (United States)

    Minh, Hoang Van; Ngan, Tran Thu; Mai, Vu Quynh; My, Nguyen Thi Tuyet; Chung, Le Hong; Kien, Vu Duy; Anh, Tran Tuan; Ngoc, Nguyen Bao; Giap, Vu Van; Cuong, Nguyen Manh; Manh, Pham Duc; Giang, Kim Bao

    2016-01-01

    In Vietnam, the WHO Framework Convention on Tobacco Control (WHO FCTC) took effect in March 2005 while MPOWER has been implemented since 2008. This paper describes the progress and challenges of implementation of the MPOWER package in Vietnam. We can report that, in term of monitoring, Vietnam is very active in the Global Tobacco Surveillance System, completing two rounds of the Global Adult Tobacco Survey (GATS) and three rounds of the Global Youth Tobacco Survey (GYTS). To protect people from tobacco smoke, Vietnam has issued and enforced a law requiring comprehensive smoking bans at workplaces and public places since 2013. Tobacco advertising and promotion are also prohibited with the exception of points of sale displays of tobacco products. Violations come in the form of promotion girls, corporate social responsibility activities from tobacco manufacturers and packages displayed by retail vendors. Vietnam is one of the 77 countries that require pictorial health warnings to be printed on cigarette packages to warn about the danger of tobacco and the warnings have been implemented effectively. Cigarette tax is 70% of factory price which is equal to less than 45% of retail price and much lower than the recommendation of WHO. However, Vietnam is one of the very few countries that require manufacturers and importers to make "compulsory contributions" at 1-2% of the factory price of cigarettes sold in Vietnam for the establishment of a Tobacco Control Fund (TCF). The TCF is being operated well. In 2015, 67 units of 63 provinces/cities, 22 ministries and political-social organizations and 6 hospitals received funding from TCF to implement a wide range of tobacco control activities. Cessation services have been starting with a a toll-free quit-line but need to be further strengthened. In conclusion, Vietnam has constantly put efforts into the tobacco control field with high commitment from the government, scientists and activists. Though several remarkable achievements

  16. 78 FR 10901 - Mortgage Servicing Rules Under the Truth in Lending Act (Regulation Z)

    Science.gov (United States)

    2013-02-14

    ...., & Urban Affairs, 111th Cong. 53-54 (2010) (statement of Thomas J. Miller, Iowa Att'y Gen.) (``Miller... is amending Regulation X, which contains companion rules implementing amendments to the Real Estate..., Senior Counsels, Office of Regulations, at (202) 435-7700. Regulation X (RESPA): Whitney Patross...

  17. 75 FR 19241 - Financial Crimes Enforcement Network; Amendment to the Bank Secrecy Act Regulations; Defining...

    Science.gov (United States)

    2010-04-14

    ... the BSA on the filing of Currency Transaction Reports (``CTRs'') and on the creation, retention, and... definition of mutual fund in the rule requiring mutual funds to establish anti-money laundering (``AML...-money laundering programs and compliance procedures.\\1\\ Regulations implementing the BSA appear at 31...

  18. The Tobacco-Free Village Program: Helping Rural Areas Implement and Achieve Goals of Tobacco Control Policies in India.

    Science.gov (United States)

    Chatterjee, Nilesh; Patil, Deepak; Kadam, Rajashree; Fernandes, Genevie

    2017-09-27

    India has 274 million tobacco users and a tobacco use prevalence of 38% in rural areas. Tobacco consumption causes 1 million deaths and costs the health system nearly US$23 billion annually. Tobacco control policies exist but lack proper implementation. In this article, we review the Tobacco-free Village (TfV) program conducted in Maharashtra state in India and describe its process to help villages in rural India achieve "tobacco-free" status (i.e., the sale and use of tobacco are prohibited by law). We reviewed program documents and conducted 22 qualitative interviews with program staff and village-level stakeholders. From 2008 to 2014, Salaam Mumbai Foundation implemented the TfV program in 60 villages in Maharashtra state. The program used a number of strategies to help villages become tobacco free, including collaborating with a community-based organization, leveraging existing health workers, conducting a situation analysis, training health workers, engaging stakeholders, developing TfV assessment criteria, mobilizing the community, conducting health education, imposing sanctions, and offering incentives. By 2014, 4 villages had achieved tobacco-free status according to 11 assessment criteria. Successful villages demonstrated strong local leader involvement, ownership of the program, and commitment to the cause by residents. The TfV program faced barriers including poor motivation of health workers, difficulty in changing social norms of tobacco use, and refusal of local vendors to stop tobacco sales due to financial losses. This low-cost, community-driven program holds promise for helping public health practitioners and governments implement and achieve the goals of tobacco control policies, especially in resource-scarce settings. © Chatterjee et al.

  19. Implementation of prevention of mother-to-child transmission of HIV programme through private hospitals of Delhi--policy implications.

    Science.gov (United States)

    Gupta, A K; Garg, C R; Joshi, B C; Rawat, N; Dabla, V; Gupta, A

    2015-01-01

    In India, programme for prevention of mother-to-child transmission (PMTCT) of HIV is primarily implemented through public health system. State AIDS Control Societies (SACSs) encourage private hospitals to set up integrated counselling and testing centres (ICTCs). However, private hospitals of Delhi did not set up ICTCs. Consequently, there is no information on PMTCT interventions in private hospitals of Delhi. This study was undertaken by Delhi SACS during March 2013 through September 2013 to assess status of implementation of PMTCT programme in various private hospitals of Delhi to assist programme managers in framing national policy to facilitate uniform implementation of National PMTCT guidelines. Out of total 575 private hospitals registered with Government of Delhi, 336 (58.4%) catering to pregnant women were identified. About 100 private hospitals with facility of antenatal care, vaginal/caesarean delivery and postnatal care and minimum 10 indoor beds were selected for study. Study sample comprised of large corporate hospitals (≥100 beds; n = 29), medium-sized hospitals (25 to Policy, HIV testing was done without pre/post-test counselling/or consent of women, no PMTCT protocol existed, delivery of HIV-positive women was not undertaken and no efforts were made to link HIV-positive women to antiretroviral treatment. Major intervention observed was medical termination of pregnancy, which indicates lack of awareness in private hospitals about available interventions under national programme. The role of private hospitals in management of HIV in pregnant women must be recognized and mainstreamed in HIV control efforts. There is an urgent need for capacity building of private health care providers to improve standards of practice. National AIDS Control Organization may consider establishing linkages or adopting model developed by some countries with generalized epidemic for delivering PMTCT services in private health sector.

  20. Prioritizing Congenital Syphilis Control in South China: A Decision Analytic Model to Inform Policy Implementation

    Science.gov (United States)

    Tan, Nicholas X.; Rydzak, Chara; Yang, Li-Gang; Vickerman, Peter; Yang, Bin; Peeling, Rosanna W.; Hawkes, Sarah; Chen, Xiang-Sheng; Tucker, Joseph D.

    2013-01-01

    Background Syphilis is a major public health problem in many regions of China, with increases in congenital syphilis (CS) cases causing concern. The Chinese Ministry of Health recently announced a comprehensive 10-y national syphilis control plan focusing on averting CS. The decision analytic model presented here quantifies the impact of the planned strategies to determine whether they are likely to meet the goals laid out in the control plan. Methods and Findings Our model incorporated data on age-stratified fertility, female adult syphilis cases, and empirical syphilis transmission rates to estimate the number of CS cases associated with prenatal syphilis infection on a yearly basis. Guangdong Province was the focus of this analysis because of the availability of high-quality demographic and public health data. Each model outcome was simulated 1,000 times to incorporate uncertainty in model inputs. The model was validated using data from a CS intervention program among 477,656 women in China. Sensitivity analyses were performed to identify which variables are likely to be most influential in achieving Chinese and international policy goals. Increasing prenatal screening coverage was the single most effective strategy for reducing CS cases. An incremental increase in prenatal screening from the base case of 57% coverage to 95% coverage was associated with 106 (95% CI: 101, 111) CS cases averted per 100,000 live births (58% decrease). The policy strategies laid out in the national plan led to an outcome that fell short of the target, while a four-pronged comprehensive syphilis control strategy consisting of increased prenatal screening coverage, increased treatment completion, earlier prenatal screening, and improved syphilis test characteristics was associated with 157 (95% CI: 154, 160) CS cases averted per 100,000 live births (85% decrease). Conclusions The Chinese national plan provides a strong foundation for syphilis control, but more comprehensive measures

  1. ACMECS Bioenergy Network: Implementing a transnational science-based policy network on bioenergy

    Science.gov (United States)

    Bruckman, Viktor J.; Haruthaithanasan, Maliwan; Kraxner, Florian; Brenner, Anna

    2017-04-01

    Despite the currently low prices for fossil energy resulting from a number of geopolitical reasons, intergovernmental efforts are being made towards a transition to a sustainable bio-economy. The main reasons for this include climate change mitigation, decreasing dependencies fossil fuel imports and hence external market fluctuations, diversification of energy generation and feedstock production for industrial processes. Since 2012, the ACMECS bioenergy network initiative leads negotiations and organizes workshops to set up a regional bioenergy network in Indochina, with the aim to promote biomass and -energy markets, technology transfer, rural development and income generation. Policy development is guided by the International Union of Forest Research Institutions (IUFRO) Task Force "Sustainable Forest Bioenergy Network". In this paper, we highlight the achievements so far and present results of a multi-stakeholder questionnaire in combination with a quantitative analysis of the National Bioenergy Development Plans (NBDP's). We found that traditional fuelwood is still the most important resource for generating thermal energy in the region, especially in rural settings, and it will remain an important resource even in 25 years. However, less fuelwood will be sourced from natural forests as compared to today. NBDP's have a focus on market development, technology transfer and funding possibilities of a regional bioenergy strategy, while the responses of the questionnaire favored more altruistic goals, i.e. sustainable resource management, environmental protection and climate change mitigation, generation of rural income and community involvement etc. This is surprising, since a sub-population of the (anonymous) questionnaire respondents was actually responsible drafting the NBDP's. We therefore suggest the following measures to ensure regulations that represent the original aims of the network (climate change mitigation, poverty alleviation, sustainable resource use

  2. Impact of Natural Disasters on Livelihood Resilience of Sichuan Rural Residents and Policy Implementation

    Science.gov (United States)

    Fang, Yiping

    2017-04-01

    Livelihood resilience is defined as the capacity of all people across generations to sustain and improve their livelihood opportunities and well-being despite environmental, economic, social and political disturbances. Livelihood resilience has become a popular research and policy concept in the context of climate change. In this paper, we employ the structural dynamics method to describe livelihood resilience of Sichuan rural residents based on four components of livelihood quality, livelihood promotion, livelihood provision, and natural disasters pressure. Results indicate that: (i) The livelihood resilience of rural residents was significantly positively correlated with livelihood quality, livelihood promotion and livelihood provision, but there was a strong negative correlation with the natural disaster pressure. In the past 30 years, both livelihood promotion and livelihood provision declined, and the increase in disasters pressure offset the significant increase in the quality of livelihoods in Sichuan Province. The change curve of the livelihood resilience of rural residents showed the characteristics of first rising and then descending. (ii) The impact of different natural disasters on the resilience of livelihood is different. The contribution rates of earthquake, drought and flood disaster to the resilience of livelihood were -0.9 percent, -0.8 percent, and -0.3percent respectively. Due to the fact that the research area is not divided into earthquake-stricken area, non-earthquake-stricken area, heavy stricken area and light stricken area, to a certain extent, this has weakened the negative effect of earthquake disaster on the livelihood resilience of rural residents. (iii) From central government perspective, the reform of income distribution, tax system, and to change the reality of the income growth of rural residents behind national economic development are shown to be associated with highly significant and positive impact on livelihood resilience of

  3. Barriers and challenges of implementing tobacco control policies in hospitals: applying the institutional analysis and development framework to the Catalan Network of Smoke-Free Hospitals.

    Science.gov (United States)

    Martinez, Cristina

    2009-08-01

    This article analyzes tobacco control policies in hospitals based on the experience of the Catalan Network of Smoke-Free Hospitals, Spain. The objective is to understand through this case study how tobacco policies are designed and implemented in health care organizations. Because tobacco control is a public health issue, governmental, institutional, and professional involvement is necessary. This article identifies and examines the structure and relationships among the different actors involved in the tobacco control policies in health care organizations using Ostrom's Institutional Analysis and Development framework.This theory helps one understand the policy failures and rethink the future challenges. Critical issues should be reviewed to enhance implementation of smoke-free hospitals-such as assuring the compliance of nonsmoking areas and introducing compulsory tobacco cessation activities that are promoted and monitored by the public administration. The author suggests that relying primarily on an organization's interpretation of rules leads to irregular implementation.

  4. Corporate risk tolerance and capital allocation: A practical approach to implementing an exploration risk policy

    International Nuclear Information System (INIS)

    Walls, M.R.

    1995-01-01

    Petroleum exploration companies are confronted regularly with the issue of allocating scarce capital among a set of available exploration projects, which are generally characterized by a high degree of financial risk and uncertainty. Commonly used methods for evaluating alternative investments consider the amount and timing of the monetary flows associated with a project and ignore the firm's ability or willingness to assume the business risk of the project. The preference-theory approach combines the traditional means of project valuation, net present value (NPV) analysis, with a decision-science-based approach to risk management. This integrated model provides a means for exploration firms to measure and to manage the financial risks associated with petroleum exploration, consistent with the firm's desired risk policy

  5. New medical risks affecting obstetrics after implementation of the two-child policy in China.

    Science.gov (United States)

    Li, Qiang; Deng, Dongrui

    2017-12-01

    China recently instituted a two-child policy in response to its aging population, declining workforce and demographic dividend, and the need to develop asocial economy. Additionally, women generally delay having a second child because of the overwhelming pressure in their lives. With the improvements in assisted fertility technologies in recent years, the number of elderly women attempting to bear children has increased. The quality of woman's eggs and a man's sperm declined dramatically with increasing age, leading to an increased risk of pregnancy-related complications among older women. Therefore, the types of fertility problems experienced by elderly females must be provided with considerable attention by obstetricians. This commentary article focuses on the medical problems faced by older second-child pregnant women. This work discusses their increased rates of infertility, spontaneous abortion, fetal malformation, gestational diabetes, cesarean section, placenta previa, postpartum hemorrhage, postpartum depression, and hypertensive disorders, which complicate pregnancy.

  6. [eHealth in Peru: implementation of policies to strengthen health information systems].

    Science.gov (United States)

    Curioso, Walter H

    2014-01-01

    Health information systems play a key role in enabling high quality, complete health information to be available in a timely fashion for operational and strategic decision-making that makes it possible to save lives and improve the health and quality of life of the population. In many countries, health information systems are weak, incomplete, and fragmented. However, there is broad consensus in the literature of the need to strengthen health information systems in countries around the world. The objective of this paper is to present the essential components of the conceptual framework to strengthen health information systems in Peru. It describes the principal actions and strategies of the Ministry of Health of Peru during the process of strengthening health information systems. These systems make it possible to orient policies for appropriate decision-making in public health.

  7. A Model for Good Governance of Healthcare Technology Management in the Public Sector: Learning from Evidence-Informed Policy Development and Implementation in Benin.

    Science.gov (United States)

    Houngbo, P Th; Coleman, H L S; Zweekhorst, M; De Cock Buning, Tj; Medenou, D; Bunders, J F G

    2017-01-01

    Good governance (GG) is an important concept that has evolved as a set of normative principles for low- and middle-income countries (LMICs) to strengthen the functional capacity of their public bodies, and as a conditional prerequisite to receive donor funding. Although much is written on good governance, very little is known on how to implement it. This paper documents the process of developing a strategy to implement a GG model for Health Technology Management (HTM) in the public health sector, based on lessons learned from twenty years of experience in policy development and implementation in Benin. The model comprises six phases: (i) preparatory analysis, assessing the effects of previous policies and characterizing the HTM system; (ii) stakeholder identification and problem analysis, making explicit the perceptions of problems by a diverse range of actors, and assessing their ability to solve these problems; (iii) shared analysis and visioning, delineating the root causes of problems and hypothesizing solutions; (iv) development of policy instruments for pilot testing, based on quick-win solutions to understand the system's responses to change; (v) policy development and validation, translating the consensus solutions identified by stakeholders into a policy; and (vi) policy implementation and evaluation, implementing the policy through a cycle of planning, action, observation and reflection. The policy development process can be characterized as bottom-up, with a central focus on the participation of diverse stakeholders groups. Interactive and analytical tools of action research were used to integrate knowledge amongst actor groups, identify consensus solutions and develop the policy in a way that satisfies criteria of GG. This model could be useful for other LMICs where resources are constrained and the majority of healthcare technologies are imported.

  8. A Model for Good Governance of Healthcare Technology Management in the Public Sector: Learning from Evidence-Informed Policy Development and Implementation in Benin.

    Directory of Open Access Journals (Sweden)

    P Th Houngbo

    Full Text Available Good governance (GG is an important concept that has evolved as a set of normative principles for low- and middle-income countries (LMICs to strengthen the functional capacity of their public bodies, and as a conditional prerequisite to receive donor funding. Although much is written on good governance, very little is known on how to implement it. This paper documents the process of developing a strategy to implement a GG model for Health Technology Management (HTM in the public health sector, based on lessons learned from twenty years of experience in policy development and implementation in Benin. The model comprises six phases: (i preparatory analysis, assessing the effects of previous policies and characterizing the HTM system; (ii stakeholder identification and problem analysis, making explicit the perceptions of problems by a diverse range of actors, and assessing their ability to solve these problems; (iii shared analysis and visioning, delineating the root causes of problems and hypothesizing solutions; (iv development of policy instruments for pilot testing, based on quick-win solutions to understand the system's responses to change; (v policy development and validation, translating the consensus solutions identified by stakeholders into a policy; and (vi policy implementation and evaluation, implementing the policy through a cycle of planning, action, observation and reflection. The policy development process can be characterized as bottom-up, with a central focus on the participation of diverse stakeholders groups. Interactive and analytical tools of action research were used to integrate knowledge amongst actor groups, identify consensus solutions and develop the policy in a way that satisfies criteria of GG. This model could be useful for other LMICs where resources are constrained and the majority of healthcare technologies are imported.

  9. Rules implementing Sections 201 and 210 of the Public Utility Regulatory Policies Act of 1978: a regulatory history

    Energy Technology Data Exchange (ETDEWEB)

    Danziger, R.N.; Caples, P.W.; Huning, J.R.

    1980-09-15

    An analysis is made of the rules implementing Sections 201 and 210 of the Public Utility Regulatory Policies Act of 1978 (PURPA). The act provides that utilities must purchase power from qualifying producers of electricity at nondiscriminatory rates, and it exempts private generators from virtually all state and Federal utility regulations. Most of the analysis presented is taken from the perspective of photovoltaics (PV) and solar thermal electric point-focusing distributed receivers (pfdr). It is felt, however, that the analysis is applicable both to cogeneration and other emerging technologies. Chapters presented are: The FERC Response to Oral Comments on the Proposed Rules Implementing Sections 201 and 210 of PURPA; Additional Changes Made or Not Made That Were Addressed in Other Than Oral Testimony; View on the Proposed Rules Implementing Sections 201 and 210 of PURPA; Response to Comments on the Proposed 201 and 210 Rules; and Summary Analysis of the Environmental Assessment of the Rules. Pertinent reference material is provided in the Appendices, including the text of the rules. (MCW)

  10. A retrospective health policy analysis of the development and implementation of the voluntary health insurance system in Lebanon: learning from failure.

    Science.gov (United States)

    El-Jardali, Fadi; Bou-Karroum, Lama; Ataya, Nour; El-Ghali, Hana Addam; Hammoud, Rawan

    2014-12-01

    Public policymaking is complex and suffers from limited uptake of research evidence, particularly in the Eastern Mediterranean Region (EMR). In-depth case studies examining health policymaking in the EMR are lacking. This retrospective policy analysis aims at generating insights about how policies are being made, identifying factors influencing policymaking and assessing to what extent evidence is used in this process by using the Lebanese Voluntary Health Insurance policy as a case study. The study examined the policymaking process through a policy tracing technique that covered a period of 12 years. The study employed a qualitative research design using a case study approach and was conducted in two phases over the course of two years. Data was collected using multiple sources including: 1) a comprehensive and chronological media review; 2) twenty-two key informant interviews with policymakers, stakeholders, and journalists; and 3) a document review of legislations, minutes of meetings, actuarial studies, and official documents. Data was analyzed and validated using thematic analysis. Findings showed that the voluntary health insurance policy was a political decision taken by the government to tackle an urgent political problem. Evidence was not used to guide policy development and implementation and policy implementers and other stakeholders were not involved in policy development. Factors influencing policymaking were political interests, sectarianism, urgency, and values of policymakers. Barriers to the use of evidence were lack of policy-relevant research evidence, political context, personal interests, and resource constraints. Findings suggest that policymakers should be made more aware of the important role of evidence in informing public policymaking and the need for building capacity to develop, implement and evaluate policies. Study findings are likely to matter in light of the changes that are unfolding in some Arab countries and the looming

  11. Decision aiding in public policy generation and implementation: a multicriteria approach to evaluate territorial resilience

    Directory of Open Access Journals (Sweden)

    Maria Franca Norese

    2016-12-01

    Full Text Available A decision aid process should be the result of an interaction between analysts, decision makers and stakeholders. Decision aiding is sometimes required when the problem situation is new and a formal decision system does not exist. Its role becomes that of facilitating the Intelligence phase of a decision process. In other situations, a criticism of certain policy making processes and their use of data, which may be available in institutional databases or are required as indicators for the decision process, motivates an intervention oriented towards structure knowledge and improvements of these processes. A preliminary study, which includes modelling and application of multi-criteria methods, can clarify a complex and new situation, propose a consistent approach for the later phases of a decision process or propose a different and more effective use of the data. A case study is proposed here to describe this methodological approach in relation to the disaster resilience of municipalities near the mbrone River, in Tuscany (Italy.

  12. The Greatest Challenge Ever for Mankind, Requiring Policies of Accelerating Hardship and Implementation Difficulty

    Science.gov (United States)

    Wilson, John

    2015-04-01

    Providing energy for the contemporary world has resulted in a multi-variable problem in which a confluence of historical anomalies and economic, psychological, political, and demographic factors thwart efforts to prevent significant harm from increasing atmospheric CO2. This unlikely combination has created the perfect storm in which the warnings by scientists are ineffective. Global warming is occurring simultaneously with increased population, some dysfunctional political institutions, ascendency of oversimplified economic theory, campaigns to discredit scientists, misinterpretation of the meaning of noise in the Milankovitch climate cycles, and substantially improved hydrocarbon extraction methods. These factors are compounded by traits of human nature, such as greed and resistance to changing the familiar and discontinuing profitable endeavors. The idea that future people are equal with us may not be widely supported, yet this value is the foundation of climate change action. History shows that most people and nations will not take appropriate measures until forced, yet the cost increases as action is delayed. This makes appropriate policies even more extreme and difficult to accomplish as more wealth is consumed in treating global warming symptoms.

  13. Internet Access Practices and Employee Attitudes toward Internet Usage Policy Implementation in Selected Philippines Financial Institutions

    Directory of Open Access Journals (Sweden)

    Maria Sagrario R. Simbulan

    2004-06-01

    Full Text Available This study explores the employees’ concept of appropriate use of Internet facilities as well as their perception of the rights and liabilities, both of the individual and of the organization, associated with the grant of Internet access privileges in the workplace. It further examines how employees perceive their organization’s monitoring of employees online activities and the use of an Internet Usage Policy, whether these are seen as monitoring and control mechanisms or as ways to ensure that Internet access facilities are shared equitably and used responsibly. While the issue of the impact of Internet access on employee productivity will not directly be tackled, the study will provide insights into the frequency and type of usage of Internet facilities in the workplace. Considering the sizeable investment that an organization makes to provide Internet facilities, determining how employees use these facilities to achieve the goals of the organization is, in the very least, interesting and for most organizations concerned with their survival in difficult times, critically important.

  14. Public access to clinical trials: Lessons from an organizational implementation of policy.

    Science.gov (United States)

    Huang, Grant D; Altemose, Jane K; O'Leary, Timothy J

    2017-06-01

    Efforts to make clinical trials and their results more publicly available have been increasing in recent years. However, there is a need to better understand ways to achieve these goals aimed at benefiting a diverse set of stakeholders. Since 2005, the U.S. Department of Veterans Affairs Office of Research and Development (ORD), part of the nation's largest integrated health care system, has required the clinical trials its funds to be registered in ClinicalTrials.gov as a condition of the award. Furthermore, summary results of studies active since 2007 have been included in the registry. This paper highlights ORD activities, challenges and lessons at investigator, study, and organizational levels. Key factors in ORD's approach include: a mission-oriented approach; leadership support; a working group for organizational policies and practices; prioritizing communication; and recognizing the needs of investigators. Making clinical trials available to the public should represent a focal point for groups desiring to maximize the contributions from such research. The ability to do so must involve a commitment by sponsors and a critical evaluation of the reasons, requirements and resources at multiple levels. Published by Elsevier Inc.

  15. Joint implementation - project simulation and organisation. Operationalization of a new instrument of climate policy

    International Nuclear Information System (INIS)

    Luhmann, H.J.; Ott, H.E.; Beuermann, C.; Fischedick, M.; Hennicke, P.; Bakker, L.

    1997-01-01

    The study served to analyze the practical aspects of 'Joint Implementation' (JI) under the Framework Convention on Climate Change, in which measures to reduce greenhouse gas emissions are carried out jointly by several countries. As a first step, possible climate protection measures were assessed with respect to their suitability for JI and an overview of suitable JI projects was compiled. In a further step, carried out in cooperation with partners from industry, four specific projects (coal-fired power plant, solar-thermal power plant, cement factory, least-cost planning) were used to simulate JI. In this work, solutions were developed for the calculation of greenhouse gas emissions avoided as well as for project reporting. In addition, proposals were made with respect to the organizational and institutional design on an international JI mechanism. (orig.) [de

  16. Parasite-based malaria diagnosis: are health systems in Uganda equipped enough to implement the policy?

    Science.gov (United States)

    Kyabayinze, Daniel J; Achan, Jane; Nakanjako, Damalie; Mpeka, Betty; Mawejje, Henry; Mugizi, Rukaaka; Kalyango, Joan N; D'Alessandro, Umberto; Talisuna, Ambrose; Jean-Pierre, Van geertruyden

    2012-08-24

    Malaria case management is a key strategy for malaria control. Effective coverage of parasite-based malaria diagnosis (PMD) remains limited in malaria endemic countries. This study assessed the health system's capacity to absorb PMD at primary health care facilities in Uganda. In a cross sectional survey, using multi-stage cluster sampling, lower level health facilities (LLHF) in 11 districts in Uganda were assessed for 1) tools, 2) skills, 3) staff and infrastructure, and 4) structures, systems and roles necessary for the implementing of PMD. Tools for PMD (microscopy and/or RDTs) were available at 30 (24%) of the 125 LLHF. All LLHF had patient registers and 15% had functional in-patient facilities. Three months' long stock-out periods were reported for oral and parenteral quinine at 39% and 47% of LLHF respectively. Out of 131 health workers interviewed, 86 (66%) were nursing assistants; 56 (43%) had received on-job training on malaria case management and 47 (36%) had adequate knowledge in malaria case management. Overall, only 18% (131/730) Ministry of Health approved staff positions were filled by qualified personnel and 12% were recruited or transferred within six months preceding the survey. Of 186 patients that received referrals from LLHF, 130(70%) had received pre-referral anti-malarial drugs, none received pre-referral rectal artesunate and 35% had been referred due to poor response to antimalarial drugs. Primary health care facilities had inadequate human and infrastructural capacity to effectively implement universal parasite-based malaria diagnosis. The priority capacity building needs identified were: 1) recruitment and retention of qualified staff, 2) comprehensive training of health workers in fever management, 3) malaria diagnosis quality control systems and 4) strengthening of supply chain, stock management and referral systems.

  17. Implementation of the Tobacco-Free Campus Policy on College Campuses: Evidence From a Survey of College Students in Beijing.

    Science.gov (United States)

    Gong, Min; Liang, Zhu-Yuan; Zhang, Yang-Yang; Shadel, William G; Zhou, Lei; Xiao, Jiaying

    2016-11-01

    China issued a nationwide "Tobacco-Free Campus" Policy (TFCP) in January 2014, but it is unclear how well it was implemented across China's 2138 college campuses. We conducted an Internet survey of Beijing college students to evaluate the implementation of the TFCP in Beijing. An Internet survey of 711 students from 37 colleges in Beijing was conducted in May 2015. Respondents reported on secondhand smoking (SHS) exposure on campus, knowledge on and actions taken against SHS, and tobacco marketing exposure on campus. Almost 90% of respondents were exposed to SHS on campus at least once in the past month. Approximately 37% of nonsmokers and 61% of smokers reported seeing a teacher smoking, and the majority of both smokers and nonsmokers reported seeing a classmate smoking in campus buildings. The likelihood and location of SHS exposure depend on the participant's demographics and own smoking behavior. Nonsmokers were more likely to be aware of the health risk of SHS than smokers. Although most participants were aware of the harms, only 13% and 9% tried to stop their last SHS exposure indoors and outdoors, respectively. Forty-seven students from 14 colleges noticed tobacco marketing activities on campus. The TFCP on Chinese college campuses was only partially enforced, particularly with regard to SHS. On January 29, 2014, the Chinese Ministry of Education issued the TFCP. A major barrier to effective tobacco control in China is the difficulty in implementing policies issued by the central government. At this point, it is unclear whether the TFCP was successfully implemented on China's college campuses. Major tobacco use monitoring efforts do not include college students. The present research describes the current tobacco control environment on Beijing's college campuses 15 months after the TFCP took effect. To our knowledge, this is the first paper in the English literature on tobacco environment and exposure (rather than a prevalence survey) of college students in

  18. Effect on Baby-Friendly Hospital Steps When Hospitals Implement a Policy to Pay for Infant Formula.

    Science.gov (United States)

    Tarrant, Marie; Lok, Kris Y W; Fong, Daniel Y T; Wu, Kendra M; Lee, Irene L Y; Sham, Alice; Lam, Christine; Bai, Dorothy Li; Wong, Ka Lun; Wong, Emmy M Y; Chan, Noel P T; Dodgson, Joan E

    2016-05-01

    The Baby-Friendly Hospital Initiative requires hospitals to pay market price for infant formula. No studies have specifically examined the effect of hospitals paying for infant formula on breastfeeding mothers' exposure to Baby-Friendly steps. To investigate the effect of hospitals implementing a policy of paying for infant formula on new mothers' exposure to Baby-Friendly steps and examine the effect of exposure to Baby-Friendly steps on breastfeeding rates. We used a repeated prospective cohort study design. We recruited 2 cohorts of breastfeeding mother-infant pairs (n = 2470) in the immediate postnatal period from 4 Hong Kong public hospitals and followed them by telephone up to 12 months postpartum. We assessed participants' exposure to 6 Baby-Friendly steps by extracting data from the medical record and by maternal self-report. After hospitals began paying for infant formula, new mothers were more likely to experience 4 out of 6 Baby-Friendly steps. Breastfeeding initiation within the first hour increased from 28.7% to 45%, and in-hospital exclusive breastfeeding rates increased from 17.9% to 41.4%. The proportion of mothers who experienced all 6 Baby-Friendly steps increased from 4.8% to 20.5%. The risk of weaning was progressively higher among participants experiencing fewer Baby-Friendly steps. Each additional step experienced by new mothers decreased the risk of breastfeeding cessation by 8% (hazard ratio = 0.92; 95% CI, 0.89-0.95). After implementing a policy of paying for infant formula, breastfeeding mothers were exposed to more Baby-Friendly steps, and exposure to more steps was significantly associated with a lower risk of breastfeeding cessation. © The Author(s) 2015.

  19. Analysis of the Characteristics of Pregnancy and Delivery before and after Implementation of the Two-child Policy

    Science.gov (United States)

    Zhang, Hong-Xia; Zhao, Yang-Yu; Wang, Yong-Qing

    2018-01-01

    Background: After the two-child policy is fully implemented, new challenges regarding pregnancy management and the treatment of pregnancy complications will arise. The aim of this study was to analyze the characteristics of pregnancy and delivery before and after the implementation of the two-child policy to make suggestions on the quality assurance of the new era of obstetrics. Methods: In total, 5895 cases of pregnant women who delivered from April 2016 to March 2017 in Peking University Third Hospital served as the study group and 5103 cases of pregnant women who delivered from January to December 2015 served as the control group. The characteristics of pregnancy and delivery were retrospectively analyzed. Results: In the study group, the percentage of pregnant women who were older (over 40 years) (3.6% vs. 2.2%), were multipara (30.3% vs. 17.0%), received irregular prenatal care (1.5% vs. 0.9%), were transferred for treatment from a subordinate hospital (4.4% vs. 2.8%), and were not residents of Beijing (3.8% vs. 2.2%), were significantly increased compared with the control group (P complicating pregnancy (6.4% vs. 5.0%), gestational diabetes mellitus (25.3% vs. 23.1%), dangerous placenta previa (3.0% vs. 2.3%), placental implantation (2.4% vs. 1.8%), and severe postpartum hemorrhage (2.8% vs. 1.9%) was significantly increased compared with the control group (P cesarean section rate during primipara was significantly reduced compared with the control group (42.0% vs. 44.2%). However, the rate during multipara was significantly increased compared with the control group (P cesarean section in the study group as well as the percentages of scared uterus and placenta previa were significantly increased compared with the control group (P cesarean section, and ensure a positive outcome for mothers and babies. PMID:29271378

  20. Study of implementation level of tobacco restriction policy in cafes and restaurants of Georgia.

    Science.gov (United States)

    Gvinianidze, K; Bakhturidze, G; Magradze, G

    2012-05-01

    Before year 2008 smoking was partially restricted in cafes and restaurants of Georgia. In 2009 Georgian Parliament adopted amendment in law "Concerning Tobacco Control" and strengthened partial restriction in cafes and restaurants, namely required that 50% of territory of those facilities must be smoke free. To observe status of implementation of tobacco control legislation in field of prohibition/restriction of smoking in cafes and restaurants conducted observation of those facilities and in-depth interviews of their owners/staff. Observation in cafes and restaurants were done in big regional centers of Georgia, namely in Tbilisi (Capital), Telavi, Kutaisi, Batumi, Rustavi, Gori, Akhaltsikhe and Zugdidi. At all 176 cafés/restaurants were observed (22,4% of all registered cafes/restaurants in Georgia). For qualitative part of the study 1-2 persons from staff of the cafe or restaurant or its owner available during the observation was interviewed. Field work was done during 2011-2012. It must be mentioned that during this period was not observed any important change in legislation and/or enforcement of smoking ban/restrictions in those facilities. Study instrument were guide for observer that contained two parts - observational and open-ended questions for owners and staff. Observation of cafes/restaurants in Georgia shows that 89,8% of them violate existing restriction on smoking. All restaurants and 85% of cafes violate the law. Only 18 (10,2%) cafes are in compliance with the legislation and all of them have total ban. Despite to the fact that more than 50% of observed cafes/restaurants were located in Tbilisi, absolute majority (88,1%) of smoke free facilities are in regions (mainly in Kutaisi, Zugdidi and Gori). Qualitative study of owners/staff of the facilities found factors that probably are influential in determination of smoking status of cafes/restaurants. Namely, decisions on those kinds of issues are made by owners according to business interest and