Increasing Contraceptive Access for Hard-to-Reach Populations With Vouchers and Social Franchising in Uganda

Science.gov (United States)

Bellows, Benjamin; Mackay, Anna; Dingle, Antonia; Tuyiragize, Richard; Nnyombi, William; Dasgupta, Aisha

2017-01-01

ABSTRACT From 2001 to 2011, modern contraceptive prevalence in Uganda increased from 18% to 26%. However, modern method use, in particular use of long-acting reversible contraceptives (LARCs) and permanent methods (PMs), remained low. In the 2011 Uganda Demographic and Health Survey, only 1 of 5 married women used a LARC or PM even though 34% indicated an unmet need for contraception. Between 2011 and 2014, a social franchise and family planning voucher program, supporting 400 private facilities to provide family planning counseling and broaden contraceptive choice by adding LARCs and PMs to the service mix, offered a voucher to enable poor women to access family planning services at franchised facilities. This study analyzes service trends and voucher client demographics and estimates the contribution of the program to increasing contraceptive prevalence in Uganda, using the Impact 2 model developed by Marie Stopes International. Between March 2011 and December 2014, 330,826 women received a family planning service using the voucher, of which 70% of voucher clients chose an implant and 25% chose an intrauterine device. The median age of voucher users was 28 years; 79% had no education or only a primary education; and 48% reported they were unemployed or a housewife. We estimated that by 2014, 280,000 of the approximately 8,600,000 women of reproductive age in Uganda were using a contraceptive method provided by the program and that 120,000 of the clients were “additional users” of contraception, contributing 1.4 percentage points to the national modern contraceptive prevalence rate. The combination of family planning vouchers and a franchise-based quality improvement initiative can leverage existing private health infrastructure to substantially expand family planning access and choice for disadvantaged populations and potentially improve contraceptive prevalence when scaled nationally. PMID:28963175

Front-Line Advocacy: Fighting Off a Voucher Measure

Science.gov (United States)

Grimesey, Robert P., Jr.

2012-01-01

In September 2010, the U.S. Senate's Armed Services Committee approved an amendment to the proposed National Defense Authorization Act. The amendment, known as Section 583, authorized a Defense Department pilot voucher program to mitigate the cost of private school tuition for special-needs children of military parents. Sen. Jim Webb, a member of…

The abundance of some elements in hair from Tanzanian children ...

African Journals Online (AJOL)

The abundance of some elements in hair from Tanzanian children. NK Mohammed. Abstract. Reference values for elements in human hair of people from different countries have been published in literature. However, the data did not include the hair elemental concentrations of the Tanzanian population. Therefore, this ...

The Voucher Movement as a Freedom of Choice Issue.

Science.gov (United States)

Picus, Larry

After describing the history of the educational voucher movement, this paper briefly discusses the various voucher models that have been proposed and considers some of the issues for and against the establishment of voucher systems. Tracing the voucher concept back to Adam Smith, Thomas Paine, and John Stuart Mill, the author notes that after the…

Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan.

Science.gov (United States)

Broughton, Edward Ivor; Hameed, Waqas; Gul, Xaher; Sarfraz, Shabnum; Baig, Imam Yar; Villanueva, Monica

2017-01-01

This study reports on the effectiveness and efficiency from the program funder's perspective of the Suraj Social Franchise (SSF) voucher program in which private health-care providers in remote rural areas were identified, trained, upgraded, and certified to deliver family planning services to underserved women of reproductive age in 29 districts of Sindh and 3 districts of Punjab province, Pakistan between October 2013 and June 2016. A decision tree compared the cost of implementing SSF to the program funder and its effects of providing additional couple years of protection (CYPs) to targeted women, compared to business-as-usual. Costs included vouchers given to women to receive a free contraceptive method of their choice from the SSF provider. The vouchers were then reimbursed to the SSF provider by the program. A total of 168,206 married women of reproductive age (MWRA) received SSF vouchers between October 2013 and June 2016, costing $3,278,000 ($19.50/recipient). The average effectiveness of the program per voucher recipient was an additional 1.66 CYPs, giving an incremental cost-effectiveness of the program of $4.28 per CYP compared to not having the program (95% CI: $3.62-5.31). The result compares favorably to other interventions with similar objectives and appears affordable for the Pakistan national health-care system. It is therefore recommended to help address the unmet need for contraception among MWRA in these areas of Pakistan and is worthy of trial implementation in the country more widely.

Decreased Risk of Preeclampsia After the Introduction of Universal Voucher Scheme for Antenatal Care and Birth Services in the Republic of Korea.

Science.gov (United States)

Choe, Seung-Ah; Min, Hye Sook; Cho, Sung-Il

2017-01-01

Objectives A number of interventions to reduce disparities in maternal health have been introduced and implemented without concrete evidence to support them. In Korea, a universal voucher scheme for antenatal care and birth services was initiated in December 2008 to improve Korea's fertility rate. This study explores the risk of preeclampsia after the introduction of a universal voucher scheme. Methods Population-based cohort data from the National Health Insurance Service-National Sample Cohort (NHIS-NSC) covering 2002-2013 were analysed. A generalized linear mixed model (GLMM) was used to estimate the relationship between the risk of preeclampsia and voucher scheme introduction. Results The annual age-adjusted incidence of preeclampsia showed no significant unidirectional change during the study period. In the GLMM analysis, the introduction of a voucher scheme was associated with a reduced risk of preeclampsia, controlling for potential confounding factors. The interaction between household income level and voucher scheme was not significant. Conclusions for Practice This finding suggests that the introduction of a voucher scheme for mothers is related to a reduced risk of preeclampsia even under universal health coverage.

Price subsidies and the market for mosquito nets in developing countries: A study of Tanzania's discount voucher scheme.

Science.gov (United States)

Gingrich, Chris D; Hanson, Kara; Marchant, Tanya; Mulligan, Jo-Ann; Mponda, Hadji

2011-07-01

This study uses a partial equilibrium simulation model to explore how price subsidies for insecticide-treated mosquito nets (ITNs) affect households' purchases of ITNs. The model describes the ITN market in a typical developing country and is applied to the situation in Tanzania, where the Tanzania National Voucher Scheme (TNVS) provides a targeted subsidy to vulnerable population groups by means of a discount voucher. The data for this study come from a nationally-representative household survey completed July-August 2006 covering over 4300 households in 21 districts. The simulation results show the impact of the voucher program on ITN coverage among target households, namely those that experienced the birth of a child. More specifically, the share of target households purchasing an ITN increased from 18 to 62 percent because of the discount voucher. The model also suggests that the voucher program could cause the retail ITN price to rise due to an overall increase in demand. As a result, ITN purchases by households without a voucher may actually decline. The simulation model suggests that additional increases toward the stated goal of 80 percent ITN coverage for pregnant women and children could best be achieved through a combination of "catch up" mass distribution programs and expanding the target group for the voucher program to cover additional households. The model can be employed in other countries considering use of a targeted price subsidy for ITNs, and could be adapted to assess the impact of subsidies for other public health commodities. Copyright © 2011 Elsevier Ltd. All rights reserved.

23 CFR 140.609 - Progress and final vouchers.

Science.gov (United States)

2010-04-01

... 23 Highways 1 2010-04-01 2010-04-01 false Progress and final vouchers. 140.609 Section 140.609 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PAYMENT PROCEDURES REIMBURSEMENT Reimbursement for Bond Issue Projects § 140.609 Progress and final vouchers. (a) Progress vouchers may be...

24 CFR 982.502 - Conversion to voucher program.

Science.gov (United States)

2010-04-01

... Assistance Payment § 982.502 Conversion to voucher program. (a) New HAP contracts. On and after the merger... part, including calculation of the voucher housing assistance payment in accordance with § 982.505... requirements under this part, including calculation of the voucher housing assistance payment in accordance...

Decayed/missing/filled teeth and shortened dental arches in Tanzanian adults.

NARCIS (Netherlands)

Sarita, P.T.N.; Witter, D.J.; Kreulen, C.M.; Matee, M.I.N.; Hof, M.A. van 't; Creugers, N.H.J.

2004-01-01

PURPOSE: This study assessed decayed/missing/filled teeth (DMFT), presence of occlusal units, and prevalence of shortened dental arches in a Tanzanian adult population. MATERIALS AND METHODS: The dental state of samples of the Tanzanian population was studied. Oral examinations were conducted on

On The Political Economy Of Educational Vouchers

OpenAIRE

Dennis N. Epple; Richard Romano

2012-01-01

Two significant challenges hamper analyses of the collective choice of educational vouchers. One is the multi-dimensional choice set arising from the interdependence of the voucher, public education spending, and taxation. Second, even absent a voucher, preferences over public spending are not single-peaked; a middling level of public school spending may be less attractive to a household than either high public school spending or private education coupled with low public spending. We show tha...

DO TANZANIAN COMPANIES PRACTICE PECKING ORDER THEORY, AGENCY COST THEORY OR TRADE-OFF THEORY? AN EMPIRICAL STUDY IN TANZANIAN LISTED COMPANIES

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Ntogwa Ng'habi Bundala

2012-01-01

Full Text Available The empirical study was focused predominantly on validity tests of the three theories on capital structures, the static trade-off theory, the pecking order theory (information asymmetry theory, and agency cost theory in the Tanzanian context. The study used secondary data from eight of the non-financial companies listed in Dar Es Salaam Stock Exchange (DSE from 2006-2012. The study used descriptive (quantitative approach to test the practicality of the theories in Tanzania. The multiple regressions model used to test the theoretical relationship between the financial leverage and characteristics of the company. The research found that there is no strong evidence for validation of static trade off theory, little support of pecking order theory, but the agency cost theory is confirmed to be valid and practiced in Tanzania. It recommended that Tanzanian companies should be adhering to the determinants of the capital structure in the Tanzanian context found by this study.

Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan

Directory of Open Access Journals (Sweden)

Edward Ivor Broughton

2017-09-01

Full Text Available IntroductionThis study reports on the effectiveness and efficiency from the program funder’s perspective of the Suraj Social Franchise (SSF voucher program in which private health-care providers in remote rural areas were identified, trained, upgraded, and certified to deliver family planning services to underserved women of reproductive age in 29 districts of Sindh and 3 districts of Punjab province, Pakistan between October 2013 and June 2016.MethodA decision tree compared the cost of implementing SSF to the program funder and its effects of providing additional couple years of protection (CYPs to targeted women, compared to business-as-usual. Costs included vouchers given to women to receive a free contraceptive method of their choice from the SSF provider. The vouchers were then reimbursed to the SSF provider by the program.ResultsA total of 168,206 married women of reproductive age (MWRA received SSF vouchers between October 2013 and June 2016, costing $3,278,000 ($19.50/recipient. The average effectiveness of the program per voucher recipient was an additional 1.66 CYPs, giving an incremental cost-effectiveness of the program of $4.28 per CYP compared to not having the program (95% CI: $3.62–5.31.ConclusionThe result compares favorably to other interventions with similar objectives and appears affordable for the Pakistan national health-care system. It is therefore recommended to help address the unmet need for contraception among MWRA in these areas of Pakistan and is worthy of trial implementation in the country more widely.

Voucher Payments and the Public Schools.

Science.gov (United States)

Campbell, Colleen

This report presents the case for competition in education, tenders the voucher plan as a means of fostering competition and providing choice in education, and discusses some problems associated with education voucher proposals. Two primary problems -- segregation and church-state conflict -- are given particular attention. The author also…

Introducing vouchers for malaria prevention in Ghana and Tanzania: context and adoption of innovation in health systems.

Science.gov (United States)

de Savigny, Don; Webster, Jayne; Agyepong, Irene Akua; Mwita, Alex; Bart-Plange, Constance; Baffoe-Wilmot, Aba; Koenker, Hannah; Kramer, Karen; Brown, Nick; Lengeler, Christian

2012-10-01

There are striking similarities in health system and other contexts between Tanzania and Ghana that are relevant to the scaling up of continuous delivery of insecticide treated nets (ITNs) for malaria prevention. However, specific contextual factors of relevance to ITN delivery have led implementation down very different pathways in the two countries. Both countries have made major efforts and investments to address this intervention through integrating consumer discount vouchers into the health system. Discount vouchers require arrangements among the public, private and non-governmental sectors and constitute a complex intervention in both health systems and business systems. In Tanzania, vouchers have moved beyond the planning agenda, had policies and programmes formulated, been sustained in implementation at national scale for many years and have become as of 2012 the main and only publicly supported continuous delivery system for ITNs. In Ghana national-scale implementation of vouchers never progressed beyond consideration on the agenda and piloting towards formulation of policy; and the approach was replaced by mass distribution campaigns with less dependency on or integration with the health system. By 2011, Ghana entered a phase with no publicly supported continuous delivery system for ITNs. To understand the different outcomes, we compared the voucher programme timelines, phases, processes and contexts in both countries in reference to the main health system building blocks (governance, human resources, financing, informatics, technologies and service delivery). Contextual factors which provided an enabling environment for the voucher scheme in Tanzania did not do so in Ghana. The voucher scheme was never seen as an appropriate national strategy, other delivery systems were not complementary and the private sector was under-developed. The extensive time devoted to engagement and consensus building among all stakeholders in Tanzania was an important and

Risk factors for redemption of feline neutering vouchers issued by welfare organisations.

Science.gov (United States)

Kinsman, Rachel H; Gruffydd-Jones, Tim J; Clements, Jane; Murray, Jane K

2017-10-21

Animal welfare organisations in the UK invest substantial resources to fund subsidised neutering vouchers to increase feline neutering rates. Little evidence exists to quantify factors influencing voucher redemption. This cross-sectional study assessed risk factors (including voucher value and expiry period) for redemption of neutering vouchers issued by staff of the feline welfare charity Cats Protection. Data were collected using telephone interview-administered questionnaires of cat owners who were issued a neutering voucher(s) and from Cats Protection voucher payment records. During the four-month study 2655 owners were issued 3935 vouchers. Multivariable logistic regression analysis revealed that owners of cats that had produced ≥1 litter before voucher request, owners eligible for a voucher due to receiving benefits and owners who rented their homes or lived with family were less likely to redeem vouchers than owners whose cats had not had a litter, were eligible for a voucher for other reasons and/or owners who owned their home, respectively. © British Veterinary Association (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Perceptions of Chinese and Tanzanian employees regarding intercultural collaboration

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Claude-Hélène Mayer

2017-10-01

Full Text Available Orientation: Chinese organisations have a long tradition of operating in Tanzania, and even today, Tanzania is the gateway for Chinese interests entering sub-Saharan markets. Research purpose: The purpose of this article was to explore and understand the perceptions of Chinese and Tanzanian employees working in a private Chinese organisation in Tanzania. Motivation for the study: The authors would like to contribute to the discourse on Chinese and Tanzanian collaboration in southern Africa to improve context-based intercultural collaboration from a human resource management perspective. Research design, approach and method: The study used a case study approach within a hermeneutical research paradigm. Data were collected through semi-structured interviews and observation in a selected private Chinese organisation. Data were analysed by content analysis using Terre Blanche’s five-step model of content analysis. Main findings: The findings show that intercultural collaboration is a challenge for both Chinese and Tanzanian employees. Chinese employees share a mostly positive view of their organisation, while Tanzanians tend to be more critical. Members of both groups, however, feel that intercultural collaboration could improve if members of ‘the other group’ made recommended changes. Despite this, both groups adhere to their perceptions of ‘the other’ and maintain a favourable view of the self. Practical/managerial implications: Chinese organisations need to create opportunities for the improvement of intercultural collaboration by reflecting on the self and ‘the other’ in terms of understanding thought styles, experiences, knowledge, and the impact of cultural values on collaboration behaviour. As such, cultural knowledge-sharing might contribute to a sustainable long-term intercultural collaboration. Contribution: The study contributes to filling the gap of in-depth qualitative research on perceptions of Chinese and Tanzanian

The Voucher System as an Alternative for Allocating Sports Grants

Directory of Open Access Journals (Sweden)

Marek Pavlik

2014-12-01

Full Text Available Sport funding at the municipal level has a long tradition, especially in Europe. Youth involvement in sport is usually an important aspect of grant policies. There are questions regarding how to allocate public resources more efficiently and how to increase youth participation in sport. We analyse sport vouchers as a tool for increasing transparency and efficiency as well as the involvement of young people and their parents in sport policy at the local level.Vouchers typically transfer purchasing power directly to the target group. Using sport vouchers as a tool for allocating public resources is still quite rare. Some attempts with sport vouchers were made in Australia and the UK, and there are examples of sport vouchers in the Czech Republic.The aim of this paper is to discuss the advantages of vouchers as an alternative method of sport funding at the municipal level. We also formulate recommendations for implementing a voucher system.

From Theory to Practice: Considerations for Implementing a Statewide Voucher System.

Science.gov (United States)

Doyle, Denis P.

This monograph analyzes trends in American educational philosophy and history in its proposal to implement an all-public statewide school voucher system. Following an introduction, section 1, "Alternative Voucher Systems," discusses three concepts: universal unregulated vouchers, favored by Milton Friedman; regulated compensatory vouchers,…

Can reproductive health voucher programs improve quality of postnatal care? A quasi-experimental evaluation of Kenya's safe motherhood voucher scheme.

Directory of Open Access Journals (Sweden)

Claire Watt

Full Text Available This study tests the group-level causal relationship between the expansion of Kenya's Safe Motherhood voucher program and changes in quality of postnatal care (PNC provided at voucher-contracted facilities. We compare facilities accredited since program inception in 2006 (phase I and facilities accredited since 2010-2011 (phase II relative to comparable non-voucher facilities. PNC quality is assessed using observed clinical content processes, as well as client-reported outcome measures. Two-tailed unpaired t-tests are used to identify differences in mean process quality scores and client-reported outcome measures, comparing changes between intervention and comparison groups at the 2010 and 2012 data collection periods. Difference-in-differences analysis is used to estimate the reproductive health (RH voucher program's causal effect on quality of care by exploiting group-level differences between voucher-accredited and non-accredited facilities in 2010 and 2012. Participation in the voucher scheme since 2006 significantly improves overall quality of postnatal care by 39% (p=0.02, where quality is defined as the observable processes or components of service provision that occur during a PNC consultation. Program participation since phase I is estimated to improve the quality of observed maternal postnatal care by 86% (p=0.02, with the largest quality improvements in counseling on family planning methods (IRR 5.0; p=0.01 and return to fertility (IRR 2.6; p=0.01. Despite improvements in maternal aspects of PNC, we find a high proportion of mothers who seek PNC are not being checked by any provider after delivery. Additional strategies will be necessary to standardize provision of packaged postnatal interventions to both mother and newborn. This study addresses an important gap in the existing RH literature by using a strong evaluation design to assess RH voucher program effectiveness on quality improvement.

Educational Vouchers: Freedom to Choose?

OpenAIRE

Reel, Jordan; Block, Walter E.

2013-01-01

Milton Friedman is famous for his book title: “Free to Choose.” He also favors educational vouchers, which denies the freedom to choose to people who do not wish to subsidize the education of other people’s children. Thus, he is guilty of a logical contradiction. Why is it important to assess whether Friedman’s views on educational vouchers are logically consistent with his widespread reputation as an advocate of free enterprise, and, thus, freedom to chose? It is important to assess all figu...

78 FR 49374 - Rural Development Voucher Program

Science.gov (United States)

2013-08-14

... subsidies. For the reasons set forth in the preamble, chapter XXXV, title 7, Code of Federal Regulations... voucher holder, transfer of the voucher holder to an assisted living or nursing home facility, or divorce... received. The notice will specify, in detail, the reason(s) that the assistance was determined to be...

48 CFR 1852.216-87 - Submission of vouchers for payment.

Science.gov (United States)

2010-10-01

... and Clauses 1852.216-87 Submission of vouchers for payment. As prescribed in 1816.307-70(e), insert the following clause: Submission for Vouchers for Payment (MAR 1998) (a) The designated billing office for cost vouchers for purposes of the Prompt Payment clause of this contract is indicated below...

48 CFR 1232.7002 - Invoice and voucher review and approval.

Science.gov (United States)

2010-10-01

... contractor to submit an invoice or voucher in order to receive payment under the contract. The invoice or..., Public Voucher for Purchases and Services Other Than Personal (Continuation Sheet), to request payments... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Invoice and voucher review...

A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programmes

Science.gov (United States)

Conlon, Claudia M.; Higgs, Elizabeth S.; Townsend, John W.; Nahed, Matta G.; Cavanaugh, Karen; Grainger, Corinne G.; Okal, Jerry; Gorter, Anna C.

2013-01-01

-based distribution of vouchers; and tracking individual claims for performance purposes. Maternal voucher programmes differed on whether contracted providers were given training on clinical or administrative issues; whether some form of service verification was undertaken at facility or community-level; and the relative size of programme management costs in the overall programme budget. Evidence suggests voucher programmes can serve populations with national-level impact. Reaching scale depends on whether the voucher programme can: (i) keep management costs low, (ii) induce a large demand-side response among the bottom two quintiles, and (iii) achieve a quality of care that translates a greater number of facility-based deliveries into a reduction in maternal morbidity and mortality.

A taxonomy and results from a comprehensive review of 28 maternal health voucher programmes.

Science.gov (United States)

Bellows, Ben W; Conlon, Claudia M; Higgs, Elizabeth S; Townsend, John W; Nahed, Matta G; Cavanaugh, Karen; Grainger, Corinne G; Okal, Jerry; Gorter, Anna C

2013-12-01

-based distribution of vouchers; and tracking individual claims for performance purposes. Maternal voucher programmes differed on whether contracted providers were given training on clinical or administrative issues; whether some form of service verification was undertaken at facility or community-level; and the relative size of programme management costs in the overall programme budget. Evidence suggests voucher programmes can serve populations with national-level impact. Reaching scale depends on whether the voucher programme can: (i) keep management costs low, (ii) induce a large demand-side response among the bottom two quintiles, and (iii) achieve a quality of care that translates a greater number of facility-based deliveries into a reduction in maternal morbidity and mortality.

Tanzanian rangelands in a changing climate: Impacts, adaptations and mitigation

OpenAIRE

Sangeda A. Z.; Malole J. L.

2014-01-01

Livestock are central to the livelihoods of Tanzanians who rely on them for income via sales of milk, meat, skins and draught power. Owning livestock is amongst the ways in which many Tanzanians could diversify their risks, increase assets and improve their resilience to changes in climate. Though local coping strategies can deal with shocks in the short-term, they are hardly able to cope with more frequent and severe climate events. Observably, temperature, rainfall and atmospheric CO2 conce...

Lessons from sexual and reproductive health voucher program design and function: a comprehensive review

Science.gov (United States)

2014-01-01

national-level need among the poor, large programs are being developed at a rate of one every two years, with further programs in the pipeline. The importance of addressing inequalities in access to basic services is recognized as an important component in the drive to achieve universal health coverage; vouchers are increasingly acknowledged as a promising targeting mechanism in this context, particularly where social health insurance is not yet feasible. PMID:24779653

Lessons from sexual and reproductive health voucher program design and function: a comprehensive review.

Science.gov (United States)

Grainger, Corinne; Gorter, Anna; Okal, Jerry; Bellows, Ben

2014-04-29

Developing countries face challenges in financing healthcare; often the poor do not receive the most basic services. The past decade has seen a sharp increase in the number of voucher programs, which target output-based subsidies for specific services to poor and underserved groups. The dearth of literature that examines lessons learned risks the wheel being endlessly reinvented. This paper examines commonalities and differences in voucher design and implementation, highlighting lessons learned for the design of new voucher programmes. The methodology comprised: discussion among key experts to develop inclusion/exclusion criteria; up-dating the literature database used by the DFID systematic review of voucher programs; and networking with key contacts to identify new programs and obtain additional program documents. We identified 40 programs for review and extracted a dataset of more than 120 program characteristics for detailed analysis. All programs aimed to increase utilisation of healthcare, particularly maternal health services, overwhelmingly among low-income populations. The majority contract(ed) private providers, or public and private providers, and all facilitate(d) access to services that are well defined, time-limited and reflect the country's stated health priorities. All voucher programs incorporate a governing body, management agency, contracted providers and target population, and all share the same incentive structure: the transfer of subsidies from consumers to service providers, resulting in a strong effect on both consumer and provider behaviour. Vouchers deliver subsidies to individuals, who in the absence of the subsidy would likely not have sought care, and in all programs a positive behavioural response is observed, with providers investing voucher revenue to attract more clients. A large majority of programs studied used targeting mechanisms. While many programs remain too small to address national-level need among the poor, large programs

India: An Ideal Partner in Tanzanian agriculture?

African Journals Online (AJOL)

user

including its private companies, in Tanzanian agricultural investments, ... also cover information technology, mining, leisure, forestry, transport and ... Lastly, in 2009, the Government of India extended a Line of Credit of US$ 40 million for ...

19 CFR 24.34 - Vouchers; vendors' bills of sale; invoices.

Science.gov (United States)

2010-04-01

... that the above bill is correct and just and that payment has not been received. Vouchers, vendors... employee, in which case the voucher may be in the name of the officer or employee who made the payment. (c... 19 Customs Duties 1 2010-04-01 2010-04-01 false Vouchers; vendors' bills of sale; invoices. 24.34...

School Vouchers in a Climate of Political Change

Science.gov (United States)

Sutton, Lenford C.; King, Richard A.

2011-01-01

Legal scrutiny of school voucher policies initially focused on the establishment clause concerning with allocating public dollars to schools sponsored by religious organizations. In recent years, advocates asserted that the exclusion of faith-based organizations from voucher plans that permit expenditures in secular private organizations violates…

SISTEM INFORMASI PENJUALAN VOUCHER BELANJA PADA PT. PLAZA INDONESIA REALITY Tbk. JAKARTA

Directory of Open Access Journals (Sweden)

Baginda Oloan Lubis

2016-05-01

  ABSTRAK - PT. Plaza Indonesia Realty Tbk. Jakarta dalam penjualan voucher yang transaksinya dimulai dari pencatatan voucher yang masuk, pencatatan data pelanggan, pembuatan faktur penjualan voucher, pencatatan serah terima voucher dengan pelanggan  sampai pembuatan laporan  masih dilakukan secara manual, sehingga memungkinkan pada saat proses berlangsung sering terjadi kesalahan dalam pencatatan, kurang akuratnya laporan yang dibuat dan keterlambatan dalam pencarian data pada saat dibutuhkan. Untuk itu dibutuhkan adanya suatu rancangan program yang akan menunjang kegiatan sistem penjualan voucher yang memudahkan user dan mempercepat transakasi dengan pelanggan dan pembuatan laporan. Model pengembangan sistem yang digunakan dalam pembuatan sistem informasi ini adalah SDCL (System Development Life Cycle air terjun (Waterfall atau alur hidup klasik atau classic life. Tahapan-tahapan yang dilalui dalam proses analisis dan perancangan sistem antara lain: analisa kebutuhan sistem, desain, kode generator, testing dan pendukung. Dari hasil penelitian ini diharapkan dengan adanya sistem informasi penjualan voucher ini dapat membantu user dalam hal ini disebut concierge pada PT. Plaza Indonesia Realty Tbk. Jakarta dalam melakukan transaksi penjualan sampai dengan pembuatan laporan terakomodasi Kata kunci: Sistem Informasi, Penjualan Voucher, SDLC

Casual blood pressure among Tanzanian undergraduate students ...

African Journals Online (AJOL)

Background: Despite of the recommendations to use population specific blood pressure (BP) references which consider time, ethnicity and environmental factors, there is limited information regarding BP profile among Tanzanians. This cross sectional study was done to determine casual BP profile among healthy volunteer ...

77 FR 20122 - Proposed Collection of Information: Voucher for Payment of Awards

Science.gov (United States)

2012-04-03

... DEPARTMENT OF THE TREASURY Fiscal Service Proposed Collection of Information: Voucher for Payment... Financial Management Service solicits comments concerning the form ``Voucher for Payment of Awards.'' DATES... of information described below: Title: Voucher for Payment of Awards. OMB Number: 1510-0037. Form...

A Nineteenth-Century French Proposal to Use School Vouchers.

Science.gov (United States)

Van Vliet, W.; Smyth, J. A.

1982-01-01

In light of the current American interest in school vouchers as proposed by economist Milton Friedman, recapitulates the origins, content, and fate of an 1872 law drafted by a French parliamentary commission to establish a countrywide voucher scheme for primary schools. (NEC)

Assessing the Impacts of Zimbabwe’s Agricultural Vouchers Input Program

OpenAIRE

Mazvimavi, Kizito; Murendo, Conrad; Minde, Isaac J.; Kunzekweguta, Machiweyi

2013-01-01

Using data from ICRISAT 2010/11 household and fertilizer retailer surveys, the study reveals that open vouchers enhance farmers input choice. The targeting of vulnerable farmers was efficient in selecting, households with less livestock ownership and those affected by HIV/AIDS. The use of open vouchers enabled retailers to sale agricultural inputs, boost revenue and link them to suppliers. The use of open voucher is preferable in areas where retailer’s infrastructure and mobile telephone netw...

77 FR 2682 - Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing

Science.gov (United States)

2012-01-19

... provisional payment and sent to the disbursing office after a pre- payment review. Interim vouchers not... after a pre-payment review. Interim vouchers not selected for a pre-payment review will be considered to...] RIN 0750-AH52 Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing AGENCY...

48 CFR 652.232-71 - Voucher Submission (Cost-Reimbursement).

Science.gov (United States)

2010-10-01

...-Reimbursement). 652.232-71 Section 652.232-71 Federal Acquisition Regulations System DEPARTMENT OF STATE CLAUSES... Voucher Submission (Cost-Reimbursement). As prescribed in 632.908(b), the contracting officer may insert a clause substantially the same as follows: Voucher Submission (Cost-Reimbursement) (AUG 1999) (a) General...

Vouchers in Dutch Higher Education : from debate to experiment

NARCIS (Netherlands)

Vossensteyn, Johan J.

2001-01-01

As market-like mechanisms become more important in higher education, demand driven funding, and more specific vouchers, gain a lot of attention. As such, the advantages and disadvantages of vouchers have been discussed in a wide variety of settings. However, hardly any country has been prepared to

Preparations of spherical polymeric particles from Tanzanian ...

African Journals Online (AJOL)

Spherical Polymeric Particles (SPP) have been prepared from Tanzanian Cashew Nut Shell Liquid (CNSL) by suspension polymerization technique involving either step-growth or chain- growth polymerization mechanisms. The sizes of the SPP, which ranged from 0.1 to 2.0 mm were strongly influenced by the amounts of ...

On the Political Economy of Educational Vouchers. NBER Working Paper No. 17986

Science.gov (United States)

Epple, Dennis N.; Romano, Richard

2012-01-01

Two significant challenges hamper analyses of collective choice of educational vouchers. One is the multi-dimensional choice set arising from the interdependence of the voucher, public education spending, and taxation. The other is that household preferences between public and private schooling vary with the policy chosen. Even absent a voucher,…

In vitro regeneration of selected commercial Tanzanian open ...

African Journals Online (AJOL)

Using this regeneration system Situka M-1, Staha and TMV-1 can now be improved against various production constraints through genetic engineering. Key words: 2, 4-dichlorophexyacetic acid, embryogenic callus, immature zygotic embryos, regeneration frequency, somatic embryos, Tanzanian open pollinated maize.

24 CFR 982.604 - SRO: Voucher housing assistance payment.

Science.gov (United States)

2010-04-01

... Types Single Room Occupancy (sro) § 982.604 SRO: Voucher housing assistance payment. (a) For a person... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false SRO: Voucher housing assistance payment. 982.604 Section 982.604 Housing and Urban Development Regulations Relating to Housing and Urban...

Addition of generic medication vouchers to a pharmacist academic detailing program: effects on the generic dispensing ratio in a physician-hospital organization.

Science.gov (United States)

Bhargava, Vinay; Greg, Mark E; Shields, Mark C

2010-01-01

Generic dispensing ratio (GDR) is an important measure of efficiency in pharmacy benefit management. A few studies have examined the effects of academic detailing or generic drug samples on GDR. On July 1, 2007, a physician-hospital organization (PHO) with a pay-for-performance incentive for generic utilization initiated a pilot generic medication voucher program that augmented its existing pharmacist-led academic detailing efforts. No published studies have examined the role of generic medication vouchers in promoting generic drug utilization. To determine if supplementing an existing academic detailing initiative in a PHO with a generic medication voucher program would be more effective in increasing the GDR compared with academic detailing alone. The intervention took place over the 9-month period from July 1, 2007, through March 31, 2008. Vouchers provided patients with the first fill of a 30-day supply of a generic drug at no cost to the patient for 8 specific generic medications obtained through a national community pharmacy chain. The study was conducted in a PHO composed of 7 hospitals and approximately 2,900 physicians (900 primary care providers [PCPs] and 2,000 specialists). Of the approximately 300 PCP practices, 21 practices with at least 2 physicians each were selected on the basis of high prescription volume (more than 500 pharmacy claims for the practice over a 12-month pre-baseline period) and low GDR (practice GDR less than 55% in the 12-month pre-baseline period). These 21 practices were then randomized to a control group of academic detailing alone or the intervention group that received academic detailing plus generic medication vouchers. One of 10 intervention groups declined to participate, and 2 of 11 control groups dropped out of the PHO. GDR was calculated monthly for all pharmacy claims including the 8 voucher medications. GDR was defined as the ratio of the total number of paid generic pharmacy claims divided by the total number of paid

Electronic Voucher Approval - Financial Management

Data.gov (United States)

US Agency for International Development — This process provides a workflow and eSignature capability which allows the CFO to router vouchers for review and electronic signature approval to COTRs in AIDW. It...

The Quality of Work in the Belgian Service Voucher System.

Science.gov (United States)

Mousaid, Sarah; Huegaerts, Kelly; Bosmans, Kim; Julià, Mireia; Benach, Joan; Vanroelen, Christophe

2017-01-01

Several European countries implemented initiatives to boost the growth of the domestic cleaning sector. Few studies investigated the quality of work in these initiatives, although effects on workers' health and on social health inequalities can be expected. This study contributes to the scant research on this subject, by investigating the quality of work in the Belgian service voucher system - a subsidized system for domestic work. The applied research methodology includes a qualitative content analysis of parliamentary debates, legislation and previous research about the service voucher system and of 40 in-depth interviews with service voucher workers. The study shows that the legal framework that regulates the system must be further enhanced in order to improve the quality of work in the service voucher system. In addition, the actors involved must be better controlled, and sanctioned in case of non-compliance with legislation. © The Author(s) 2016.

“And the winner is…”: Hierarchies of language competence and fashion sense in Tanzanian beauty pageants

OpenAIRE

Billings, Sabrina

2011-01-01

This paper discusses how successful Tanzanian beauty contestants mark themselves as educated sophisticates through clusters of semiotic materials. At lower-level and provincial competitions, contestants’ ability to speak ‘pure,’ if non-fluent and non-standard, English helps them achieve victory. This register is coupled with local, often outlandish, interpretations of international fashions and hairstyles. Yet in the capital city, and especially at the national competition, winning contesta...

Information needs and seeking behaviour of Tanzanian forestry ...

African Journals Online (AJOL)

This study examined information needs and seeking behaviour of Tanzanian forestry researchers in the growing global electronic environment. A questionnaire based survey was conducted in three forestry research institutions. The findings indicated a wide range of information needs among forestry researchers in the ...

Under the Law: Vouchers Multiply Even without Public Support

Science.gov (United States)

Underwood, Julie

2015-01-01

Public funding of private K-12 schooling through vouchers continues to be a contentious issue across the U.S., even though a solid majority of Americans continues to oppose them. The voucher plans run the risk of legal challenge for how they handle the rights of students with disabilities and whether they violate state constitutional provisions…

Dollars to Discriminate: The (Un)Intended Consequences of School Vouchers

Science.gov (United States)

Eckes, Suzanne E.; Mead, Julie; Ulm, Jessica

2016-01-01

Some private, religious schools that accept vouchers have been accused of discriminating against certain populations of students through their admissions processes. Discriminating against disfavored groups (e.g., racial minorities, LGBT students, students with disabilities, religious minorities) in voucher programs raises both legal and policy…

77 FR 39722 - Notice of Proposed Information Collection for Public Comment: Housing Choice Voucher Program...

Science.gov (United States)

2012-07-05

... overhead costs, transaction counts, and recent changes in voucher program operations (2 staff x 20 hours x... information on the costs of administering the HCV program across a national sample of high- [[Page 39723... via interviews and document review on overhead costs, other costs related to HCV program...

24 CFR 982.608 - Congregate housing: Voucher housing assistance payment.

Science.gov (United States)

2010-04-01

... Housing Types Congregate Housing § 982.608 Congregate housing: Voucher housing assistance payment. (a... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Congregate housing: Voucher housing assistance payment. 982.608 Section 982.608 Housing and Urban Development Regulations Relating to Housing and...

Use of housing vouchers in Georgia

Directory of Open Access Journals (Sweden)

Andrew Golda

2009-09-01

Full Text Available The use of Housing Purchase Vouchers offers IDPs durablehousing and community integration, while allowing theman opportunity to choose their own homes and their owndurable solution.

Organ Vouchers and Barter Markets: Saving Lives, Reducing Suffering, and Trading in Human Organs.

Science.gov (United States)

Cherry, Mark J

2017-10-01

The essays in this issue of The Journal of Medicine and Philosophy explore an innovative voucher program for encouraging kidney donation. Discussions cluster around a number of central moral and political/theoretical themes: (1) What are the direct and indirect health care costs and benefits of such a voucher system in human organs? (2) Do vouchers lead to more effective and efficient organ procurement and allocation or contribute to greater inequalities and inefficiencies in the transplantation system? (3) Do vouchers contribute to the inappropriate commodification of human body parts? (4) Is there a significant moral difference between such a voucher system and a market in human organs for transplantation? This paper argues that while kidney vouchers constitute a step in the right direction, fuller utilization of market-based incentives, including, but not limited to, barter exchanges (e.g., organ exchanges, organ chains, and organ vouchers), would save more lives and further reduce human suffering. © The Author 2017. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Redeeming qualities: exploring factors that affect women’s use of reproductive health vouchers in Cambodia

Science.gov (United States)

2013-01-01

Background One approach to delivering healthcare in developing countries is through voucher programs, where vouchers are distributed to a specific population for free or subsidized health care. Recent evaluations suggest that vouchers have the potential to extend coverage of priority health services to the poor in developing countries. In Cambodia, a reproductive health voucher program was implemented in January 2011. This study aims to explore women’s early experiences accessing health services with their vouchers at accredited clinics. Methods This qualitative exploratory study used focus group methodology to gather information from five groups of older (>25 years) and four groups of younger (18–25 years) women who were eligible for the voucher program in three rural provinces. Focus groups were digitally recorded, transcribed and translated from Khmer into English. Data analysis was an iterative process, which comprised of open coding to find commonalities that reflected categories or themes and axial coding to relate initial themes to each other. Next, a basic framework for analysis was formed by integrating the themes into the framework. Results Two overarching themes were identified in the data: 1) factors that facilitate voucher use and 2) factors that inhibit voucher use. Within each of these themes, three subthemes were identified: 1) pre-existing factors, 2) distribution factors, and 3) redemption factors. Overall, women expressed positive feelings towards the voucher program, while several areas for program improvement were identified including the importance of addressing pre-existing demand-side barriers to using reproductive health services, the need for more comprehensive counselling during voucher distribution, and the persistent cost of unofficial payments expected by midwives after delivery irrespective of voucher use. Conclusions Early information from program beneficiaries can lead to timely and responsive changes that can help to maximize

20 CFR 645.221 - For what activities and services must local boards use contracts or vouchers?

Science.gov (United States)

2010-04-01

... vouchers are subject to the payment requirements at § 645.230(a)(3) of this subpart. If an operating entity... boards use contracts or vouchers? 645.221 Section 645.221 Employees' Benefits EMPLOYMENT AND TRAINING... vouchers? (a) Local boards and PIC's must provide the following activities and services through vouchers or...

An Analysis of Voucher Advocacy: Taking a Closer Look at the Uses and Limitations of "Gold Standard" Research

Science.gov (United States)

Lubienski, Christopher; Brewer, T. Jameson

2016-01-01

Voucher proponents have increasingly pursued empirical evidence on the effectiveness of vouchers as a form of education improvement, in addition to advocating for vouchers on moral or ethical grounds. Voucher proponents contend that randomized assignment studies of students in voucher programs have consistently confirmed the effectiveness of…

Payment with Mobile (NFC) Vouchers – Using Co-design Techniques to Identify User Requirements

OpenAIRE

Slegers, Karin

2008-01-01

This paper presents an ongoing co-design study focusing on the application of Near Field Communication (NFC) technology in the area of voucher payment. The research that is described is conducted to a) gain a thorough understanding of the current context of use of paper vouchers, including user experience and user needs, and b) evaluate the potential of the concept of NFC-vouchers with endusers in an early stage. Several aspects of the context of use as well as the future NFC-vouchers will be...

Towards a classification of Tanzanian rivers: a bioassessment and ...

African Journals Online (AJOL)

River classification is important for reporting ecological status and for the general ecological management of river systems by partitioning natural variability. A priori river classification by abiotic variables and validation of classifications obtained using aquatic macroinvertebrates from reference sites for selected Tanzanian ...

Pharmacokinetics of first-line tuberculosis drugs in tanzanian patients

NARCIS (Netherlands)

Tostmann, A.; Mtabho, C.M.; Semvua, H.H.; Boogaard, J. van den; Kibiki, G.S.; Boeree, M.J.; Aarnoutse, R.E.

2013-01-01

East Africa has a high tuberculosis (TB) incidence and mortality, yet there are very limited data on exposure to TB drugs in patients from this region. We therefore determined the pharmacokinetic characteristics of first-line TB drugs in Tanzanian patients using intensive pharmacokinetic sampling.

An assessment of opportunities and challenges for public sector involvement in the maternal health voucher program in Uganda.

Science.gov (United States)

Okal, Jerry; Kanya, Lucy; Obare, Francis; Njuki, Rebecca; Abuya, Timothy; Bange, Teresah; Warren, Charlotte; Askew, Ian; Bellows, Ben

2013-10-18

Continued inequities in coverage, low quality of care, and high out-of-pocket expenses for health services threaten attainment of Millennium Development Goals 4 and 5 in many sub-Saharan African countries. Existing health systems largely rely on input-based supply mechanisms that have a poor track record meeting the reproductive health needs of low-income and underserved segments of national populations. As a result, there is increased interest in and experimentation with results-based mechanisms like supply-side performance incentives to providers and demand-side vouchers that place purchasing power in the hands of low-income consumers to improve uptake of facility services and reduce the burden of out-of-pocket expenditures. This paper describes a reproductive health voucher program that contracts private facilities in Uganda and explores the policy and implementation issues associated with expansion of the program to include public sector facilities. Data presented here describes the results of interviews of six district health officers and four health facility managers purposefully selected from seven districts with the voucher program in southwestern Uganda. Interviews were transcribed and organized thematically, barriers to seeking RH care were identified, and how to address the barriers in a context where voucher coverage is incomplete as well as opportunities and challenges for expanding the program by involving public sector facilities were investigated. The findings show that access to sexual and reproductive health services in southwestern Uganda is constrained by both facility and individual level factors which can be addressed by inclusion of the public facilities in the program. This will widen the geographical reach of facilities for potential clients, effectively addressing distance related barriers to access of health care services. Further, intensifying ongoing health education, continuous monitoring and evaluation, and integrating the voucher

Active children through incentive vouchers – evaluation (ACTIVE: a mixed-method feasibility study

Directory of Open Access Journals (Sweden)

Danielle Christian

2016-08-01

Full Text Available Abstract Background Adolescents face many barriers to physical activity, demonstrated by the decline in physical activity levels in teenage populations. This study aimed to assess the feasibility of overcoming such barriers via the implementation of an activity-promoting voucher scheme to teenagers in deprived areas. Methods All Year 9 pupils (n = 115; 13.3 ± 0.48 years; 51 % boys from one secondary school in Wales (UK participated. Participants received £25 of activity vouchers every month for six months for physical activity or sporting equipment. Focus groups (n = 7, with 43 pupils, and qualitative interviews with teachers (n = 2 were conducted to assess feasibility, in addition to a process evaluation utilising the RE-AIM framework. Quantitative outcomes at baseline, five months (during intervention and twelve months (follow-up included: physical activity (accelerometer, aerobic fitness (12 min Cooper run and self-reported activity (PAQ-A. Motivation to exercise (BREQ-2 was measured three months post-baseline and at follow-up. Results Qualitative findings showed that vouchers encouraged friends to socialise through activity, provided opportunities to access local activities that pupils normally could not afford, and engaged both those interested and disinterested in physical education. Improvements in weekend moderate-to-vigorous physical activity and reductions in sedentary behaviour were observed in both sexes. Boys’ fitness significantly improved during the voucher scheme. ‘Non-active’ pupils (those not meeting recommended guidelines of 60 mins∙day−1 and those with higher motivation to exercise had higher voucher use. Conclusions Adolescents, teachers and activity providers supported the voucher scheme and felt the vouchers enabled deprived adolescents to access more physical activity opportunities. Voucher usage was associated with improved attitudes to physical activity, increased socialisation with

Does a voucher program improve reproductive health service delivery and access in Kenya?

Science.gov (United States)

Njuki, Rebecca; Abuya, Timothy; Kimani, James; Kanya, Lucy; Korongo, Allan; Mukanya, Collins; Bracke, Piet; Bellows, Ben; Warren, Charlotte E

2015-05-23

Current assessments on Output-Based Aid (OBA) programs have paid limited attention to the experiences and perceptions of the healthcare providers and facility managers. This study examines the knowledge, attitudes, and experiences of healthcare providers and facility managers in the Kenya reproductive health output-based approach voucher program. A total of 69 in-depth interviews with healthcare providers and facility managers in 30 voucher accredited facilities were conducted. The study hypothesized that a voucher program would be associated with improvements in reproductive health service provision. Data were transcribed and analyzed by adopting a thematic framework analysis approach. A combination of inductive and deductive analysis was conducted based on previous research and project documents. Facility managers and providers viewed the RH-OBA program as a feasible system for increasing service utilization and improving quality of care. Perceived benefits of the program included stimulation of competition between facilities and capital investment in most facilities. Awareness of family planning (FP) and gender-based violence (GBV) recovery services voucher, however, remained lower than the maternal health voucher service. Relations between the voucher management agency and accredited facilities as well as existing health systems challenges affect program functions. Public and private sector healthcare providers and facility managers perceive value in the voucher program as a healthcare financing model. They recognize that it has the potential to significantly increase demand for reproductive health services, improve quality of care and reduce inequities in the use of reproductive health services. To improve program functioning going forward, there is need to ensure the benefit package and criteria for beneficiary identification are well understood and that the public facilities are permitted greater autonomy to utilize revenue generated from the voucher program.

Tanzanian midwives' perception of their professional role and implications for continuing professional development education.

Science.gov (United States)

Jones, Brooke; Michael, Rene; Butt, Janice; Hauck, Yvonne

2016-03-01

This study explored Tanzanian midwives' perceptions of their professional role within their local context. Findings were to inform recommendations for continuing professional development education programs by Western midwifery educators. Using focus group interviews with sixteen Tanzanian midwives, the findings revealed that the midwives' overwhelming focus was on saving lives of women and newborns. The fundamental elements of saving lives involved prioritising care through receiving handover and undertaking physical assessment. Midwives were challenged by the poor working conditions, perceived lack of knowledge and associated low status within the local community. Based upon these findings, recommendations for continuing professional development education for Tanzanian midwives must ensure that saving lives is a major focus and that strategies taught must be relevant to the low-resource context of this developing country. In recognition of the high-risk women being cared for, there needs to be a focus on the prevention and management of maternity emergencies, in collaboration with medical practitioners. Copyright © 2015 Elsevier Ltd. All rights reserved.

Technical efficiency of small-scale fishing households in Tanzanian ...

African Journals Online (AJOL)

This paper examines the technical efficiency of Tanzanian small-scale fishing households, based on data from two coastal villages located near Bagamoyo and Zanzibar, using a stochastic frontier model with technical inefficiency. The estimated mean technical efficiency of small-scale fishing households was 52%, showing ...

24 CFR 982.504 - Voucher tenancy: Payment standard for family in restructured subsidized multifamily project.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Voucher tenancy: Payment standard... ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Rent and Housing Assistance Payment § 982.504 Voucher tenancy: Payment standard for family in restructured subsidized multifamily project. (a) This section applies to...

Tuberculosis in Tanzanian wildlife.

Science.gov (United States)

Cleaveland, S; Mlengeya, T; Kazwala, R R; Michel, A; Kaare, M T; Jones, S L; Eblate, E; Shirima, G M; Packer, C

2005-04-01

Bovine tuberculosis, caused by Mycobacterium bovis, is a pathogen of growing concern in free-ranging wildlife in Africa, but little is known about the disease in Tanzanian wildlife. Here, we report the infection status of Mycobacterium bovis in a range of wildlife species sampled from protected areas in northern Tanzania. M. bovis was isolated from 11.1% (2/18) migratory wildebeest (Connochaetes taurinus) and 11.1% (1/9) topi (Damaliscus lunatus) sampled systematically in 2000 during a meat cropping program in the Serengeti ecosystem, and from one wildebeest and one lesser kudu (Tragelaphus imberbis) killed by sport hunters adjacent to Tarangire National Park. A tuberculosis antibody enzyme immunoassay (EIA) was used to screen serum samples collected from 184 Serengeti lions (Panthera leo) and 19 lions from Ngorongoro Crater sampled between 1985 and 2000. Samples from 212 ungulates collected throughout the protected area network between 1998 and 2001 also were tested by EIA. Serological assays detected antibodies to M. bovis in 4% of Serengeti lions; one positive lion was sampled in 1984. Antibodies were detected in one of 17 (6%) buffalo (Syncerus caffer) in Tarangire and one of 41 (2%) wildebeest in the Serengeti. This study confirms for the first time the presence of bovine tuberculosis in wildlife of northern Tanzania, but further investigation is required to assess the impact on wildlife populations and the role of different wildlife species in maintenance and transmission.

77 FR 17086 - Section 8 Housing Choice Vouchers: Revised Implementation of the HUD-VA Supportive Housing Program

Science.gov (United States)

2012-03-23

... Housing g. Mobility and Portability of HUD-VASH Vouchers h. Case Management Requirements i. Turnover of... veterans with case management and clinical services provided by the VA through its community medical... services sites and Community-Based Outpatient Clinics (CBOCs) across the nation. The HUD- VASH program is a...

75 FR 37825 - Notice of Proposed Information Collection for Public Comment for the Housing Choice Voucher...

Science.gov (United States)

2010-06-30

... Voucher, Portability Information, Housing Assistance Payments Contracts and Tenancy Addenda, Homeownership Obligations, Tenant Information for Owner, Voucher Transfers, Homeownership Contracts of Sale, Information for... Obligations, Tenant Information for Owner, Voucher Transfers, Homeownership Contracts of Sale, Information...

Tanzanian Botanical Derivatives in the Control of Malaria Vectors ...

African Journals Online (AJOL)

This paper report on assessment of the chemicals derived from Tanzanian botanical resource as a viable source of safe, environmentally friendly and low cost mosquitocidal agents, but has yet to be developed into simple blends and formulations to be used in malaria control campaigns. Selection of bioactive plant species ...

School Vouchers: Stealing from the Poor to Give to the Rich?

Science.gov (United States)

San Jose, Alyssa L.

2017-01-01

School vouchers are defined as certificates of government funding that are allocated to students and intended to defer the cost of tuition at a private school of the student or the student's parents' choice. With strong views on opposing sides, the issue of school choice and the corresponding use of vouchers has certainly been catapulted into the…

Innovative voucher as a prospect tool for grant funding

Directory of Open Access Journals (Sweden)

V. A. Barinova

2015-01-01

Full Text Available The article aims to explore innovative international practice for advancing the mechanisms of distributing grant funding. Authors analyze a practical case study of successful implementation of innovative vouchers overseas, and draw parallels with regard to already formed institutes in Russia, corresponding with foreign in terms of their functional. Possible mechanisms for implementing successful foreign practices of utilizing innovative vouchers in Russia were studied in this article. On the basis of conducted analysis authors evaluate perspectives of implementing the suggested scheme in Russia.

Sex, Witchcraft and Politics in Tanzanian Kiswahili Video-Films ...

African Journals Online (AJOL)

The films tell stories of the problems and joys of the contemporary Tanzanian society, and revolve around themes such as gender relations, love and/or sex, witchcraft and politics. Using selected films from prominent filmmakers, this article analyses the nature of Kiswahili filmmaking in Tanzania and the ways in which some ...

Educational Vouchers: Freedom to Choose?

Directory of Open Access Journals (Sweden)

Jordan Reel

2013-12-01

Full Text Available Milton Friedman is famous for his book title: “Free to Choose.” He also favors educational vouchers, which denies the freedom to choose to people who do not wish to subsidize the education of other people’s children. Thus, he is guilty of a logical contradiction. Why is it important to assess whether Friedman’s views on educational vouchers are logically consistent with his widespread reputation as an advocate of free enterprise, and, thus, freedom to chose? It is important to assess all figures in political economy, and indeed all of scholarship, for logical consistency. It is particularly important to do so in the present case, given the prestige in certain quarters accorded to this Nobel prize-winning economist. We argue in this paper that Friedman’s reputation for logical consistency, and adherence to the philosophy of laissez faire capitalism, are both overblown. Our solution to this challenge is to completely privatize education. Friedman does not advocate that vouchers be utilized for food, clothing or shelter; we see no relevant difference in the case of education. What is the justification of the undertaken topic? This topic is important because education of the next generation is crucial for the upkeep and improvement of society. What is the aim of the present study? It is to demonstrate that the solution offered by M. Friedman and R. Friedman (1990 is highly problematic. What is the methodology used in the study? We quote from this author, and criticize his analysis. What are our main results and conclusions/recommendations? We conclude that the last best hope for the educational industry is laissez faire capitalism, not the mixed economy recommended by Friedman.

77 FR 13619 - Notice of Submission of Proposed Information Collection to OMB; Housing Choice Voucher Program

Science.gov (United States)

2012-03-07

... Proposed Information Collection to OMB; Housing Choice Voucher Program AGENCY: Office of the Chief... assistance payments, and budget and payment documentation. In some cases, PHAs voluntarily divest their voucher programs to a receiving PHA. PHAs may also project-base a portion of their vouchers or use their...

75 FR 55596 - Notice of Submission of Proposed Information Collection to OMB Housing Choice Voucher Program

Science.gov (United States)

2010-09-13

... Proposed Information Collection to OMB Housing Choice Voucher Program AGENCY: Office of the Chief... assistance payments, and budget and payment documentation. In some cases PHAs voluntarily divest their voucher programs to a receiving PHA. PHAs may also project-base a portion of their vouchers or use their...

78 FR 31972 - Notice of Proposed Information Collection for Public Comment; Request Voucher for Grant Payment...

Science.gov (United States)

2013-05-28

... Information Collection for Public Comment; Request Voucher for Grant Payment and Line of Credit Control System... information: Title Of Proposal: Request Voucher for Grant Payment and Line of Credit Control System (LOCCS... and proposed use: Payment request vouchers for distribution of grant funds using the automated Voice...

Non-repeatable science: assessing the frequency of voucher specimen deposition reveals that most arthropod research cannot be verified

Directory of Open Access Journals (Sweden)

Shaun Turney

2015-08-01

Full Text Available Scientific findings need to be verifiable and grounded in repeatability. With specimen-level research this is in part achieved with the deposition of voucher specimens. These are labeled, curated, data-based specimens that have been deposited in a collection or museum, available for verification of the work and to ensure researchers are calling the same taxa by the same names. Voucher specimens themselves are the subject of research, from the discovery of new species by taxonomists to ecologists documenting historical records of invasive species. Our objective was to quantify the frequency of voucher specimen deposition in biodiversity and community ecology research through a survey of the peer-reviewed literature about arthropods, from 1989 until 2014. Overall rates of voucher deposition were alarmingly low, at under 25%. This rate increased significantly over time, with 35% of papers reporting on vouchers in 2014. Relative to the global mean, entomological research had a significantly higher rate of voucher deposition (46%, whereas researchers studying crustaceans deposited vouchers less than 6% of the time, significantly less than the mean. Researchers working in museums had a significantly higher frequency of voucher deposition. Our results suggest a significant culture shift about the process of vouchering specimens is required. There must be more education and mentoring about voucher specimens within laboratories and across different fields of study. Principal investigators and granting agencies need a proactive approach to ensuring specimen-level data are properly, long-term curated. Editorial boards and journals can also adopt policies to ensure papers are published only if explicit statements about the deposition of voucher specimens is provided. Although the gap is significant, achieving a higher rate of voucher specimen deposition is a worthy goal to ensure all research efforts are preserved for future generations.

Non-repeatable science: assessing the frequency of voucher specimen deposition reveals that most arthropod research cannot be verified.

Science.gov (United States)

Turney, Shaun; Cameron, Elyssa R; Cloutier, Christopher A; Buddle, Christopher M

2015-01-01

Scientific findings need to be verifiable and grounded in repeatability. With specimen-level research this is in part achieved with the deposition of voucher specimens. These are labeled, curated, data-based specimens that have been deposited in a collection or museum, available for verification of the work and to ensure researchers are calling the same taxa by the same names. Voucher specimens themselves are the subject of research, from the discovery of new species by taxonomists to ecologists documenting historical records of invasive species. Our objective was to quantify the frequency of voucher specimen deposition in biodiversity and community ecology research through a survey of the peer-reviewed literature about arthropods, from 1989 until 2014. Overall rates of voucher deposition were alarmingly low, at under 25%. This rate increased significantly over time, with 35% of papers reporting on vouchers in 2014. Relative to the global mean, entomological research had a significantly higher rate of voucher deposition (46%), whereas researchers studying crustaceans deposited vouchers less than 6% of the time, significantly less than the mean. Researchers working in museums had a significantly higher frequency of voucher deposition. Our results suggest a significant culture shift about the process of vouchering specimens is required. There must be more education and mentoring about voucher specimens within laboratories and across different fields of study. Principal investigators and granting agencies need a proactive approach to ensuring specimen-level data are properly, long-term curated. Editorial boards and journals can also adopt policies to ensure papers are published only if explicit statements about the deposition of voucher specimens is provided. Although the gap is significant, achieving a higher rate of voucher specimen deposition is a worthy goal to ensure all research efforts are preserved for future generations.

24 CFR 982.505 - Voucher tenancy: How to calculate housing assistance payment.

Science.gov (United States)

2010-04-01

... Rent and Housing Assistance Payment § 982.505 Voucher tenancy: How to calculate housing assistance... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Voucher tenancy: How to calculate housing assistance payment. 982.505 Section 982.505 Housing and Urban Development Regulations Relating to...

24 CFR 982.617 - Shared housing: Rent and voucher housing assistance payment.

Science.gov (United States)

2010-04-01

... Special Housing Types Shared Housing § 982.617 Shared housing: Rent and voucher housing assistance payment... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Shared housing: Rent and voucher housing assistance payment. 982.617 Section 982.617 Housing and Urban Development Regulations Relating to...

Who would eat more with a food voucher programme in South Africa?

Directory of Open Access Journals (Sweden)

Jan Horn Van Heerden

2011-06-01

Full Text Available A Computable General Equilibrium model is used to find the effects of a food voucher scheme on the economy in South Africa. If firms consider the issuing of vouchers as increased remuneration, they will hire fewer labourers. The higher labour cost increases the total cost of production and lowers supply. Real Gross Domestic Product decreases and the economy becomes worse off.  However, depending on the size of the government’s involvement in such a scheme as well as the tax policies that are used to fund it, a food voucher scheme could benefit the poor, and improve the distribution of wealth in the country.

24 CFR 982.613 - Group home: Rent and voucher housing assistance payment.

Science.gov (United States)

2010-04-01

... Special Housing Types Group Home § 982.613 Group home: Rent and voucher housing assistance payment. (a... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Group home: Rent and voucher housing assistance payment. 982.613 Section 982.613 Housing and Urban Development Regulations Relating to...

School Voucher Program and Its Enlightenments to the Education Reform in China

Science.gov (United States)

Shen, Youlu

2005-01-01

This article roughly retrospects the idea of school voucher program proposed by Milton Friedman, lately developed by Peacock, Wiseman and Jencks. The reasons like privatization in education, deterioration of public schooling and school choice promote this program. Then taking a simple look at the ramification of voucher program and its value…

Spatial distribution of soluble reactive silica (SRSi) in the Tanzanian ...

African Journals Online (AJOL)

Soluble reactive silica (SRSi) concentrations and diatom abundance were determined during four surveys in the Tanzanian waters of Lake Victoria between 2005 and 2008. The SRSi concentrations increased towards offshore sites, while the opposite was true for diatom abundance. The water directly above the sediment ...

Nurses' workplace distress and ethical dilemmas in Tanzanian health care.

Science.gov (United States)

Häggström, Elisabeth; Mbusa, Ester; Wadensten, Barbro

2008-07-01

The aim of this study was to describe Tanzanian nurses' meaning of and experiences with ethical dilemmas and workplace distress in different care settings. An open question guide was used and the study focused on the answers that 29 registered nurses supplied. The theme, ;Tanzanian registered nurses' invisible and visible expressions about existential conditions in care', emerged from several subthemes as: suffering from (1) workplace distress; (2) ethical dilemmas; (3) trying to maintaining good quality nursing care; (4) lack of respect, appreciation and influence; and (5) a heavy workload that did not prevent registered nurses from struggling for better care for their patients. The analysis shows that, on a daily basis, nurses find themselves working on the edge of life and death, while they have few opportunities for doing anything about this situation. Nurses need professional guidance to gain insight and be able to reflect on their situations, so that they do not become overloaded with ethical dilemmas and workplace distress.

75 FR 11553 - Final Fair Market Rents for the Housing Choice Voucher Program and Moderate Rehabilitation Single...

Science.gov (United States)

2010-03-11

... provided on the same website noted above. Any questions related to use of FMRs or voucher payment standards... the Housing Choice Voucher Program and Moderate Rehabilitation Single Room Occupancy Program for... County, ND. Both areas were having significant problems administering the Housing Choice Voucher program...

Non-Religion-Based State Constitutional Challenges to Educational Voucher and Tax Credit Programs

Science.gov (United States)

Green, Preston C., III

2016-01-01

This article provides an overview of non-religion-based state constitutional challenges to educational voucher and tax credit/scholarship programs. The first section discusses litigation examining whether education voucher programs violate constitutional provisions requiring the legislature to provide an efficient system of public schools. The…

The Voucher System as an Alternative for Allocating Sports Grants

OpenAIRE

Marek Pavlik; Michiel S. de Vries

2014-01-01

Sport funding at the municipal level has a long tradition, especially in Europe. Youth involvement in sport is usually an important aspect of grant policies. There are questions regarding how to allocate public resources more efficiently and how to increase youth participation in sport. We analyse sport vouchers as a tool for increasing transparency and efficiency as well as the involvement of young people and their parents in sport policy at the local level.Vouchers typically transfer purcha...

31 CFR 250.3 - Voucher applications.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Voucher applications. 250.3 Section 250.3 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE... in 250.4 and returned to the Credit Accounting Branch with the relevant information and the...

Collaboration Vouchers: A Policy to Increase Population Wellbeing

Directory of Open Access Journals (Sweden)

Benjamin Heslop

2018-06-01

Full Text Available Abstract: While economic liberalism has delivered national wealth, substantial portions of the population have been left behind. The precariously and unemployed experience reduced wellbeing that may be remedied by their greater involvement in egalitarian, purposive collaborative groups. Policy to achieve this objective may be assisted by an understanding of how positive psychology interacts with social psychology. The PILAR model of collaboration is postulated to translate between an individual’s psychological capital (PsyCap and their meeting of basic psychological needs (BPN. In a proposed cyclical model, a collaborating individual will meet BPN, thereby experience enhanced wellbeing, which bolsters PsyCap, and hence promotes further collaboration. Given collaboration is amenable to incentivisation, a policy of collaboration vouchers might cost-effectively promote individual wellbeing throughout society, whilst having complementary effects such as social cohesion.

Determination System Of Food Vouchers For the Poor Based On Fuzzy C-Means Method

Science.gov (United States)

Anamisa, D. R.; Yusuf, M.; Syakur, M. A.

2018-01-01

Food vouchers are government programs to tackle the poverty of rural communities. This program aims to help the poor group in getting enough food and nutrients from carbohydrates. There are several factors that influence to receive the food voucher, such as: job, monthly income, Taxes, electricity bill, size of house, number of family member, education certificate and amount of rice consumption every week. In the execution for the distribution of vouchers is often a lot of problems, such as: the distribution of food vouchers has been misdirected and someone who receives is still subjective. Some of the solutions to decision making have not been done. The research aims to calculating the change of each partition matrix and each cluster using Fuzzy C-Means method. Hopefully this research makes contribution by providing higher result using Fuzzy C-Means comparing to other method for this case study. In this research, decision making is done by using Fuzzy C-Means method. The Fuzzy C-Means method is a clustering method that has an organized and scattered cluster structure with regular patterns on two-dimensional datasets. Furthermore, Fuzzy C-Means method used for calculates the change of each partition matrix. Each cluster will be sorted by the proximity of the data element to the centroid of the cluster to get the ranking. Various trials were conducted for grouping and ranking of proposed data that received food vouchers based on the quota of each village. This testing by Fuzzy C-Means method, is developed and abled for determining the recipient of the food voucher with satisfaction results. Fulfillment of the recipient of the food voucher is 80% to 90% and this testing using data of 115 Family Card from 6 Villages. The quality of success affected, has been using the number of iteration factors is 20 and the number of clusters is 3

77 FR 9617 - Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing (DFARS Case 2011-D054)

Science.gov (United States)

2012-02-17

... provisional payment and sent to the disbursing office after the pre-payment review. Interim vouchers not... evaluation of selected interim vouchers on a pre-payment basis in lieu of the current direct submission authorization, which does not allow for the pre-payment evaluation of higher risk interim vouchers. It is...

Vouchers, Tests, Loans, Privatization: Will They Help Tackle Corruption in Russian Higher Education?

Science.gov (United States)

Osipian, Ararat L.

2009-01-01

Higher education in Russia is currently being reformed. A standardized computer-graded test and educational vouchers were introduced to make higher education more accessible, fund it more effectively, and reduce corruption in admissions to public colleges. The voucher project failed and the test faces furious opposition. This paper considers…

Leadership Styles and Teachers' Job Satisfaction in Tanzanian Public Secondary Schools

NARCIS (Netherlands)

Nyenyembe, Fabian W.; Maslowski, Ralf; Nimrod, Beatrice S.; Peter, Levina

2016-01-01

This study explores the relationship between leadership styles applied by school heads and teachers’ job satisfaction in Tanzanian secondary schools. Using a questionnaire, data in this study was collected from 180 teachers in ten secondary schools in Songea District in Tanzania. The most salient

77 FR 52258 - Defense Federal Acquisition Regulation Supplement; DoD Voucher Processing (DFARS Case 2011-D054)

Science.gov (United States)

2012-08-29

... after a pre-payment review. Interim vouchers not selected for a pre-payment review will be considered to... a pre- payment review. Interim vouchers not selected for a pre-payment review will be considered to... office after a pre-payment review. Interim vouchers not selected for a pre-payment review will be...

78 FR 36520 - Rural Development Voucher Program

Science.gov (United States)

2013-06-18

... the process for providing voucher assistance to the eligible impacted families when an owner prepays a.... Non-Discrimination Statement The U.S. Department of Agriculture (USDA) prohibits discrimination... origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political...

Guidelines for collecting vouchers and tissues intended for genomic work (Smithsonian Institution: Botany Best Practices

Directory of Open Access Journals (Sweden)

Vicki Funk

2017-01-01

Full Text Available The introduction of Next Generation Sequencing into the disciplines of plant systematics, ecology, and metagenomics, among others, has resulted in a phenomenal increase in the collecting and storing of tissue samples and their respective vouchers. This manual suggests standard practices that will insure the quality and preservation of the tissue and vouchers and their respective data. Although written for use by the Smithsonian Institution botanists it suggests a framework for collecting tissues and vouchers that other research programs can adapt to their own needs. It includes information on collecting voucher specimens, collecting plant tissue intended for genomic analysis, how to manage these collections, and how to incorporate the data into a database management system. It also includes many useful references for collecting and processing collections. We hope it will be useful for a variety of botanists but especially those who know how to collect plants and want to collect tissue samples that will be useful for genomic research, and those who are skilled in lab work and want to know how to properly voucher and record their tissue collections.

78 FR 46360 - 30-Day Notice of Proposed Information Collection: Request Voucher for Grant Payment and Line of...

Science.gov (United States)

2013-07-31

... Information Collection: Request Voucher for Grant Payment and Line of Credit Control System (LOCCS) Voice.... Description of the need for the information and proposed use: Payment request vouchers for distribution of.... A. Overview of Information Collection Title of Information Collection: Request Voucher for Grant...

Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana

Directory of Open Access Journals (Sweden)

Taylor Ian

2007-02-01

Full Text Available Abstract Background Coverage of vulnerable groups with insecticide-treated nets (ITNs in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scale-up to other regions. Successful scale-up of public health interventions depends upon optimal delivery processes but operational research for delivery processes in large-scale implementation has been inadequate. Methods A simple tool was developed to monitor numbers of vouchers given to each health facility, numbers issued to pregnant women by the health staff, and numbers redeemed by the distributors back to the management agent. Three rounds of interviews were undertaken with health facility staff, retailers and pregnant women who had attended antenatal clinic (ANC. Results During the one year pilot 25,926 vouchers were issued to eligible women from clinics, which equates to 50.7% of the 51,658 ANC registrants during this time period. Of the vouchers issued 66.7% were redeemed by distributors back to the management agent. Initially, non-issuing of vouchers to pregnant women was mainly due to eligibility criteria imposed by the midwives; later in the year it was due to decisions of the pregnant women, and supply constraints. These in turn were heavily influenced by factors external to the programme: current household ownership of nets, competing ITN delivery strategies, and competition for the limited number of ITNs available in the country from major urban areas of other regions. Conclusion Both issuing and redemption of vouchers should be monitored as factors assumed to influence voucher redemption had an influence on issuing, and vice versa. More evidence is needed on how specific contextual factors influence the success of voucher schemes and other models of delivery of ITNs. Such an evidence base will facilitate optimal strategic decision making

Earnings Inequality and the Intersectionality of Gender and Ethnicity in Sub-Saharan Africa: The Case of Tanzanian Manufacturing

OpenAIRE

Juliet U. Elu; Linda Loubert

2013-01-01

This paper estimates quantile earnings functions with data from the 2004 Tanzanian Household Worker Survey to determine if ethnicity and gender--being female--matters per se and across the distribution of earnings. We find that in the Tanzanian manufacturing sector gender intersects with ethnicity to condition earnings and the return to schooling across the distribution of earnings. This suggests that in Sub-Saharan Africa--at least in Tanzania--labor market policies aimed at eradicating gend...

75 FR 30845 - Request Voucher for Grant Payment and Line of Credit Control System (LOCCS) Voice Response System...

Science.gov (United States)

2010-06-02

... subject proposal. Payment request vouchers for distribution of grant funds using the automated Voice... Lists the Following Information Title of Proposal: Request Voucher for Grant Payment and Line of Credit... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5376-N-46] Request Voucher for Grant...

Who Decides? Tanzanian Women's Narratives on Educational Advancement and Agency

Science.gov (United States)

Okkolin, Mari-Anne

2016-01-01

One of the critical issues deliberated amongst researchers on gender and education is that of choosing and decision-making. Often, the focus of analysis is framed through the concept of agency. In this paper, the analytical focus is on educational advancement and agency. The paper is based on narratives of 10 highly educated Tanzanian women.…

Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People.

Science.gov (United States)

Burke, Eva; Gold, Judy; Razafinirinasoa, Lalaina; Mackay, Anna

2017-03-24

Young people often express a preference for seeking family planning information and services from the private sector. However, in many Marie Stopes International (MSI) social franchise networks, the proportion of young clients, and particularly those under 20 years of age, remains low. Marie Stopes Madagascar (MSM) piloted a youth voucher program that joins a supply-side intervention-youth-friendly social franchisee training and quality monitoring-with a corresponding demand-side-component, free vouchers that reduce financial barriers to family planning access for young people. Young people identified by MSM's community health educators (CHEs) received a free voucher redeemable at a BlueStar social franchisee for a package of voluntary family planning and sexually transmitted infection (STI) information and services. BlueStar social franchisees-private providers accredited by MSM-are reimbursed for the cost of providing these services. We reviewed service statistics data from the first 18 months of the youth voucher program, from July 2013 to December 2014, as well as client demographic profile data from July 2015. Findings: Between July 2013 and December 2014, 58,417 vouchers were distributed to young people by CHEs through a range of community mobilization efforts, of which 43,352 (74%) were redeemed for family planning and STI services. Most clients (78.5%) chose a long-acting reversible contraceptive (LARC), and just over half (51%) of young people benefited from STI counseling as part of their voucher service. Most (78%) services were provided in the Analamanga region (the capital and its surroundings), which was expected given the population density in this region and the high concentration of BlueStar franchisees. The client profile data snapshot from July 2015 revealed that 69% of voucher clients had never previously used a contraceptive method, and 96% of clients were aged 20 or younger, suggesting that the voucher program is successfully reaching the

Youth Voucher Program in Madagascar Increases Access to Voluntary Family Planning and STI Services for Young People

Science.gov (United States)

Burke, Eva; Gold, Judy; Razafinirinasoa, Lalaina; Mackay, Anna

2017-01-01

ABSTRACT Background: Young people often express a preference for seeking family planning information and services from the private sector. However, in many Marie Stopes International (MSI) social franchise networks, the proportion of young clients, and particularly those under 20 years of age, remains low. Marie Stopes Madagascar (MSM) piloted a youth voucher program that joins a supply-side intervention—youth-friendly social franchisee training and quality monitoring—with a corresponding demand-side-component, free vouchers that reduce financial barriers to family planning access for young people. Methods: Young people identified by MSM's community health educators (CHEs) received a free voucher redeemable at a BlueStar social franchisee for a package of voluntary family planning and sexually transmitted infection (STI) information and services. BlueStar social franchisees—private providers accredited by MSM—are reimbursed for the cost of providing these services. We reviewed service statistics data from the first 18 months of the youth voucher program, from July 2013 to December 2014, as well as client demographic profile data from July 2015. Findings: Between July 2013 and December 2014, 58,417 vouchers were distributed to young people by CHEs through a range of community mobilization efforts, of which 43,352 (74%) were redeemed for family planning and STI services. Most clients (78.5%) chose a long-acting reversible contraceptive (LARC), and just over half (51%) of young people benefited from STI counseling as part of their voucher service. Most (78%) services were provided in the Analamanga region (the capital and its surroundings), which was expected given the population density in this region and the high concentration of BlueStar franchisees. The client profile data snapshot from July 2015 revealed that 69% of voucher clients had never previously used a contraceptive method, and 96% of clients were aged 20 or younger, suggesting that the voucher

Relief Plans Spurring Debate over Vouchers

Science.gov (United States)

Robelen, Erik W.

2005-01-01

Washington is a safe distance from the powerful winds that have wreaked havoc on the Gulf Coast, but a political storm continued to brew in the capital over President Bush's plan to help pay the costs of private school tuition for students displaced by Hurricane Katrina. As voucher opponents decried the president's plan, Louisiana's two U.S.…

Economic Modeling and Analysis of Educational Vouchers

Science.gov (United States)

Epple, Dennis; Romano, Richard

2012-01-01

The analysis of educational vouchers has evolved from market-based analogies to models that incorporate distinctive features of the educational environment. These distinctive features include peer effects, scope for private school pricing and admissions based on student characteristics, the linkage of household residential and school choices in…

Money matters: evidence from a large-scale randomized field experiment with vouchers for adult training

OpenAIRE

Messer, Dolores; Wolter, Stefan C.

2009-01-01

This paper presents the results of a randomized experiment analyzing the use of vouchers for adult training. In 2006, 2,400 people were issued with a training voucher which they were entitled to use in payment for a training course of their choice. User behavior was compared with a control group of 14,000 people. People in the treatment and in the control group were not aware at any time that they were part of an experiment. The experiment shows that the voucher had a significant causal impac...

Using a voucher system to extend health services to migrant farmworkers.

OpenAIRE

Slesinger, D P; Ofstead, C

1996-01-01

FAMILY HEALTH/LA CLINICA de los Campesinos, Inc., is a federally funded migrant health clinic in the heart of Wisconsin's farmland that has offered outpatient health care since 1973 and an accompanying "voucher" program since 1988. The charges for outpatient care are based on the ability to pay. The clinic issues vouchers not only to migrant workers living and working in remote parts of the State but also to patients needing services the clinic does not offer. Between 1 April 1992 and 30 Marc...

75 FR 61253 - Final Fair Market Rents for Fiscal Year 2011 for the Housing Choice Voucher Program and Moderate...

Science.gov (United States)

2010-10-04

.... Any questions related to use of FMRs or voucher payment standards should be directed to the respective... Housing Choice Voucher program, the FMR is the basis for determining the ``payment standard amount'' used... for the Housing Choice Voucher Program and Moderate Rehabilitation Single Room Occupancy Program...

Leadership Styles and Teachers' Job Satisfaction in Tanzanian Public Secondary Schools

Science.gov (United States)

Nyenyembe, Fabian W.; Maslowski, Ralf; Nimrod, Beatrice S.; Peter, Levina

2016-01-01

This study explores the relationship between leadership styles applied by school heads and teachers' job satisfaction in Tanzanian secondary schools. Using a questionnaire, data in this study was collected from 180 teachers in ten secondary schools in Songea District in Tanzania. The most salient finding of this study revealed that teachers were…

Community-level effect of the reproductive health vouchers program on out-of-pocket spending on family planning and safe motherhood services in Kenya.

Science.gov (United States)

Obare, Francis; Warren, Charlotte; Kanya, Lucy; Abuya, Timothy; Bellows, Ben

2015-08-25

Although vouchers can protect individuals in low-income countries from financial catastrophe and impoverishment arising from out-of-pocket expenditures on healthcare, their effectiveness in achieving this goal depends on whether both service and transport costs are subsidized as well as other factors such as service availability in a given locality and community perceptions about the quality of care. This paper examines the community-level effect of the reproductive health vouchers program on out-of-pocket expenditure on family planning, antenatal, delivery and postnatal care services in Kenya. Data are from two rounds of cross-sectional household surveys in voucher and non-voucher sites. The first survey was conducted between May 2010 and July 2011 among 2,933 women aged 15-49 years while the second survey took place between July and October 2012 among 3,094 women of similar age groups. The effect of the program on out-of-pocket expenditure is determined by difference-in-differences estimation. Analysis entails comparison of changes in proportions, means and medians as well as estimation of multivariate linear regression models with interaction terms between indicators for study site (voucher or non-voucher) and period of study (2010-2011 or 2012). There were significantly greater declines in the proportions of women from voucher sites that paid for antenatal, delivery and postnatal care services at health facilities compared to those from non-voucher sites. The changes were also consistent with increased uptake of the safe motherhood voucher in intervention sites over time. There was, however, no significant difference in changes in the proportions of women from voucher and non-voucher sites that paid for family planning services. The results further show that there were significant differences in changes in the amount paid for family planning and antenatal care services by women from voucher compared to those from non-voucher sites. Although there were greater

Determinants of Teachers' Attitudes towards E- Learning in Tanzanian Higher Learning Institutions

Science.gov (United States)

Kisanga, Dalton H.

2016-01-01

This survey research study presents the findings on determinants of teachers' attitudes towards e-learning in Tanzanian higher learning institutions. The study involved 258 teachers from 4 higher learning institutions obtained through stratified, simple random sampling. Questionnaires and documentary review were used in data collection. Data were…

As Capable as Other Students: Tanzanian Women with Disabilities in Higher Education

Science.gov (United States)

Tuomi, Margaret Trotta; Lehtomäki, Elina; Matonya, Magreth

2015-01-01

Globally, persons with disabilities are underrepresented in higher education. In sub-Saharan Africa, where opportunities for higher education are especially limited, women are unlikely to continue their education. This research investigates women in Tanzanian higher education with the double marginalisation of being a woman and having…

Sexuality and Health: A Study of Tanzanian Men\\'s Experiences of ...

African Journals Online (AJOL)

The aim of this study was to explore Tanzanian men\\'s experiences regarding their health and sex life after they had been diagnosed with HIV. In-depth interviews were performed with a purposive sample of ten men living in an urban area in Tanzania and who had been HIV positive for more than one year.

Piloting an HIV self-test kit voucher program to raise serostatus awareness of high-risk African Americans, Los Angeles.

Science.gov (United States)

Marlin, Robert W; Young, Sean D; Bristow, Claire C; Wilson, Greg; Rodriguez, Jeffrey; Ortiz, Jose; Mathew, Rhea; Klausner, Jeffrey D

2014-11-26

Up to half of all new HIV cases in Los Angeles may be caused by the 20-30% of men who have sex with men (MSM) with unrecognized HIV infection. Racial/ethnic minority MSM are at particularly high risk for being sero-unaware and due to stigma and poor healthcare access might benefit from novel private, self-testing methods, such as the recently FDA-approved OraQuick® In-Home HIV Test. From July-November 2013, we undertook a pilot study to examine the feasibility of a voucher program for free OraQuick® tests targeting African American MSM in Los Angeles. We determined feasibility based on: (1) the establishment of a voucher redemption and third-party payment system, (2) the willingness of community-based organizations (CBOs) to disseminate vouchers, and (3) the collection of user demographics, test and linkage-to-care results with an anonymous telephone survey. We partnered with Walgreens® to create a voucher and third-party reimbursement system for free OraQuick® tests. Voucher distribution was divided into two periods. In total, 641 vouchers were supplied to CBOs: 274 (42.7%) went to clients and of those 53 (19.3%) were redeemed. Fifty (18.2%) of the 274 clients were surveyed: 44 (88%) were African American, 39 (78%) reported being likely to repeat voucher use, 44 (88%) reported reviewing pre-test information, and 37 (74%) the post-test information. Three (6%) of 50 survey respondents reported newly testing HIV-positive of whom all (100%) reported seeking medical care. Two withheld their results, both of whom also sought medical care. Developing and partnering with a commercial pharmacy to institute a voucher system to facilitate HIV self-testing with linkage-to-care was feasible. Our findings suggest the voucher program was associated with increasing the identification of new cases of HIV infection with high rates of linkage to care. Expanded research and evaluation of voucher programs for HIV self-test kits among high-risk groups is warranted.

Why Don't Housing Choice Voucher Recipients Live Near Better Schools? Insights from Big Data

Science.gov (United States)

Ellen, Ingrid Gould; Horn, Keren Mertens; Schwartz, Amy Ellen

2016-01-01

Housing choice vouchers provide low-income households with additional income to spend on rental housing in the private market. The assistance vouchers provide is substantial, offering the potential to dramatically expand the neighborhood--and associated public schools--that low-income households can reach. However, existing research on the program…

Intolerance for withdrawal discomfort and motivation predict voucher-based smoking treatment outcomes for smokers with substance use disorders.

Science.gov (United States)

Rohsenow, Damaris J; Tidey, Jennifer W; Kahler, Christopher W; Martin, Rosemarie A; Colby, Suzanne M; Sirota, Alan D

2015-04-01

Identifying predictors of abstinence with voucher-based treatment is important for improving its efficacy. Smokers with substance use disorders have very low smoking cessation rates so identifying predictors of smoking treatment response is particularly important for these difficult-to-treat smokers. Intolerance for Smoking Abstinence Discomfort (IDQ-S), motivation to quit smoking, nicotine dependence severity (FTND), and cigarettes per day were examined as predictors of smoking abstinence during and after voucher-based smoking treatment with motivational counseling. We also investigated the relationship between IDQ-S and motivation to quit smoking. Smokers in residential substance treatment (n=184) were provided 14days of vouchers for complete smoking abstinence (CV) after a 5-day smoking reduction lead-in period or vouchers not contingent on abstinence. Carbon monoxide readings indicated about 25% of days abstinent during the 14days of vouchers for abstinence in the CV group; only 3-4% of all participants were abstinent at follow-ups. The IDQ-S Withdrawal Intolerance scale and FTND each significantly predicted fewer abstinent days during voucher treatment; FTND was nonsignificant when controlling for variance shared with withdrawal intolerance. The one significant predictor of 1-month abstinence was pretreatment motivation to quit smoking, becoming marginal (pmotivation to quit smoking. Implications for voucher-based treatment include the importance of focusing on reducing these expectancies of anticipated smoking withdrawal discomfort, increasing tolerance for abstinence discomfort, and increasing motivation. Published by Elsevier Ltd.

Vouchers as demand side financing instruments for health care: a review of the Bangladesh maternal voucher scheme.

Science.gov (United States)

Schmidt, Jean-Olivier; Ensor, Tim; Hossain, Atia; Khan, Salam

2010-07-01

Demand side financing (DSF) mechanisms transfer purchasing power to specified groups for defined goods and services in order to increase access to specified services. This is an important innovation in health care systems where access remains poor despite substantial subsidies towards the supply side. In Bangladesh, a maternal health DSF pilot in 33 sub-districts was launched in 2007. We report the results of a rapid review of this scheme undertaken during 2008 after 1 year of its setup. Quantitative data collected by DSF committees, facilities and national information systems were assessed alongside qualitative data, i.e. key informant interviews and focus group discussions with beneficiaries and health service providers on the operation of the scheme in 6 sub-districts. The scheme provides vouchers to women distributed by health workers that entitle mainly poor women to receive skilled care at home or a facility and also provide payments for transport and food. After initial setbacks voucher distribution rose quickly. The data also suggest that the rise in facility based delivery appeared to be more rapid in DSF than in other non-DSF areas, although the methods do not allow for a strict causal attribution as there might be co-founding effects. Fears that the financial incentives for surgical delivery would lead to an over emphasis on Caesarean section appear to be unfounded although the trends need further monitoring. DSF provides substantial additional funding to facilities but remains complex to administer, requiring a parallel administrative mechanism putting additional work burden on the health workers. There is little evidence that the mechanism encourages competition due to the limited provision of health care services. The main question outstanding is whether the achievements of the DSF scheme could be achieved more efficiently by adapting the regular government funding rather than creating an entirely new mechanism. Also, improving the quality of health

Occlusion in the primary and early mixed dentitions in a group of Tanzanian and Finnish children.

Science.gov (United States)

Kerosuo, H

1990-01-01

Two high and two low socioeconomic areas were selected for the Tanzanian portion of this study, with all nursery schools located in those areas included, for a subtotal of 580 children. The Finnish group was comprised of a total of 575 Caucasian children examined. The Tanzanian children (83 percent Black African, 10 percent Asian, 7 percent Arab) had fewer occlusal anomalies than the Finnish children did. Finnish children had a 13-percent incidence rate of lateral cross-bite; among African children, 8 percent showed anterior crossbite; and among the combined Asian/Arab group of children, 10 percent had an anterior open bite. African children had significantly fewer prevalences of distal bite, lateral crossbite and crowding than Finnish children did.

75 FR 14455 - Notice of Proposed Information Collection: Comment Request; Request Voucher for Grant Payment and...

Science.gov (United States)

2010-03-25

... Information Collection: Comment Request; Request Voucher for Grant Payment and Line of Credit Control System... Notice also lists the following information: Title of proposal: Request Voucher for Grant Payment and..., if applicable: 2535-0102. Description of the need for the information and proposed use: Payment...

Promoting Locally Fortified Sunflower Oil Using E-Vouchers ...

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

The vouchers, transmitted through cell phone text messages, will deliver subsidies to vulnerable groups. They will target lactating mothers, while jumpstarting demand for fortified oil. Findings to improve health outcomes During the course of the project, subsidies will be systematically withdrawn to observe producers' and ...

Malnutrition and Its Determinants Are Associated with Suboptimal Cognitive, Communication, and Motor Development in Tanzanian Children.

Science.gov (United States)

Sudfeld, Christopher R; McCoy, Dana Charles; Fink, Günther; Muhihi, Alfa; Bellinger, David C; Masanja, Honorati; Smith, Emily R; Danaei, Goodarz; Ezzati, Majid; Fawzi, Wafaie W

2015-12-01

A large volume of literature has shown negative associations between stunting and child development; however, there is limited evidence for associations with milder forms of linear growth faltering and determinants of malnutrition in developing countries. The objective of this study was to assess the association between anthropometric growth indicators across their distribution and determinants of malnutrition with development of Tanzanian children. We used the Bayley Scales of Infant Development III to assess a cohort of 1036 Tanzanian children between 18 and 36 mo of age who were previously enrolled in a neonatal vitamin A trial. Linear regression models were used to assess standardized mean differences in child development for anthropometry z scores, along with pregnancy, delivery, and early childhood factors. Height-for-age z score (HAZ) was linearly associated with cognitive, communication, and motor development z scores across the observed range in this population (all P values for linear relation malnutrition was associated with increasing developmental deficits in Tanzanian children, whereas only wasted children exhibited developmental delays during acute malnutrition. Interventions to reduce SGA, improve sanitation, and increase maternal stature may have positive effects on child development. This trial was registered with the Australian New Zealand Clinical Trials Registry as ACTRN12610000636055. © 2015 American Society for Nutrition.

Introduction of European priority review vouchers to encourage development of new medicines for neglected diseases.

Science.gov (United States)

Ridley, David B; Sánchez, Alfonso Calles

2010-09-11

Every year 1 billion people worldwide are affected by traditionally neglected diseases, such as malaria, tuberculosis, leishmaniasis, and lymphatic filariasis, which impose tremendous public health burdens. Governments, foundations, and drug manufacturers have, however, started to support development of new treatments. European Union Member States have been leaders in implementing so-called push mechanisms (payment for drug development) and pull funding (reward for output), such as the advance market commitment, which creates a market for vaccines by guaranteeing prices. We propose an additional step that could be taken to encourage development of medicines for neglected diseases. A priority review voucher scheme, as is already in place in the USA, would reward a manufacturer that developed a new medicine for neglected diseases with a voucher that could be redeemed for priority review of a future medicine, probably a potential blockbuster drug. Unlike the US system a European voucher would also accelerate pricing and reimbursement decisions. This scheme would be likely to provide substantial benefits to voucher holders, society, and public health organisations. Copyright 2010 Elsevier Ltd. All rights reserved.

Exploring Literacy and Numeracy Teaching in Tanzanian Classrooms: Insights from Teachers' Classroom Practices

Science.gov (United States)

Mmasa, Mussa; Anney, Vicent Naano

2016-01-01

The study investigated the literacy teaching practices in Tanzanian classrooms in the provision of Primary education. It comprehensively assessed why primary school leavers are graduating without skills of reading, writing and numeracy competencies. Three objectives guided this study, first, was to explore teachers classroom practices in the…

Researchers' perspectives on open access scholarly communication in Tanzanian public universities

Directory of Open Access Journals (Sweden)

F.W. Dulle

2009-04-01

Full Text Available This research explored the awareness, usage and perspectives of Tanzanian researchers on open access as a mode of scholarly communication. A survey questionnaire targeted 544 respondents selected through stratified random sampling from a population of 1088 university researchers of the six public universities in Tanzania. With a response rate of 73%, the data were analysed using the Statistical Package for Social Sciences. The study reveals that the majority of the researchers were aware of and were positive towards open access. Findings further indicate that the majority of researchers in Tanzanian public universities used open access outlets more to access scholarly content than to disseminate their own research findings. It seems that most of these researchers would support open access publishing more if issues of recognition, quality and ownership were resolved. Thus many of them supported the idea of establishing institutional repositories at their respective universities as a way of improving the dissemination of local content. The study recommends that public universities and other research institutions in the country should consider establishing institutional repositories, with appropriate quality assurance measures, to improve the dissemination of research output emanating from these institutions.

76 FR 59711 - Notice of Submission of Proposed Information Collection to OMB Housing Choice Voucher Program...

Science.gov (United States)

2011-09-27

... and Congress have tried to balance fairness with cost savings, while trying to avoid large year-to... measurement of the work actually performed by voucher administrators. The study will measure and identify the... throughout the community is available to voucher families. The study will identify the costs involved in each...

Freedom from Racial Barriers: The Empirical Evidence on Vouchers and Segregation. School Choice Issues in Depth

Science.gov (United States)

Forster, Greg

2006-01-01

This report collects the results of all available studies using valid empirical methods to compare segregation in public and private schools, both in general and in the context of school voucher programs. Examining the widespread claims that private schools have high segregation levels and vouchers will lead to greater segregation, this report…

User and provider perspectives on emergency obstetric care in a tanzanian rural setting

DEFF Research Database (Denmark)

Sørensen, Bjarke Lund; Nielsen, Birgitte Bruun; Rasch, Vibeke

2011-01-01

The aim of this field study was to analyze the main dynamics and conflicts in attending and providing good quality delivery care in a local Tanzanian rural setting. The women and their relatives did not see the problems of pregnancy and birth in isolation but in relation to multiple other problems...

Segregation Levels in Cleveland Public Schools and the Cleveland Voucher Program. School Choice Issues in the State

Science.gov (United States)

Forster, Greg

2006-01-01

Examining the widespread claims that private schools have high segregation levels and vouchers will lead to greater segregation, this study finds that both assertions are empirically unsupportable. Private schools participating in Cleveland's voucher program are much less segregated than Cleveland's public schools. This means that students using…

The Impact of Family Unification Housing Vouchers on Child Welfare Outcomes.

Science.gov (United States)

Pergamit, Michael; Cunningham, Mary; Hanson, Devlin

2017-09-01

This study addresses whether providing housing vouchers through the Family Unification Program (FUP) to families involved in the child welfare system reduces child maltreatment and the need for child welfare services. The study uses child welfare administrative data on 326 children in Portland, Oregon, and 502 children in San Diego, California from the point at which their families were referred to the program through 18 months post-referral. Using a quasi-experimental waitlist comparison design, probit regressions show little impact of FUP on preventing child removal from home, but some positive impact on reunification among children already placed out of home. Hazard estimations show receipt of FUP speeds up child welfare case closure. Impacts on new reports of abuse and neglect are mixed, but point toward reduced reports. Low rates of removal among intact comparison families and high rates of reunification for children in out-of-home care suggest poor targeting of housing resources. Housing vouchers are being given to families not bearing the risks the program is intended to address. The presence of some positive findings suggests that housing vouchers might help reduce child welfare involvement if better targeting were practiced by child welfare agencies. © Society for Community Research and Action 2017.

Predictive markers of survival in HIV-seropositive and HIV-seronegative Tanzanian patients with extrapulmonary tuberculosis

NARCIS (Netherlands)

Richter, C.; Koelemay, M. J.; Swai, A. B.; Perenboom, R.; Mwakyusa, D. H.; Oosting, J.

1995-01-01

Prediction of survival in Tanzanian patients with extrapulmonary tuberculosis (TB). To evaluate the prognostic value of clinical and laboratory parameters on survival in human immunodeficiency virus (HIV) seropositive and HIV seronegative patients with extrapulmonary TB. Over an 8-month period 192

The distribution of ocular Chlamydia prevalence across Tanzanian communities where trachoma is declining.

Directory of Open Access Journals (Sweden)

Salman A Rahman

2015-03-01

Full Text Available Mathematical models predict an exponential distribution of infection prevalence across communities where a disease is disappearing. Trachoma control programs offer an opportunity to test this hypothesis, as the World Health Organization has targeted trachoma for elimination as a public health concern by the year 2020. Local programs may benefit if a single survey could reveal whether infection was headed towards elimination. Using data from a previously-published 2009 survey, we test the hypothesis that Chlamydia trachomatis prevalence across 75 Tanzanian communities where trachoma had been documented to be disappearing is exponentially distributed.We fit multiple continuous distributions to the Tanzanian data and found the exponential gave the best approximation. Model selection by Akaike Information Criteria (AICc suggested the exponential distribution had the most parsimonious fit to the data. Those distributions which do not include the exponential as a special or limiting case had much lower likelihoods of fitting the observed data. 95% confidence intervals for shape parameter estimates of those distributions which do include the exponential as a special or limiting case were consistent with the exponential. Lastly, goodness-of-fit testing was unable to reject the hypothesis that the prevalence data came from an exponential distribution.Models correctly predict that infection prevalence across communities where a disease is disappearing is best described by an exponential distribution. In Tanzanian communities where local control efforts had reduced the clinical signs of trachoma by 80% over 10 years, an exponential distribution gave the best fit to prevalence data. An exponential distribution has a relatively heavy tail, thus occasional high-prevalence communities are to be expected even when infection is disappearing. A single cross-sectional survey may be able to reveal whether elimination efforts are on-track.

The distribution of ocular Chlamydia prevalence across Tanzanian communities where trachoma is declining.

Science.gov (United States)

Rahman, Salman A; West, Sheila K; Mkocha, Harran; Munoz, Beatriz; Porco, Travis C; Keenan, Jeremy D; Lietman, Thomas M

2015-03-01

Mathematical models predict an exponential distribution of infection prevalence across communities where a disease is disappearing. Trachoma control programs offer an opportunity to test this hypothesis, as the World Health Organization has targeted trachoma for elimination as a public health concern by the year 2020. Local programs may benefit if a single survey could reveal whether infection was headed towards elimination. Using data from a previously-published 2009 survey, we test the hypothesis that Chlamydia trachomatis prevalence across 75 Tanzanian communities where trachoma had been documented to be disappearing is exponentially distributed. We fit multiple continuous distributions to the Tanzanian data and found the exponential gave the best approximation. Model selection by Akaike Information Criteria (AICc) suggested the exponential distribution had the most parsimonious fit to the data. Those distributions which do not include the exponential as a special or limiting case had much lower likelihoods of fitting the observed data. 95% confidence intervals for shape parameter estimates of those distributions which do include the exponential as a special or limiting case were consistent with the exponential. Lastly, goodness-of-fit testing was unable to reject the hypothesis that the prevalence data came from an exponential distribution. Models correctly predict that infection prevalence across communities where a disease is disappearing is best described by an exponential distribution. In Tanzanian communities where local control efforts had reduced the clinical signs of trachoma by 80% over 10 years, an exponential distribution gave the best fit to prevalence data. An exponential distribution has a relatively heavy tail, thus occasional high-prevalence communities are to be expected even when infection is disappearing. A single cross-sectional survey may be able to reveal whether elimination efforts are on-track.

Lange and Hayek revisited: lessons from Czech voucher privatization

Czech Academy of Sciences Publication Activity Database

Hanousek, Jan; Filer, Randall K.

2002-01-01

Roč. 21, č. 3 (2002), s. 491-498 ISSN 0273-3072 Institutional research plan: CEZ:AV0Z7085904 Keywords : Czech Republic * voucher privatization Subject RIV: AH - Economics http://search. ebscohost .com/login.aspx?direct=true&db=a9h&AN=6463493&site=ehost-live

48 CFR 2452.232-71 - Voucher submission (cost-reimbursement).

Science.gov (United States)

2010-10-01

...-reimbursement). 2452.232-71 Section 2452.232-71 Federal Acquisition Regulations System DEPARTMENT OF HOUSING AND... Clauses 2452.232-71 Voucher submission (cost-reimbursement). As prescribed in 2432.908(c)(2), insert a clause substantially the same as the following in all cost-reimbursement solicitations and contracts...

The vouchers scheme as a mechanism of public support allocation in theory and practice

OpenAIRE

Marek Pavlík

2013-01-01

Sport support at the municipal level has a long tradition, especially in Europe. Youth involvement to the sport is usually one of the important aspects of grant policies. There are questions regarding how to allocate public resources more efficiently and how to increase youth participation in sport. We analyze the sport vouchers as a tool for increasing transparency and efficiency as well as the involvement of youth and their parents in sport policy at the local level. Vouchers typically tran...

Needed: A Voucher Plan in Support of Continuing Education.

Science.gov (United States)

Bushnell, David S.

Opportunities for career advancement, an adequate pool of trained manpower, and the growth of our economy are inextricably connected with the availability of continuing education and training opportunities to working adults. Availability is a function of access to training and successful participation in training. The federally funded voucher plan…

The Impact of Trade Credit on Customer Switching Behaviour: Evidence from the Tanzanian Rice Market

NARCIS (Netherlands)

Hermes, N.; Kihanga, E.; Lensink, B.W.; Lutz, C.

2012-01-01

We use primary survey data to analyse the relationship between trade credit and customer switching in the context of trade transactions between wholesalers and retailers in the Tanzanian rice market. Results reveal a negative relation of trade credit and customer switching, that is, trade credit

The impact of trade credit on customer switching behaviour : Evidence from the Tanzanian rice market

NARCIS (Netherlands)

Hermes, C.L.M.; Kihanga, E.P.; Lensink, B.W.; Lutz, C.H.M.

2012-01-01

We use primary survey data to analyse the relationship between trade credit and customer switching in the context of trade transactions between wholesalers and retailers in the Tanzanian rice market. Results reveal a negative relation of trade credit and customer switching, that is, trade credit

Corporal punishment and children's externalizing problems: a cross-sectional study of Tanzanian primary school aged children.

Science.gov (United States)

Hecker, Tobias; Hermenau, Katharin; Isele, Dorothea; Elbert, Thomas

2014-05-01

The adverse effect of harsh corporal punishment on mental health and psychosocial functioning in children has been repeatedly suggested by studies in industrialized countries. Nevertheless, corporal punishment has remained common practice not only in many homes, but is also regularly practiced in schools, particularly in low-income countries, as a measure to maintain discipline. Proponents of corporal punishment have argued that the differences in culture and industrial development might also be reflected in a positive relationship between the use of corporal punishment and improving behavioral problems in low-income nations. In the present study we assessed the occurrence of corporal punishment at home and in school in Tanzanian primary school students. We also examined the association between corporal punishment and externalizing problems. The 409 children (52% boys) from grade 2 to 7 had a mean age of 10.49 (SD=1.89) years. Nearly all children had experienced corporal punishment at some point during their lifetime both in family and school contexts. Half of the respondents reported having experienced corporal punishment within the last year from a family member. A multiple sequential regression analysis revealed that corporal punishment by parents or by caregivers was positively related to children's externalizing problems. The present study provides evidence that Tanzanian children of primary school age are frequently exposed to extreme levels of corporal punishment, with detrimental consequences for externalizing behavior. Our findings emphasize the need to inform parents, teachers and governmental organizations, especially in low-income countries, about the adverse consequences of using corporal punishment be it at home or at school. Copyright © 2013 Elsevier Ltd. All rights reserved.

Mental health problems and their association to violence and maltreatment in a nationally representative sample of Tanzanian secondary school students.

Science.gov (United States)

Nkuba, Mabula; Hermenau, Katharin; Goessmann, Katharina; Hecker, Tobias

2018-04-12

Little is known about the prevalence of mental health problems among adolescents in Sub-Saharan Africa. Research consistently determined violence and maltreatment to be important risk factors. In this study, we examined the prevalence of mental health problems among adolescents in Tanzania, as well as the association with exposure to violence and maltreatment. We administered a set of questionnaires (e.g., strength and difficulties questionnaire; conflict tactic scale) to a nationally representative sample of 700 Tanzanian secondary school children (52% girls; age 14.92 years, SD = 1.02) and 333 parents or primary caregivers (53% females; age 43.47 years, SD = 9.02). 41% of the students reported an elevated level of mental health problems (emotional problems 40%, peer problems 63%, conduct problems 45%, hyperactivity 17%) in the past 6 months. Concordantly, 31% of parents reported observing an elevated level of mental health problems in their children (emotional problems 37%, peer problems 54%, conduct problems 35%, hyperactivity 17%). After controlling for other risk factors, we found significant associations between physical violence by parents and adolescent's mental health problems reported by students (β = 0.15) and their parents (β = 0.33). Our findings suggest a high prevalence of mental health problems using screening tools among secondary school students in Tanzania as well as an association between physical violence by parents and adolescents' mental health problems. Our findings emphasize the need to inform the population at large about the potentially adverse consequences associated with violence against children and adolescents.

Neighborhood choices, neighborhood effects and housing vouchers

OpenAIRE

Davis, Morris A.; Gregory, Jesse; Hartley, Daniel A.; Tan, Kegon T. K.

2017-01-01

We study how households choose neighborhoods, how neighborhoods affect child ability, and how housing vouchers influence neighborhood choices and child outcomes. We use two new panel data sets with tract-level detail for Los Angeles county to estimate a dynamic model of optimal tract-level location choice for renting households and, separately, the impact of living in a given tract on child test scores (which we call "child ability" throughout). We simulate optimal location choices and change...

77 FR 69651 - Final Fair Market Rents for the Housing Choice Voucher Program for Small Area Fair Market Rent...

Science.gov (United States)

2012-11-20

... the Housing Choice Voucher Program for Small Area Fair Market Rent Demonstration Program Participants... Authorities (PHAs) participating in the Small Area FMR Demonstration. SUMMARY: Section 8(c)(1) of the United... Housing Choice Voucher (HCV) Program for those PHAs selected to participate in the Small Area FMR...

Evaluation of the impact of the voucher and accreditation approach on improving reproductive health behaviors and status in Kenya.

Science.gov (United States)

Warren, Charlotte; Abuya, Timothy; Obare, Francis; Sunday, Joseph; Njue, Rebecca; Askew, Ian; Bellows, Ben

2011-03-23

Alternatives to the traditional 'supply-side' approach to financing service delivery are being explored. These strategies are termed results-based finance, demand-side health financing or output-based aid which includes a range of interventions that channel government or donor subsidies to the user rather than the provider. Initial pilot assessments of reproductive health voucher programs suggest that, they can increase access and use, reducing inequities and enhancing program efficiency and service quality. However, there is a paucity of evidence describing how the programs function in different settings, for various reproductive health services. Population Council, funded by the Bill and Melinda Gates Foundation, intends to generate evidence around the 'voucher and accreditation' approaches to improving the reproductive health of low income women in Kenya. A quasi-experimental study will investigate the impact of the voucher approach on improving reproductive health behaviors, reproductive health status and reducing inequities at the population level; and assessing the effect of vouchers on increasing access to, and quality of, and reducing inequities in the use of selected reproductive health services. The study comprises of four populations: facilities, providers, women of reproductive health age using facilities and women and men who have been pregnant and/or used family planning within the previous 12 months. The study will be carried out in samples of health facilities - public, private and faith-based in: three districts; Kisumu, Kiambu, Kitui and two informal settlements in Nairobi which are accredited to provide maternal and newborn health and family planning services to women holding vouchers for the services; and compared with a matched sample of non-accredited facilities. Health facility assessments (HFA) will be conducted at two stages to track temporal changes in quality of care and utilization. Facility inventories, structured observations, and

24 CFR 8.28 - Housing certificate and housing voucher programs.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Housing certificate and housing voucher programs. 8.28 Section 8.28 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development NONDISCRIMINATION BASED ON HANDICAP IN FEDERALLY ASSISTED PROGRAMS AND...

Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia.

Science.gov (United States)

Ir, Por; Horemans, Dirk; Souk, Narin; Van Damme, Wim

2010-01-07

In many developing countries, the maternal mortality ratio remains high with huge poor-rich inequalities. Programmes aimed at improving maternal health and preventing maternal mortality often fail to reach poor women. Vouchers in health and Health Equity Funds (HEFs) constitute a financial mechanism to improve access to priority health services for the poor. We assess their effectiveness in improving access to skilled birth attendants for poor women in three rural health districts in Cambodia and draw lessons for further improvement and scaling-up. Data on utilisation of voucher and HEF schemes and on deliveries in public health facilities between 2006 and 2008 were extracted from the available database, reports and the routine health information system. Qualitative data were collected through focus group discussions and key informant interviews. We examined the trend of facility deliveries between 2006 and 2008 in the three health districts and compared this with the situation in other rural districts without voucher and HEF schemes. An operational analysis of the voucher scheme was carried out to assess its effectiveness at different stages of operation. Facility deliveries increased sharply from 16.3% of the expected number of births in 2006 to 44.9% in 2008 after the introduction of voucher and HEF schemes, not only for voucher and HEF beneficiaries, but also for self-paid deliveries. The increase was much more substantial than in comparable districts lacking voucher and HEF schemes. In 2008, voucher and HEF beneficiaries accounted for 40.6% of the expected number of births among the poor. We also outline several limitations of the voucher scheme. Vouchers plus HEFs, if carefully designed and implemented, have a strong potential for reducing financial barriers and hence improving access to skilled birth attendants for poor women. To achieve their full potential, vouchers and HEFs require other interventions to ensure the supply of sufficient quality maternity

Purchases Made with a Fruit and Vegetable Voucher in a Rural Mexican-Heritage Community.

Science.gov (United States)

Hanbury, Meagan M; Gomez-Camacho, Rosa; Kaiser, Lucia; Sadeghi, Banafsheh; de la Torre, Adela

2017-10-01

Recent recommendations for US food assistance programs are intended to ensure foods provided through these programs help households consume a varied, healthful diet. From a policy viewpoint, it is important to examine the impact of economic incentives to purchase healthy foods across subpopulations, particularly low-income Latinos, who comprise 40% of the WIC program nationwide. Our aim was to determine how rural, Mexican-heritage households (N = 227) residing in California's Central Valley distributed fruit and vegetable (F/V) voucher spending among F/V subgroups and specific items over a 1-year period. Households contained at least one child who was between 3 and 8 years old at baseline and had a parent of Mexican-heritage. F/V voucher purchase data were collected via grocery store scanners. Expenditure and frequency shares of subgroups and individual items were analyzed to determine purchasing habits. Fruits were the most commonly purchased subgroup, representing 55% of spending and 45% of frequency. Households allocated low percentages of their voucher to dark green and red/orange vegetables-7 and 9% respectively. Approximately 20% of purchases were good potassium sources and 30% of purchases were good fiber sources. Many of the most frequently purchased items were of cultural significance (tomatillo, chayote, chili/jalapeño pepper, and Mexican squash). This study suggests that economic incentives can contribute important nutrients to participants' diets and targeted vouchers provided by food assistance programs should continue to include culturally important foods and be aware of the cultural values of their participants.

Review of "The Effect of Special Education Vouchers on Public School Achievement: Evidence from Florida's McKay Scholarship Program"

Science.gov (United States)

Yun, John T.

2008-01-01

A new report published by the Manhattan Institute for Education Policy, "The Effect of Special Education Vouchers on Public School Achievement: Evidence from Florida's McKay Scholarship Program," attempts to examine the complex issue of how competition introduced through school vouchers affects student outcomes in public schools. The…

Evaluation of the impact of the voucher and accreditation approach on improving reproductive behaviors and RH status: Bangladesh.

Science.gov (United States)

Rob, Ubaidur; Rahman, Moshiur; Bellows, Benjamin

2011-04-22

Cost of delivering reproductive health services to low-income populations will always require total or partial subsidization by the government and/or development partners. Broadly termed "Demand-Side Financing" or "Output-Based Aid", includes a range of interventions that channel government or donor subsidies to the service user rather than the service provider. Initial findings from the few assessments of reproductive health voucher-and-accreditation programs suggest that, if implemented well, these programs have great potential for achieving the policy objectives of increasing access and use, reducing inequities and enhancing program efficiency and service quality. At this point in time, however, there is a paucity of evidence describing how the various voucher programs function in different settings, for various reproductive health services. Population Council-Nairobi, funded by the Bill and Melinda Gates Foundation, intends to address the lack of evidence around the pros and cons of 'voucher and accreditation' approaches to improving the reproductive health of low income women in five developing countries. In Bangladesh, the activities will be conducted in 11 accredited health facilities where Demand Side Financing program is being implemented and compared with populations drawn from areas served by similar non-accredited facilities. Facility inventories, client exit interviews and service provider interviews will be used to collect comparable data across each facility for assessing readiness and quality of care. In-depth interviews with key stakeholders will be conducted to gain a deeper understanding about the program. A population-based survey will also be carried out in two types of locations: areas where vouchers are distributed and similar locations where vouchers are not distributed. This is a quasi-experimental study which will investigate the impact of the voucher approach on improving maternal health behaviors and status and reducing inequities at the

Evaluation of the impact of the voucher and accreditation approach on improving reproductive behaviors and RH status: Bangladesh

Directory of Open Access Journals (Sweden)

Rahman Moshiur

2011-04-01

Full Text Available Abstract Background Cost of delivering reproductive health services to low-income populations will always require total or partial subsidization by the government and/or development partners. Broadly termed "Demand-Side Financing" or "Output-Based Aid", includes a range of interventions that channel government or donor subsidies to the service user rather than the service provider. Initial findings from the few assessments of reproductive health voucher-and-accreditation programs suggest that, if implemented well, these programs have great potential for achieving the policy objectives of increasing access and use, reducing inequities and enhancing program efficiency and service quality. At this point in time, however, there is a paucity of evidence describing how the various voucher programs function in different settings, for various reproductive health services. Methods/Design Population Council-Nairobi, funded by the Bill and Melinda Gates Foundation, intends to address the lack of evidence around the pros and cons of 'voucher and accreditation' approaches to improving the reproductive health of low income women in five developing countries. In Bangladesh, the activities will be conducted in 11 accredited health facilities where Demand Side Financing program is being implemented and compared with populations drawn from areas served by similar non-accredited facilities. Facility inventories, client exit interviews and service provider interviews will be used to collect comparable data across each facility for assessing readiness and quality of care. In-depth interviews with key stakeholders will be conducted to gain a deeper understanding about the program. A population-based survey will also be carried out in two types of locations: areas where vouchers are distributed and similar locations where vouchers are not distributed. Discussion This is a quasi-experimental study which will investigate the impact of the voucher approach on improving

Can vouchers make a difference to the use of private primary care services by older people? Experience from the healthcare reform programme in Hong Kong.

Science.gov (United States)

Yam, Carrie H K; Liu, Su; Huang, Olivia H Y; Yeoh, E K; Griffiths, Sian M

2011-10-07

As part of its ongoing healthcare reform, the Hong Kong Government introduced a voucher scheme, intended for encouraging older patients to use primary healthcare services in the private sector, thereby, reducing burden on the overwhelmed public sector. The voucher program is also considered one of the strategies to further develop the public private partnership in healthcare, a policy direction of high political priority as indicated in the Chief Executive Policy Address in 2008-09. This study assessed whether the voucher scheme, as implemented so far, has reached its intended goals, and how it might be further improved in the context of public-private partnership. This was a cross-sectional study using structured questionnaires by face-to-face interviews with older people aged 70 or above in Hong Kong, the target group of the demand-side voucher program. 71.2% of 1,026 older people were aware of the new voucher scheme but only 35.0% had ever used it. The majority of the older people used the vouchers for acute curative services in the private sector (82.4%) and spent less on preventive services. Despite the provision of vouchers valued US$30 per year as an incentive to encourage the use of private primary care services, after 12-months of implementation, 66.2% of all respondents agreed with the statement that "the voucher scheme does not change their health seeking behaviours on seeing public or private healthcare professionals". The most common reasons for no change in their behaviours included "I am used to seeing doctors in the public system" and "The amount of the subsidy is too low". Those who usually used a mix of public and private doctors and those with better self-reported health condition compared to last year were more likely to perceive a change in their own health seeking behaviours. Our study showed that despite a reasonably high awareness of the voucher scheme, its usage was low. The voucher alone was not enough to realize the government's policy of

The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review.

Directory of Open Access Journals (Sweden)

Benjamin M Hunter

Full Text Available Cash transfers and vouchers are forms of 'demand-side financing' that have been widely used to promote maternal and newborn health in low- and middle-income countries during the last 15 years.This systematic review consolidates evidence from seven published systematic reviews on the effects of different types of cash transfers and vouchers on the use and quality of maternity care services, and updates the systematic searches to June 2015 using the Joanna Briggs Institute approach for systematic reviewing. The review protocol for this update was registered with PROSPERO (CRD42015020637.Data from 51 studies (15 more than previous reviews and 22 cash transfer and voucher programmes suggest that approaches tied to service use (either via payment conditionalities or vouchers for selected services can increase use of antenatal care, use of a skilled attendant at birth and in the case of vouchers, postnatal care too. The strongest evidence of positive effect was for conditional cash transfers and uptake of antenatal care, and for vouchers for maternity care services and birth with a skilled birth attendant. However, effects appear to be shaped by a complex set of social and healthcare system barriers and facilitators. Studies have typically focused on an initial programme period, usually two or three years after initiation, and many lack a counterfactual comparison with supply-side investment. There are few studies to indicate that programmes have led to improvements in quality of maternity care or maternal and newborn health outcomes.Future research should use multiple intervention arms to compare cost-effectiveness with similar investment in public services, and should look beyond short- to medium-term service utilisation by examining programme costs, longer-term effects on service utilisation and health outcomes, and the equity of those effects.

The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review.

Science.gov (United States)

Hunter, Benjamin M; Harrison, Sean; Portela, Anayda; Bick, Debra

2017-01-01

Cash transfers and vouchers are forms of 'demand-side financing' that have been widely used to promote maternal and newborn health in low- and middle-income countries during the last 15 years. This systematic review consolidates evidence from seven published systematic reviews on the effects of different types of cash transfers and vouchers on the use and quality of maternity care services, and updates the systematic searches to June 2015 using the Joanna Briggs Institute approach for systematic reviewing. The review protocol for this update was registered with PROSPERO (CRD42015020637). Data from 51 studies (15 more than previous reviews) and 22 cash transfer and voucher programmes suggest that approaches tied to service use (either via payment conditionalities or vouchers for selected services) can increase use of antenatal care, use of a skilled attendant at birth and in the case of vouchers, postnatal care too. The strongest evidence of positive effect was for conditional cash transfers and uptake of antenatal care, and for vouchers for maternity care services and birth with a skilled birth attendant. However, effects appear to be shaped by a complex set of social and healthcare system barriers and facilitators. Studies have typically focused on an initial programme period, usually two or three years after initiation, and many lack a counterfactual comparison with supply-side investment. There are few studies to indicate that programmes have led to improvements in quality of maternity care or maternal and newborn health outcomes. Future research should use multiple intervention arms to compare cost-effectiveness with similar investment in public services, and should look beyond short- to medium-term service utilisation by examining programme costs, longer-term effects on service utilisation and health outcomes, and the equity of those effects.

The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review

Science.gov (United States)

Hunter, Benjamin M.; Harrison, Sean; Portela, Anayda; Bick, Debra

2017-01-01

Background Cash transfers and vouchers are forms of ‘demand-side financing’ that have been widely used to promote maternal and newborn health in low- and middle-income countries during the last 15 years. Methods This systematic review consolidates evidence from seven published systematic reviews on the effects of different types of cash transfers and vouchers on the use and quality of maternity care services, and updates the systematic searches to June 2015 using the Joanna Briggs Institute approach for systematic reviewing. The review protocol for this update was registered with PROSPERO (CRD42015020637). Results Data from 51 studies (15 more than previous reviews) and 22 cash transfer and voucher programmes suggest that approaches tied to service use (either via payment conditionalities or vouchers for selected services) can increase use of antenatal care, use of a skilled attendant at birth and in the case of vouchers, postnatal care too. The strongest evidence of positive effect was for conditional cash transfers and uptake of antenatal care, and for vouchers for maternity care services and birth with a skilled birth attendant. However, effects appear to be shaped by a complex set of social and healthcare system barriers and facilitators. Studies have typically focused on an initial programme period, usually two or three years after initiation, and many lack a counterfactual comparison with supply-side investment. There are few studies to indicate that programmes have led to improvements in quality of maternity care or maternal and newborn health outcomes. Conclusion Future research should use multiple intervention arms to compare cost-effectiveness with similar investment in public services, and should look beyond short- to medium-term service utilisation by examining programme costs, longer-term effects on service utilisation and health outcomes, and the equity of those effects. PMID:28328940

Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia

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Souk Narin

2010-01-01

Full Text Available Abstract Background In many developing countries, the maternal mortality ratio remains high with huge poor-rich inequalities. Programmes aimed at improving maternal health and preventing maternal mortality often fail to reach poor women. Vouchers in health and Health Equity Funds (HEFs constitute a financial mechanism to improve access to priority health services for the poor. We assess their effectiveness in improving access to skilled birth attendants for poor women in three rural health districts in Cambodia and draw lessons for further improvement and scaling-up. Methods Data on utilisation of voucher and HEF schemes and on deliveries in public health facilities between 2006 and 2008 were extracted from the available database, reports and the routine health information system. Qualitative data were collected through focus group discussions and key informant interviews. We examined the trend of facility deliveries between 2006 and 2008 in the three health districts and compared this with the situation in other rural districts without voucher and HEF schemes. An operational analysis of the voucher scheme was carried out to assess its effectiveness at different stages of operation. Results Facility deliveries increased sharply from 16.3% of the expected number of births in 2006 to 44.9% in 2008 after the introduction of voucher and HEF schemes, not only for voucher and HEF beneficiaries, but also for self-paid deliveries. The increase was much more substantial than in comparable districts lacking voucher and HEF schemes. In 2008, voucher and HEF beneficiaries accounted for 40.6% of the expected number of births among the poor. We also outline several limitations of the voucher scheme. Conclusions Vouchers plus HEFs, if carefully designed and implemented, have a strong potential for reducing financial barriers and hence improving access to skilled birth attendants for poor women. To achieve their full potential, vouchers and HEFs require other

Religious Challenges to School Voucher and Tax Benefit/Scholarship Programs

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McCarthy, Martha

2016-01-01

A key component of current school reform efforts focuses on increasing parental choice through voucher systems and programs that provide tax benefits for contributions to scholarship programs for private school tuition. Indeed, proposals to adopt such programs have been or currently are being considered in four-fifths of the states, and about half…

76 FR 33333 - Use of Small Area Fair Market Rents for Project Base Vouchers in the Dallas TX Metropolitan Area

Science.gov (United States)

2011-06-08

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5525-N-01] Use of Small Area Fair Market Rents for Project Base Vouchers in the Dallas TX Metropolitan Area AGENCY: Office of the Assistant... Small Area Fair Market Rents (SAFMRs) for Project-Based Vouchers (PBVs) located in the Dallas, TX...

Demand-Side Financing--A Focus on Vouchers in Post-Compulsory Education and Training: Discussion Paper and Case Studies. CEDEFOP Dossier.

Science.gov (United States)

West, Anne; Sparkes, Jo; Balabanov, Todor

The use of demand-side financing mechanisms and vouchers for postcompulsory secondary-level education was examined through case studies of funding practices in the following countries: Austria; France; the United Kingdom; the United States; and Wallonia (the French community of Belgium). Different models of voucher use were identified in the…

Using Concept Maps to Elicit and Study Student Teachers' Perceptions about Inclusive Education: A Tanzanian Experience

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Wormnaes, Siri; Mkumbo, Kitila; Skaar, Bjørn; Refseth, Yngve

2015-01-01

In this study, concept map activities were used to trigger group discussions about inclusive education, with a focus on learners with disabilities. The participants were 226 Tanzanian student teachers. This article reports and discusses how the maps were analysed and what they indicate about the students' thinking about certain aspects of…

Chloroguanide metabolism in relation to the efficacy in malaria prophylaxis and the S-mephenytoin oxidation in Tanzanians

DEFF Research Database (Denmark)

Skjelbo, E; Mutabingwa, T K; Bygbjerg, Ib Christian

1996-01-01

S-Mephenytoin and chloroguanide (proguanil) oxidation was studied in 216 tanzanians. The mephenytoin S/R ratio in urine ranged from 0.9, were arbitrarily defined as poor metabolizers of mephenytoin. The chloroguanide/cycloguanil ratio ranged from 0.82 to 249. There was a significant correlation b...

Exploring the effectiveness of the output-based aid voucher program to increase uptake of gender-based violence recovery services in Kenya: a qualitative evaluation.

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Njuki, Rebecca; Okal, Jerry; Warren, Charlotte E; Obare, Francis; Abuya, Timothy; Kanya, Lucy; Undie, Chi-Chi; Bellows, Ben; Askew, Ian

2012-06-12

Few studies in Africa have explored in detail the ability of output-based aid (OBA) voucher programs to increase access to gender-based violence recovery (GBVR) services. A qualitative study was conducted in 2010 and involved: (i) in-depth interviews (IDIs) with health managers, service providers, voucher management agency (VMA) managers and (ii) focus group discussions (FGDs) with voucher users, voucher non-users, voucher distributors and opinion leaders drawn from five program sites in Kenya. The findings showed promising prospects for the uptake of OBA GBVR services among target population. However, a number of factors affect the uptake of the services. These include lack of general awareness of the GBVR services vouchers, lack of understanding of the benefit package, immediate financial needs of survivors, as well as stigma and cultural beliefs that undermine reporting of cases or seeking essential medical services. Moreover, accreditation of only hospitals to offer GBVR services undermines access to the services in rural areas. Poor responsiveness from law enforcement agencies and fear of reprisal from perpetrators also undermine treatment options and access to medical services. Low provider knowledge on GBVR services and lack of supplies also affect effective provision and management of GBVR services. The above findings suggest that there is a need to build the capacity of health care providers and police officers, strengthen the community strategy component of the OBA program to promote the GBVR services voucher, and conduct widespread community education programs aimed at prevention, ensuring survivors know how and where to access services and addressing stigma and cultural barriers.

Community-level impact of the reproductive health vouchers programme on service utilization in Kenya.

Science.gov (United States)

Obare, Francis; Warren, Charlotte; Njuki, Rebecca; Abuya, Timothy; Sunday, Joseph; Askew, Ian; Bellows, Ben

2013-03-01

This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15-49 years) from voucher and comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests and significant tests of proportions as well as estimation of multi-level logit models to predict service utilization by exposure to the programme. The results show that for births occurring after the voucher programme began, women from communities that had been exposed to the programme since 2006 were significantly more likely to have delivered at a health facility and to have received skilled care during delivery compared with those from communities that had not been exposed to the programme at all. There were, however, no significant differences in the timing of first trimester utilization of antenatal care (ANC) and making four or more ANC visits by exposure to the programme. In addition, poor women were significantly less likely to have used safe motherhood services (health facility delivery, skilled delivery care and postnatal care) compared with their non-poor counterparts regardless of exposure to the programme. Nonetheless, a significantly higher proportion of poor women from communities that had been exposed to the programme since 2006 used the services compared with their poor counterparts from communities that had not been exposed to the programme at all. The findings suggest that the programme is associated with increased health facility deliveries and skilled delivery care especially among poor women. However, it has had limited community-level impact on the first trimester timing of antenatal care use and making four or more visits, which remain a challenge despite the high proportion of women in the country that make at least one antenatal care visit during pregnancy.

An ex-ante economic evaluation of the Maternal and Child Health Voucher Scheme as a decision-making tool in Myanmar

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Kingkaew, Pritaporn; Werayingyong, Pitsaphun; Aye, San San; Tin, Nilar; Singh, Alaka; Myint, Phone; Teerawattananon, Yot

2016-01-01

Reducing child and maternal mortality in order to meet the health-related Millennium Development Goals (MDGs) 4 and 5 remains a major challenge in Myanmar. Inadequate care during pregnancy and labour plays an important role in the maternal mortality rate in Myanmar. A Maternal and Child Health (MCH) Voucher Scheme comprising a subsidization for pregnant women to receive four antenatal care (ANC), delivery and postnatal care (PNC) free-of-charge was planned to help women overcome financial barriers in addition to raising awareness of ANC and delivery with skilled birth attendants (SBA), which can reduce the rate of maternal and neonatal death. This study is part of an ex-ante evaluation of a feasibility study of the MCH Voucher Scheme. A cost-utility analysis was conducted using a decision tree model to assess the cost per disability-adjusted life years (DALYs) averted from the MCH Voucher Scheme compared with the current situation. Most input parameters were obtained from Myanmar context. From the base-case analysis, where the financial burden on households was fully subsidized, the MCH Voucher Scheme increased utilization for ANC from 73% up to 93% and for delivery from SBAs from 51% up to and 71%, respectively; hence, it is considered to be very cost-effective with an incremental cost-effectiveness ratio of 381 027 kyats per DALY averted (2010, price year). From the probabilistic sensitivity analysis, the MCH Voucher Scheme had a 52% chance of being a cost-effective option at 1 GDP per capita threshold compared to the current situation. Given that the Voucher Scheme is currently being implemented in one township in Myanmar as a result of this study, ongoing evaluation of the effectiveness and cost-effectiveness of this scheme is warranted. PMID:26412858

An ex-ante economic evaluation of the Maternal and Child Health Voucher Scheme as a decision-making tool in Myanmar.

Science.gov (United States)

Kingkaew, Pritaporn; Werayingyong, Pitsaphun; Aye, San San; Tin, Nilar; Singh, Alaka; Myint, Phone; Teerawattananon, Yot

2016-05-01

Reducing child and maternal mortality in order to meet the health-related Millennium Development Goals (MDGs) 4 and 5 remains a major challenge in Myanmar. Inadequate care during pregnancy and labour plays an important role in the maternal mortality rate in Myanmar. A Maternal and Child Health (MCH) Voucher Scheme comprising a subsidization for pregnant women to receive four antenatal care (ANC), delivery and postnatal care (PNC) free-of-charge was planned to help women overcome financial barriers in addition to raising awareness of ANC and delivery with skilled birth attendants (SBA), which can reduce the rate of maternal and neonatal death. This study is part of an ex-ante evaluation of a feasibility study of the MCH Voucher Scheme. A cost-utility analysis was conducted using a decision tree model to assess the cost per disability-adjusted life years (DALYs) averted from the MCH Voucher Scheme compared with the current situation. Most input parameters were obtained from Myanmar context. From the base-case analysis, where the financial burden on households was fully subsidized, the MCH Voucher Scheme increased utilization for ANC from 73% up to 93% and for delivery from SBAs from 51% up to and 71%, respectively; hence, it is considered to be very cost-effective with an incremental cost-effectiveness ratio of 381 027 kyats per DALY averted (2010, price year). From the probabilistic sensitivity analysis, the MCH Voucher Scheme had a 52% chance of being a cost-effective option at 1 GDP per capita threshold compared to the current situation. Given that the Voucher Scheme is currently being implemented in one township in Myanmar as a result of this study, ongoing evaluation of the effectiveness and cost-effectiveness of this scheme is warranted. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

DEVELOPMENT OF SALES APPLICATION OF PREPAID ELECTRICITY VOUCHER BASED ON ANFROID PLATFORM USING QUICK RESPONSE CODE (QR CODE

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Ricky Akbar

2017-09-01

Full Text Available Perusahaan Listrik Negara (PLN has implemented a smart electricity system or prepaid electricity. The customers pay the electricity voucher first before use the electricity. The token contained in electricity voucher that has been purchased by the customer is inserted into the Meter Prabayar (MPB installed in the location of customers. When a customer purchases a voucher, it will get a receipt that contains all of the customer's identity and the 20-digit of voucher code (token to be entered into MPB as a substitute for electrical energy credit. Receipts obtained by the customer is certainly vulnerable to loss, or hijacked by unresponsible parties. In this study, authors designed and develop an android based application by utilizing QR code technology as a replacement for the receipt of prepaid electricity credit which contains the identity of the customer and the 20-digit voucher code. The application is developed by implemented waterfall methodology. The implementation process of the waterfall methods used, are (1 analysis of functional requirement of the system by conducting a preliminary study and data collection based on field studies and literature, (2 system design by using UML diagrams and Business Process Model Notation (BPMN and Entity Relationship diagram (ERD, (3 design implementation by using OOP (Object Oriented programming technique. Web application is developed by using laravel PHP framework and database MySQL while mobile application is developed by using B4A (4 developed system is tested by using blackbox method testing. Final result of this research is a Web and mobile applications for the sale of electricityvoucher by QR Code technology.

Measurement of transepidermal water loss in Tanzanian cot-nursed neonates and its relation to postnatal weight loss

NARCIS (Netherlands)

Thijs, HFH; Massawe, AW; Okken, A; Coenraads, PJ; Muskiet, FAJ; Huisman, M; Boersma, ER

In healthy cot-nursed Tanzanian neonates (n = 92, gestation 26-42 weeks) measurements of transepidermal water loss (TEWL) and weight change were performed during the first 24 h after birth at an average ambient humidity of 70% and an environmental temperature of 32 degrees C. Urine production on day

Exploring the effectiveness of the output-based aid voucher program to increase uptake of gender-based violence recovery services in Kenya: A qualitative evaluation

Directory of Open Access Journals (Sweden)

Njuki Rebecca

2012-06-01

Full Text Available Abstract Background Few studies in Africa have explored in detail the ability of output-based aid (OBA voucher programs to increase access to gender-based violence recovery (GBVR services. Methods A qualitative study was conducted in 2010 and involved: (i in-depth interviews (IDIs with health managers, service providers, voucher management agency (VMA managers and (ii focus group discussions (FGDs with voucher users, voucher non-users, voucher distributors and opinion leaders drawn from five program sites in Kenya. Results The findings showed promising prospects for the uptake of OBA GBVR services among target population. However, a number of factors affect the uptake of the services. These include lack of general awareness of the GBVR services vouchers, lack of understanding of the benefit package, immediate financial needs of survivors, as well as stigma and cultural beliefs that undermine reporting of cases or seeking essential medical services. Moreover, accreditation of only hospitals to offer GBVR services undermines access to the services in rural areas. Poor responsiveness from law enforcement agencies and fear of reprisal from perpetrators also undermine treatment options and access to medical services. Low provider knowledge on GBVR services and lack of supplies also affect effective provision and management of GBVR services. Conclusions The above findings suggest that there is a need to build the capacity of health care providers and police officers, strengthen the community strategy component of the OBA program to promote the GBVR services voucher, and conduct widespread community education programs aimed at prevention, ensuring survivors know how and where to access services and addressing stigma and cultural barriers.

Barriers and Strategies on Adoption of E-Learning in Tanzanian Higher Learning Institutions: Lessons for Adopters

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Kisanga, Dalton; Ireson, Gren

2015-01-01

Tanzanian Higher learning institutions (HLIs) are faced with challenges of adopting e-learning in education. This study involved experts in e-learning to examine barriers of adopting e-learning and the best strategies to address them. Data were gathered from a series of semi-structured interviews with e-learning experts from two HLIs in Tanzania.…

Impact of social franchising on contraceptive use when complemented by vouchers: a quasi-experimental study in rural Pakistan.

Science.gov (United States)

Azmat, Syed Khurram; Khurram Azmat, Syed; Shaikh, Babar Tasneem; Tasneem Shaikh, Babar; Hameed, Waqas; Mustafa, Ghulam; Hussain, Wajahat; Asghar, Jamshaid; Ishaque, Muhammad; Ahmed, Aftab; Bilgrami, Mohsina

2013-01-01

Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society - a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan. We used a quasi-experimental study design with controls, selecting one intervention district and one control district from the Sindh and Punjab provinces. In each district, we chose a total of four service providers. A baseline survey was carried out among 4,992 married women of reproductive age (MWRA) in February 2009. Eighteen months after the start of intervention, an independent endline survey was conducted among 4,003 women. We used multilevel logistic regression for analysis using Stata 11. Social franchising used alongside free vouchers for long term contraceptive choices significantly increased the awareness of modern contraception. Awareness increased by 5% in the intervention district. Similarly, the ever use of modern contraceptive increased by 28.5%, and the overall contraceptive prevalence rate increased by 19.6%. A significant change (11.1%) was recorded in the uptake of IUCDs, which were being promoted with vouchers. Family planning franchise model promotes awareness and uptake of contraceptives. Moreover, supplemented with vouchers, it may enhance the use of IUCDs, which have a significant cost attached. Our research also supports a multi-pronged approach- generating demand through counselling, overcoming financial constraints by offering vouchers, training, accreditation and branding of the service providers

Impact of Social Franchising on Contraceptive Use When Complemented by Vouchers: A Quasi-Experimental Study in Rural Pakistan

Science.gov (United States)

Khurram Azmat, Syed; Tasneem Shaikh, Babar; Hameed, Waqas; Mustafa, Ghulam; Hussain, Wajahat; Asghar, Jamshaid; Ishaque, Muhammad; Ahmed, Aftab; Bilgrami, Mohsina

2013-01-01

Background Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society – a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan. Methodology We used a quasi-experimental study design with controls, selecting one intervention district and one control district from the Sindh and Punjab provinces. In each district, we chose a total of four service providers. A baseline survey was carried out among 4,992 married women of reproductive age (MWRA) in February 2009. Eighteen months after the start of intervention, an independent endline survey was conducted among 4,003 women. We used multilevel logistic regression for analysis using Stata 11. Results Social franchising used alongside free vouchers for long term contraceptive choices significantly increased the awareness of modern contraception. Awareness increased by 5% in the intervention district. Similarly, the ever use of modern contraceptive increased by 28.5%, and the overall contraceptive prevalence rate increased by 19.6%. A significant change (11.1%) was recorded in the uptake of IUCDs, which were being promoted with vouchers. Conclusion Family planning franchise model promotes awareness and uptake of contraceptives. Moreover, supplemented with vouchers, it may enhance the use of IUCDs, which have a significant cost attached. Our research also supports a multi-pronged approach- generating demand through counselling, overcoming financial constraints by offering vouchers, training

Impact of social franchising on contraceptive use when complemented by vouchers: a quasi-experimental study in rural Pakistan.

Directory of Open Access Journals (Sweden)

Syed Khurram Azmat

Full Text Available Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society - a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor. This paper evaluates the effectiveness of this approach, which is designed to increase modern long term contraceptive awareness and use in rural areas of Pakistan.We used a quasi-experimental study design with controls, selecting one intervention district and one control district from the Sindh and Punjab provinces. In each district, we chose a total of four service providers. A baseline survey was carried out among 4,992 married women of reproductive age (MWRA in February 2009. Eighteen months after the start of intervention, an independent endline survey was conducted among 4,003 women. We used multilevel logistic regression for analysis using Stata 11.Social franchising used alongside free vouchers for long term contraceptive choices significantly increased the awareness of modern contraception. Awareness increased by 5% in the intervention district. Similarly, the ever use of modern contraceptive increased by 28.5%, and the overall contraceptive prevalence rate increased by 19.6%. A significant change (11.1% was recorded in the uptake of IUCDs, which were being promoted with vouchers.Family planning franchise model promotes awareness and uptake of contraceptives. Moreover, supplemented with vouchers, it may enhance the use of IUCDs, which have a significant cost attached. Our research also supports a multi-pronged approach- generating demand through counselling, overcoming financial constraints by offering vouchers, training, accreditation and branding of the

A Ubiquitous NFC Solution for the Development of Tailored Marketing Strategies Based on Discount Vouchers and Loyalty Cards

Science.gov (United States)

Borrego-Jaraba, Francisco; Garrido, Pilar Castro; García, Gonzalo Cerruela; Ruiz, Irene Luque; Gómez-Nieto, Miguel Ángel

2013-01-01

Because of the global economic turmoil, nowadays a lot of companies are adopting a “deal of the day” business model, some of them with great success. Generally, they try to attract and retain customers through discount coupons and gift cards, using, generally, traditional distribution media. This paper describes a framework, which integrates intelligent environments by using NFC, oriented to the full management of this kind of businesses. The system is responsible for diffusion, distribution, sourcing, validation, redemption and managing of vouchers, loyalty cards and all kind of mobile coupons using NFC, as well as QR codes. WingBonus can be fully adapted to the requirements of marketing campaigns, voucher providers, shop or retailer infrastructures and mobile devices and purchasing habits. Security of the voucher is granted by the system by synchronizing procedures using secure encriptation algorithms. The WingBonus website and mobile applications can be adapted to any requirement of the system actors. PMID:23673675

A ubiquitous NFC solution for the development of tailored marketing strategies based on discount vouchers and loyalty cards.

Science.gov (United States)

Borrego-Jaraba, Francisco; Garrido, Pilar Castro; García, Gonzalo Cerruela; Ruiz, Irene Luque; Gómez-Nieto, Miguel Angel

2013-05-14

Because of the global economic turmoil, nowadays a lot of companies are adopting a "deal of the day" business model, some of them with great success. Generally, they try to attract and retain customers through discount coupons and gift cards, using, generally, traditional distribution media. This paper describes a framework, which integrates intelligent environments by using NFC, oriented to the full management of this kind of businesses. The system is responsible for diffusion, distribution, sourcing, validation, redemption and managing of vouchers, loyalty cards and all kind of mobile coupons using NFC, as well as QR codes. WingBonus can be fully adapted to the requirements of marketing campaigns, voucher providers, shop or retailer infrastructures and mobile devices and purchasing habits. Security of the voucher is granted by the system by synchronizing procedures using secure encriptation algorithms. The WingBonus website and mobile applications can be adapted to any requirement of the system actors.

A Ubiquitous NFC Solution for the Development of Tailored Marketing Strategies Based on Discount Vouchers and Loyalty Cards

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Miguel Ángel Gómez-Nieto

2013-05-01

Full Text Available Because of the global economic turmoil, nowadays a lot of companies are adopting a “deal of the day” business model, some of them with great success. Generally, they try to attract and retain customers through discount coupons and gift cards, using, generally, traditional distribution media. This paper describes a framework, which integrates intelligent environments by using NFC, oriented to the full management of this kind of businesses. The system is responsible for diffusion, distribution, sourcing, validation, redemption and managing of vouchers, loyalty cards and all kind of mobile coupons using NFC, as well as QR codes. WingBonus can be fully adapted to the requirements of marketing campaigns, voucher providers, shop or retailer infrastructures and mobile devices and purchasing habits. Security of the voucher is granted by the system by synchronizing procedures using secure encriptation algorithms. The WingBonus website and mobile applications can be adapted to any requirement of the system actors.

Follow the Money: A Comprehensive Review of the Funding Mechanisms of Voucher Programs in Six Cases. Informing Policy & Improving Practice Research Brief

Science.gov (United States)

Stewart, Molly S.; Moon, Jodi S.

2016-01-01

This comprehensive review is part of a three-part report, Follow the "Money: A Detailed Analysis of the Funding Mechanisms of Voucher Programs in Six Cases"; this review contains the cross-case analysis and findings of the funding mechanisms of voucher programs across five states (Arizona, Indiana, Louisiana, Ohio, and Wisconsin) and the…

Higher education: free tuition vs. quotas vs. targeted vouchers

Directory of Open Access Journals (Sweden)

Eduardo de Carvalho Andrade

2010-03-01

Full Text Available This paper compares theoretically three alternative university systems: the current one adopted in Brazil, in which students who perform better in the entering exam obtain the right to attend the public university without paying the full tuition; a system of affirmative action quotas in public universities, to benefit low income students; and a targeted vouchers system that can be used either to pay private or public university tuiton. The comparison indicates that the last system leads to: (i a higher quality of the labor force; (ii a more efficient allocation of resources; and (iii a greater social mobility.Este trabalho compara, do ponto de vista teórico, três sistemas universitários alternativos: o atual adotado pelo Brasil, no qual os alunos das universidades públicas, que são praticamente gratuitas, são escolhidos através de um processo seletivo; um sistema de quotas nas universidades públicas para beneficiar estudantes de baixa renda; e um sistema de vouchers direcionados para estudantes de baixa renda que podem ser utilizados nas universidades privadas ou públicas. A comparação destes três sistemas indica que o último é o mais eficiente, pois gera: (i maior qualidade da mão de obra; (ii alocação mais eficiente dos recursos; e (iii maior mobilidade social.

The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review

OpenAIRE

Hunter, Benjamin M.; Harrison, Sean; Portela, Anayda; Bick, Debra

2017-01-01

BackgroundCash transfers and vouchers are forms of `demand-side financing' that have been widely used to promote maternal and newborn health in low- and middle-income countries during the last 15 years.MethodsThis systematic review consolidates evidence from seven published systematic reviews on the effects of different types of cash transfers and vouchers on the use and quality of maternity care services, and updates the systematic searches to June 2015 using the Joanna Briggs Institute appr...

After 60 Years, Do the Arguments for K-12 Vouchers Still Hold?

Science.gov (United States)

Laitsch, Dan

2016-01-01

In 1955, Milton Friedman authored a foundational paper proposing a shift in funding and governance mechanisms for public K-12 schools, suggesting that parents be awarded tuition vouchers that they could use to pay for private sector education services for their children, rather than relying on government provided neighborhood schools. Friedman…

Do Vouchers and Tax Credits Increase Private School Regulation? A Statistical Analysis

Science.gov (United States)

Coulson, Andrew J.

2011-01-01

School voucher and education tax credit programs have proliferated in the United States over the past 2 decades. Advocates have argued that they will enable families to become active consumers in a free and competitive education marketplace, but some fear that these programs may bring a heavy regulatory burden that could stifle market forces.…

Maternal mortality in a rural tanzanian hospital: fatal Jarisch-Herxheimer reaction in a case of relapsing fever in pregnancy.

NARCIS (Netherlands)

Rustenhoven-Spaans, I.; Melkert, P.; Nelissen, E.J.T.; van Roosmalen, J.; Stekelenburg, J.

2013-01-01

Relapsing fever is a disease caused by one of the species of Borrelia. It is often misdiagnosed as malaria and can have fatal complications such as the Jarisch-Herxheimer reaction (JHR) after the commencement of treatment with antibiotics. A 19-year-old Tanzanian woman was admitted after a term home

Maternal mortality in a rural Tanzanian hospital: fatal Jarisch-Herxheimer reaction in a case of relapsing fever in pregnancy

NARCIS (Netherlands)

Rustenhoven-Spaan, Ilona; Melkert, Peter; Nelissen, Ellen; van Roosmalen, Jos; Stekelenburg, Jelle

2013-01-01

Relapsing fever is a disease caused by one of the species of Borrelia. It is often misdiagnosed as malaria and can have fatal complications such as the Jarisch-Herxheimer reaction (JHR) after the commencement of treatment with antibiotics. A 19-year-old Tanzanian woman was admitted after a term home

Efavirenz, tenofovir and emtricitabine combined with first-line tuberculosis treatment in tuberculosis-HIV-coinfected Tanzanian patients: a pharmacokinetic and safety study

NARCIS (Netherlands)

Semvua, H.H.; Mtabho, C.M.; Fillekes, Q.; Boogaard, J. van den; Kisonga, R.M.; Mleoh, L.; Ndaro, A.; Kisanga, E.R.; Ven, A. van der; Aarnoutse, R.E.; Kibiki, G.S.; Boeree, M.J.; Burger, D.M.

2013-01-01

BACKGROUND: To evaluate the effect of rifampicin-based tuberculosis (TB) treatment on the pharmacokinetics of efavirenz/tenofovir/emtricitabine in a fixed-dose combination tablet, and vice versa, in Tanzanian TB-HIV-coinfected patients. METHODS: This was a Phase II open-label multiple dose

Hospital development plans: a new tool to break ground for strategic thinking in Tanzanian hospitals.

Science.gov (United States)

Flessa, Steffen

2005-12-01

Tanzanian hospitals suffer from underfunding and poor management. In particular, planning and strategic thinking need improvement. Cultural values such as subordination, risk aversion, and high time preference, together with a long history of socialist government, result in lack of responsibility, accountability, and planning. This has been addressed by the health sector reform with its focus on decentralization, strengthened by the introduction of basket funding facilitated by the Comprehensive Council Health Plans. As a consequence of this the next logical step is to improve the authority of regional and district hospitals in the use of their resources by introducing hospital development plans. These strategic plans were introduced as tools of strategic planning in 2001 by the Kreditanstalt für Wiederaufbau in close collaboration with the Tanzanian Ministry of Health, binding the release of rehabilitation funds to presentation of a strategic hospital plan. This study examines the rationale and content of hospital development plans. Initial experiences are discussed. The quality of presented plans has steadily improved, but there is a tendency for hospitals with a close connection to development partners to present well prepared reports while other hospitals have severe problems fulfilling the requirements. For many hospitals it is in fact the first time that they have had to define their functions and future role, thus breaking ground for strategic thinking.

Determination of trace elements in hair from Tanzanian children. Effect of dietary factors

International Nuclear Information System (INIS)

Mohammed, N.K.; Spyrou, N.M.

2008-01-01

The objective of this study was to evaluate the concentrations of essential and toxic elements in hair of children in Tanzania in order to assess their nutritional status. 141 samples of hair from boys and girls living in Tanzania were analyzed using instrumental neutron activation analysis (INAA). The mean concentration levels of Zn and Cu were lower whilst those of other elements were in the same range as the hair elemental concentrations reported in the literature. The lower concentrations of Zn might be related to the diet of mainly cereals with low animal proteins consumed by most of the Tanzanian population. (author)

VoSeq: a voucher and DNA sequence web application.

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Carlos Peña

Full Text Available There is an ever growing number of molecular phylogenetic studies published, due to, in part, the advent of new techniques that allow cheap and quick DNA sequencing. Hence, the demand for relational databases with which to manage and annotate the amassing DNA sequences, genes, voucher specimens and associated biological data is increasing. In addition, a user-friendly interface is necessary for easy integration and management of the data stored in the database back-end. Available databases allow management of a wide variety of biological data. However, most database systems are not specifically constructed with the aim of being an organizational tool for researchers working in phylogenetic inference. We here report a new software facilitating easy management of voucher and sequence data, consisting of a relational database as back-end for a graphic user interface accessed via a web browser. The application, VoSeq, includes tools for creating molecular datasets of DNA or amino acid sequences ready to be used in commonly used phylogenetic software such as RAxML, TNT, MrBayes and PAUP, as well as for creating tables ready for publishing. It also has inbuilt BLAST capabilities against all DNA sequences stored in VoSeq as well as sequences in NCBI GenBank. By using mash-ups and calls to web services, VoSeq allows easy integration with public services such as Yahoo! Maps, Flickr, Encyclopedia of Life (EOL and GBIF (by generating data-dumps that can be processed with GBIF's Integrated Publishing Toolkit.

Immunoglobulin G reactivities to rhoptry-associated protein-1 associated with decreased levels of Plasmodium falciparum parasitemia in Tanzanian children

DEFF Research Database (Denmark)

Jakobsen, P H; Lemnge, M M; Abu-Zeid, Y A

1996-01-01

with resistance to infection. On the other hand, levels of IgG reactivities to the repeat region of ABRA increased with parasite densities in children 1-4 years of age. Two different profiles of IgG reactivities to rRAP-1 and to ABRA are detectable in young Tanzanian children and the Ig reactivities against r...

Teachers' confidence in teaching HIV/AIDS and sexuality in South African and Tanzanian schools.

Science.gov (United States)

Helleve, Arnfinn; Flisher, Alan J; Onya, Hans; Kaaya, Sylvia; Mukoma, Wanjiru; Swai, Caroline; Klepp, Knut-Inge

2009-06-01

This study aimed to investigate how confident and comfortable teachers at Tanzanian and South African urban and rural schools are in teaching HIV/AIDS and sexuality. It also aimed at identifying factors associated with teacher confidence and investigated how reported confidence was associated with the implementation of educational programmes on HIV/AIDS and sexuality. A survey was conducted among South African grade 8 and 9 Life Orientation teachers, and among science teachers for grade 5 to 7 in public primary schools in Tanzania. Teachers' confidence levels were measured on a four-item scale (0-3). A total number of 266 teachers participated in a survey in 86 schools in South Africa and Tanzania. Overall, teachers report to be rather confident in teaching HIV/AIDS and sexuality. Tanzanian teachers reported higher levels of confidence then did their South Africa colleagues (2.1 vs. 1.8; p teaching was significantly associated with the numbers of years teaching HIV/AIDS and sexuality, formal training in these subjects, experience in discussing the topics with others, school policy and priority given to teaching HIV/AIDS and sexuality at school. Finally, confidence in teaching remained positively associated with self-reported successful implementation of school-based programmes after adjusting for gender, age, religion and numbers of years teaching HIV/AIDS and sexuality. Across urban and rural sites in South Africa and Tanzania teachers reported to be fairly confident in teaching HIV/AIDS and sexuality. Further strengthening of their confidence levels could, however, be an important measure for improving the implementation of such programmes.

A new national smokefree law increased calls to a national quitline.

Science.gov (United States)

Wilson, Nick; Sertsou, Gabriel; Edwards, Richard; Thomson, George; Grigg, Michele; Li, Judy

2007-05-08

A law making all indoor workplaces including bars and restaurants smokefree became operational in New Zealand in December 2004. New Zealand has a national free-phone Quitline Service which has been operational since 1999. Previous work has shown that the number of calls to the Quitline are influenced by marketing of the service through media campaigns. We set out to investigate if the smokefree law increased calls to the Quitline. For 24 months prior to the law, and 12 months after the law, data were collected on: (i) Quitline caller registrations and the issuing of nicotine replacement therapy (NRT) vouchers by the Quitline Service; (ii) expenditure on Quitline-related television advertising; (iii) expenditure on other smokefree television advertising; and (iv) print media coverage of smoking in major New Zealand newspapers. These data were inputs to a time series analysis using a Box-Jenkins transfer function model. This used the law change as the intervention variable, with the response series being the monthly Quitline caller rates and monthly first time NRT voucher issue rates. The monthly rates of Quitline caller registrations and NRT voucher issues were observed to increase in the months after the law change. The increase in both these outcomes was even greater when considered in terms of per level of Quitline advertising expenditure (though these patterns may have partly reflected marked reductions in advertising expenditure at the time of the law change and hence are of limited validity). In the more robust time series analyses, the law change (intervention variable) had a significant effect (p = 0.025) on increasing the monthly caller registration rate in December 2004. This was after adjusting for the possible effects of Quitline advertising expenditure, print media coverage, and other smoking-related advertising expenditure. The new national smokefree law resulted in increased quitting-related behaviour. This would suggest there is an extra opportunity

A new national smokefree law increased calls to a national quitline

Science.gov (United States)

Wilson, Nick; Sertsou, Gabriel; Edwards, Richard; Thomson, George; Grigg, Michele; Li, Judy

2007-01-01

Background A law making all indoor workplaces including bars and restaurants smokefree became operational in New Zealand in December 2004. New Zealand has a national free-phone Quitline Service which has been operational since 1999. Previous work has shown that the number of calls to the Quitline are influenced by marketing of the service through media campaigns. We set out to investigate if the smokefree law increased calls to the Quitline. Methods For 24 months prior to the law, and 12 months after the law, data were collected on: (i) Quitline caller registrations and the issuing of nicotine replacement therapy (NRT) vouchers by the Quitline Service; (ii) expenditure on Quitline-related television advertising; (iii) expenditure on other smokefree television advertising; and (iv) print media coverage of smoking in major New Zealand newspapers. These data were inputs to a time series analysis using a Box-Jenkins transfer function model. This used the law change as the intervention variable, with the response series being the monthly Quitline caller rates and monthly first time NRT voucher issue rates. Results The monthly rates of Quitline caller registrations and NRT voucher issues were observed to increase in the months after the law change. The increase in both these outcomes was even greater when considered in terms of per level of Quitline advertising expenditure (though these patterns may have partly reflected marked reductions in advertising expenditure at the time of the law change and hence are of limited validity). In the more robust time series analyses, the law change (intervention variable) had a significant effect (p = 0.025) on increasing the monthly caller registration rate in December 2004. This was after adjusting for the possible effects of Quitline advertising expenditure, print media coverage, and other smoking-related advertising expenditure. Conclusion The new national smokefree law resulted in increased quitting-related behaviour. This would

A new national smokefree law increased calls to a national quitline

Directory of Open Access Journals (Sweden)

Thomson George

2007-05-01

Full Text Available Abstract Background A law making all indoor workplaces including bars and restaurants smokefree became operational in New Zealand in December 2004. New Zealand has a national free-phone Quitline Service which has been operational since 1999. Previous work has shown that the number of calls to the Quitline are influenced by marketing of the service through media campaigns. We set out to investigate if the smokefree law increased calls to the Quitline. Methods For 24 months prior to the law, and 12 months after the law, data were collected on: (i Quitline caller registrations and the issuing of nicotine replacement therapy (NRT vouchers by the Quitline Service; (ii expenditure on Quitline-related television advertising; (iii expenditure on other smokefree television advertising; and (iv print media coverage of smoking in major New Zealand newspapers. These data were inputs to a time series analysis using a Box-Jenkins transfer function model. This used the law change as the intervention variable, with the response series being the monthly Quitline caller rates and monthly first time NRT voucher issue rates. Results The monthly rates of Quitline caller registrations and NRT voucher issues were observed to increase in the months after the law change. The increase in both these outcomes was even greater when considered in terms of per level of Quitline advertising expenditure (though these patterns may have partly reflected marked reductions in advertising expenditure at the time of the law change and hence are of limited validity. In the more robust time series analyses, the law change (intervention variable had a significant effect (p = 0.025 on increasing the monthly caller registration rate in December 2004. This was after adjusting for the possible effects of Quitline advertising expenditure, print media coverage, and other smoking-related advertising expenditure. Conclusion The new national smokefree law resulted in increased quitting

Relative efficacy of cash versus vouchers in engaging opioid substitution treatment clients in survey-based research.

Science.gov (United States)

Topp, Libby; Islam, M Mofizul; Day, Carolyn Ann

2013-04-01

Concerns that cash payments to people who inject drugs (PWID) to reimburse research participation will facilitate illicit drug purchases have led some ethical authorities to mandate department store/supermarket vouchers as research reimbursement. To examine the relative efficacy of the two forms of reimbursement in engaging PWID in research, clients of two public opioid substitution therapy clinics were invited to participate in a 20-30 min, anonymous and confidential interview about alcohol consumption on two separate occasions, 4 months apart. Under the crossover design, at Time 1, clients of Clinic 1 were offered $A20 cash as reimbursement, while clients of Clinic 2 were offered an $A20 voucher; at Time 2, the form of reimbursement was reversed. Using clinic records to determine the denominator (number of clients dosed), we found that compared with clients offered a voucher, a significantly higher proportion of clients who were offered cash participated in the survey (58% (139/241) vs 74% (186/252); χ(2)=14.27; p=0.0002). At first participation, respondents most commonly reported planning to purchase food/drinks/groceries (68%), cigarettes (21%) and transport/fuel (11%) with their payments, with those reimbursed in cash more likely to report planning to fund transport/fuel (19% vs 1%; ppayment. Results demonstrate that modest cash payments enhanced recruitment of this group, an important consideration given the challenges of delineating the parameters of a population defined by illegal activity, seemingly without promoting excessive additional drug use.

78 FR 54656 - Fee for Using a Priority Review Voucher in Fiscal Year 2014

Science.gov (United States)

2013-09-05

.... currency by check, bank draft, or U.S. postal money order payable to the order of the Food and Drug... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0007] Fee for Using a Priority Review Voucher in Fiscal Year 2014 AGENCY: Food and Drug Administration, HHS...

Innovation Vouchers and LEP Structural Funds Strategies. Innovation and Growth Factsheet Series. No. 1

Science.gov (United States)

Universities UK, 2014

2014-01-01

This factsheet, the first in a series on innovation and growth, provides an overview of the benefits of innovation vouchers, and gives some examples of how universities and Local Enterprise Partnerships (LEPs) are including them in their European Structural and Investment Funds (ESIF) strategies. [For the second factsheet in the series,…

The consequences of implementing a child care voucher: Evidence from Australia, the Netherlands and USA

NARCIS (Netherlands)

Warner, M.; Gradus, R.H.J.M.

2011-01-01

In the Netherlands, the USA and Australia, public funding has promoted parental choice by introducing a voucher scheme for child care, where parents are free to choose the provider. The policy experiments and the outcomes in these three countries provide useful information about the consequences of

A Policy Analysis of the implementation of a Reproductive Health Vouchers Program in Kenya

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Abuya Timothy

2012-07-01

Full Text Available Abstract Background Innovative financing strategies such as those that integrate supply and demand elements like the output-based approach (OBA have been implemented to reduce financial barriers to maternal health services. The Kenyan government with support from the German Development Bank (KfW implemented an OBA voucher program to subsidize priority reproductive health services. Little evidence exists on the experience of implementing such programs in different settings. We describe the implementation process of the Kenyan OBA program and draw implications for scale up. Methods Policy analysis using document review and qualitative data from 10 in-depth interviews with facility in-charges and 18 with service providers from the contracted facilities, local administration, health and field managers in Kitui, Kiambu and Kisumu districts as well as Korogocho and Viwandani slums in Nairobi. Results The OBA implementation process was designed in phases providing an opportunity for learning and adapting the lessons to local settings; the design consisted of five components: a defined benefit package, contracting and quality assurance; marketing and distribution of vouchers and claims processing and reimbursement. Key implementation challenges included limited feedback to providers on the outcomes of quality assurance and accreditation and budgetary constraints that limited effective marketing leading to inadequate information to clients on the benefit package. Claims processing and reimbursement was sophisticated but required adherence to time consuming procedures and in some cases private providers complained of low reimbursement rates for services provided. Conclusions OBA voucher schemes can be implemented successfully in similar settings. For effective scale up, strong partnership will be required between the public and private entities. The government’s role is key and should include provision of adequate funding, stewardship and looking for

A policy analysis of the implementation of a Reproductive Health Vouchers Program in Kenya.

Science.gov (United States)

Abuya, Timothy; Njuki, Rebecca; Warren, Charlotte E; Okal, Jerry; Obare, Francis; Kanya, Lucy; Askew, Ian; Bellows, Ben

2012-07-23

Innovative financing strategies such as those that integrate supply and demand elements like the output-based approach (OBA) have been implemented to reduce financial barriers to maternal health services. The Kenyan government with support from the German Development Bank (KfW) implemented an OBA voucher program to subsidize priority reproductive health services. Little evidence exists on the experience of implementing such programs in different settings. We describe the implementation process of the Kenyan OBA program and draw implications for scale up. Policy analysis using document review and qualitative data from 10 in-depth interviews with facility in-charges and 18 with service providers from the contracted facilities, local administration, health and field managers in Kitui, Kiambu and Kisumu districts as well as Korogocho and Viwandani slums in Nairobi. The OBA implementation process was designed in phases providing an opportunity for learning and adapting the lessons to local settings; the design consisted of five components: a defined benefit package, contracting and quality assurance; marketing and distribution of vouchers and claims processing and reimbursement. Key implementation challenges included limited feedback to providers on the outcomes of quality assurance and accreditation and budgetary constraints that limited effective marketing leading to inadequate information to clients on the benefit package. Claims processing and reimbursement was sophisticated but required adherence to time consuming procedures and in some cases private providers complained of low reimbursement rates for services provided. OBA voucher schemes can be implemented successfully in similar settings. For effective scale up, strong partnership will be required between the public and private entities. The government's role is key and should include provision of adequate funding, stewardship and looking for opportunities to utilize existing platforms to scale up such

Efavirenz, tenofovir and emtricitabine combined with first-line tuberculosis treatment in tuberculosis-HIV-coinfected Tanzanian patients: a pharmacokinetic and safety study.

Science.gov (United States)

Semvua, Hadija H; Mtabho, Charles M; Fillekes, Quirine; van den Boogaard, Jossy; Kisonga, Riziki M; Mleoh, Liberate; Ndaro, Arnold; Kisanga, Elton R; van der Ven, Andre; Aarnoutse, Rob E; Kibiki, Gibson S; Boeree, Martin J; Burger, David M

2013-01-01

To evaluate the effect of rifampicin-based tuberculosis (TB) treatment on the pharmacokinetics of efavirenz/tenofovir/emtricitabine in a fixed-dose combination tablet, and vice versa, in Tanzanian TB-HIV-coinfected patients. This was a Phase II open-label multiple dose pharmacokinetic and safety study. This study was conducted in TB-HIV-coinfected Tanzanian patients who started TB treatment (rifampicin/isoniazid/pyrazinamide/ethambutol) at week 1 to week 8 and continued with rifampicin and isoniazid for another 16 weeks. Antiretroviral treatment (ART) of efavirenz/tenofovir/emtricitabine in a fixed-dose combination tablet was started at week 4 after initiation of TB treatment. A 24-h pharmacokinetic sampling curve was recorded at week 8 (with TB treatment) and week 28 (ART alone). For TB drugs, blood samples at 2 and 5 h post-dose were taken at week 3 (TB treatment alone) and week 8 (with ART). A total of 25 patients (56% male) completed the study; 21 had evaluable pharmacokinetic profiles. The area under the concentration-time curve 0-24 h post-dose of efavirenz, tenofovir and emtricitabine were slightly higher when these drugs were coadministered with TB drugs; geometric mean ratios (90% CI) were 1.08 (0.90, 1.30), 1.13 (0.93, 1.38) and 1.05 (0.85, 1.29), respectively. For TB drugs, equivalence was suggested for peak plasma concentrations when administered with and without efavirenz/tenofovir/emtricitabine. Adverse events were mostly mild and no serious adverse events or drug discontinuations were reported. Coadministration of efavirenz, tenofovir and emtricitabine with a standard first-line TB treatment regimen did not significantly alter the pharmacokinetic parameters of these drugs and was tolerated well by Tanzanian TB patients who are coinfected with HIV.

Does a competitive voucher program for adolescents improve the quality of reproductive health care? A simulated patient study in Nicaragua

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Gorter Anna C

2006-08-01

Full Text Available Abstract Background Little is known about how sexual and reproductive (SRH health can be made accessible and appropriate to adolescents. This study evaluates the impact and sustainability of a competitive voucher program on the quality of SRH care for poor and underserved female adolescents and the usefulness of the simulated patient (SP method for such evaluation. Methods 28,711 vouchers were distributed to adolescents in disadvantaged areas of Managua that gave free-of-charge access to SRH care in 4 public, 10 non-governmental and 5 private clinics. Providers received training and guidelines, treatment protocols, and financial incentives for each adolescent attended. All clinics were visited by female adolescent SPs requesting contraception. SPs were sent one week before, during (with voucher and one month after the intervention. After each consultation they were interviewed with a standardized questionnaire. Twenty-one criteria were scored and grouped into four categories. Clinics' scores were compared using non-parametric statistical methods (paired design: before-during and before-after. Also the influence of doctors' characteristics was tested using non-parametric statistical methods. Results Some aspects of service quality improved during the voucher program. Before the program started 8 of the 16 SPs returned 'empty handed', although all were eligible contraceptive users. During the program 16/17 left with a contraceptive method (p = 0.01. Furthermore, more SPs were involved in the contraceptive method choice (13/17 vs.5/16, p = 0.02. Shared decision-making on contraceptive method as well as condom promotion had significantly increased after the program ended. Female doctors had best scores before- during and after the intervention. The improvements were more pronounced among male doctors and doctors older than 40, though these improvements did not sustain after the program ended. Conclusion This study illustrates provider

Tuition Tax Credits and Vouchers: Political Finance Alternatives Rather than Rational Alternatives to Education Finance.

Science.gov (United States)

Thomas, Robert G.

This paper describes the use of tuition tax credits and vouchers as political alternatives of choice and competition in a progressive society. School and public administration theorists identify two distinct finance models: the rational and the political. The first part of this paper examines and describes these two models. The next part…

Rift propagation at craton margin.: Distribution of faulting and volcanism in the North Tanzanian Divergence (East Africa) during Neogene times

Science.gov (United States)

Le Gall, B.; Nonnotte, P.; Rolet, J.; Benoit, M.; Guillou, H.; Mousseau-Nonnotte, M.; Albaric, J.; Deverchère, J.

2008-02-01

A revised kinematic model is proposed for the Neogene tectono-magmatic development of the North Tanzanian Divergence where the axial valley in S Kenya splits southwards into a wide diverging pattern of block faulting in association with the disappearance of volcanism. Propagation of rifting along the S Kenya proto-rift during the last 8 Ma is first assumed to have operated by linkage of discrete magmatic cells as far S as the Ngorongoro-Kilimanjaro transverse volcanic belt that follows the margin of cratonic blocks in N Tanzania. Strain is believed to have nucleated throughout the thermally-weakened lithosphere in the transverse volcanic belt that might have later linked the S Kenya and N Tanzania rift segments with marked structural changes along-strike. The North Tanzanian Divergence is now regarded as a two-armed rift pattern involving: (1) a wide domain of tilted fault blocks to the W (Mbulu) that encompasses the Eyasi and Manyara fault systems, in direct continuation with the Natron northern trough. The reactivation of basement fabrics in the cold and intact Precambrian lithosphere in the Mbulu domain resulted in an oblique rift pattern that contrasts with the orthogonal extension that prevailed in the Magadi-Natron trough above a more attenuated lithosphere. (2) To the E, the Pangani horst-like range is thought to be a younger (< 1 Ma) structure that formed in response to the relocation of extension S of the Kilimanjaro magmatic center. A significant contrast in the mechanical behaviour of the stretched lithosphere in the North Tanzanian diverging rift is assumed to have occurred on both sides of the Masai cratonic block with a mid-crustal decoupling level to the W where asymmetrical fault-basin patterns are dominant (Magadi-Natron and Mbulu), whereas a component of dynamical uplift is suspected to have caused the topographic elevation of the Pangani range in relation with possible far-travelled mantle melts produced at depth further N.

The "wild shot": photography for more biology in natural history collections, not for replacing vouchers.

Science.gov (United States)

Garrouste, Romain

2017-05-24

Recently a correspondence in Zootaxa (Ceríaco et al., 2016) with more than 450 signatories including taxonomists, curators and other taxonomy users from all continents has received wide attention and has stimulated extensive discussion (a true buzz) around the possible interpretations of the Code (ICZN) about photography in taxonomy (Researchgate website link). This short note was necessary to recall the necessity of preserved specimens as vouchers for taxonomy, in response to photography-based taxonomy (PBT) as defended by Pape et al. (2016), and in a broad sense, for all the life sciences. This had been widely discussed and argued by Dubois & Nemésio (2007) who concluded on the importance of vouchers in taxonomy. But if the subject of these papers and discussions are about photography as the only way to document a new species, none of them discussed really what photography could represent in enhancing knowledge in natural sciences based on collections of specimens including type series and in association with other media (video and sound).

Penile measurements in Tanzanian males: guiding circumcision device design and supply forecasting.

Science.gov (United States)

Chrouser, Kristin; Bazant, Eva; Jin, Linda; Kileo, Baldwin; Plotkin, Marya; Adamu, Tigistu; Curran, Kelly; Koshuma, Sifuni

2013-08-01

Voluntary medical male circumcision decreases the risk in males of HIV infection through heterosexual intercourse by about 60% in clinical trials and 73% at post-trial followup. In 2007 WHO and the Joint United Nations Programme on HIV/AIDS (UNAIDS) recommended that countries with a low circumcision rate and high HIV prevalence expand voluntary medical male circumcision programs as part of a national HIV prevention strategy. Devices for adult/adolescent male circumcision could accelerate the pace of scaling up voluntary medical male circumcision. Detailed penile measurements of African males are required for device development and supply size forecasting. Consenting males undergoing voluntary medical male circumcision at 3 health facilities in the Iringa region, Tanzania, underwent measurement of the penile glans, shaft and foreskin. Age, Tanner stage, height and weight were recorded. Measurements were analyzed by age categories. Correlations of penile parameters with height, weight and body mass index were calculated. In 253 Tanzanian males 10 to 47 years old mean ± SD penile length in adults was 11.5 ± 1.6 cm, mean shaft circumference was 8.7 ± 0.9 cm and mean glans circumference was 8.8 ± 0.9 cm. As expected, given the variability of puberty, measurements in younger males varied significantly. Glans circumference highly correlated with height (r = 0.80) and weight (r = 0.81, each p <0.001). Stretched foreskin diameter moderately correlated with height (r = 0.68) and weight (r = 0.71, each p <0.001). Our descriptive study provides penile measurements of males who sought voluntary medical male circumcision services in Iringa, Tanzania. To our knowledge this is the first study in a sub-Saharan African population that provides sufficiently detailed glans and foreskin dimensions to inform voluntary medical male circumcision device development and size forecasting. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier

Culturally sensitive adaptation of the concept of relational communication therapy as a support to language development: An exploratory study in collaboration with a Tanzanian orphanage

Directory of Open Access Journals (Sweden)

Ulrike Schütte

2016-11-01

Full Text Available Background: Orphans and other vulnerable children (OVC who grow up in institutional care often show communication and language problems. The caregivers lack training, and there are few language didactics programmes aimed at supporting communication and language development in OVC in institutional care in Tanzania. Objectives: The purpose of the study was to adapt the German concept of relational communication therapy (RCT as a support to language development in a Tanzanian early childhood education context in a culturally sensitive way. Following the adaptation of the concept, a training programme for Tanzanian caregiver students was developed to compare their competencies in language didactics before and after training. Methods: A convergent mixed methods design was used to examine changes following training in 12 participating caregiver students in a Tanzanian orphanage. The competencies in relational language didactics were assessed by a self-developed test and video recordings before and after intervention. Based on the results, we drew conclusions regarding necessary modifications to the training modules and to the concept of RCT. Results: The relational didactics competencies of the caregiver students improved significantly following their training. A detailed analysis of the four training modules showed that the improvement in relational didactics competencies varied depending on the topic and the teacher. Conclusion: The results provide essential hints for the professionalisation of caregivers and for using the concept of RCT for OVC in institutional care in Tanzania. Training programmes and concepts should not just be transferred across different cultures, disciplines and settings; they must be adapted to the specific cultural setting.

How to Calculate the Costs or Savings of Tax Credit Voucher Policies. NEPC Policy Memo

Science.gov (United States)

Welner, Kevin

2011-01-01

In this NEPC Policy Memo, Professor Welner explains that the most honest and conscientious approach to reporting the fiscal impact of tax credit vouchers is to provide a range of outcomes and let the readers--not the legislative analysts themselves--speculate on which is most likely. If a bottom line is demanded, it should be couched in as many…

Do Vouchers and Tax Credits Increase Private School Regulation? A Statistical Analysis. CATO Working Paper

Science.gov (United States)

Coulson, Andrew J.

2010-01-01

School voucher and education tax credit programs have proliferated in the United States over the past two decades. Advocates have argued that they will enable families to become active consumers in a free and competitive education marketplace, but some fear that these programs may in fact bring with them a heavy regulatory burden that could stifle…

Investor Outlook: Solving Gene Therapy Pricing…with a Cures Voucher?

Science.gov (United States)

Schimmer, Joshua; Breazzano, Steven

2016-12-01

Gene therapy reimbursement continues to be an intense topic of discussion in the field given the unique and durable benefits from a single administration and generally small patient populations against a reimbursement framework that is not optimized for such "cures" or long-lived benefits. As more gene therapy programs enter the market and late-stage development, it is increasingly important for the field to define a reimbursement model that works for all stakeholders in order to encourage the next wave of innovation. To add to the discussion around new payment models and potential solutions, we propose a flexible voucher system that takes advantage of existing infrastructure, precedent, and regulatory frameworks.

Vouchers for Private Schooling in Colombia: Evidence from a Randomized Natural Experiment. NBER Working Paper Series.

Science.gov (United States)

Angrist, Joshua D.; Bettinger, Eric; Bloom, Erik; King, Elizabeth; Kremer, Michael

This paper examines the impact of Colombia's Programa de Ampliacion de Cobertura de la Educacion Secundaria (PACES), which provided over 125,000 poor students with private secondary school vouchers, many of which were awarded by lottery. Researchers surveyed lottery winners and losers to compare educational and other outcomes. Results showed no…

Dietary exposure to aflatoxin and fumonisin among Tanzanian children as determined using biomarkers of exposure

Science.gov (United States)

Shirima, Candida P.; Kimanya, Martin E.; Kinabo, Joyce L.; Routledge, Michael N.; Srey, Chou; Wild, Christopher P.; Gong, Yun Yun

2014-01-01

Scope The study aims to evaluate the status of dietary exposure to aflatoxin and fumonisin in young Tanzanian children, using previously validated biomarkers of exposure. Methods and results A total of 148 children aged 12 to 22 months, were recruited from three geographically distant villages in Tanzania; Nyabula, Kigwa and Kikelelwa. Plasma aflatoxin-albumin adducts (AF-alb) and urinary fumonisin B1 (UFB1) were measured by ELISA and LC-MS, respectively. AF-alb was detectable in 84% of children, was highest in fully weaned children (pfumonisin through contaminated diet, although the level of exposure varies markedly between the three villages studied. PMID:23776058

Status of Isoetes coromandeliana L.f. and Equisetum debile Roxb. ex Voucher in Gujarat State, Western India

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Suresh K. PATEL

2015-12-01

Full Text Available Occurrence of Isoetes coromandeliana L.f. in natural ponds of Harni, Savali and Tuwa (India is known since 1956 by earlier workers. Equisetum debile Roxb. ex Voucher was also reported in 1962 growing as wild at Savali. Available literature indicates that I. coromandeliana falls under the category of ‘near threatened’ in Asian continents and as an ‘endangered species’ at national (India level. In the current field work study, the authors could not locate the investigated species from the locations earlier documented by researchers. Few saplings of I. coromandeliana were observed at Talod and Vaktapur near Gandhinagar, a new location for the species. In contrast, E. debile appeared to be lost in wild from Gujarat. Their extinction from earlier reported locations is associated with anthropogenic pressure and thus legal action for their protection is needed. The present paper suggests further survey and habitat based studies and recommends conservation and management action plans based upon the ecology of the habitat.

Energy Recovery from Sludge and Sustainable Development: A Tanzanian Case Study

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Matteo Leonardi

2012-10-01

Full Text Available The paper retraces the implementation of a biogas energy programme within the Best Ray project run in Tanzania 2008–2011. The objective of the Best Ray project was to empower rural communities by providing them with modern and renewable energy technologies to better tackle Millennium Development Goals. An important activity of the project was the construction of a biogas system in secondary school solve a sanitation problem and provide the school with a free and reliable energy supply. After a field assessment, the project directed the resources to small domestic biogas installation rather than large institutional ones as future sustainability seemed to be better granted. Best Ray merged the Tanzanian Domestic Biogas Programme. Trainings were organized and 25 biogas plants constructed. The technology is simple and the design effective, but still the cost seems high for a rural context. Final beneficiaries are appreciating the technologies for reasons that were not predictable by those who ideated the project.

Life after Vouchers: What Happens to Students Who Leave Private Schools for the Traditional Public Sector?

Science.gov (United States)

Carlson, Deven; Cowen, Joshua M.; Fleming, David J.

2013-01-01

Few school choice evaluations consider students who leave such programs, and fewer still consider the effects of leaving these programs as policy-relevant outcomes. Using a representative sample of students from the citywide voucher program in Milwaukee, Wisconsin, we analyze more than 1,000 students who leave the program during a 4-year period.…

Schools' Responses to Voucher Policy: Participation Decisions and Early Implementation Experiences in the Indiana Choice Scholarship Program

Science.gov (United States)

Austin, Megan J.

2015-01-01

Little is known about the supply side of voucher programs, despite schools' central role in program effectiveness. Using survey and interview data on the Indiana Choice Scholarship Program (ICSP), I analyze schools' participation decisions and early implementation experiences to understand better how schools respond to program regulations. I find…

75 FR 27808 - Section 8 Housing Choice Voucher Program-Demonstration Project of Small Area Fair Market Rents in...

Science.gov (United States)

2010-05-18

... Voucher Program--Demonstration Project of Small Area Fair Market Rents in Certain Metropolitan Areas for.... ACTION: Notice of Demonstration Project of Small Area Fair Market Rents (FMRs) in Selected Metropolitan... topics related to small area FMRs, including how these small areas should be defined. Small area FMRs...

Perceived quality of reproductive care for girls in a competitive voucher programma: a quasi-experimental intervention study, Managua, Nicaragua.

NARCIS (Netherlands)

Meuwissen, S.G.M.; Gorter, A.C.; Knottnerus, J.A.

2006-01-01

Objective: To determine whether female adolescents from low-income areas in Managua were satisfied with the sexual and reproductive health (SRH) care provided through a competitive voucher programme and to analyse the determinants of their satisfaction. Design: A community-based quasi-experimental

Effectively engaging the private sector through vouchers and contracting - A case for analysing health governance and context.

Science.gov (United States)

Nachtnebel, Matthias; O'Mahony, Ashleigh; Pillai, Nandini; Hort, Kris

2015-11-01

Health systems of low and middle income countries in the Asia Pacific have been described as mixed, where public and private sector operate in parallel. Gaps in the provision of primary health care (PHC) services have been picked up by the private sector and led to its growth; as can an enabling regulatory environment. The question whether governments should purchase services from the private sector to address gaps in service provision has been fiercely debated. This purposive review draws evidence from systematic reviews, and additional published and grey literature, for input into a policy brief on purchasing PHC-services from the private sector for underserved areas in the Asia Pacific region. Additional published and grey literature on vouchers and contracting as mechanisms to engage the private sector was used to supplement the conclusions from systematic reviews. We analysed the literature through a policy lens, or alternatively, a 'bottom-up' approach which incorporates components of a realist review. Evidence indicates that both vouchers and contracting can improve health service outcomes in underserved areas. These outcomes however are strongly influenced by (1) contextual factors, such as roles and functions attributable to a shared set of key actors (2) the type of delivered services and community demand (3) design of the intervention, notably provider autonomy and trust (4) governance capacity and provision of stewardship. Examining the experience of vouchers and contracting to expand health services through engagement with private sector providers in the Asia Pacific found positive effects with regards to access and utilisation of health services, but more importantly, highlighted the significance of contextual factors, appropriate selection of mechanism for services provided, and governance arrangements and stewardship capacity. In fact, for governments seeking to engage the private sector, analysis of context and capacities are potentially a more

Vouchers in the Bayou: The Effects of the Louisiana Scholarship Program on Student Achievement after 2 Years

Science.gov (United States)

Mills, Jonathan N.; Wolf, Patrick J.

2017-01-01

The Louisiana Scholarship Program (LSP) offers publicly funded vouchers to students in low-performing schools with family income no greater than 250% of the poverty line, allowing them to enroll in participating private schools. Initially established in 2008 as a pilot program in New Orleans, the LSP was expanded statewide in 2012. This article…

Segregation Levels in Milwaukee Public Schools and the Milwaukee Voucher Program. School Choice Issues in the State

Science.gov (United States)

Forster, Greg

2006-01-01

This study compares segregation levels in Milwaukee public schools and in private schools participating in the Milwaukee voucher program. Using a segregation index that measures the difference between the percent of students in a school who are white and the percentage of school-age children in the greater metro area who are white, it finds that…

Markets, voucher subsidies and free nets combine to achieve high bed net coverage in rural Tanzania

Directory of Open Access Journals (Sweden)

Gerrets Rene PM

2008-06-01

Full Text Available Abstract Background Tanzania has a well-developed network of commercial ITN retailers. In 2004, the government introduced a voucher subsidy for pregnant women and, in mid 2005, helped distribute free nets to under-fives in small number of districts, including Rufiji on the southern coast, during a child health campaign. Contributions of these multiple insecticide-treated net delivery strategies existing at the same time and place to coverage in a poor rural community were assessed. Methods Cross-sectional household survey in 6,331 members of randomly selected 1,752 households of 31 rural villages of Demographic Surveillance System in Rufiji district, Southern Tanzania was conducted in 2006. A questionnaire was administered to every consenting respondent about net use, treatment status and delivery mechanism. Findings Net use was 62.7% overall, 87.2% amongst infants (0 to1 year, 81.8% amongst young children (>1 to 5 years, 54.5% amongst older children (6 to 15 years and 59.6% amongst adults (>15 years. 30.2% of all nets had been treated six months prior to interview. The biggest source of nets used by infants was purchase from the private sector with a voucher subsidy (41.8%. Half of nets used by young children (50.0% and over a third of those used by older children (37.2% were obtained free of charge through the vaccination campaign. The largest source of nets amongst the population overall was commercial purchase (45.1% use and was the primary means for protecting adults (60.2% use. All delivery mechanisms, especially sale of nets at full market price, under-served the poorest but no difference in equity was observed between voucher-subsidized and freely distributed nets. Conclusion All three delivery strategies enabled a poor rural community to achieve net coverage high enough to yield both personal and community level protection for the entire population. Each of them reached their relevant target group and free nets only temporarily

Religious Values and Tuition Vouchers: An Empirical Case Study of Parent Religiosity as a Factor of School Choice

Science.gov (United States)

Reichard, Joshua D.

2012-01-01

This study was designed to determine whether parent religiosity is a statistically significant school choice factor. The Duke University Religion Index (DUREL) was administered to 215 parents in an urban, PreK-12 religious private school that participated in the Ohio Educational Choice (EdChoice) voucher program. The null hypothesis that there was…

Prevalence of psychological trauma and association with current health and functioning in a sample of HIV-infected and HIV-uninfected Tanzanian adults.

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Brian W Pence

Full Text Available In high income nations, traumatic life experiences such as childhood sexual abuse are much more common in people living with HIV/AIDS (PLWHA than the general population, and trauma is associated with worse current health and functioning. Virtually no data exist on the prevalence or consequences of trauma for PLWHA in low income nations.We recruited four cohorts of Tanzanian patients in established medical care for HIV infection (n = 228, individuals newly testing positive for HIV (n = 267, individuals testing negative for HIV at the same sites (n = 182, and a random sample of community-dwelling adults (n = 249. We assessed lifetime prevalence of traumatic experiences, recent stressful life events, and current mental health and health-related physical functioning. Those with established HIV infection reported a greater number of childhood and lifetime traumatic experiences (2.1 and 3.0 respectively than the community cohort (1.8 and 2.3. Those with established HIV infection reported greater post-traumatic stress disorder (PTSD symptomatology and worse current health-related physical functioning. Each additional lifetime traumatic experience was associated with increased PTSD symptomatology and worse functioning.This study is the first to our knowledge in an HIV population from a low income nation to report the prevalence of a range of potentially traumatic life experiences compared to a matched community sample and to show that trauma history is associated with poorer health-related physical functioning. Our findings underscore the importance of considering psychosocial characteristics when planning to meet the health needs of PLWHA in low income countries.

Prevalence of psychological trauma and association with current health and functioning in a sample of HIV-infected and HIV-uninfected Tanzanian adults.

Science.gov (United States)

Pence, Brian W; Shirey, Kristen; Whetten, Kathryn; Agala, Bernard; Itemba, Dafrosa; Adams, Julie; Whetten, Rachel; Yao, Jia; Shao, John

2012-01-01

In high income nations, traumatic life experiences such as childhood sexual abuse are much more common in people living with HIV/AIDS (PLWHA) than the general population, and trauma is associated with worse current health and functioning. Virtually no data exist on the prevalence or consequences of trauma for PLWHA in low income nations. We recruited four cohorts of Tanzanian patients in established medical care for HIV infection (n = 228), individuals newly testing positive for HIV (n = 267), individuals testing negative for HIV at the same sites (n = 182), and a random sample of community-dwelling adults (n = 249). We assessed lifetime prevalence of traumatic experiences, recent stressful life events, and current mental health and health-related physical functioning. Those with established HIV infection reported a greater number of childhood and lifetime traumatic experiences (2.1 and 3.0 respectively) than the community cohort (1.8 and 2.3). Those with established HIV infection reported greater post-traumatic stress disorder (PTSD) symptomatology and worse current health-related physical functioning. Each additional lifetime traumatic experience was associated with increased PTSD symptomatology and worse functioning. This study is the first to our knowledge in an HIV population from a low income nation to report the prevalence of a range of potentially traumatic life experiences compared to a matched community sample and to show that trauma history is associated with poorer health-related physical functioning. Our findings underscore the importance of considering psychosocial characteristics when planning to meet the health needs of PLWHA in low income countries.

Cross-Cultural Adaptation and Psychometric Properties of the AUDIT and CAGE Questionnaires in Tanzanian Swahili for a Traumatic Brain Injury Population.

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Vissoci, Joao Ricardo Nickenig; Hertz, Julian; El-Gabri, Deena; Andrade Do Nascimento, José Roberto; Pestillo De Oliveira, Leonardo; Mmbaga, Blandina Theophil; Mvungi, Mark; Staton, Catherine A

2018-01-01

To develop Swahili versions of the Alcohol Use Disorders Identification Test (AUDIT) and CAGE questionnaires and evaluate their psychometric properties in a traumatic brain injury (TBI) population in Tanzania. Swahili versions of the AUDIT and CAGE were developed through translation and back-translation by a panel of native speakers of both English and Swahili. The translated instruments were administered to a sample of Tanzanian adults from a TBI registry. The validity and reliability were analyzed using standard statistical methods. The translated versions of both the AUDIT and CAGE questionnaires were found to have excellent language clarity and domain coherence. Reliability was acceptable (>0.85) for all tested versions. Confirmatory factor analysis of one, two and three factor solution for the AUDIT and one factor solution for the CAGE showed adequate results. AUDIT and CAGE scores were strongly correlated to each other (R > 0.80), and AUDIT scores were significantly lower in non-drinkers compared to drinkers. This article presents the first Swahili and Tanzanian adaptations of the AUDIT and CAGE instruments as well as the first validation of these questionnaires with TBI patients. Both instruments were found to have acceptable psychometric properties, resulting in two new useful tools for medical and social research in this setting. © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved.

Does a competitive voucher program for adolescents improve the quality of reproductive health care? A simulated patient study in Nicaragua.

NARCIS (Netherlands)

Meuwissen, L.E.; Gorter, A.C.; Kester, A.D.M.; Knottnerus, J.A.

2006-01-01

Background: Little is known about how sexual and reproductive (SRH) health can be made accessible and appropriate to adolescents. This study evaluates the impact and sustainability of a competitive voucher program on the quality of SRH care for poor and underserved female adolescents and the

Cost-effectiveness analysis of a voucher scheme combined with obstetrical quality improvements: quasi experimental results from Uganda.

Science.gov (United States)

Alfonso, Y Natalia; Bishai, David; Bua, John; Mutebi, Aloysius; Mayora, Crispus; Ekirapa-Kiracho, Elizabeth

2015-02-01

The maternal mortality ratio (MMR) in Uganda has declined significantly during the last 20 years, but Uganda is not on track to reach the millennium development goal of reducing MMR by 75% by 2015. More evidence on the cost-effectiveness of supply- and demand-side financing programs to reduce maternal mortality could inform future strategies. This study analyses the cost-effectiveness of a voucher scheme (VS) combined with health system strengthening in rural Uganda against the status quo. The VS, implemented in 2010, provided vouchers for delivery services at public and private health facilities (HF), as well as round-trip transportation provided by private sector workers (bicycles or motorcycles generally). The VS was part of a quasi-experimental non-randomized control trial. Improvements in institutional delivery coverage (IDC) rates can be estimated using a difference-in-difference impact evaluation method and the number of maternal lives saved is modelled using the evidence-based Lives Saved Tool. Costs were estimated from primary and secondary data. Results show that the demand for births at HFs enrolled in the VS increased by 52.3 percentage points. Out of this value, conservative estimates indicate that at least 9.4 percentage points are new HF users. This 9.4% bump in IDC implies 20 deaths averted, which is equivalent to 1356 disability-adjusted-life years (DALYs) averted. Cost-effectiveness analysis comparing the status quo and VS's most conservative effectiveness estimates shows that the VS had an incremental cost-effectiveness ratio per DALY averted of US$302 and per death averted of US$20 756. Although there are limitations in the data measures, a favourable cost-effectiveness ratio persists even under extreme assumptions. Demand-side vouchers combined with supply-side financing programs can increase attended deliveries and reduce maternal mortality at a cost that is acceptable. Published by Oxford University Press in association with The London School

Trace Elements in Hair from Tanzanian Children: Effect of Dietary Factor

International Nuclear Information System (INIS)

Mohammed, Najat K.; Spyrou, Nicholas M.

2009-01-01

Trace elements in certain amounts are essential for childrens' health, because they are present in tissues participating in metabolic reactions of organisms. Deficiency of the essential elements may result in malnutrition, impaired body immunity, and poor resistance to disease. These conditions might be enhanced against a background of additional adverse environmental factors such as toxic elements. The analysis of elements in childrens' hair will give information on the deficiency of essential elements and excess of toxic elements in relation to their diet. In this study, 141 hair samples from children (girls and boys) living in two regions of Tanzanian mainland (Dar es Salaam and Moshi) and the island of Zanzibar have been analysed for trace elements in relation to food consumption habits. The analysis was carried out using long and short irradiation instrumental neutron activation analysis (INAA) of the Nuclear Physics Institute at Rez, Czech Republic. Arithmetic and geometric means with their respective standard deviations are presented for 19 elements. Subgroups were formed according to age, gender, and geographic regions from which the samples were collected. Differences in concentrations for the groups and with other childhood populations were explored and discussed.

Neighborhood Effects on Crime for Female and Male Youth: Evidence from a Randomized Housing Voucher Experiment

OpenAIRE

Jeffrey R. Kling; Jens Ludwig; Lawrence F. Katz

2004-01-01

The Moving to Opportunity (MTO) demonstration assigned housing vouchers via random lottery to public housing residents in five cities. We use the exogenous variation in residential locations generated by MTO to estimate neighborhood effects on youth crime and delinquency. The offer to relocate to lower-poverty areas reduces arrests among female youth for violent and property crimes, relative to a control group. For males the offer to relocate reduces arrests for violent crime, at least in the...

Status of Isoetes coromandeliana L.f. and Equisetum debile Roxb. ex Voucher in Gujarat State, Western India

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Suresh K. PATEL

2015-12-01

Full Text Available Occurrence of Isoetes coromandeliana L.f. in natural ponds of Harni, Savali and Tuwa (India is known since 1956 by earlier workers. Equisetum debile Roxb. ex Voucher was also reported in 1962 growing as wild at Savali. Available literature indicates that I. coromandeliana falls under the category of ‘near threatened’ in Asian continents and as an ‘endangered species’ at national (India level. In the current field work study, the authors could not locate the investigated species from the locations earlier documented by researchers. Few saplings of I. coromandeliana were observed at Talod and Vaktapur near Gandhinagar, a new location for the species. In contrast, E. debile appeared to be lost in wild from Gujarat. Their extinction from earlier reported locations is associated with anthropogenic pressure and thus legal action for their protection is needed. The present paper suggests further survey and habitat based studies and recommends conservation and management action plans based upon the ecology of the habitat.

76 FR 2087 - Information Collection; Submission for OMB Review, Comment Request

Science.gov (United States)

2011-01-12

... information collection request (ICR) entitled the National Service Trust Voucher and Payment Request Form to... Reduction Act of 1995, Public Law 104-13, (44 U.S.C. Chapter 35). Copies of this ICR, with applicable...: Renewal. Agency: Corporation for National and Community Service. Title: National Service Trust Voucher and...

Do small fish mean no voucher? Using a flatbed desktop scanner to document larval and small specimens before destructive analyses

Czech Academy of Sciences Publication Activity Database

Kalous, L.; Šlechtová, Věra; Petrtýl, M.; Kohout, Jan; Čech, Martin

2010-01-01

Roč. 26, č. 4 (2010), s. 614-617 ISSN 0175-8659 R&D Projects: GA ČR GA206/06/1371; GA ČR GP206/09/P266 Institutional research plan: CEZ:AV0Z50450515; CEZ:AV0Z60170517 Keywords : small fish * voucher * desktop scanner Subject RIV: GL - Fishing Impact factor: 0.945, year: 2010

Trace Elements in Hair from Tanzanian Children: Effect of Dietary Factor (abstract)

Science.gov (United States)

Mohammed, Najat K.; Spyrou, Nicholas M.

2009-04-01

Trace elements in certain amounts are essential for childrens' health, because they are present in tissues participating in metabolic reactions of organisms. Deficiency of the essential elements may result in malnutrition, impaired body immunity, and poor resistance to disease. These conditions might be enhanced against a background of additional adverse environmental factors such as toxic elements. The analysis of elements in childrens' hair will give information on the deficiency of essential elements and excess of toxic elements in relation to their diet. In this study, 141 hair samples from children (girls and boys) living in two regions of Tanzanian mainland (Dar es Salaam and Moshi) and the island of Zanzibar have been analysed for trace elements in relation to food consumption habits. The analysis was carried out using long and short irradiation instrumental neutron activation analysis (INAA) of the Nuclear Physics Institute at Rez, Czech Republic. Arithmetic and geometric means with their respective standard deviations are presented for 19 elements. Subgroups were formed according to age, gender, and geographic regions from which the samples were collected. Differences in concentrations for the groups and with other childhood populations were explored and discussed.

Empowering Parents' Choice of Schools: The Rhetoric and Reality of How Hong Kong Kindergarten Parents Choose Schools under the Voucher Scheme

Science.gov (United States)

Fung, Kit-Ho Chanel; Lam, Chi-Chung

2011-01-01

School choice gives parents greater power over their children's education. But ever since the Pre-primary Education Voucher Scheme (PEVS) was introduced in Hong Kong in 2007, school choice has become a hotly debated topic. The scheme was introduced to empower kindergarten parents in choosing a school for their children by offering them direct fee…

Innovative Commercialization Efforts Underway at the National Renewable Energy Laboratory

Energy Technology Data Exchange (ETDEWEB)

Cheesbrough, Kate; Bader, Meghan

2016-08-26

New clean energy and energy efficiency technology solutions hold the promise of significant reductions in energy consumption. However, proven barriers for these technologies, including the technological and commercialization valleys of death, result in promising technologies falling to the wayside. To address these gaps, NREL's Innovation & Entrepreneurship Center designs and manages advanced programs aimed at supporting the development and commercialization of early stage clean energy technologies with the goal of accelerating new technologies to market. These include: Innovation Incubator (IN2) in partnership with Wells Fargo: this technology incubator supports energy efficiency building-related startups to overcome market gaps by providing access to technical support at NREL; Small Business Voucher Pilot: this program offers paid vouchers for applicants to access a unique skill, capability, or facility at any of the 17 DOE National Laboratories to bring next-generation clean energy technologies to market; Energy Innovation Portal: NREL designed and developed the Energy Innovation Portal, providing access to EERE focused intellectual property available for licensing from all of the DOE National Laboratories; Lab-Corps: Lab-Corps aims to better train and empower national lab researchers to understand market drivers and successfully transition their discoveries into high-impact, real world technologies in the private sector; Incubatenergy Network: the Network provides nationwide coordination of clean energy business incubators, share best practices, support clean energy entrepreneurs, and help facilitate a smoother transition to a more sustainable clean energy economy; Industry Growth Forum: the Forum is the perfect venue for clean energy innovators to maximize their exposure to receptive capital and strategic partners. Since 2003, presenting companies have collectively raised more than $5 billion in growth financing.

32 CFR 750.9 - Claims: Payments.

Science.gov (United States)

2010-07-01

... requires submission of the payment voucher to the General Accounting Office. All other field authorized payment vouchers are submitted directly to the servicing disbursing office for payment. ... 32 National Defense 5 2010-07-01 2010-07-01 false Claims: Payments. 750.9 Section 750.9 National...

Impact of social franchising on contraceptive use when complemented by vouchers: a quasi-experimental study in rural Pakistan

OpenAIRE

Azmat, Syed Khurram; Shaikh, Babar Tasneem; Hameed, Waqas; Mustafa, Ghulam; Hussain, Wajahat; Asghar, Jamshaid; Ishaque, Muhammad; Ahmed, Aftab; Bilgrami, Mohsina

2013-01-01

Background: Pakistan has had a low contraceptive prevalence rate for the last two decades; with preference for natural birth spacing methods and condoms. Family planning services offered by the public sector have never fulfilled the demand for contraception, particularly in rural areas. In the private sector, cost is a major constraint. In 2008, Marie Stopes Society - a local NGO started a social franchise programme along with a free voucher scheme to promote uptake of IUCDs amongst the poor....

78 FR 7763 - Information Collection; Submission for OMB Review, Comment Request

Science.gov (United States)

2013-02-04

... (ICR) entitled National Service Trust Voucher & Payment Request Form for review and approval in accordance with the Paperwork Reduction Act of 1995, Public Law 104-13, (44 U.S.C. Chapter 35). Copies of...: CNCS is seeking approval of the National Service Trust Voucher & Payment Request Form, which is used by...

Active children through individual vouchers – evaluation (ACTIVE: protocol for a mixed method randomised control trial to increase physical activity levels in teenagers

Directory of Open Access Journals (Sweden)

Michaela James

2017-07-01

Full Text Available Abstract Background Many teenagers are insufficiently active despite the health benefits of physical activity (PA. There is strong evidence to show that inactivity and low fitness levels increase the risk of non-communicable diseases such as coronary heart disease (CHD, type 2 diabetes and breast and colon cancers (Lee et al. Lancet 380:219–29, 2012. A major barrier facing adolescents is accessibility (e.g. cost and lack of local facilities. The ACTIVE project aims to tackle this barrier through a multi-faceted intervention, giving teenagers vouchers to spend on activities of their choice and empowering young people to improve their fitness and PA levels. Design ACTIVE is a mixed methods randomised control trial in 7 secondary schools in Swansea, South Wales. Quantitative and qualitative measures including PA (cooper run test (CRT, accelerometery over 7 days, cardiovascular (CV measures (blood pressure, pulse wave analysis and focus groups will be undertaken at 4 separate time points (baseline, 6 months,12 months and follow-up at 18 months. Intervention schools will receive a multi-component intervention involving 12 months of £20 vouchers to spend on physical activities of their choice, a peer mentor scheme and opportunities to attend advocacy meetings. Control schools are encouraged to continue usual practice. The primary aim is to examine the effect of the intervention in improving cardiovascular fitness. Discussion This paper describes the protocol for the ACTIVE randomised control trial, which aims to increase fitness, physical activity and socialisation of teenagers in Swansea, UK via a voucher scheme combined with peer mentoring. Results can contribute to the evidence base on teenage physical activity and, if effective, the intervention has the potential to inform future physical activity interventions and policy. Trial registration ISRCTN75594310 (Assigned 06/03/2017.

An APC Offsetting Model in progress

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Markus Putnings

2016-12-01

of RSC on a national level shows, 950 vouchers were sent to the participating institutions in 2014. This means that about 60 % of all RSC articles with a German corresponding author could, in theory, be made open access, but in practice not all vouchers were used. The article also makes recommendations how the acceptance of open access vouchers can be raised.

National energy ombudsman. 2012 activity report

International Nuclear Information System (INIS)

Merville, Denis; Lechevin, Bruno; Mialot, Stephane; Lefeuvre, Katia

2013-06-01

The National Energy Ombudsman is an independent administrative authority that was created by the law of 7 December 2006 relating to the energy sector, in preparation for the imminent liberalisation of the French gas and electricity markets. It has two legal roles: participating in the process of informing consumers about their rights, and recommending solutions for settling disputes. The Ombudsman reports directly to the French Parliament. This 2012 edition of the National energy ombudsman's activity report has adopted a somewhat original, but very informative, format: an abc which allows us to take a look back at the highlights of 2012 and to summarise the great energy challenges that the National Energy Ombudsman has worked on since 2007: Achievements, Activity, Amicable agreement, Billing decree, Consultation, Disconnections, Energy voucher, National debate on energy transition, help to consumers, lowering gas prices, best management of public resources, communicating gas meter project, Peak hours and off-peak hours, Unpaid bills, Commercially sensitive information, Disputes, Mediation, development of the European Network of Independent Energy Ombudsmen, Combat against energy poverty, Consumer protection, Back billing time limit, Supply quality, Complaint, Recommendations, Debt distress, rise in prices etc

Success Stories of Tanzanian Women Entrepreneurship Programs in Alleviating Poverty: Insights from WORTH Program

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Mwajabu Mbaruku

2015-05-01

Full Text Available This study attempts to provide evidence on the relevance and type of support given by women entrepreneurship support programs in alleviating poverty among Tanzanian women entrepreneurs. As such, it argues that WORTH is beneficial for women entrepreneurs. Data for this study was drawn from the reviewed literature including existing documents at PACT Tanzania, supplemented by field work and discussions with PACT Tanzania’s WORTH specialists. The study revealed that the WORTH program provides various support to women both in groups and at an individual level. In addition, the success stories highlight that in the face of daunting obstacles, women have shown their ability and commitment to change their lives and their communities. Women entrepreneurs have had limited opportunities to describe their own opinions, experience and their ways of establishing and conducting business. This study gives voice to the voiceless and contributes to the growing body of literature on women entrepreneurship support programs in alleviating poverty.Working with allies and partners, in both the public and private sectors, is essential in successfully addressing and scaling up women’s entrepreneurial opportunities and support programs.

The association between disability and cognitive impairment in an elderly Tanzanian population

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Catherine L. Dotchin

2015-03-01

Full Text Available Cognitive impairment is thought to be a major cause of disability worldwide, though data from sub-Saharan Africa (SSA are sparse. This study aimed to investigate the association between cognitive impairment and disability in a cohort of community-dwelling older adults living in Tanzania. The study cohort of 296 people aged 70 years and over was recruited as part of a dementia prevalence study. Subjects were diagnosed as having dementia or mild cognitive impairment according to the DSM-IV criteria. Disability level was assessed according to the WHO Disability Assessment Schedule, version 2.0 (WHODAS. A higher WHODAS score indicates greater disability. The median WHODAS in the background population was 25.0; in those with dementia and in those with mild cognitive impairment, 72 of 78 (92.3% and 41 of 46 (89.1%, respectively, had a WHODAS score above this level. The presence of dementia, mild cognitive impairment, hearing impairment, being unable to walk without an aid and not having attended school were independent predictors of having a WHODAS score above 25.0, though age and gender were not. In summary, cognitive impairment is a significant predictor of disability in elderly Tanzanians. Screening for early signs of cognitive decline would allow management strategies to be put in place that may reduce the associated disability burden.

Social franchising and vouchers to promote long-term methods of family planning in rural Pakistan: a qualitative stocktaking with stakeholders.

Science.gov (United States)

Azmat, Syed Khurram; Mustafa, Ghulam; Hameed, Waqas; Asghar, Jamshaid; Ahmed, Aftab; Shaikh, Babar T

2013-04-01

The overall use of modern contraception in Pakistan is quite low, especially in rural areas. Several studies have demonstrated the effectiveness of social franchising (SF) approaches in increasing access to modern contraception and improving the quality of healthcare in resource-poor areas in Asia and Africa. Drawing on best practices in SF, the Marie Stopes Society (MSS) implemented an SF model in certain rural areas of Pakistan to increase access to affordable and quality family planning (FP) services. The model was branded as Suraj (sun) and complemented with an innovative voucher scheme for intrauterine contraceptive devices (IUCDs). This paper describes the perspectives of Suraj clients, field workers mobilization (FWMs), and providers on various components of the Suraj model. A qualitative exploratory study was conducted in six randomly selected intervention districts in the Sindh and Punjab provinces. Data were collected using focus group discussions (FGDs) with clients and in-depth interviews (IDIs) with providers and FWMs. Data were manually analyzed using constant comparison and the thematic analysis approach. Clients showed positive attitudes towards modern contraceptive methods and identified Suraj FWMs and signboards as sources of information. Almost all clients reported IUCDs as effective methods as they have manageable side effects and require fewer visits to clinics. They spoke highly of voucher schemes as these enabled them to avail free IUCD services. Clients also appreciated many components of Suraj clinics, including cleanliness, privacy, confidentiality, the sterilization of instruments, and courteous Suraj providers and FWMs. Most Suraj providers said that IUCD insertion and infection-prevention training enhanced their ability to provide IUCD services and increased their standing in local communities. They reported that the role of FWMs was crucial in mobilizing the community and increasing their FP clientele. The FWMs said that attitudes

Health-related quality of life and needs of care and support of adult Tanzanians with cancer: a mixed-methods study

Directory of Open Access Journals (Sweden)

Masika Golden M

2012-11-01

Full Text Available Abstract Background Cancer is among the three leading causes of death in low income countries and the highest increase with regard to incidence figures for cancer diseases are found in these countries. This is the first report of the health-related quality of life (HRQOL and needs of care and support of adult Tanzanians with cancer. Methods A mixed-methods design was used. The study was conducted at Ocean Road Cancer Institute (ORCI in Dar es Salaam, Tanzania. One hundred and one patients with a variety of cancer diagnoses treated and cared for at ORCI answered the Kiswahili version of the EORTC QLQ-C30 investigating HRQOL. Thirty-two of the patients participated in focus group interviews discussing needs of care and support. Data from focus group interviews were analyzed with content analysis. Results The findings show that the patients, both women and men, report a low quality of life, especially with regard to physical, role, and social function and a high level of symptoms and problems especially with financial difficulties and pain. Financial difficulties are reported to a remarkably high extent by both women and men. The patients, both women and men report least problems with emotional function. A content analysis of the interview data revealed needs of food and water, hygienic needs, emotional needs, spiritual needs, financial needs, and needs of closeness to cancer care and treatment services. Conclusion The high score for pain points out that ORCI is facing severe challenges regarding care and treatment. However, when considering this finding it should be noted that the pain subscale of the Kiswahili version of the EORTC QLQ-C30 did not reach acceptable internal consistency and showed less than satisfactory convergent validity. This also applies to the subscales cognitive function and global health/quality of life. Attention should be drawn to meet the identified needs of Tanzanian cancer patients while hospitalized but also when at

Financing R&D Projects in Southern Italy: The “Technological Vouchers and Cooperative Research” Program

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Gianpaolo Iazzolino

2013-09-01

Full Text Available The paper deals with the evaluation and financing of research and innovation projects. The paper analyzes and discusses the “Technological Vouchers and Cooperative Research” program in the Calabria Region (Southern Italy, as a program for financing R&D projects in a geographical area far behind in development. Three real cases of R&D projects are described. The program was effective as regards the stimulus to realizing R&D activities by Calabrian SMEs and furthermore in relation to the improvement of cooperation between SMEs, research centers, universities and technological laboratories. The weak points of the program mainly regard the evaluation phase that made it impossible to get a feedback useful for policy and for driving future agenda.

Maternal mortality in a rural Tanzanian hospital: fatal Jarisch-Herxheimer reaction in a case of relapsing fever in pregnancy.

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Rustenhoven-Spaan, Ilona; Melkert, Peter; Nelissen, Ellen; van Roosmalen, Jos; Stekelenburg, Jelle

2013-10-01

Relapsing fever is a disease caused by one of the species of Borrelia. It is often misdiagnosed as malaria and can have fatal complications such as the Jarisch-Herxheimer reaction (JHR) after the commencement of treatment with antibiotics. A 19-year-old Tanzanian woman was admitted after a term home delivery that day. She presented with a 2 day history of fever, headache, general body malaise and vomiting. She was misdiagnosed as having severe malaria and was treated with quinine. The blood slide showed Borrelia duttoni. The patient continued treatment with procaine penicillin fortified for relapsing fever. Several hours later the woman died, probably due to JHR. This case of a patient with relapsing fever who died from a JHR stresses the importance of adequate diagnosis and treatment which should include careful monitoring, especially for the first hours after starting antibiotics.

Differential Health and Social Needs of Older Adults Waitlisted for Public Housing or Housing Choice Vouchers.

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Carder, Paula; Luhr, Gretchen; Kohon, Jacklyn

2016-01-01

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons.

Slight Decline in Use of Private School Tuition Vouchers in 2010-2011: Loss of Schools Results in Fewer Students. Research Brief. Volume 99, Number 2

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Dickman, Anneliese; Schmidt, Jeffrey

2011-01-01

For the first time since its 1998 expansion to include religious schools, enrollment in the Milwaukee Parental Choice Program (MPCP) did not grow in the 2010-2011 school year. Currently, 20,996 private school students receive taxpayer-funded tuition vouchers (of $6,442 per pupil), a decrease of 66 students over last year. Chart 1 shows program…

Biomarkers of Host Response Predict Primary End-Point Radiological Pneumonia in Tanzanian Children with Clinical Pneumonia: A Prospective Cohort Study.

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Laura K Erdman

Full Text Available Diagnosing pediatric pneumonia is challenging in low-resource settings. The World Health Organization (WHO has defined primary end-point radiological pneumonia for use in epidemiological and vaccine studies. However, radiography requires expertise and is often inaccessible. We hypothesized that plasma biomarkers of inflammation and endothelial activation may be useful surrogates for end-point pneumonia, and may provide insight into its biological significance.We studied children with WHO-defined clinical pneumonia (n = 155 within a prospective cohort of 1,005 consecutive febrile children presenting to Tanzanian outpatient clinics. Based on x-ray findings, participants were categorized as primary end-point pneumonia (n = 30, other infiltrates (n = 31, or normal chest x-ray (n = 94. Plasma levels of 7 host response biomarkers at presentation were measured by ELISA. Associations between biomarker levels and radiological findings were assessed by Kruskal-Wallis test and multivariable logistic regression. Biomarker ability to predict radiological findings was evaluated using receiver operating characteristic curve analysis and Classification and Regression Tree analysis.Compared to children with normal x-ray, children with end-point pneumonia had significantly higher C-reactive protein, procalcitonin and Chitinase 3-like-1, while those with other infiltrates had elevated procalcitonin and von Willebrand Factor and decreased soluble Tie-2 and endoglin. Clinical variables were not predictive of radiological findings. Classification and Regression Tree analysis generated multi-marker models with improved performance over single markers for discriminating between groups. A model based on C-reactive protein and Chitinase 3-like-1 discriminated between end-point pneumonia and non-end-point pneumonia with 93.3% sensitivity (95% confidence interval 76.5-98.8, 80.8% specificity (72.6-87.1, positive likelihood ratio 4.9 (3.4-7.1, negative likelihood ratio 0

Biomarkers of Host Response Predict Primary End-Point Radiological Pneumonia in Tanzanian Children with Clinical Pneumonia: A Prospective Cohort Study

Science.gov (United States)

Erdman, Laura K.; D’Acremont, Valérie; Hayford, Kyla; Kilowoko, Mary; Kyungu, Esther; Hongoa, Philipina; Alamo, Leonor; Streiner, David L.; Genton, Blaise; Kain, Kevin C.

2015-01-01

Background Diagnosing pediatric pneumonia is challenging in low-resource settings. The World Health Organization (WHO) has defined primary end-point radiological pneumonia for use in epidemiological and vaccine studies. However, radiography requires expertise and is often inaccessible. We hypothesized that plasma biomarkers of inflammation and endothelial activation may be useful surrogates for end-point pneumonia, and may provide insight into its biological significance. Methods We studied children with WHO-defined clinical pneumonia (n = 155) within a prospective cohort of 1,005 consecutive febrile children presenting to Tanzanian outpatient clinics. Based on x-ray findings, participants were categorized as primary end-point pneumonia (n = 30), other infiltrates (n = 31), or normal chest x-ray (n = 94). Plasma levels of 7 host response biomarkers at presentation were measured by ELISA. Associations between biomarker levels and radiological findings were assessed by Kruskal-Wallis test and multivariable logistic regression. Biomarker ability to predict radiological findings was evaluated using receiver operating characteristic curve analysis and Classification and Regression Tree analysis. Results Compared to children with normal x-ray, children with end-point pneumonia had significantly higher C-reactive protein, procalcitonin and Chitinase 3-like-1, while those with other infiltrates had elevated procalcitonin and von Willebrand Factor and decreased soluble Tie-2 and endoglin. Clinical variables were not predictive of radiological findings. Classification and Regression Tree analysis generated multi-marker models with improved performance over single markers for discriminating between groups. A model based on C-reactive protein and Chitinase 3-like-1 discriminated between end-point pneumonia and non-end-point pneumonia with 93.3% sensitivity (95% confidence interval 76.5–98.8), 80.8% specificity (72.6–87.1), positive likelihood ratio 4.9 (3.4–7

Tanzanian malignant lymphomas: WHO classification, presentation, ploidy, proliferation and HIV/EBV association

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Castro Juan

2010-07-01

Full Text Available Abstract Background In Tanzania, the International Working Formulation [WF] rather than the WHO Classification is still being used in diagnosing malignant lymphomas (ML and the biological characterization including the HIV/EBV association is sketchy, thus restraining comparison, prognostication and application of established therapeutic protocols. Methods Archival, diagnostic ML biopsies (N = 336, available sera (N = 35 screened by ELISA for HIV antibodies and corresponding clinical/histological reports at Muhimbili National Hospital (MNH in Tanzania between 1996 and 2006 were retrieved and evaluated. A fraction (N = 174 were analyzed by histopathology and immunohistochemistry (IHC. Selected biopsies were characterized by flow-cytometry (FC for DNA ploidy (N = 60 and some by in-situ hybridization (ISH for EBV-encoded RNA (EBER, N = 37. Results A third (38.8%, 109/281 of the ML patients with available clinical information had extranodal disease presentation. A total of 158 out of 174 biopsies selected for immunophenotyping were confirmed to be ML which were mostly (84. 8%, 134/158 non-Hodgkin lymphoma (NHL. Most (83.6%, 112/134 of NHL were B-cell lymphomas (BCL (CD20+, of which 50.9%, (57/112 were diffuse large B-cell (DLBCL. Out of the 158 confirmed MLs, 22 (13.9% were T-cell [CD3+] lymphomas (TCL and 24 (15.2% were Hodgkin lymphomas (HL [CD30+]. Furthermore, out of the 60 FC analyzed ML cases, 27 (M:F ratio 2:1 were DLBCL, a slight majority (55.6%, 15/27 with activated B-cell like (ABC and 45% (12/27 with germinal center B-cell like (GCB immunophenotype. Overall, 40% (24/60 ML were aneuploid mostly (63.0%, 17/27 the DLBCL and TCL (54.5%, 6/11. DNA index (DI of FC-analyzed ML ranged from 1.103-2.407 (median = 1.51 and most (75.0% aneuploid cases showed high (>40% cell proliferation by Ki-67 reactivity. The majority (51.4%, 19/37 of EBER ISH analyzed lymphoma biopsies were positive. Of the serologically tested MLs, 40.0% (14/35 were HIV positive

Tanzanian malignant lymphomas: WHO classification, presentation, ploidy, proliferation and HIV/EBV association

Science.gov (United States)

2010-01-01

Background In Tanzania, the International Working Formulation [WF] rather than the WHO Classification is still being used in diagnosing malignant lymphomas (ML) and the biological characterization including the HIV/EBV association is sketchy, thus restraining comparison, prognostication and application of established therapeutic protocols. Methods Archival, diagnostic ML biopsies (N = 336), available sera (N = 35) screened by ELISA for HIV antibodies and corresponding clinical/histological reports at Muhimbili National Hospital (MNH) in Tanzania between 1996 and 2006 were retrieved and evaluated. A fraction (N = 174) were analyzed by histopathology and immunohistochemistry (IHC). Selected biopsies were characterized by flow-cytometry (FC) for DNA ploidy (N = 60) and some by in-situ hybridization (ISH) for EBV-encoded RNA (EBER, N = 37). Results A third (38.8%, 109/281) of the ML patients with available clinical information had extranodal disease presentation. A total of 158 out of 174 biopsies selected for immunophenotyping were confirmed to be ML which were mostly (84. 8%, 134/158) non-Hodgkin lymphoma (NHL). Most (83.6%, 112/134) of NHL were B-cell lymphomas (BCL) (CD20+), of which 50.9%, (57/112) were diffuse large B-cell (DLBCL). Out of the 158 confirmed MLs, 22 (13.9%) were T-cell [CD3+] lymphomas (TCL) and 24 (15.2%) were Hodgkin lymphomas (HL) [CD30+]. Furthermore, out of the 60 FC analyzed ML cases, 27 (M:F ratio 2:1) were DLBCL, a slight majority (55.6%, 15/27) with activated B-cell like (ABC) and 45% (12/27) with germinal center B-cell like (GCB) immunophenotype. Overall, 40% (24/60) ML were aneuploid mostly (63.0%, 17/27) the DLBCL and TCL (54.5%, 6/11). DNA index (DI) of FC-analyzed ML ranged from 1.103-2.407 (median = 1.51) and most (75.0%) aneuploid cases showed high (>40%) cell proliferation by Ki-67 reactivity. The majority (51.4%, 19/37) of EBER ISH analyzed lymphoma biopsies were positive. Of the serologically tested MLs, 40.0% (14/35) were HIV

Dental caries in relation to diet, saliva and cariogenic microorganisms in Tanzanians of selected age groups.

Science.gov (United States)

Mazengo, M C; Tenovuo, J; Hausen, H

1996-06-01

The relationship between diet and dental caries in a Tanzanian population was studied. Mutans streptococci, lactobacilli, yeasts, salivary flow rate as well as buffer effect were also analyzed. A random sample of 12-, 35-44- and 65- to 74- year olds was drawn from Msongola (rural) and Ukombozi (urban), Dar-es-Salaam. The mean of two 24-h recalls was used for the assessment of food intake. The percentage of those with at least one carious tooth ranged from 30% in the 12-year-olds to 80% in the oldest age group. The mean number of decayed teeth (DT) increased significantly with age (P = 0.000) but was not significantly associated with the area of residence. DT increased significantly (P = 0.048) with the number of snacks per day and was also associated with dietary sucrose (P = 0.025), total carbohydrates (P = 0.002) and fiber (P = 0.002). Among salivary variables lactobacilli (P = 0.000) correlated positively with DT. Our study did not reveal any strong association between total energy intake and dental caries in rural or urban populations in Tanzania but snacking and sucrose intake were significantly associated with caries, in particular in the urban area.

Symbiota – A virtual platform for creating voucher-based biodiversity information communities

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Corinna Gries

2014-06-01

Full Text Available We review the Symbiota software platform for creating voucher-based biodiversity information portals and communities. Symbiota was originally conceived to promote small- to medium-sized, regionally and/or taxonomically themed collaborations of natural history collections. Over the past eight years the taxonomically diverse portals have grown into an important resource in North America and beyond for mobilizing, integrating, and using specimen- and observation-based occurrence records and derivative biodiversity information products. Designed to mirror the conceptual structure of traditional floras and faunas, Symbiota is exclusively web-based and employs a novel data model, information linking, and algorithms to provide highly dynamic customization. The themed portals enable meaningful access to biodiversity data for anyone from specialist to high school student. Symbiota emulates functionality of modern Content Management Systems, providing highly sophisticated yet intuitive user interfaces for data entry, batch processes, and editing. Each kind of content provision may be selectively accessed by authenticated information providers. Occupying a fairly specific niche in the biodiversity informatics arena, Symbiota provides extensive data exchange facilities and collaborates with other development projects to incorporate and not duplicate functionality as appropriate.

Exploring Indiana's Private Education Sector. School Survey Series

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Catt, Andrew D.

2014-01-01

Indiana is at the national forefront on private school choice. With the broadest eligibility guidelines among the country's 22 other school voucher programs, Indiana's Choice Scholarship Program has seen enrollment more than double each year since being enacted in 2011. Today, when compared with voucher programs in 12 other states, Indiana has the…

32 CFR 716.7 - Payment of the death gratuity.

Science.gov (United States)

2010-07-01

... certification and voucher for the death gratuity payment. The Comptroller General of the United States has... Certification and Voucher for Death Gratuity Payment, DD Form 397, in original and five copies, completing... 32 National Defense 5 2010-07-01 2010-07-01 false Payment of the death gratuity. 716.7 Section 716...

Personality in the chimpanzees of Gombe National Park

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Weiss, Alexander; Wilson, Michael L.; Collins, D. Anthony; Mjungu, Deus; Kamenya, Shadrack; Foerster, Steffen; Pusey, Anne E.

2017-01-01

Researchers increasingly view animal personality traits as products of natural selection. We present data that describe the personalities of 128 eastern chimpanzees (Pan troglodytes schweinfurthii) currently living in or who lived their lives in the Kasekela and Mitumba communities of Gombe National Park, Tanzania. We obtained ratings on 24 items from an established, reliable, well-validated questionnaire used to study personality in captive chimpanzee populations. Ratings were made by former and present Tanzanian field assistants who followed individual chimpanzees for years and collected detailed behavioral observations. Interrater reliabilities across items ranged from acceptable to good, but the personality dimensions they formed were not as interpretable as those from captive samples. However, the personality dimensions corresponded to ratings of 24 Kasekela chimpanzees on a different questionnaire in 1973 that assessed some similar traits. These correlations established the repeatability and construct validity of the present ratings, indicating that the present data can facilitate historical and prospective studies that will lead to better understanding of the evolution of personality in chimpanzees and other primates. PMID:29064463

Swaps and Chains and Vouchers, Oh My!: Evaluating How Saving More Lives Impacts the Equitable Allocation of Live Donor Kidneys.

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Tenenbaum, Evelyn M

2018-03-01

Live kidney donation involves a delicate balance between saving the most lives possible and maintaining a transplant system that is fair to the many thousands of patients on the transplant waiting list. Federal law and regulations require that kidney allocation be equitable, but the pressure to save patients subject to ever-lengthening waiting times for a transplant has been swinging the balance toward optimizing utility at the expense of justice. This article traces the progression of innovations created to make optimum use of a patient's own live donors. It starts with the simplest - direct donation by family members - and ends with voucher donations, a very recent and unique innovation because the donor can donate 20 or more years before the intended recipient is expected to need a kidney. In return for the donation, the intended recipient receives a voucher that can be redeemed for a live kidney when it is needed. Other innovations that are discussed include kidney exchanges and list paired donation, which are used to facilitate donor swaps when donor/recipient pairs have incompatible blood types. The discussion of each new innovation shows how the equity issues build on each other and how, with each new innovation, it becomes progressively harder to find an acceptable balance between utility and justice. The article culminates with an analysis of two recent allocation methods that have the potential to save many additional lives, but also affirmatively harm some patients on the deceased donor waiting list by increasing their waiting time for a life-saving kidney. The article concludes that saving additional lives does not justify harming patients on the waiting list unless that harm can be minimized. It also proposes solutions to minimize the harm so these new innovations can equitably perform their intended function of stimulating additional transplants and extending the lives of many transplant patients.

Are Demographics the Nation's Destiny?

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Glass, Gene V.

2008-01-01

In this article, the author discusses the demographic trends affecting America's public schools. As an expert on empirical evaluation of education, the author believes the major debates over vouchers, charter schools, bilingual education, and other issues are not really about preparing the next generation to compete with China or India, or about…

Herbal and Alternative Medicine Use in Tanzanian Adults Admitted with Hypertension-Related Diseases: A Mixed-Methods Study

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Roediger, Rebecca; Jaka, Hyasinta; Bougaila, Amina; Smart, Luke; Langwick, Stacey

2017-01-01

Background Hypertension is increasingly common in sub-Saharan Africa where traditional medicine use is also common. We conducted a hospital-based, mixed-methods study to determine prevalence, pattern, and correlates of herbal and alternative medicine use in Tanzanian adults hospitalized with hypertension. Methods A standardized questionnaire was administered. In-depth interviews were performed on a subset of participants. Factors associated with herbal medicine use were determined by logistic regression. The association between traditional medicine uses and allopathic medication adherence was determined using ordinal logistic regression. Qualitative data were analyzed according to grounded theory. Results Of 213 adults enrolled, 52 (24.4%) reported using herbs during the previous month and 47 (22.1%) reported concurrent use of herbs and allopathic medicines. Lower educational level, nonprofessional employment, and lack of health insurance were significantly associated with herbal medicine use. Alternative medicines use was not associated with lower medication adherence. Qualitative interviews identified several important themes including reasons for herbal medicine use. Conclusion The use of traditional medicines is very common among patients with hypertension. Adults from low socioeconomic status, those with misunderstandings about hypertension, and those without health insurance were more likely to take herbs. Open, nonjudgmental communication between healthcare workers and patients regarding use of traditional medicines must be encouraged in Africa. PMID:28634545

Herbal and Alternative Medicine Use in Tanzanian Adults Admitted with Hypertension-Related Diseases: A Mixed-Methods Study

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Anthony Liwa

2017-01-01

Full Text Available Background. Hypertension is increasingly common in sub-Saharan Africa where traditional medicine use is also common. We conducted a hospital-based, mixed-methods study to determine prevalence, pattern, and correlates of herbal and alternative medicine use in Tanzanian adults hospitalized with hypertension. Methods. A standardized questionnaire was administered. In-depth interviews were performed on a subset of participants. Factors associated with herbal medicine use were determined by logistic regression. The association between traditional medicine uses and allopathic medication adherence was determined using ordinal logistic regression. Qualitative data were analyzed according to grounded theory. Results. Of 213 adults enrolled, 52 (24.4% reported using herbs during the previous month and 47 (22.1% reported concurrent use of herbs and allopathic medicines. Lower educational level, nonprofessional employment, and lack of health insurance were significantly associated with herbal medicine use. Alternative medicines use was not associated with lower medication adherence. Qualitative interviews identified several important themes including reasons for herbal medicine use. Conclusion. The use of traditional medicines is very common among patients with hypertension. Adults from low socioeconomic status, those with misunderstandings about hypertension, and those without health insurance were more likely to take herbs. Open, nonjudgmental communication between healthcare workers and patients regarding use of traditional medicines must be encouraged in Africa.

Coping with the African Business Environment

DEFF Research Database (Denmark)

Hansen, Michael W.; Langevang, Thilde; Rutashobya, Lettice

2018-01-01

Weak institutions, endemic market failures and low trust permeate the Tanzanian business environment. Nevertheless, some local enterprises overcome these challenges. Based on case studies of Tanzanian food processing enterprises, this paper identifies a number of coping strategies that contrasts...... markedly with the strategies traditionally emphasized by the strategic management literature: Instead of focus strategies, Tanzanian enterprises diversify; Instead of competitive strategies, Tanzanian enterprises adopt network strategies; And instead of internationalizing based on strengths, Tanzanian...... enterprises internationalize to overcome weaknesses. The paper traces these strategies back to specificities of the Tanzanian institutional environment and discusses implications for the strategic management literature....

Ujah (Vol. 8 No. 1).cdr

African Journals Online (AJOL)

MASTERPLUS

video film industry in the Tanzanian economy beyond provided statistics. .... equivalent of 10.965 million shillings (6,800 US$) in 2009. Despite the fact that this data .... state institutions such as National Film Censorship Board,. COSOTA and ...

Conochironomus (Diptera: Chironomidae) in Asia: new and redescribed species and vouchering issues.

Science.gov (United States)

Cranston, Peter S

2016-05-09

The presence of the Afro-Australian genus Conochironomus Freeman, 1961 (Diptera: Chironomidae) in Asia has been recognised only informally. An unpublished thesis included Conochironomus from Singapore, and the genus has been keyed from Malaysia without named species. Here, the Sumatran Conochironomus tobaterdecimus (Kikuchi & Sasa, 1980) comb. n. is recorded from Singapore and Thailand. The species is transferred from Sumatendipes Kikuchi & Sasa, 1980, rendering the latter a junior synonym (syn. n.) of Conochironomus Freeman. Conochironomus nuengthai sp. n. and Conochironomus sawngthai sp. n. are described as new to science, based on adult males from Chiang Mai, Thailand. All species conform to existing generic diagnoses for all life stages, with features from male and female genitalia, pupal cephalic tubercles and posterolateral 'spurs' of tergite VIII providing evidence for species distinction. Some larvae are linked to C. tobaterdecimus through molecular barcoding. Variation in other larvae, which clearly belong to Conochironomus and are common throughout Thailand, means that they cannot be segregated to species. Larval habitats include pools in river beds, urban storage reservoirs, drains with moderately high nutrient loadings, and peat swamps. Endochironomus effusus Dutta, 1994 from north-eastern India may be a congener but may differ in adult morphology, thereby precluding formal new combination until discrepancies can be reconciled. Many problems with vouchering taxonomic and molecular material are identified that need to be rectified in the future.

Engaging the Tanzanian Diaspora in National Development: What ...

African Journals Online (AJOL)

roadmap” strategy .... the way toward policy change or creation of a new policy. ..... entrepreneurs and businesses of which the diaspora is part of, that lead to .... businesses in the home country, or to run such ventures while migrating back and.

Engaging the Tanzanian Diaspora in National Development: What ...

African Journals Online (AJOL)

Over the past ten years there has been a significant change in African governments' perception of their diasporas. In the previous three decades, diasporas were not seen as a resource that countries of origin could tap into for their development needs. This is no longer the case. Now, diasporas are increasingly seen as ...

Pioneering small-group learning in Tanzanian emergency medicine: Investigating acceptability for physician learners

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A G Lim

2017-03-01

Full Text Available Background. Emergency medicine (EM is a relatively new, but growing medical specialty in sub-Saharan Africa. African EM training programmes have used small-group learning (SGL modalities in their curricula. However, there is little knowledge of whether SGL modalities are perceived to be effective in these African EM training programmes. Objectives. To investigate the acceptability of SGL for physicians’ training in an academic Tanzanian emergency department using a novel EM curriculum. Methods. Using responses to a written questionnaire, we explored the perceived effectiveness of SGL compared with traditional didactic lectures among 38 emergency department physician learners in Dar es Salaam, Tanzania. Perceptions of SGL were identified from qualitative responses, and regression analyses were used to determine strength of association between quantitative outcomes. Results. Reported benefits of SGL included team building, simulation training, enhancement of procedural skills, and the opportunity to discuss opinions on clinical management. SGL scored more favourably with regard to improving clinical practice, enjoyment of learning, and building peer-to-peer relations. Lectures scored more favourably at improving medical knowledge. Preference towards SGL over lectures for overall training increased with years of clinical experience (95% confidence interval (CI 0.16 - 0.62, p=0.002, Spearman’s rho 0.51, and the perception that SGL reinforces learner-teacher relationships correlated with seniority within residency training (95% CI 0.14 - 0.86, p=0.007, Spearman’s rho 0.47. Conclusion. Techniques of SGL were perceived as effective at improving clinical practice in the emergency department setting. These modalities may be more favourably accepted by more experienced physician learners – therefore, new EM teaching programmes in Africa should consider these factors when targeting educational strategies for their respective regions and learner

Antiretroviral treatment knowledge and stigma--implications for programs and HIV treatment interventions in rural Tanzanian populations.

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Abela Mpobela Agnarson

Full Text Available OBJECTIVE: To analyse antiretroviral treatment (ART knowledge and HIV- and ART-related stigma among the adult population in a rural Tanzanian community. DESIGN: Population-based cross-sectional survey of 694 adults (15-49 years of age. METHODS: Latent class analysis (LCA categorized respondents' levels of ART knowledge and of ART-related stigma. Multinomial logistic regression assessed the association between the levels of ART knowledge and HIV- and ART-related stigma, while controlling for the effects of age, gender, education, marital status and occupation. RESULTS: More than one-third of men and women in the study reported that they had never heard of ART. Among those who had heard of ART, 24% were east informed about ART, 8% moderately informed, and 68% highly informed. Regarding ART-related stigma, 28% were least stigmatizing, 41% moderately stigmatizing, and 31% highly stigmatizing toward persons taking ART. Respondents that had at least primary education were more likely to have high levels of knowledge about ART (OR 3.09, 95% CI 1.61-5.94. Participants highly informed about ART held less HIV- and ART-related stigma towards ART patients (OR 0.26, 95% CI 0.09-0.74. CONCLUSION: The lack of ART knowledge is broad, and there is a strong association between ART knowledge and individual education level. These are relevant findings for both HIV prevention and HIV treatment program interventions that address ART-related stigma across the entire spectrum of the community.

A Key to the Pupal Exuviae of the Midges (Diptera: Chironomidae) of Everglades National Park, Florida

Science.gov (United States)

Jacobsen, Richard E.

2008-01-01

A key has been developed for identifying the pupal exuviae of 132 taxa of chironomid midges collected in Everglades National Park, as well as 18 additional species from freshwater habitats adjacent to the Park. Descriptions and illustrations are based upon voucher specimens from extensive collections of chironomid pupal exuviae for faunal surveys and biomonitoring research conducted in ENP and surrounding freshwater areas from 1998 to 2007. The key includes taxonomic comments for confirming identifications, as well as brief summaries of the distribution and ecology of each species in southern Florida waters. Information is also provided on the morphology of chironomid pupal exuviae, recommended references for identifying pupal exuviae, techniques for making slides, and methods to confirm proper identification.

Phylogenetic evidence of canine distemper virus in Serengeti's lions.

NARCIS (Netherlands)

T.C. Harder (Timm); M.J.H. Kenter (Marcel); M.J.G. Appel (Max); M.E. Roelke-Parker (Melody); T. Barrett (Thomas); A.D.M.E. Osterhaus (Albert)

1995-01-01

textabstractRecently an epizootic, reported to be due to a morbillivirus infection, affected the lion population of the Tanzanian Serengeti National Park. A morbillivirus phosphoprotein (P) gene fragment was amplified by PCR from tissue samples of several affected lions. Sequencing of the

Wireless Sensor for Measuring Pump Efficiency: Small Business Voucher Project with KCF Technologies

Energy Technology Data Exchange (ETDEWEB)

Gehl, Anthony C [ORNL; Liu, Xiaobing [ORNL; Koopman, Gary [KCF Technologies; Fugate, David L [ORNL

2017-01-23

This document is to fulfill the final report requirements for the Small Business Voucher (SBV) CRADA project with ORNL and KCF Technologies (CRADA/NFE-16-06133). Pumping systems account for nearly 20% of the world’s electrical energy demand and range from 25-50% of the energy usage in many industrial and building power plants. The energy cost is the largest element in the total cost of owning a pump (~40%). In response to a recent DOE mandate for improved pump efficiency pump manufacturers are preparing for the changes that the impending regulations will bring, including design improvements. This mandate also establishes a need for new low cost pump efficiency measurement systems. The standard industry definition of pump efficiency is the mechanical water horsepower delivered divided by the electrical horsepower input to the motor. KCF Technologies has developed a new sensor measurement technique to estimate fluid pump efficiency using a thermodynamic approach. KCF Technologies applied for a SBV grant with ORNL as the research partner. KCF needed a research partner with the proper facilities to demonstrate the efficacy of its wireless sensor unit for measuring pump efficiency. The ORNL Building Technologies Research and Integration Center (BTRIC) test resources were used to test and demonstrate the successful measurement of pump efficiency with the KCF sensor technology. KCF is now working on next steps to commercialize this sensing technology.

Inventory of Amphibians and Reptiles at Mojave National Preserve: Final Report

Science.gov (United States)

Persons, Trevor B.; Nowak, Erika M.

2007-01-01

As part of the National Park Service Inventory and Monitoring Program in the Mojave Network, we conducted an inventory of amphibians and reptiles at Mojave National Preserve in 2004-2005. Objectives for this inventory were to use fieldwork, museum collections, and literature review to document the occurrence of reptile and amphibian species occurring at MOJA. Our goals were to document at least 90% of the species present, provide one voucher specimen for each species identified, provide GIS-referenced distribution information for sensitive species, and provide all deliverables, including NPSpecies entries, as outlined in the Mojave Network Biological Inventory Study Plan. Methods included daytime and nighttime visual encounter surveys and nighttime road driving. Survey effort was concentrated in predetermined priority sampling areas, as well as in areas with a high potential for detecting undocumented species. We recorded 31 species during our surveys. During literature review and museum specimen database searches, we found records for seven additional species from MOJA, elevating the documented species list to 38 (two amphibians and 36 reptiles). Based on our surveys, as well as literature and museum specimen review, we estimate an overall inventory completeness of 95% for Mojave National Preserve herpetofauna; 67% for amphibians and 97% for reptiles.

Perioperative Care and the Importance of Continuous Quality Improvement—A Controlled Intervention Study in Three Tanzanian Hospitals

Science.gov (United States)

Mtatifikolo, Ferdinand; Ngoli, Baltazar; Neuner, Bruno; Wernecke, Klaus–Dieter; Spies, Claudia

2015-01-01

Introduction Surgical services are increasingly seen to reduce death and disability in Sub-Saharan Africa, where hospital-based mortality remains alarmingly high. This study explores two implementation approaches to improve the quality of perioperative care in a Tanzanian hospital. Effects were compared to a control group of two other hospitals in the region without intervention. Methods All hospitals conducted quality assessments with a Hospital Performance Assessment Tool. Changes in immediate outcome indicators after one and two years were compared to final outcome indicators such as Anaesthetic Complication Rate and Surgical Case Fatality Rate. Results Immediate outcome indicators for Preoperative Care in the intervention hospital improved (52.5% in 2009; 84.2% in 2011, pimproved to then decline again (63.3% in 2009; 70% in 2010; 58.6% in 2011). In the control group, preoperative care declined from 50.8% (2009) to 32.8% (2011, p improved, while at the same time final outcome declined (Surgical Case Fatality, Anaesthetic Complication Rate). Compared to the control group, final outcome improved more in the intervention hospital, although the effect was not significant over the whole study period. Documentation of final outcome indicators seemed inconsistent. Immediate outcome indicators seem more helpful to steer the Continuous Quality Improvement program. Conclusion Specific interventions as part of Continuous Quality Improvement might lead to sustainable improvement of the quality of care, if embedded in a multi-faceted approach. PMID:26327392

Stunting and wasting are associated with poorer psychomotor and mental development in HIV-exposed Tanzanian infants.

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McDonald, Christine M; Manji, Karim P; Kupka, Roland; Bellinger, David C; Spiegelman, Donna; Kisenge, Rodrick; Msamanga, Gernard; Fawzi, Wafaie W; Duggan, Christopher P

2013-02-01

Infants born to HIV-infected women are at increased risk of impaired neurodevelopment, but little research has attempted to identify modifiable risk factors. The objective of this prospective cohort analysis was to identify maternal, socioeconomic, and child correlates of psychomotor and mental development in the first 18 mo of life among Tanzanian infants born to HIV-infected women. We hypothesized that child HIV infection, morbidity, and undernutrition would be associated with lower developmental status when taking into consideration maternal health and socioeconomic factors. Baseline maternal characteristics were recorded during pregnancy, birth characteristics were collected immediately after delivery, infant micronutrient status was measured at 6 wk and 6 mo, and anthropometric measurements and morbidity histories were performed at monthly follow-up visits. The Psychomotor Development Index (PDI) and Mental Development Index (MDI) of the Bayley Scales of Infant Development, 2nd edition (BSID-II) were used to assess developmental functioning at 6, 12, and 18 mo of age. Multivariate repeated regression models with time-varying covariates were used to estimate adjusted mean MDI and PDI scores for each level of the variables. A total of 311 infants contributed ≥1 BSID-II assessments for 657 PDI and 655 MDI measurements. Of infants, 51% were male, 23% were born preterm, 7% were low birth weight, and 10% were HIV-positive at 6 wk. Preterm birth, child HIV infection, stunting, and wasting were independently associated with lower PDI and MDI scores. Strategies to lower mother-to-child transmission of HIV, prevent preterm birth, and enhance child growth could contribute to improved child psychomotor and mental development.

Power and Agenda-Setting in Tanzanian Health Policy: An Analysis of Stakeholder Perspectives.

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Fischer, Sara Elisa; Strandberg-Larsen, Martin

2016-02-09

Global health policy is created largely through a collaborative process between development agencies and aid-recipient governments, yet it remains unclear whether governments retain ownership over the creation of policy in their own countries. An assessment of the power structure in this relationship and its influence over agenda-setting is thus the first step towards understanding where progress is still needed in policy-making for development. This study employed qualitative policy analysis methodology to examine how health-related policy agendas are adopted in low-income countries, using Tanzania as a case study. Semi-structured, in-depth, key informant interviews with 11 policy-makers were conducted on perspectives of the agenda-setting process and its actors. Kingdon's stream theory was chosen as the lens through which to interpret the data analysis. This study demonstrates that while stakeholders each have ways of influencing the process, the power to do so can be assessed based on three major factors: financial incentives, technical expertise, and influential position. Since donors often have two or all of these elements simultaneously a natural power imbalance ensues, whereby donor interests tend to prevail over recipient government limitations in prioritization of agendas. One way to mediate these imbalances seems to be the initiation of meaningful policy dialogue. In Tanzania, the agenda-setting process operates within a complex network of factors that interact until a "policy window" opens and a decision is made. Power in this process often lies not with the Tanzanian government but with the donors, and the contrast between latent presence and deliberate use of this power seems to be based on the donor ideology behind giving aid (defined here by funding modality). Donors who used pooled funding (PF) modalities were less likely to exploit their inherent power, whereas those who preferred to maintain maximum control over the aid they provided (ie, non

An association between Trichomonas vaginalis and high-risk human papillomavirus in rural Tanzanian women undergoing cervical cancer screening.

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Lazenby, Gweneth B; Taylor, Peyton T; Badman, Barbara S; McHaki, Emil; Korte, Jeffrey E; Soper, David E; Young Pierce, Jennifer

2014-01-01

The goal of this study was to determine the prevalence of vaginitis and its association with high-risk human papillomavirus (HR HPV) in women undergoing cervical cancer screening in rural Tanzania. For the purpose of cervical cancer screening, cytology and HR HPV polymerase chain reaction data were collected from 324 women aged between 30 and 60 years. Microscopy and gram stains were used to detect yeast and bacterial vaginosis. Cervical nucleic acid amplification test specimens were collected for the detection of Trichomonas vaginalis (TV), Chlamydia trachomatis, and Neisseria gonorrhoeae. The majority of women were married (320 of 324) and reported having a single sexual partner (270 of 324); the median age of participants was 41 years. HR HPV was detected in 42 participants. Forty-seven percent of women had vaginitis. Bacterial vaginosis was the most common infection (32.4%), followed by TV (10.4%), and yeast (6.8%). In multivariable logistic regression analysis, TV was associated with an increased risk of HR HPV (odds ratio, 4.2 [95% CI, 1.7-10.3]). Patients with TV were 6.5 times more likely to have HPV type 16 than patients negative for TV (50% vs 13.3%) (odds ratio, 6.5 [95% CI, 1.1-37]). Among rural Tanzanian women who presented for cervical cancer screening, Trichomonas vaginitis was significantly associated with HR HPV infection (specifically type 16). © 2014 Published by Elsevier HS Journals, Inc.

Hypothetical intertemporal choice and real economic behavior: delay discounting predicts voucher redemptions during contingency-management procedures.

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Bickel, Warren K; Jones, Bryan A; Landes, Reid D; Christensen, Darren R; Jackson, Lisa; Mancino, Michael

2010-12-01

Delay discounting rates are predictive of drug use status, the likelihood of becoming abstinent, and a variety of health behaviors. Rates of delay discounting may also be related to other relevant behaviors associated with addiction, such as the frequency at which individuals redeem contingency management voucher earnings. This study examined the discounting rates of 152 participants in a buprenorphine treatment program for opioid abuse. Participants received up to 12 weeks of buprenorphine treatment combined with contingency management. Participant's drug use was measured via urine specimens submitted three times a week. Successive negative urine specimens were reinforced with increasing amounts of money. After each negative urine specimen, a participant could either redeem his or her earnings or accumulate it in an account. Analysis of the frequency of redemptions showed that participants with higher rates of delay discounting at study intake redeemed their earnings significantly more often than participants with lower rates of discounting. Age and income also predicted redemption rates. We suggest that delay discounting rates can be used to predict redemption behaviors in a contingency management treatment program and that these findings are consistent with the recent theory of the competing neurobehavioral decision systems. PsycINFO Database Record (c) 2010 APA, all rights reserved.

Material gain: bednets treated with insecticides improve the lives of ...

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

2011-07-15

... 700 mosquito nets each day, marketed under brand names such as "Health Net" and ... Material gain: bednets treated with insecticides improve the lives of Tanzanians. July 15, 2011. Image ... The kit is one of the key elements of PSI's Social Marketing of ... The national strategy will work to change this by involving the full ...

Author Details

African Journals Online (AJOL)

Mutalemwa, DK. Vol 3, No 1 (2015) - Articles Engaging the Tanzanian Diaspora in National Development: What Do We Know and What are the Gaps? Abstract PDF. ISSN: 1821-8148. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's ...

DNA barcoding of vouchered xylarium wood specimens of nine endangered Dalbergia species.

Science.gov (United States)

Yu, Min; Jiao, Lichao; Guo, Juan; Wiedenhoeft, Alex C; He, Tuo; Jiang, Xiaomei; Yin, Yafang

2017-12-01

ITS2+ trnH - psbA was the best combination of DNA barcode to resolve the Dalbergia wood species studied. We demonstrate the feasibility of building a DNA barcode reference database using xylarium wood specimens. The increase in illegal logging and timber trade of CITES-listed tropical species necessitates the development of unambiguous identification methods at the species level. For these methods to be fully functional and deployable for law enforcement, they must work using wood or wood products. DNA barcoding of wood has been promoted as a promising tool for species identification; however, the main barrier to extensive application of DNA barcoding to wood is the lack of a comprehensive and reliable DNA reference library of barcodes from wood. In this study, xylarium wood specimens of nine Dalbergia species were selected from the Wood Collection of the Chinese Academy of Forestry and DNA was then extracted from them for further PCR amplification of eight potential DNA barcode sequences (ITS2, matK, trnL, trnH-psbA, trnV-trnM1, trnV-trnM2, trnC-petN, and trnS-trnG). The barcodes were tested singly and in combination for species-level discrimination ability by tree-based [neighbor-joining (NJ)] and distance-based (TaxonDNA) methods. We found that the discrimination ability of DNA barcodes in combination was higher than any single DNA marker among the Dalbergia species studied, with the best two-marker combination of ITS2+trnH-psbA analyzed with NJ trees performing the best (100% accuracy). These barcodes are relatively short regions (wood as the source material, a necessary factor to apply DNA barcoding to timber trade. The present results demonstrate the feasibility of using vouchered xylarium specimens to build DNA barcoding reference databases.

Maternal systemic or cord blood inflammation is associated with birth anthropometry in a Tanzanian prospective cohort.

Science.gov (United States)

Wilkinson, A L; Pedersen, S H; Urassa, M; Michael, D; Andreasen, A; Todd, J; Kinung'hi, S M; Changalucha, J; McDermid, J M

2017-01-01

HIV infection is associated with chronic systemic inflammation, with or without antiretroviral therapy. Consequences for foetal growth are not understood, particularly in settings where multiple maternal infections and malnutrition are common. The study was designed to examine maternal systemic circulating and umbilical cord blood cytokine concentrations in relation to birth anthropometry in a Tanzanian prospective cohort. A 9-plex panel of maternal plasma cytokines in HIV-positive (n = 44) and HIV-negative (n = 70) mothers and the same cytokines in umbilical cord blood collected at delivery was assayed. Linear regression modelled associations between maternal or cord blood cytokines and birth anthropometry. Health indicators (haemoglobin, mid-upper-arm circumference, body mass index) in HIV-positive mothers without considerable immunosuppression did not differ from HIV-negative women. Despite this, HIV-exposed infants had lower birthweight and length. Subgroup analyses indicated that HIV management using HAART was associated with lower plasma TNF-α, as were longer durations of any antiretroviral therapy (≥2 months). Greater maternal plasma TNF-α was associated with earlier delivery (-1.7 weeks, P = 0.039) and lower birthweights (-287 g; P = 0.020), while greater umbilical cord TNF-α (-1.43 cm; P = 0.036) and IL-12p70 (-2.4 cm; P = 0.008) were associated with shorter birth length. Birthweight was inversely associated with cord IL-12p70 (-723 g; P = 0.001) and IFN-γ (-482 g, P = 0.007). Maternal cytokines during pregnancy did not correlate with umbilical cord cytokines at delivery. Systemic inflammation identified in maternal plasma or umbilical cord blood was associated with poorer birth anthropometrics in HIV-exposed and HIV-unexposed infants. Controlling maternal and/or foetal systemic inflammation may improve birth anthropometry. © 2016 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

Perioperative Care and the Importance of Continuous Quality Improvement--A Controlled Intervention Study in Three Tanzanian Hospitals.

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Bosse, Goetz; Abels, Wiltrud; Mtatifikolo, Ferdinand; Ngoli, Baltazar; Neuner, Bruno; Wernecke, Klaus-Dieter; Spies, Claudia

2015-01-01

Surgical services are increasingly seen to reduce death and disability in Sub-Saharan Africa, where hospital-based mortality remains alarmingly high. This study explores two implementation approaches to improve the quality of perioperative care in a Tanzanian hospital. Effects were compared to a control group of two other hospitals in the region without intervention. All hospitals conducted quality assessments with a Hospital Performance Assessment Tool. Changes in immediate outcome indicators after one and two years were compared to final outcome indicators such as Anaesthetic Complication Rate and Surgical Case Fatality Rate. Immediate outcome indicators for Preoperative Care in the intervention hospital improved (52.5% in 2009; 84.2% in 2011, pcontrol group, preoperative care declined from 50.8% (2009) to 32.8% (2011, p hospital declined (1.89% before intervention; 0.96% after intervention, p = 0.006). Surgical Case Fatality Rate in the intervention hospital declined from 5.67% before intervention to 2.93% after intervention (pcontrol group was 4% before intervention and 3.8% after intervention (p = 0.411). Anaesthetic Complication Rate in the control group was not available. Immediate outcome indicators initially improved, while at the same time final outcome declined (Surgical Case Fatality, Anaesthetic Complication Rate). Compared to the control group, final outcome improved more in the intervention hospital, although the effect was not significant over the whole study period. Documentation of final outcome indicators seemed inconsistent. Immediate outcome indicators seem more helpful to steer the Continuous Quality Improvement program. Specific interventions as part of Continuous Quality Improvement might lead to sustainable improvement of the quality of care, if embedded in a multi-faceted approach.

Maternal oral health status and preterm low birth weight at Muhimbili National Hospital, Tanzania: a case-control study

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Manji Karim P

2007-06-01

Full Text Available Abstract Background The study examined the relationship between oral health status (periodontal disease and carious pulpal exposure (CPE and preterm low-birth-weight (PTLBW infant deliveries among Tanzanian-African mothers at Muhimbili National Hospital (MNH, Tanzania. Methods A retrospective case-control study was conducted, involving 373 postpartum mothers aged 14–44 years (PTLBW – 150 cases and at term normal-birth-weight (TNBW – 223 controls, using structured questionnaire and full-mouth examination for periodontal and dentition status. Results The mean number of sites with gingival bleeding was higher in PTLBW than in TNBW (P = 0.026. No significant differences were observed for sites with plaque, calculus, teeth with decay, missing, filling (DMFT between PTLBW and TNBW. Controlling for known risk factors in all post-partum (n = 373, and primiparaous (n = 206 mothers, no significant differences were found regarding periodontal disease diagnosis threshold (PDT (four sites or more that had probing periodontal pocket depth 4+mm and gingival bleeding ≥ 30% sites, and CPE between cases and controls. Significant risk factors for PTLBW among primi- and multiparous mothers together were age ≤ 19 years (adjusted Odds Ratio (aOR = 2.09, 95% Confidence interval (95% CI: 1.18 – 3.67, P = 0.011, hypertension (aOR = 2.44, (95% CI: 1.20 – 4.93, P = 0.013 and being un-married (aOR = 1.59, (95% CI: 1.00 – 2.53, P = 0.049. For primiparous mothers significant risk factors for PTLBW were age ≤ 19 years (aOR = 2.07, 95% CI: 1.13 – 3.81, P = 0.019, and being un-married (aOR = 2.58, 95% CI: 1.42 – 4.67, P = 0.002. Conclusions These clinical findings show no evidence for periodontal disease or carious pulpal exposure being significant risk factors in PTLBW infant delivery among Tanzanian-Africans mothers at MNH, except for young age, hypertension, and being unmarried. Further research incorporating periodontal pathogens is recommended.

Heavy metal content and element analysis of infant formula and milk powder samples purchased on the Tanzanian market: International branded versus black market products.

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Sager, M; McCulloch, C R; Schoder, D

2018-07-30

Milk powder is a food for malnourished African children and for healthy infants of women with HIV/AIDS. High demand and low purchasing power has resulted in a huge informal, black market in Sub-Saharan Africa. Forty-three milk powder batches were analyzed for 43 chemical elements using ICP-MS One sample (2.3%) was contaminated at a lead concentration of 240 µg/kg dry weight exceeding the European threshold (130 µg/kg dry weight). Macroelement contents revealed a trend decreasing in concentration through skimmed, full cream products to infant formulae. Concentration ranges by dry weight differed in respect of uncertainty intervals of  ±10%. Median Ca, K and P concentrations declined from 11.14 g/kg to 3.21 g/kg, 14.11 g/kg to 4.95 g/kg and 9.12 g/kg to 2.75 g/kg dry mass, respectively. Milk powder samples obtained from the Tanzanian black market were comparable in respect of nutritional and chemical content to international branded full cream products. Copyright © 2018 Elsevier Ltd. All rights reserved.

Substance Abuse Treatment Facility Locator

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... Joint Commission   National Committee for Quality Assurance Payment/Insurance/Funding Accepted All / None / Reverse   Access to recovery (ATR) voucher   County or local government funds   Community ...

Associations Between Peer Network Gender Norms and the Perpetration of Intimate Partner Violence Among Urban Tanzanian Men: a Multilevel Analysis.

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Mulawa, Marta I; Reyes, H Luz McNaughton; Foshee, Vangie A; Halpern, Carolyn T; Martin, Sandra L; Kajula, Lusajo J; Maman, Suzanne

2018-05-01

Male perpetration of intimate partner violence (IPV) against women in sub-Saharan Africa is widespread. Theory and empirical evidence suggest peer networks may play an important role in shaping IPV perpetration, though research on this topic in the region is limited. We assessed the degree to which peer network gender norms are associated with Tanzanian men's perpetration of IPV and examined whether the social cohesion of peer networks moderates this relationship. Using baseline data from sexually active men (n = 1103) nested within 59 peer networks enrolled in an on-going cluster-randomized HIV and IPV prevention trial, we fit multilevel logistic regression models to examine peer network-level factors associated with past-year physical IPV perpetration. Peer network gender norms were significantly associated with men's risk of perpetrating IPV, even after adjusting for their own attitudes toward gender roles (OR = 1.53 , p =  . 04). Peer network social cohesion moderated this relationship (OR = 1.50 , p =  . 04); the positive relationship between increasingly inequitable (i.e., traditional) peer network gender norms and men's risk of perpetrating IPV became stronger, as peer network social cohesion increased. Characteristics of the peer network context are associated with men's IPV perpetration and should be targeted in future interventions. While many IPV prevention interventions focus on changing individual attitudes, our findings support a unique approach, focused on transforming the peer context.

Are Rainfall and Temperature Really Changing? Farmer’s Perceptions, Meteorological Data, and Policy Implications in the Tanzanian Semi-Arid Zone

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Msafiri Y. Mkonda

2017-08-01

Full Text Available Although various climate models, statistical crop models and economic simulations have been established to determine the level of farmers’ vulnerability, there has been little systematic assessment of farmers’ perception towards climate change in association with meteorological analyses and policy implications in Tanzania. The results from this assessment will enhance the formation of robust policies that improve resilient livelihoods and the capacity to adapt to climate change and variability. This paper seeks to (i reveal the farmers’ perception on variation, change of rainfall, and temperature in the Tanzanian semi-arid area; (ii depict meteorological evidence for the perceived rainfall and temperature changes; (iii assess the policy perception and responses for the changing climate; and (iv discuss the correlation between farmers’ perception and meteorological data. Household surveys, informative interviews and discussions were employed during data collection. The Mann-Kendall Test and SPSS (version 20 were used for climate data analyses, while qualitative data were thematically analyzed. The results showed that from 1980 to 2015 the mean annual rainfall decreased ( R2 = 0.21 while temperature increased (R2 = 0.30. Even though majority farmers agreed with these results, they had not yet taken serious measures to curb the situation. Besides, Agricultural Policy has lightly addressed and enforced the implementations of adaptation strategies to reduce climate impacts and vulnerability. Thereby, creation of awareness and intensification of climate adaptation strategies is needed at both farm and policy level.

32 CFR 751.13 - Partial payments.

Science.gov (United States)

2010-07-01

... voucher and all other information related to the partial payment shall be placed in the claim file. Action... 32 National Defense 5 2010-07-01 2010-07-01 false Partial payments. 751.13 Section 751.13 National... Claims Against the United States § 751.13 Partial payments. (a) Partial payments when hardship exists...

Demand-side financing for maternal and newborn health: what do we know about factors that affect implementation of cash transfers and voucher programmes?

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Hunter, Benjamin M; Murray, Susan F

2017-08-31

Demand-side financing (DSF) interventions, including cash transfers and vouchers, have been introduced to promote maternal and newborn health in a range of low- and middle-income countries. These interventions vary in design but have typically been used to increase health service utilisation by offsetting some financial costs for users, or increasing household income and incentivising 'healthy behaviours'. This article documents experiences and implementation factors associated with use of DSF in maternal and newborn health. A secondary analysis (using an adapted Supporting the Use of Research Evidence framework - SURE) was performed on studies that had previously been identified in a systematic review of evidence on DSF interventions in maternal and newborn health. The article draws on findings from 49 quantitative and 49 qualitative studies. The studies give insights on difficulties with exclusion of migrants, young and multiparous women, with demands for informal fees at facilities, and with challenges maintaining quality of care under increasing demand. Schemes experienced difficulties if communities faced long distances to reach participating facilities and poor access to transport, and where there was inadequate health infrastructure and human resources, shortages of medicines and problems with corruption. Studies that documented improved care-seeking indicated the importance of adequate programme scope (in terms of programme eligibility, size and timing of payments and voucher entitlements) to address the issue of concern, concurrent investments in supply-side capacity to sustain and/or improve quality of care, and awareness generation using community-based workers, leaders and women's groups. Evaluations spanning more than 15 years of implementation of DSF programmes reveal a complex picture of experiences that reflect the importance of financial and other social, geographical and health systems factors as barriers to accessing care. Careful design of DSF

Harm reduction as a complex adaptive system: A dynamic framework for analyzing Tanzanian policies concerning heroin use.

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Ratliff, Eric A; Kaduri, Pamela; Masao, Frank; Mbwambo, Jessie K K; McCurdy, Sheryl A

2016-04-01

Contrary to popular belief, policies on drug use are not always based on scientific evidence or composed in a rational manner. Rather, decisions concerning drug policies reflect the negotiation of actors' ambitions, values, and facts as they organize in different ways around the perceived problems associated with illicit drug use. Drug policy is thus best represented as a complex adaptive system (CAS) that is dynamic, self-organizing, and coevolving. In this analysis, we use a CAS framework to examine how harm reduction emerged around heroin trafficking and use in Tanzania over the past thirty years (1985-present). This account is an organizational ethnography based on of the observant participation of the authors as actors within this system. We review the dynamic history and self-organizing nature of harm reduction, noting how interactions among system actors and components have coevolved with patterns of heroin us, policing, and treatment activities over time. Using a CAS framework, we describe harm reduction as a complex process where ambitions, values, facts, and technologies interact in the Tanzanian sociopolitical environment. We review the dynamic history and self-organizing nature of heroin policies, noting how the interactions within and between competing prohibitionist and harm reduction policies have changed with patterns of heroin use, policing, and treatment activities over time. Actors learn from their experiences to organize with other actors, align their values and facts, and implement new policies. Using a CAS approach provides researchers and policy actors a better understanding of patterns and intricacies in drug policy. This knowledge of how the system works can help improve the policy process through adaptive action to introduce new actors, different ideas, and avenues for communication into the system. Copyright © 2015 Elsevier B.V. All rights reserved.

Modelling above Ground Biomass in Tanzanian Miombo Woodlands Using TanDEM-X WorldDEM and Field Data

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Stefano Puliti

2017-09-01

Full Text Available The use of Interferometric Synthetic Aperture Radar (InSAR data has great potential for monitoring large scale forest above ground biomass (AGB in the tropics due to the increased ability to retrieve 3D information even under cloud cover. To date; results in tropical forests have been inconsistent and further knowledge on the accuracy of models linking AGB and InSAR height data is crucial for the development of large scale forest monitoring programs. This study provides an example of the use of TanDEM-X WorldDEM data to model AGB in Tanzanian woodlands. The primary objective was to assess the accuracy of a model linking AGB with InSAR height from WorldDEM after the subtraction of ground heights. The secondary objective was to assess the possibility of obtaining InSAR height for field plots when the terrain heights were derived from global navigation satellite systems (GNSS; i.e., as an alternative to using airborne laser scanning (ALS. The results revealed that the AGB model using InSAR height had a predictive accuracy of R M S E = 24.1 t·ha−1; or 38.8% of the mean AGB when terrain heights were derived from ALS. The results were similar when using terrain heights from GNSS. The accuracy of the predicted AGB was improved when compared to a previous study using TanDEM-X for a sub-area of the area of interest and was of similar magnitude to what was achieved in the same sub-area using ALS data. Overall; this study sheds new light on the opportunities that arise from the use of InSAR data for large scale AGB modelling in tropical woodlands.

Technical skill acquisition in the Tanzanian oil sector

International Nuclear Information System (INIS)

Mwandosya, M.J.

1990-01-01

The oil sector is strategic in any nation's endeavor for development. Disruption of oil supplies leads to a disruption in all sectors of the economy. In addition, by holding a prerogative over technical knowledge, the multinational oil companies have strengthened their influence. They have over time invested in research and development in exploration and refining, and have established a world-wide network of marketing systems. This paper provides a discussion of skill acquisition by indigenous people which is a discussion of the interface between the affiliates of these multinational companies, their corporate desires, and the efforts of emerging nations to control or at least monitor and regulate these affiliates

Dicty_cDB: Contig-U16583-1 [Dicty_cDB

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Dicty_cDB: Contig-U16579-1 [Dicty_cDB

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Prolonged labour as indication for emergency caesarean section: a quality assurance analysis by criterion-based audit at two Tanzanian rural hospitals.

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Maaløe, N; Sorensen, B L; Onesmo, R; Secher, N J; Bygbjerg, I C

2012-04-01

To audit the quality of obstetric management preceding emergency caesarean sections for prolonged labour. A quality assurance analysis of a retrospective criterion-based audit supplemented by in-depth interviews with hospital staff. Two Tanzanian rural mission hospitals. Audit of 144 cases of women undergoing caesarean sections for prolonged labour; in addition, eight staff members were interviewed. Criteria of realistic best practice were established, and the case files were audited and compared with these. Hospital staff were interviewed about what they felt might be the causes for the audit findings. Prevalence of suboptimal management and themes emerging from an analysis of the transcripts. Suboptimal management was identified in most cases. Non-invasive interventions to potentially avoid operative delivery were inadequately used. When deciding on caesarean section, in 26% of the cases labour was not prolonged, and in 16% the membranes were still intact. Of the women with genuine prolonged labour, caesarean sections were performed with a fully dilated cervix in 36% of the cases. Vacuum extraction was not considered. Amongst the hospital staff interviewed, the awareness of evidence-based guidelines was poor. Word of mouth, personal experience, and fear, especially of HIV transmission, influenced management decisions. The lack of use and awareness of evidence-based guidelines led to misinterpretation of clinical signs, fear of simple interventions, and an excessive rate of emergency caesarean sections. © 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.

Maturation and Mip-1β Production of Cytomegalovirus-Specific T Cell Responses in Tanzanian Children, Adolescents and Adults: Impact by HIV and Mycobacterium tuberculosis Co-Infections.

Directory of Open Access Journals (Sweden)

Damien Portevin

Full Text Available It is well accepted that aging and HIV infection are associated with quantitative and functional changes of CMV-specific T cell responses. We studied here the expression of Mip-1β and the T cell maturation marker CD27 within CMVpp65-specific CD4(+ and CD8(+ T cells in relation to age, HIV and active Tuberculosis (TB co-infection in a cohort of Tanzanian volunteers (≤ 16 years of age, n = 108 and ≥ 18 years, n = 79. Independent of HIV co-infection, IFNγ(+ CMVpp65-specific CD4(+ T cell frequencies increased with age. In adults, HIV co-infection further increased the frequencies of these cells. A high capacity for Mip-1β production together with a CD27(low phenotype was characteristic for these cells in children and adults. Interestingly, in addition to HIV co-infection active TB disease was linked to further down regulation of CD27 and increased capacity of Mip-1β production in CMVpp65-specific CD4+ T cells. These phenotypic and functional changes of CMVpp65-specific CD4 T cells observed during HIV infection and active TB could be associated with increased CMV reactivation rates.

Multivitamin and iron supplementation to prevent periconceptional anemia in rural tanzanian women: a randomized, controlled trial.

Directory of Open Access Journals (Sweden)

Nilupa S Gunaratna

Full Text Available Women's nutritional status during conception and early pregnancy can influence maternal and infant outcomes. This study examined the efficacy of pre-pregnancy supplementation with iron and multivitamins to reduce the prevalence of anemia during the periconceptional period among rural Tanzanian women and adolescent girls.A double-blind, randomized controlled trial was conducted in which participants were individually randomized to receive daily oral supplements of folic acid alone, folic acid and iron, or folic acid, iron, and vitamins A, B-complex, C, and E at approximately single recommended dietary allowance (RDA doses for six months.Rural Rufiji District, Tanzania.Non-pregnant women and adolescent girls aged 15-29 years (n = 802.The study arms were comparable in demographic and socioeconomic characteristics, food security, nutritional status, pregnancy history, and compliance with the regimen (p>0.05. In total, 561 participants (70% completed the study and were included in the intention-to-treat analysis. Hemoglobin levels were not different across treatments (median: 11.1 g/dL, Q1-Q3: 10.0-12.4 g/dL, p = 0.65. However, compared with the folic acid arm (28%, there was a significant reduction in the risk of hypochromic microcytic anemia in the folic acid and iron arm (17%, RR: 0.61, 95% CI: 0.42-0.90, p = 0.01 and the folic acid, iron, and multivitamin arm (19%, RR: 0.66, 95% CI: 0.45-0.96, p = 0.03. Inverse probability of treatment weighting (IPTW to adjust for potential selection bias due to loss to follow-up did not materially change these results. The effect of the regimens was not modified by frequency of household meat consumption, baseline underweight status, parity, breastfeeding status, or level of compliance (in all cases, p for interaction>0.2.Daily oral supplementation with iron and folic acid among women and adolescents prior to pregnancy reduces risk of anemia. The potential benefits of supplementation on the risk of

3D Numerical Model of Continental Breakup via Plume Lithosphere Interaction Near Cratonic Blocks: Implications for the Tanzanian Craton

Science.gov (United States)

Koptev, A.; Calais, E.; Burov, E. B.; Leroy, S. D.; Gerya, T.

2014-12-01

Although many continental rift basins and their successfully rifted counterparts at passive continental margins are magmatic, some are not. This dichotomy prompted end-member views of the mechanism driving continental rifting, deep-seated and mantle plume-driven for some, owing to shallow lithospheric stretching for others. In that regard, the East African Rift (EAR), the 3000 km-long divergent boundary between the Nubian and Somalian plates, provides a unique setting with the juxtaposition of the eastern, magma-rich, and western, magma-poor, branches on either sides of the 250-km thick Tanzanian craton. Here we implement high-resolution rheologically realistic 3D numerical model of plume-lithosphere interactions in extensional far-field settings to explain this contrasted behaviour in a unified framework starting from simple, symmetrical initial conditions with an isolated mantle plume rising beneath a craton in an east-west tensional far field stress. The upwelling mantle plume is deflected by the cratonic keel and preferentially channelled along one of its sides. This leads to the coeval development of a magma-rich branch above the plume head and a magma-poor one along the opposite side of the craton, the formation of a rotating microplate between the two rift branches, and the feeding of melt to both branches form a single mantle source. The model bears strong similarities with the evolution of the eastern and western branches of the central EAR and the geodetically observed rotation of the Victoria microplate. This result reconciles the passive (plume-activated) versus active (far-field tectonic stresses) rift models as our experiments shows both processes in action and demonstrate the possibility of developing both magmatic and amagmatic rifts in identical geotectonic environments.

Interagency partnering for weed prevention--progress on development of a National Early Detection and Rapid Response System for Invasive Plants in the United States

Science.gov (United States)

Westbrooks, R.; Westbrooks, R.

2011-01-01

Over the past 50 years, experience has shown that interagency groups provide an effective forum for addressing various invasive species issues and challenges on multiple land units. However, more importantly, they can also provide a coordinated framework for early detection, reporting, identification and vouchering, rapid assessment, and rapid response to new and emerging invasive plants in the United States. Interagency collaboration maximizes the use of available expertise, resources, and authority for promoting early detection and rapid response (EDRR) as the preferred management option for addressing new and emerging invasive plants. Currently, an interagency effort is underway to develop a National EDRR System for Invasive Plants in the United States. The proposed system will include structural and informational elements. Structural elements of the system include a network of interagency partner groups to facilitate early detection and rapid response to new invasive plants, including the Federal Interagency Committee for the Management of Noxious and Exotic Weeds (FICMNEW), State Invasive Species Councils, State Early Detection and Rapid Response Coordinating Committees, State Volunteer Detection and Reporting Networks, Invasive Plant Task Forces, and Cooperative Weed Management Areas. Informational elements and products being developed include Regional Invasive Plant Atlases, and EDRR Guidelines for EDRR Volunteer Network Training, Rapid Assessment and Rapid Response, and Criteria for Selection of EDRR Species. System science and technical support elements which are provided by cooperating state and federal scientists, include EDRR guidelines, training curriculum for EDRR volunteers and agency field personnel, plant identification and vouchering, rapid assessments, as well as predictive modeling and ecological range studies for invasive plant species.

1 SEX, WITCHCRAFT AND POLITICS IN TANZANIAN KISWAHILI ...

African Journals Online (AJOL)

Prof Alex C Asigbo

prominent filmmakers, this article analyses the nature of Kiswahili filmmaking in .... film makers. Such attitude has a notable effect on the growth of the video film .... The National Film Censorship Board (NFCB), or Film Board as popularly known ...

Ignoring the Market.

Science.gov (United States)

Chubb, John E.

2003-01-01

Argues that market-driven education (charter schools, vouchers) is the most effective, albeit overlooked, reform strategy since publication of "A Nation at Risk." Describes corresponding growth of for-profit school management. Offers several recommendations to improve effectiveness of market-based reforms, such as state' continuing…

Dicty_cDB: Contig-U14831-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available .. 40 0.11 2 ( ES814493 ) UFL_316_57 Cotton fiber 0-10 day post anthesis Go... 38 0.13 2 ( DQ381793 ) Plagio...bryum pseudotriquetrum voucher Hedenas (S B... 36 0.13 2 ( DQ381792 ) Plagiobryum... pseudotriquetrum voucher Holyoak 03-1... 36 0.13 2 ( DQ381791 ) Plagiobryum bimum voucher Hedenas (S B90015...) atpB... 36 0.13 2 ( DQ381790 ) Plagiobryum pseudotriquetrum voucher Hedenas (S B... 36 0.13 2 ( DQ381789 )...etrum voucher... 36 0.13 2 ( DQ381786 ) Plagiobryum pseudotriquetrum voucher Holyoak 03-2... 36 0.13 2 ( DQ3

Dicty_cDB: Contig-U11937-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available ymbiont of Glossi... 46 1.8 1 ( DQ292702 ) Nascus paulliniae voucher 99-SRNP-15218 cytochrom... 40 2.8 2 ( A...5 ) Callithrix jacchus BAC clone CH259-87H12 from chr... 42 3.1 2 ( DQ292701 ) Nascus paulliniae voucher 95-...SRNP-9964 cytochrome... 40 3.1 2 ( DQ292712 ) Nascus paulliniae voucher 04-SRNP-14706 cytochrom... 40 3.3 2 ( DQ292711 ) Nascus paul...liniae voucher 04-SRNP-34021 cytochrom... 40 3.3 2 ( DQ292710 ) Nascus paulliniae vo...ucher 04-SRNP-34682 cytochrom... 40 3.3 2 ( DQ292709 ) Nascus paulliniae voucher

Dicty_cDB: Contig-U16580-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available 0.0 10 ( DQ015713 ) Chlamydomonas chlamydogama strain UTEX 102 26S ri... 375 0.0 9 ( EU272562 ) Eudendrium racemosum voucher persona...A gene, part... 420 0.0 9 ( EU272561 ) Ectopleura dumortieri voucher personal:A. Lindner... 396 0.0 10 ( AY0...0 9 ( EU272552 ) Clava multicornis voucher personal:P. Schuchert:S... 396 0.0 9 ( EU272549 ) Bougainvillia carolinensis voucher perso... l... 396 0.0 9 ( EU272571 ) Koellikerina fasciculata voucher personal:P. Schu...... ribosoma... 357 0.0 10 ( EU272574 ) Lizzia blondina voucher personal:P. Schuchert:Sch... 396 0.0 9 ( EU2725

Dicty_cDB: Contig-U15814-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available id... 54 0.030 1 ( EU435873 ) Parapalaeosepsis plebeia voucher su35 cytochrome ... 54 0.030 1 ( EU435865 ) Dicranosepsis... unipilosa voucher su24 cytochrome o... 54 0.030 1 ( EU435863 ) Dicranosepsis olfactoria voucher... su22 cytochrome ... 54 0.030 1 ( EU435861 ) Dicranosepsis hamata voucher su20 cy...tochrome oxid... 54 0.030 1 ( EU435858 ) Dicranosepsis crinita voucher su17 cytochrome oxi... 54 0.030 1 ( EU435856 ) Dicranosepsis...use DNA sequence from clone RP23-373N5 on chrom... 52 0.12 1 ( EU435862 ) Dicranosepsis javanica voucher su2

Bioaccumulation and public health implications of trace metals in edible tissues of the crustaceans Scylla serrata and Penaeus monodon from the Tanzanian coast.

Science.gov (United States)

Rumisha, Cyrus; Leermakers, Martine; Mdegela, Robinson H; Kochzius, Marc; Elskens, Marc

2017-09-30

The coastal population in East Africa is growing rapidly but sewage treatment and recycling facilities in major cities and towns are poorly developed. Since estuarine mangroves are the main hotspots for pollutants, there is a potential for contaminants to accumulate in edible fauna and threaten public health. This study analysed trace metals in muscle tissues of the giant mud crabs (Scylla serrata) and the giant tiger prawns (Penaeus monodon) from the Tanzanian coast, in order to determine the extent of bioaccumulation and public health risks. A total of 180 samples of muscle tissues of S. serrata and 80 of P. monodon were collected from nine sites along the coast. Both species showed high levels of trace metals in the wet season and significant bioaccumulation of As, Cu and Zn. Due to their burrowing and feeding habits, mud crabs were more contaminated compared to tiger prawns sampled from the same sites. Apart from that, the measured levels of Cd, Cr and Pb did not exceed maximum limits for human consumption. Based on the current trend of fish consumption in Tanzania (7.7 kg/person/year), the measured elements (As, Cd, Co, Cu, Mn, Pb and Zn) are not likely to present health risks to shellfish consumers. Nevertheless, potential risks of As and Cu cannot be ruled out if the average per capita consumption is exceeded. This calls for strengthened waste management systems and pollution control measures.

A comparison of interferon-γ and IP-10 for the diagnosis of tuberculosis

DEFF Research Database (Denmark)

Holm, Line Lindebo; Rose, Michala Vaaben; Kimaro, Godfather

2014-01-01

OBJECTIVE: Interferon-γ and IP-10 release assays are diagnostic tests for tuberculosis infection. We have compared the accuracy of IP-10 and QuantiFERON-TB Gold In-tube [QFT-IT] in Tanzanian children suspected of having active tuberculosis (TB). METHODS: Hospitalized Tanzanian children...

Lithospheric low-velocity zones associated with a magmatic segment of the Tanzanian Rift, East Africa

Science.gov (United States)

Plasman, M.; Tiberi, C.; Ebinger, C.; Gautier, S.; Albaric, J.; Peyrat, S.; Déverchère, J.; Le Gall, B.; Tarits, P.; Roecker, S.; Wambura, F.; Muzuka, A.; Mulibo, G.; Mtelela, K.; Msabi, M.; Kianji, G.; Hautot, S.; Perrot, J.; Gama, R.

2017-07-01

Rifting in a cratonic lithosphere is strongly controlled by several interacting processes including crust/mantle rheology, magmatism, inherited structure and stress regime. In order to better understand how these physical parameters interact, a 2 yr long seismological experiment has been carried out in the North Tanzanian Divergence (NTD), at the southern tip of the eastern magmatic branch of the East African rift, where the southward-propagating continental rift is at its earliest stage. We analyse teleseismic data from 38 broad-band stations ca. 25 km spaced and present here results from their receiver function (RF) analysis. The crustal thickness and Vp/Vs ratio are retrieved over a ca. 200 × 200 km2 area encompassing the South Kenya magmatic rift, the NTD and the Ngorongoro-Kilimanjaro transverse volcanic chain. Cratonic nature of the lithosphere is clearly evinced through thick (up to ca. 40 km) homogeneous crust beneath the rift shoulders. Where rifting is present, Moho rises up to 27 km depth and the crust is strongly layered with clear velocity contrasts in the RF signal. The Vp/Vs ratio reaches its highest values (ca. 1.9) beneath volcanic edifices location and thinner crust, advocating for melting within the crust. We also clearly identify two major low-velocity zones (LVZs) within the NTD, one in the lower crust and the second in the upper part of the mantle. The first one starts at 15-18 km depth and correlates well with recent tomographic models. This LVZ does not always coexist with high Vp/Vs ratio, pleading for a supplementary source of velocity decrease, such as temperature or composition. At a greater depth of ca. 60 km, a mid-lithospheric discontinuity roughly mimics the step-like and symmetrically outward-dipping geometry of the Moho but with a more slanting direction (NE-SW) compared to the NS rift. By comparison with synthetic RF, we estimate the associated velocity reduction to be 8-9 per cent. We relate this interface to melt ponding

45 CFR 34.7 - Payment procedures.

Science.gov (United States)

2010-10-01

... whole or part, the claims officer shall prepare and mail a payment voucher to the claimant. (b) This... payment voucher, the claims officer shall sign and forward the signed voucher to the office where the claimant is or was employed for processing. (d) Upon receipt of the signed payment voucher, the office in...

46 CFR 252.40 - Payment of subsidy.

Science.gov (United States)

2010-10-01

... Payment and Billing Procedures § 252.40 Payment of subsidy. (a) Submission of voucher. At the close of each calendar month, the subsidized operator may submit a voucher, and include for payment in such... submit an initial voucher and include for payment in such voucher a percentage of the ODS payable for the...

Dicty_cDB: Contig-U13942-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available opora asulcata voucher USNM... 48 1e-04 EU645366_1( EU645366 |pid:none) Pliobothrus echinatus voucher HBFH.....( EU645367 ) Pliobothrus symmetricus voucher USNM:77121 calmod... 72 2e-08 1 ( EU645366 ) Pliobothrus echi...natus voucher HBFH:H22-VIII-01-2-... 72 2e-08 1 ( EU645425 ) Lepidotheca chauliosty

Porifera collection of the Italian National Antarctic Museum (MNA, with an updated checklist from Terra Nova Bay (Ross Sea

Directory of Open Access Journals (Sweden)

Claudio Ghiglione

2018-05-01

Full Text Available This new dataset presents occurrence data for Porifera collected in the Ross Sea, mainly in the Terra Nova Bay area, and curated at the Italian National Antarctic Museum (MNA, section of Genoa. Specimens were collected in 331 different sampling stations at depths ranging from 17 to 1,100 meters in the framework of 17 different Italian Antarctic expeditions funded by the Italian National Antarctic Research Program (PNRA. A total of 807 specimens, belonging to 144 morphospecies (i.e., 95 taxa identified at species level and 49 classified at least at the genus level is included in the dataset. Nearly half (45% of the species reported here correspond to species already known for Terra Nova Bay. Out of the remaining 55% previously unknown records, under a third (~29% were classified at the species level, while over a quarter (~26% were ascribed to the genus level only and these would require further study. All vouchers are permanently curated at the MNA and are available for study to the scientific community. A 3D model of an uncommon species from the Ross Sea, i.e. Tethyopsis brondstedi (Burton, 1929, is also presented and will be made available for outreach purposes.

Dicty_cDB: Contig-U12529-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available 0.81 9 ( EJ308578 ) 1095390124987 Global-Ocean-Sampling_GS-27-01-01-1... 34 0.84 3 ( EF520892 ) Azolla... microphylla voucher T. Lumpkin s.n. (DUKE)... 48 0.96 1 ( EF520891 ) Azolla microphyll...a voucher Watanabe s.n. (DUKE) t... 48 0.96 1 ( EF520887 ) Azolla mexicana voucher Zimmerman s.n. (DUKE) tRN...... 48 0.96 1 ( EF520885 ) Azolla mexicana voucher D.W. Rains s.n. (DUKE) tR... 48 0.96 1 ( DQ066515 ) Azo...lla microphylla voucher Reid & Peters 80 tRNA-... 48 0.96 1 ( DQ066511 ) Azolla mic

Does Competition Improve Public Schools? New Evidence from the Florida Tax-Credit Scholarship Program

Science.gov (United States)

Figlio, David; Hart, Cassandra M. D.

2011-01-01

Programs that enable students to attend private schools, including both vouchers and scholarships funded with tax credits, have become increasingly common in recent years. This study examines the impact of the nation's largest private school scholarship program on the performance of students who remain in the public schools. The Florida Tax Credit…

Distribution of lichen flora on South Korea.

Science.gov (United States)

Hur, Jae-Seoun; Harada, Hiroshi; Oh, Soon-Ok; Lim, Kwang-Mi; Kang, Eui-Sung; Lee, Seung Mi; Kahng, Hyung-Yeel; Kim, Hyun-Woo; Jung, Jae-Sung; Koh, Young Jin

2004-06-01

After an overview on the temporary situation of the lichenology in South Korea, localities of 95 macrolichen taxa are reported for South Korea. In this revised lichen flora of South Korea, 16 species are apparently new to the territory. Voucher specimens have been deposited in the Korean Lichen Research Institute (KoLRI) at Sunchon National University in Korea, and duplicates have also been donated to the National History Museum and Institute, in Chiba, (CBM) Japan.

Tanzanian lessons in using non-physician clinicians to scale up comprehensive emergency obstetric care in remote and rural areas

Directory of Open Access Journals (Sweden)

Nyamtema Angelo S

2011-11-01

Full Text Available Abstract Background With 15-30% met need for comprehensive emergency obstetrical care (CEmOC and a 3% caesarean section rate, Tanzania needs to expand the number of facilities providing these services in more remote areas. Considering severe shortage of human resources for health in the country, currently operating at 32% of the required skilled workforce, an intensive three-month course was developed to train non-physician clinicians for remote health centres. Methods Competency-based curricula for assistant medical officers' (AMOs training in CEmOC, and for nurses, midwives and clinical officers in anaesthesia and operation theatre etiquette were developed and implemented in Ifakara, Tanzania. The required key competencies were identified, taught and objectively assessed. The training involved hands-on sessions, lectures and discussions. Participants were purposely selected in teams from remote health centres where CEmOC services were planned. Monthly supportive supervision after graduation was carried out in the upgraded health centres Results A total of 43 care providers from 12 health centres located in 11 rural districts in Tanzania and 2 from Somalia were trained from June 2009 to April 2010. Of these 14 were AMOs trained in CEmOC and 31 nurse-midwives and clinical officers trained in anaesthesia. During training, participants performed 278 major obstetric surgeries, 141 manual removal of placenta and evacuation of incomplete and septic abortions, and 1161 anaesthetic procedures under supervision. The first 8 months after introduction of CEmOC services in 3 health centres resulted in 179 caesarean sections, a remarkable increase of institutional deliveries by up to 300%, decreased fresh stillbirth rate (OR: 0.4; 95% CI: 0.1-1.7 and reduced obstetric referrals (OR: 0.2; 95% CI: 0.1-0.4. There were two maternal deaths, both arriving in a moribund condition. Conclusions Tanzanian AMOs, clinical officers, and nurse-midwives can be trained as

Perceived Cost Advantages and Disadvantages of Purchasing HIV Self-Testing Kits among Urban Tanzanian Men: An Inductive Content Analysis.

Science.gov (United States)

Jennings, Larissa; Conserve, Donaldson F; Merrill, Jamison; Kajula, Lusajo; Iwelunmor, Juliet; Linnemayr, Sebastian; Maman, Suzanne

2017-08-01

Impoverished men have lower rates of facility-based HIV counseling and testing and higher unknown HIV-positive status than women. Economic theory suggests that individuals will obtain an HIV test if anticipated benefits are greater than anticipated costs. Yet, few studies have investigated the range of financial preferences of HIV self-testing (HIVST) among poor men who decline testing or do not test regularly. Twenty-three interviews were conducted to qualitatively assess perceived costs saved and costs incurred from use of HIVST kits in infrequently- or never-tested Tanzanian men. All men were shown an HIVST kit and video. They were then asked about the costs associated with provider-led HIV testing, financial benefits and concerns of HIVST and willingness to pay for HIVST. Data were transcribed, coded and analyzed using inductive content analyses. We then grouped codes into perceived cost advantages and disadvantages and tabulated the range of prices men were willing to pay for a self-test kit. Perceived cost advantages of HIVST were avoidance of spending money to test in facilities, omission of follow-up fees, affordability relative to private clinics, and increased time for earning income and other activities. Men also discussed the imbalance of the financial benefit of accessing free, public HIV testing with the resources spent for transport, purchasing meals away from home and long wait lines. Perceived cost disadvantages of HIVST were prohibitive kit costs, required prior savings to purchase kits, expenditures relating to death and preferences for free provider-performed testing. Men were also concerned about the psychological costs of inaccurate results. HIVST willingness to pay varied among men. Men's decisions to self-test for HIV takes into account expected financial gains and losses. Demand generation for HIVST among men should consider use of low fees or free HIVST, while emphasizing potential savings from reduced travel, clinical costs, or time way

Accessibility of long-term family planning methods: a comparison study between Output Based Approach (OBA) clients verses non-OBA clients in the voucher supported facilities in Kenya.

Science.gov (United States)

Oyugi, Boniface; Kioko, Urbanus; Kaboro, Stephen Mbugua; Gikonyo, Shadrack; Okumu, Clarice; Ogola-Munene, Sarah; Kalsi, Shaminder; Thiani, Simon; Korir, Julius; Odundo, Paul; Baltazaar, Billy; Ranji, Moses; Muraguri, Nicholas; Nzioka, Charles

2017-03-27

the variance explained by various models, is larger than 18% for implants and total or combined long-term family planning. The study showed that the voucher services in Kenya has been effective in providing long-term family planning services and improving access of care provided to women of reproductive age. Therefore, voucher scheme can be used as a tool for bridging the gap of unmet needs of family planning in Kenya and could potentially be more effective if rolled out to other counties.

The Effectiveness of Private School Franchises in Chile's National Voucher Program

Science.gov (United States)

Elacqua, Gregory; Contreras, Dante; Salazar, Felipe; Santos, Humberto

2011-01-01

There is persistent debate over the role of scale of operations in education. Some argue that school franchises offer educational services more effectively than small independent schools. Skeptics counter that large centralized operations create hard-to-manage bureaucracies and foster diseconomies of scale and that small schools are more effective…

77 FR 30546 - Notice of Proposed Information Collection: Comment Request; Form HUD-40221(rev) “LOCCS/VRS Self...

Science.gov (United States)

2012-05-23

... Program Payment Voucher'' AGENCY: Office of the Assistant Secretary for Community Planning and Development... must complete a ``LOCCS/VRS Self-help Homeownership Opportunity Program Payment Voucher'' prior to...-help Homeownership Opportunity Program Payment Voucher''. OMB Control Number: 2506-0157. Description of...

48 CFR 242.803 - Disallowing costs after incurrence.

Science.gov (United States)

2010-10-01

... from contractors; (B) Approving interim vouchers for provisional payment (this includes approving the... interim vouchers for provisional payment to the disbursing office for contractors with approved billing... of Costs 242.803 Disallowing costs after incurrence. (a) Contracting officer receipt of vouchers...

Dicty_cDB: Contig-U06499-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available ... 46 1.0 1 ( EU494536 ) Zaprionus lineosus voucher 103961 16S ribosomal R... 46 1.0 1 ( EU494535 ) Scaptodrosophila... pattersoni voucher 105497 16S ri... 46 1.0 1 ( EU494534 ) Scaptodrosophila lebanonensis voucher 10

Dicty_cDB: Contig-U16215-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available 90 |pid:none) Maxillaria adendrobium voucher JBL... 34 9.8 EU123651_1( EU123651 |... |pid:none) Dichaea poicillantha voucher M. Bl... 34 9.8 EU214391_1( EU214391 |pid:none) Maxillaria adendrobium...87 |pid:none) Maxillaria adendrobium voucher JBL... 34 9.8 EU214423_1( EU214423 |pid:none) Pescatoria cerina... 34 9.8 EU214389_1( EU214389 |pid:none) Maxillaria adendrobium voucher JBL... 34 9.8 >U77053_1( U77053 |pid:

Education Vital Signs 1999.

Science.gov (United States)

Hardy, Lawrence, Ed.; Bushweller, Kevin, Ed.

1999-01-01

Begins with a look at the year's major education news: implications of the massacre at Columbine High School, major Supreme Court decisions, and pro- and anti-voucher political rhetoric. Following is an analysis of how the nation is doing on the Goals 2000. Other sections take the pulse of public education and analyze the challenges faced by…

46 CFR 296.40 - Billing procedures.

Science.gov (United States)

2010-10-01

... OPERATORS MARITIME SECURITY PROGRAM (MSP) Billing and Payment Procedures § 296.40 Billing procedures. Submission of voucher. For contractors operating under more than one MSP Operating Agreement, the contractor may submit a single monthly voucher applicable to all its MSP Operating Agreements. Each voucher...

75 FR 61841 - Proposed Collection; Comment Request for Forms 8804, 8804 (Sch. A), 8805 and 8813

Science.gov (United States)

2010-10-06

... Tax Payment Voucher (Section 1446). DATES: Written comments should be received on or before December 6... Information Statement of Section 1446 Withholding Tax; and Form 8813, Partnership Withholding Tax Payment Voucher 8813, Partnership Withholding Tax Payment Voucher (Section 1446). OMB Number: 1545-1119. Abstract...

78 FR 70631 - Proposed Collection; Comment Request for Forms 8804, 8804 (Sch. A), 8805 and 8813

Science.gov (United States)

2013-11-26

... Tax Payment Voucher (Section 1446). DATES: Written comments should be received on or before January 27... of Section 1446 Withholding Tax; and Form 8813, Partnership Withholding Tax Payment Voucher 8813, Partnership Withholding Tax Payment Voucher (Section 1446). OMB Number: 1545-1119. Abstract: Internal Revenue...

48 CFR 42.803 - Disallowing costs after incurrence.

Science.gov (United States)

2010-10-01

... officers receive vouchers directly from the contractor and, with or without auditor assistance, approve or... agency. (b) Auditor receipt of vouchers. (1) When authorized by agency regulations, the contract auditor... payment those vouchers found acceptable, and (iii) suspend payment of questionable costs. The auditor...

76 FR 44884 - Federal Acquisition Regulation; Payments Under Time-and-Materials and Labor-Hour Contracts

Science.gov (United States)

2011-07-27

... under revised Alternate I. (b) Completion Voucher. The Allowable Cost and Payment, FAR clause 52.216-7.... * * * * * Payments Under Time-and-Material and Labor-Hour Contracts (Date) * * * * * (a) * * * (5) Vouchers may be... final payment under this contract, the Contracting Officer may request audit of the vouchers and...

75 FR 41509 - Notice of Proposed Information Collection for Public Comment; LOCCS Voice Response System Payment...

Science.gov (United States)

2010-07-16

... Information Collection for Public Comment; LOCCS Voice Response System Payment Vouchers for Public and Indian... lists the following information: Title of Proposal: LOCCS Voice Response System Payment Vouchers for... system. The information collected on the payment voucher will also be used as an internal control measure...

International clinical volunteering in Tanzania: A postcolonial analysis of a Global Health business.

Science.gov (United States)

Sullivan, Noelle

2018-03-01

This article traces how scarcities characteristic of health systems in low-income countries (LICs), and increasing popular interest in Global Health, have inadvertently contributed to the popularisation of a specific Global Health business: international clinical volunteering through private volunteer placement organisations (VPOs). VPOs market neglected health facilities as sites where foreigners can 'make a difference', regardless of their skill set. Drawing on online investigation and ethnographic research in Tanzania over four field seasons from 2011 to 2015, including qualitative interviews with 41 foreign volunteers and 90 Tanzanian health workers, this article offers a postcolonial analysis of VPO marketing and volunteer action in health facilities of LICs. Two prevalent postcolonial racialised tropes inform both VPO marketing and foreign volunteers' discourses and practices in Tanzania. The first trope discounts Tanzanian expertise in order to envision volunteers in expert roles despite lacking training, expertise, or contextual knowledge. The second trope envisions Tanzanian patients as so impoverished that insufficiently trained volunteer help is 'better than nothing at all'. These two postcolonial racialised tropes inform the conceptual work undertaken by VPO marketing schemes and foreign volunteers in order to remake Tanzanian health professionals and patients into appropriate and justifiable sites for foreign volunteer intervention.

Vascular Plant and Vertebrate Inventory of Organ Pipe Cactus National Monument

Science.gov (United States)

Schmidt, Cecilia A.; Powell, Brian F.; Halvorson, William L.

2007-01-01

Executive Summary We summarized inventory and monitoring efforts for plants and vertebrates at Organ Pipe Cactus National Monument (NM) in Arizona. We used data from previous research to compile complete species lists for the monument and to assess inventory completeness. There have been 1,031 species of plants and vertebrates observed at the monument. Most of the species on the list are documented by voucher specimens. There are 59 non-native species established in the monument: one mammal, three birds, and 55 non-native plants. Most non-native plant species were first recorded along roads. In each taxon-specific chapter, we highlight areas that contribute disproportionately to species richness or that have unique species for the monument. Of particular importance are Quitobaquito Springs and Pond, which are responsible for the monument having one of the highest number of bird species in the Sonoran Desert Network of parks. Quitobaquito also contains the only fish in the monument, the endangered Quitobaquito pupfish (Cyprinodon eremus). Other important resources for the plants and vertebrates include the xeroriparian washes (e.g., Alamo Canyon) and the Ajo Mountains. Based on the review of past studies, we believe the inventories of vascular plants and vertebrates are nearly complete and that the monument has one of the most complete inventories of any unit in the Sonoran Desert Network.

25 CFR 23.13 - Payment for appointed counsel in involuntary Indian child custody proceedings in state courts.

Science.gov (United States)

2010-04-01

...) Submit approved vouchers to the Area Director who certified eligibility for BIA payment, together with... payment of attorney fees and expenses in the amount requested in the voucher approved by the court unless... section. (f) No later than 15 days after receipt of a payment voucher, the Area Director shall send...

5 CFR 177.110 - Action on approved claim.

Science.gov (United States)

2010-01-01

... Damage, Injury or Death); a claims settlement agreement; and a Standard Form 1145 (Voucher for Payment), as appropriate. When a claimant is represented by an attorney, the Voucher for Payment will designate..., whose address is to appear on the Voucher for Payment. (b) Acceptance by the claimant, his or her agent...

Prize Draw

CERN Multimedia

Staff Association

2014-01-01

  Prize draw Go Sport vouchers 393 members of the Staff Association participated in our free prize draw in July where they could win one of the thirty Go Sport vouchers of 50 euros. The thirty winners have been contacted and can come and collect their voucher from the Staff Association Secretariat.

A school mental health literacy curriculum resource training approach: effects on Tanzanian teachers' mental health knowledge, stigma and help-seeking efficacy.

Science.gov (United States)

Kutcher, Stan; Wei, Yifeng; Gilberds, Heather; Ubuguyu, Omary; Njau, Tasiana; Brown, Adena; Sabuni, Norman; Magimba, Ayoub; Perkins, Kevin

2016-01-01

Mental health literacy (MHL) is foundational for mental health promotion, prevention, stigma reduction, and care; School supported information pertaining to MHL in sub-Saharan Africa is extremely limited, including in Tanzania. Successful application of a school MHL curriculum resource may be an effective way to increase teacher MHL and therefore help to improve mental health outcomes for students. Secondary school teachers in Tanzania were trained on the African Guide (AG) a school MHL curriculum resource culturally adapted from a Canadian MHL resource (The Guide) for use in Africa. Teacher training workshops on the classroom application of the AG were used to evaluate its impact on mental health literacy in a sample of Tanzanian Secondary school teachers. Pre-post training assessment of participant knowledge and attitudes was conducted. Help-seeking efficacy for teachers themselves and their interventions for students, friends, family members and peers were determined. Paired t test (n = 37) results demonstrate highly significant improvements in teacher's overall knowledge (p Teachers' stigma against mental illness decreased significantly following the training (p teacher's overall knowledge (p Teachers also reported high rates (greater than ¾ of the sample) of positive help-seeking efficacy for themselves as well as for their students, friends, family members and peers. As a result of the training, the number of students teachers identified for potential mental health care totaled over 200. These positive results, when taken together with other research, suggest that the use of a classroom-based resource (the AG) that integrates MHL into existing school curriculum through training teachers may be an effective and sustainable way to increase the MHL (improved knowledge, decreased stigma and positive help-seeking efficacy) of teachers in Tanzania. As this study replicated the results of a previous intervention in Malawi, consideration could be given to

Safety of the malaria vaccine candidate, RTS,S/AS01E in 5 to 17 month old Kenyan and Tanzanian Children.

Directory of Open Access Journals (Sweden)

John Lusingu

2010-11-01

Full Text Available The malaria vaccine candidate, RTS,S/AS01(E, showed promising protective efficacy in a trial of Kenyan and Tanzanian children aged 5 to 17 months. Here we report on the vaccine's safety and tolerability. The experimental design was a Phase 2b, two-centre, double-blind (observer- and participant-blind, randomised (1∶1 ratio controlled trial. Three doses of study or control (rabies vaccines were administered intramuscularly at 1 month intervals. Solicited adverse events (AEs were collected for 7 days after each vaccination. There was surveillance and reporting for unsolicited adverse events for 30 days after each vaccination. Serious adverse events (SAEs were recorded throughout the study period which lasted for 14 months after dose 1 in Korogwe, Tanzania and an average of 18 months post-dose 1 in Kilifi, Kenya. Blood samples for safety monitoring of haematological, renal and hepatic functions were taken at baseline, 3, 10 and 14 months after dose 1. A total of 894 children received RTS,S/AS01(E or rabies vaccine between March and August 2007. Overall, children vaccinated with RTS,S/AS01(E had fewer SAEs (51/447 than children in the control group (88/447. One SAE episode in a RTS,S/AS01(E recipient and nine episodes among eight rabies vaccine recipients met the criteria for severe malaria. Unsolicited AEs were reported in 78% of subjects in the RTS,S/AS01(E group and 74% of subjects in the rabies vaccine group. In both vaccine groups, gastroenteritis and pneumonia were the most frequently reported unsolicited AE. Fever was the most frequently observed solicited AE and was recorded after 11% of RTS,S/AS01(E doses compared to 31% of doses of rabies vaccine. The candidate vaccine RTS,S/AS01(E showed an acceptable safety profile in children living in a malaria-endemic area in East Africa. More data on the safety of RTS,S/AS01(E will become available from the Phase 3 programme.

75 FR 61816 - Agency Information Collection Activities: Notice of Request for Extension of Currently Approved...

Science.gov (United States)

2010-10-06

... request progress payments from the FHWA. Title 23 U.S.C. 121(b) requires the submission of vouchers. The specific information required on the voucher is contained in 23 U.S.C. 121 and 117. Two types of... by work type. An electronic version of the Voucher for Work Performed under Provisions of the Federal...

New Homes, New Neighborhoods, New Schools: A Progress Report on the Baltimore Housing Mobility Program

Science.gov (United States)

Engdahl, Lora

2009-01-01

In the Baltimore region, a successful housing mobility program is providing families living in very disadvantaged inner city communities with a new home and a chance for a new life. Minority voucher holders in the federal Housing Choice Voucher Program (formerly titled Section 8) have often been limited to living in "voucher submarkets"…

Is the Juice Worth the Squeeze? A Benefit/Cost Analysis of the District of Columbia Opportunity Scholarship Program

Science.gov (United States)

Wolf, Patrick J.; McShane, Michael

2013-01-01

School voucher programs have become a prominent aspect of the education policy landscape in the United States. The DC Opportunity Scholarship Program is the only federally funded voucher program in the United States. Since 2004 it has offered publicly funded private school vouchers to nearly four thousand students to attend any of seventy-three…

75 FR 44849 - Proposed Collection; Comment Request for Forms 945, 945-A, and 945-V

Science.gov (United States)

2010-07-29

... Liability; and Form 945-V, Form 945 Payment Voucher. DATES: Written comments should be received on or before... Liability (Form 945-A), and Form 945 Payment Voucher (Form 945-V). OMB Number: 1545-1430. Form Numbers: 945... winnings. Form 945-A is used to report nonpayroll tax liabilities. Form 945-V is a payment voucher that is...

Methadone dose increase and abstinence reinforcement for treatment of continued heroin use during methadone maintenance.

Science.gov (United States)

Preston, K L; Umbricht, A; Epstein, D H

2000-04-01

Although methadone maintenance is an effective therapy for heroin dependence, some patients continue to use heroin and may benefit from therapeutic modifications. This study evaluated a behavioral intervention, a pharmacological intervention, and a combination of both interventions. Throughout the study all patients received daily methadone hydrochloride maintenance (initially 50 mg/d orally) and weekly counseling. Following baseline treatment patients who continued to use heroin were randomly assigned to 1 of 4 interventions: (1) contingent vouchers for opiate-negative urine specimens (n = 29 patients); (2) methadone hydrochloride dose increase to 70 mg/d (n = 31 patients); (3) combined contingent vouchers and methadone dose increase (n = 32 patients); and (4) neither intervention (comparison standard; n = 28 patients). Methadone dose increases were double blind. Vouchers had monetary value and were exchangeable for goods and services. Groups not receiving contingent vouchers received matching vouchers independent of urine test results. Primary outcome measure was opiate-negative urine specimens (thrice weekly urinalysis). Contingent vouchers and a methadone dose increase each significantly increased the percentage of opiate-negative urine specimens during intervention. Contingent vouchers, with or without a methadone dose increase, increased the duration of sustained abstinence as assessed by urine screenings. Methadone dose increase, with or without contingent vouchers, reduced self-reported frequency of use and self-reported craving. In patients enrolled in a methadone-maintainence program who continued to use heroin, abstinence reinforcement and a methadone dose increase were each effective in reducing use. When combined, they did not dramatically enhance each other's effects on any 1 outcome measure, but they did seem to have complementary benefits.

The emergence of urban centres

DEFF Research Database (Denmark)

Lazaro, Evelyn; Agergaard, Jytte; Larsen, Marianne Nylandsted

by Tanzanian market liberalizations and its long term effects on private enterprise. The paper is based on a study of four EUCs in Tanzania (Ilula, Igowole, Madizini and Kibaigwa) and seeks to answer three research questions: 1) What economic and spatial trends, including national policies, have formed...... the pathway for rural transformation and early densification towards the emergence of urban centres in Tanzania? 2) What characterize the relationship between value chain dynamics and rural densification? 3) How do migration and investments contribute to the consolidation of EUCs as places of attraction...

Increasing access to institutional deliveries using demand and supply side incentives: early results from a quasi-experimental study.

Science.gov (United States)

Ekirapa-Kiracho, Elizabeth; Waiswa, Peter; Rahman, M Hafizur; Makumbi, Fred; Kiwanuka, Noah; Okui, Olico; Rutebemberwa, Elizeus; Bua, John; Mutebi, Aloysius; Nalwadda, Gorette; Serwadda, David; Pariyo, George W; Peters, David H

2011-03-09

Geographical inaccessibility, lack of transport, and financial burdens are some of the demand side constraints to maternal health services in Uganda, while supply side problems include poor quality services related to unmotivated health workers and inadequate supplies. Most public health interventions in Uganda have addressed only selected supply side issues, and universities have focused their efforts on providing maternal services at tertiary hospitals. To demonstrate how reforms at Makerere University College of Health Sciences (MakCHS) can lead to making systemic changes that can improve maternal health services, a demand and supply side strategy was developed by working with local communities and national stakeholders. This quasi-experimental trial is conducted in two districts in Eastern Uganda. The supply side component includes health worker refresher training and additions of minimal drugs and supplies, whereas the demand side component involves vouchers given to pregnant women for motorcycle transport and the payment to service providers for antenatal, delivery, and postnatal care. The trial is ongoing, but early analysis from routine health information systems on the number of services used is presented. Motorcyclists in the community organized themselves to accept vouchers in exchange for transport for antenatal care, deliveries and postnatal care, and have become actively involved in ensuring that women obtain care. Increases in antenatal, delivery, and postnatal care were demonstrated, with the number of safe deliveries in the intervention area immediately jumping from Voucher revenues have been used to obtain needed supplies to improve quality and to pay health workers, ensuring their availability at a time when workloads are increasing. Transport and service vouchers appear to be a viable strategy for rapidly increasing maternal care. MakCHS can design strategies together with stakeholders using a learning-by-doing approach to take advantage of

Planning of the evaluation of cleaner production experiences in the CEPITA companies

DEFF Research Database (Denmark)

Jørgensen, Michael Søgaard

1998-01-01

The report describes the theoretical and methodological background for the evaluation in 1998 of the cleaner production implementation in a nu,mber of Tanzanian companies taking part in a DANIDA financed cleaner production develeopment project in 1994-95......The report describes the theoretical and methodological background for the evaluation in 1998 of the cleaner production implementation in a nu,mber of Tanzanian companies taking part in a DANIDA financed cleaner production develeopment project in 1994-95...

Impact of Imported Chinese Furniture on The Local Furniture Sector in Arusha City, Tanzania: Focusing on the Strategies of Furniture-Makers for Using Indigenous Timber Species

OpenAIRE

OGAWA, Sayaka

2018-01-01

The aim of this paper is to elucidate the strategies used by Tanzanian furnituremakers to deal with price competition from Chinese imported furniture by examining the changes in the local use of timber, which is becoming scarce due to destructive harvesting. Chinese furniture flowing into Tanzania is not only of a fashionable design but it is also cheap because it is constructed from low-quality timber and alternative materials. Small-scale Tanzanian furniture-makers operate their business ba...

Nuclear power plant emergency preparedness: results from an evaluation of Michigan's potassium iodide distribution program.

Science.gov (United States)

Zwolinski, Laura R; Stanbury, Martha; Manente, Susan

2012-10-01

In 2009, the Michigan Department of Community Health (MDCH) made potassium iodide (KI), a nonprescription radio-protective drug, available by mailing vouchers redeemable at local pharmacies for KI tablets, at no cost to residents living within 10 miles of Michigan's 3 nuclear power plants (NPPs). MDCH conducted an evaluation of this program to determine Michigan's KI coverage and to assess general emergency preparedness among residents living near the NPPs. KI coverage was estimated based on redeemed voucher counts and the 2010 Census. Telephone surveys were administered to a random sample (N = 153) of residents living near Michigan's NPPs to evaluate general emergency preparedness, reasons for voucher use or nonuse, and KI knowledge. Only 5.3% of eligible residences redeemed KI vouchers. Most surveyed residents (76.5%) were aware of living near an NPP, yet 42.5% reported doing "nothing" to plan for an emergency. Almost half of surveyed voucher users did not know when to take KI or which body part KI protects. Among voucher nonusers, 48.0% were either unaware of the program or did not remember receiving a voucher. Additional efforts are needed to ensure that all residents are aware of the availability of KI and that recipients of the drug understand when and why it should be taken. Minimal emergency planning among residents living near Michigan's NPPs emphasizes the need for increased emergency preparedness and awareness. Findings are particularly salient given the March 2011 Fukushima Daiichi Nuclear Power Plant emergency in Japan.

Emergency Food Assistance in Northern Syria: An Evaluation of Transfer Programs in Idleb Governorate.

Science.gov (United States)

Doocy, Shannon; Tappis, Hannah; Lyles, Emily; Witiw, Joseph; Aken, Vicki

2017-06-01

The war in Syria has left millions struggling to survive amidst violent conflict, pervasive unemployment, and food insecurity. Although international assistance funding is also at an all-time high, it is insufficient to meet the needs of conflict-affected populations, and there is increasing pressure on humanitarian stakeholders to find more efficient, effective ways to provide assistance. To evaluate 3 different assistance programs (in-kind food commodities, food vouchers, and unrestricted vouchers) in Idleb Governorate of Syria from December 2014 and March 2015. The evaluation used repeated survey data from beneficiary households to determine whether assistance was successful in maintaining food security at the household level. Shopkeeper surveys and program monitoring data were used to assess the impact on markets at the district/governorate levels and compare the cost-efficiency and cost-effectiveness of transfer modalities. Both in-kind food assistance and voucher programs showed positive effects on household food security and economic measures in Idleb; however, no intervention was successful in improving all outcomes measured. Food transfers were more likely to improve food access and food security than vouchers and unrestricted vouchers. Voucher programs were found to be more cost-efficient than in-kind food assistance, and more cost-effective for increasing household food consumption. Continuation of multiple types of transfer programs, including both in-kind assistance and vouchers, will allow humanitarian actors to remain responsive to evolving access and security considerations, local needs, and market dynamics.

United Nations Women's Guild

CERN Multimedia

2005-01-01

International Annual Bazaar of 22 November 2005 Thank you for helping to make the 2005 UNWG Bazaar a success! All 10 000 Lottery Tickets were sold thereby raising 100 000 CHF to be given to projects helping impoverished children all over the world. The winning lottery numbers are posted below. Please print this notice and post it as you see fit.  Prizes may be claimed at the Villa Les Feuillantines November 23 - December 9 from 11am-1pm.  After January 9 phone nr 022 917 33 86 between 9am-11.30am. Last day Friday May 22, 2006.Special thanks to all our kind and generous donors! All air and cruise tickets are non-transferable. Restrictions and validity dates on air and cruise tickets, travel vouchers, and gift certificates as stipulated by the donor apply. Prizes may not be redeemed for cash or other merchandise. Any attempt to do so will result in automatic forfeiture. Thank you for your support and good luck to all! 00154 01175 02081 02950 03891 05117 05920 07123 08110 08834 ...

United Nations Women's Guild

CERN Multimedia

2005-01-01

International Annual Bazaar of the 22 November 2005Thank you for helping to make the 2005 UNWG Bazaar a success! All 10 000 Lottery Tickets were sold, thereby raising 100 000 CHF to be given to projects helping impoverished children all over the world. The winning lottery numbers are posted below. Please print this notice and post it as you see fit. Prizes may be claimed at the Villa Les Feuillantines on November 23 - December 9 from 11am-1pm. After January 9 phone No. 022 917 33 86 between 9am-11.30am. Last day Friday May 22, 2006. Special thanks to all our kind and generous donors! All air and cruise tickets are non-transferable. Restrictions and validity dates on air and cruise tickets, travel vouchers, and gift certificates as stipulated by the donor apply. Prizes may not be redeemed for cash or other merchandise. Any attempt to do so will result in automatic forfeiture. Thank you for your support and good luck to all! 00154 01175 02081 02950 03891 05117 05920 07123 08110 08834 ...

United Nations Women's Guild

CERN Document Server

2006-01-01

International Annual Bazaar 21 November 2006 Thank you for helping to make the 2006 UNWG Bazaar a success! All the money will be given to projects helping impoverished children all over the world. The winning lottery numbers are posted below. Please print this notice and post it as you see fit. Prizes may be claimed at the Villa Les Feuillantines from November 22 - December 14 from 11am-1pm. After January 15 2007 please call 022 917 33 86 between 9 am-11.30 am. Last day for collection will be the May 22, 2007. Special thanks to all our kind and generous donors! All air and cruise tickets are non-transferable. Restrictions and validity dates on air and cruise tickets, travel vouchers, and gift certificates as stipulated by the donor will apply. Prizes may not be redeemed for cash or other merchandise. Any attempt to do so will result in automatic forfeiture. Thank you for your support and good luck to all! 111 1328 2466 3447 4478 6174 7323 8565 271 1374 2488 3502 4487 6237 7324 8623 ...

Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

Directory of Open Access Journals (Sweden)

Nasir Elwalid F

2009-11-01

Full Text Available Abstract Background The HIV epidemic poses significant challenges to the low income countries in sub Saharan Africa (SSA, affecting the attrition rate among health care workers, their level of motivation, and absenteeism from work. Little is known about how to deal with deterioration of human resources in the health care systems. This study aimed to predict the intention to provide surgical treatment to HIV infected patients among medical- and dental students in Tanzania and Sudan using an extended version of the Theory of Planned Behaviour (TPB. Methods Four hundred and seventy five medical- and dental students at the University of Dar es Salaam (mean age, 25 yr and 642 dental students attending 6 public and private dental faculties in Khartoum (mean age 21.7 yr completed self-administered TPB questionnaires in 2005 and 2007, respectively. Results Both Tanzanian and Sudanese students demonstrated strong intentions to provide care for people with HIV and AIDS. Stepwise linear regression revealed that the TPB accounted for 51% (43% in Tanzania and Sudan of the variance in intention across study sites. After having controlled for country and past behaviour, the TPB in terms of attitudes, subjective norms and perceived behavioural control accounted for 34% and moral norms for an additional 2,3% of the explainable variance in intention. Across both study sites, attitudes were the strongest predictor of intention followed in descending order by subjective norms, moral norms and perceived behavioural control. Conclusion The TPB is applicable to students' care delivery intentions in the context of HIV and AIDS across the two SSA countries investigated. It is suggested that attitudes, subjective norms, moral norms and perceived behavioural control are key factors in students' willingness to treat AIDS and HIV infected patients and should be targets of interventions aimed at improving the quality of health care delivery in this context.

Subsidized Sachet Water to Reduce Diarrheal Disease in Young Children: A Feasibility Study in Accra, Ghana.

Science.gov (United States)

Wright, James; Dzodzomenyo, Mawuli; Fink, Günther; Wardrop, Nicola A; Aryeetey, Genevieve C; Adanu, Richard M; Hill, Allan G

2016-07-06

Use of drinking water sold in plastic bags (sachet water) is growing rapidly in west Africa. The impact on water consumption and child health remains unclear, and a debate on the taxation and regulation of sachet water is ongoing. This study assessed the feasibility of providing subsidized sachet water to low-income urban households in Accra and measured the resultant changes in water consumption. A total of 86 children, 6-36 months of age in neighborhoods lacking indoor piped water, were randomized to three study arms. The control group received education about diarrhea. The second arm received vouchers for 15 L/week/child of free water sachets (value: $0.63/week) plus education. The third arm received vouchers for the same water sachet volume at half price plus education. Water consumption was measured at baseline and followed for 4 months thereafter. At baseline, 66 of 81 children (82%) drank only sachet water. When given one voucher/child/week, households redeemed an average 0.94 vouchers/week/child in the free-sachet-voucher arm and 0.82 vouchers/week/child in the half-price arm. No change in water consumption was observed in the half-price arm, although the study was not powered to detect such differences. In the free-sachet-voucher arm, estimated sachet water consumption increased by 0.27 L/child/day (P = 0.03). The increase in sachet water consumption by children in the free-sachet-voucher arm shows that provision of fully subsidized water sachets might improve the quality of drinking water consumed by children. Further research is needed to quantify this and any related child health impacts. © The American Society of Tropical Medicine and Hygiene.

Transportation and retention in outpatient drug abuse treatment programs.

Science.gov (United States)

Friedmann, P D; Lemon, S C; Stein, M D

2001-09-01

To determine whether certain types of transportation assistance improve outpatient treatment retention beyond thresholds shown to have therapeutic benefits, we analyzed data from 1,144 clients in 22 outpatient methadone maintenance (OMM) programs and 2,031 clients in 22 outpatient drug-free (ODF) programs in the Drug Abuse Treatment Outcomes Study (DATOS), a national, 12-month, longitudinal study of drug abuse treatment programs. Directors' surveys provided information about provision of car, van, or contracted transportation services or individual vouchers/payment for public transportation. Chart-abstracted treatment retention was dichotomized at 365 days for OMM and 90 days for ODF. Separate multivariate hierarchical linear models revealed that provision of car, van, or contracted transportation services improved treatment retention beyond these thresholds for both OMM and ODF, but individual vouchers or payment for public transportation did not. Future research should validate whether car, van, or contracted transportation services improve retention and other treatment outcomes in outpatient drug abuse treatment.

Guidelines for quality assurance and quality control of fish taxonomic data collected as part of the National Water-Quality Assessment Program

Science.gov (United States)

Walsh, Stephen Joseph; Meador, Michael R.

1998-01-01

Fish community structure is characterized by the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program as part of a perennial, multidisciplinary approach to evaluating the physical, chemical, and biological conditions of the Nation's water resources. The objective of quality assurance and quality control of fish taxonomic data that are collected as part of the NAWQA Program is to establish uniform guidelines and protocols for the identification, processing, and archiving of fish specimens to ensure that accurate and reliable data are collected. Study unit biologists, collaborating with regional biologists and fish taxonomic specialists, prepare a pre-sampling study plan that includes a preliminary faunal list and identification of an ichthyological curation center for receiving preserved fish specimens. Problematic taxonomic issues and protected taxa also are identified in the study plan, and collecting permits are obtained in advance of sampling activities. Taxonomic specialists are selected to identify fish specimens in the field and to assist in determining what fish specimens should be sacrificed, fixed, and preserved for laboratory identification, independent taxonomic verification, and long-term storage in reference or voucher collections. Quantitative and qualitative sampling of fishes follows standard methods previously established for the NAWQA Program. Common ichthyological techniques are used to process samples in the field and prepare fish specimens to be returned to the laboratory or sent to an institutional repository. Taxonomic identifications are reported by using a standardized list of scientific names that provides nomenclatural consistency and uniformity across study units.

E-Gov Travel (ETS) Measures

Data.gov (United States)

General Services Administration — The Number of Vouchers Processed measure represents the number of vouchers processed by the three ETS vendors Annual for the 24 largest Federal Civilian Agencies....

Cultivating success: the need to climate-proof Tanzanian agriculture

Energy Technology Data Exchange (ETDEWEB)

Chambwera, Muyeye; MacGregor, James

2009-09-15

All farming is a gamble with nature. The impacts of climate change, however, can pit farmers against impossible odds – particularly in poor, geographically vulnerable nations with largely agrarian economies. Tanzania is one such country. Some 80 per cent of its workforce is in agriculture and, with climate change set to lower yields in key crops, the implications for its economy are serious. Where, how and when climate impacts will hit is key – as is an action plan for averting the highest costs. Policy needs to focus immediately on helping farmers adapt to climate impacts by addressing both food production and marketing efficiencies. This is crucial: Tanzania is a test case for economic impacts predicted throughout sub-Saharan Africa. Replicating this policy approach in other low-income countries is essential if low-carbon growth and other development priorities are to become realities.

48 CFR 842.803 - Disallowing costs after incurrence.

Science.gov (United States)

2010-10-01

... costs after incurrence. Contracting officers may approve or disapprove contractors' vouchers for payment... limitations of the contracting officer's warrant and the contract for which the voucher is submitted must be...

Effects of demand-side incentives in improving the utilisation of delivery services in Oyam District in northern Uganda: a quasi-experimental study.

Science.gov (United States)

Massavon, William; Wilunda, Calistus; Nannini, Maria; Majwala, Robert Kaos; Agaro, Caroline; De Vivo, Emanuela; Lochoro, Peter; Putoto, Giovanni; Criel, Bart

2017-12-19

We evaluated the effects and financial costs of two interventions with respect to utilisation of institutional deliveries and other maternal health services in Oyam District in Uganda. We conducted a quasi-experimental study involving intervention and comparable/control sub-counties in Oyam District for 12 months (January-December 2014). Participants were women receiving antenatal care, delivery and postnatal care services. We evaluated two interventions: the provision of (1) transport vouchers to women receiving antenatal care and delivering at two health centres (level II) in Acaba sub-county, and (2) baby kits to women who delivered at Ngai Health Centre (level III) in Ngai sub-county. The study outcomes included service coverage of institutional deliveries, four antenatal care visits, postnatal care, and the percentage of women 'bypassing' maternal health services inside their resident sub-counties. We calculated the effect of each intervention on study outcomes using the difference in differences analysis. We calculated the cost per institutional delivery and the cost per unit increment in institutional deliveries for each intervention. Overall, transport vouchers had greater effects on all four outcomes, whereas baby kits mainly influenced institutional deliveries. The absolute increase in institutional deliveries attributable to vouchers was 42.9%; the equivalent for baby kits was 30.0%. Additionally, transport vouchers increased the coverage of four antenatal care visits and postnatal care service coverage by 60.0% and 49.2%, respectively. 'Bypassing' was mainly related to transport vouchers and ranged from 7.2% for postnatal care to 11.9% for deliveries. The financial cost of institutional delivery was US$9.4 per transport voucher provided, and US$10.5 per baby kit. The incremental cost per unit increment in institutional deliveries in the transport-voucher system was US$15.9; the equivalent for the baby kit was US$30.6. The transport voucher scheme

78 FR 57218 - Proposed Collection; Comment Request for Form 8283-V

Science.gov (United States)

2013-09-17

... Form 8283-V, Payment Voucher for Filing Fee Under Section 170(f)(13). DATES: Written comments should be... . SUPPLEMENTARY INFORMATION: Title: Payment Voucher for Filing Fee Under Section 170(f)(13). OMB Number: 1545-2069...

Sexual and reproductive health and HIV in border districts affected by migration and poverty in Tanzania

DEFF Research Database (Denmark)

Obel, Josephine; Larsson, Markus; Sodemann, Morten

2014-01-01

Objectives To assess HIV knowledge, attitudes, sexual practices and sexual and reproductive health (SRH) service delivery in border areas of Tanzania, with a view to support the prioritisation of SRH interventions in border areas. Methods The target sample comprised randomly selected people living...... near the border, aged 15 to 49 years. To gather information, we utilised: (i) a standardised questionnaire (n = 86; 42 men and 44 women) previously used in national household surveys conducted by the Tanzanian government; (ii) focus group discussions (ten male groups, n = 47; ten female groups, n = 51......); and (iii) semi-structured interviews with service providers (n = 37). Results The mean number of sexual partners, frequency of multiple concurrent partnerships and engagement in transactional sex were significantly higher in the border community than in the national population. Knowledge about HIV...

78 FR 37840 - Endangered Species Recovery Permit Applications

Science.gov (United States)

2013-06-24

... activities to capture, seine, electrofish, PIT tag, collect vouchers, and preserve larvae) the Razorback... vouchers) the conservancy fairy shrimp (Branchinecta conservatio), longhorn fairy shrimp (Branchinecta longiantenna), Riverside fairy shrimp (Streptocephalus woottoni), San Diego fairy shrimp (Branchinecta...

Dicty_cDB: Contig-U15903-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available 2 ( EU435859 ) Dicranosepsis distincta voucher su18 cytochrome o... 34 5.2 2 ( EU435856 ) Dicranosepsis cf....34 5.2 2 ( EF216252 ) Drosophila helvetica voucher YNU00006 cytochrome ... 34 5.2

Guidelines for the processing and quality assurance of benthic invertebrate samples collected as part of the National Water-Quality Assessment Program

Science.gov (United States)

Cuffney, T.F.; Gurtz, M.E.; Meador, M.R.

1993-01-01

determine the quantity of each taxon present in the semi-quantitative samples or to list the taxa present in qualitative samples. The processing guidelines provide standardized laboratory forms, sample labels, detailed sample processing flow charts, standardized format for electronic data, quality-assurance procedures and checks, sample tracking standards, and target levels for taxonomic determinations. The contract laboratory (1) is responsible for identifications and quantifications, (2) constructs reference collections, (3) provides data in hard copy and electronic forms, (4) follows specified quality-assurance and quality-control procedures, and (5) returns all processed and unprocessed portions of the samples. The U.S. Geological Survey's Quality Management Group maintains a Biological Quality-Assurance Unit, located at the National Water-Quality Laboratory, Arvada, Colorado, to oversee the use of contract laboratories and ensure the quality of data obtained from these laboratories according to the guidelines established in this document. This unit establishes contract specifications, reviews contractor performance (timeliness, accuracy, and consistency), enters data into the National Water Information System-II data base, maintains in-house reference collections, deposits voucher specimens in outside museums, and interacts with taxonomic experts within and outside the U.S. Geological Survey. This unit also modifies the existing sample processing and quality-assurance guidelines, establishes criteria and testing procedures for qualifying potential contract laboratories, identifies qualified taxonomic experts, and establishes voucher collections.

Offers

CERN Multimedia

Staff Association

2014-01-01

To our members 5% discount on Fnac vouchers Vouchers of 50.-, 100.- et 200. - CHF Valid in the 4 shops in Switzerland without restriction on purchases. On sale in the office of Secretariat of the staff Association.

Access to Orthopaedic Surgical Care in Northern Tanzania: A Modelling Study.

Science.gov (United States)

Premkumar, Ajay; Ying, Xiaohan; Mack Hardaker, W; Massawe, Honest H; Mshahaba, David J; Mandari, Faiton; Pallangyo, Anthony; Temu, Rogers; Masenga, Gileard; Spiegel, David A; Sheth, Neil P

2018-04-25

The global burden of musculoskeletal disease and resulting disability is enormous and is expected to increase over the next few decades. In the world's poorest regions, the paucity of information defining and quantifying the current state of access to orthopaedic surgical care is a major problem in developing effective solutions. This study estimates the number of individuals in Northern Tanzania without adequate access to orthopaedic surgical services. A chance tree was created to model the probability of access to orthopaedic surgical services in the Northern Tanzanian regions of Arusha, Kilimanjaro, Tanga, Singida, and Manyara, with respect to four dimensions: timeliness, surgical capacity, safety, and affordability. Timeliness was estimated by the proportion of people living within a 4-h driving distance from a hospital with an orthopaedic surgeon, capacity by comparing number of surgeries performed to the number of surgeries indicated, safety by applying WHO Emergency and Essential Surgical Care infrastructure and equipment checklists, and affordability by approximating the proportion of the population protected from catastrophic out-of-pocket healthcare expenditure. We accounted for uncertainty in our model with one-way and probabilistic sensitivity analyses. Data sources included the Tanzanian National Bureau of Statistics and Ministry of Finance, World Bank, World Health Organization, New Zealand Ministry of Health, Google Corporation, NASA population estimator, and 2015 hospital records from Kilimanjaro Christian Medical Center, Machame Hospital, Nkoroanga Hospital, Mt. Meru Hospital, and Arusha Lutheran Medical Center. Under the most conservative assumptions, more than 90% of the Northern Tanzanian population does not have access to orthopaedic surgical services. There is a near absence of access to orthopaedic surgical care in Northern Tanzania. These findings utilize more precise country and region-specific data and are consistent with prior published

Dicty_cDB: Contig-U02967-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available thaliana DNA chromosome 5, BAC clone ... 44 1.2 2 ( EU494535 ) Scaptodrosophila pattersoni voucher 105497 16.... 38 1.3 2 ( EU494534 ) Scaptodrosophila lebanonensis voucher 105639 16S ... 38 1.3 2 ( EU494492 ) Drosophil

Dicty_cDB: Contig-U15242-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available 536157_1( EF536157 |pid:none) Paroedura sanctijohannis voucher Z... 37 3.3 DQ4925...mbination ac... 35 7.3 EF536156_1( EF536156 |pid:none) Paroedura sanctijohannis voucher Z... 35 7.3 BC089260

Cultural background, gender, and institutional status have an effect on the evaluation of multi-disciplinary participatory action research.

Science.gov (United States)

Graef, Frieder; Sieber, Stefan

2018-01-01

Research and development increasingly apply participatory approaches that involve both stakeholders and scientists. This article presents an evaluation of German and Tanzanian researchers' perceptions during their activities as part of a large interdisciplinary research project in Tanzania. The project focused on prioritizing and implementing food-securing upgrading strategies across the components of rural food value chains. The participants involved during the course of the project were asked to provide feedback on 10 different research steps and to evaluate eight core features related to the functioning and potential shortcomings of the project. The study discriminated among evaluation differences linked to culture, gender, and institutional status. Perceptions differed between Tanzanian and German participants depending on the type and complexity of the participatory research steps undertaken and the intensity of stakeholder participation. There were differences in perception linked to gender and hierarchical status; however, those differences were not as concise and significant as those linked to nationality. These findings indicate that participatory action research of this nature requires more targeted strategies and planning tailored to the type of activity. Such planning would result in more efficient and satisfactory communication, close collaboration, and mutual feedback to avoid conflicts and other problems. We further conclude that it would be advisable to carefully incorporate training on these aspects into future project designs.

77 FR 49004 - Notice of Proposed Information Collection for Public Comment; Rental Assistance Demonstration...

Science.gov (United States)

2012-08-15

... rental assistance contracts; and Rent Supplement (Rent Supp), Rental Assistance Payment (RAP) and Mod Rehab properties upon contract expiration or termination, to convert Tenant Protection Vouchers (TPVs) to Project Based Vouchers (PBVs). Participation in the initiative will be voluntary; the attached...

Analysis of Information Requirements and Design of the Consolidated AFIT Database and Information System (CADIS) with an AFIT/CI Implementation Design.

Science.gov (United States)

1982-12-01

STUDENT INVOICES STUDENT UEADER (DI) VOUCHER NUMBER VOUCHER AMOUNT PMT CODE INCLUSI \\ DATES DATE-POSTED AMOUNT REQUESTED TE-. TYPE RE, AKS LINE FUN tI i...CODE INCLUSI ’ . DATES DATE POSTED AOUN_ REQUESTED TERM TYPE RE ,1KS LINE FUN

77 FR 14410 - Notice of Proposed Information Collection for Public Comment: Rental Assistance Demonstration...

Science.gov (United States)

2012-03-09

... rental assistance contracts; and Rent Supplement, Rental Assistance Payment and Mod Rehab properties upon contract expiration or termination, to convert tenant protection vouchers (TPVs) to project- based vouchers... Assistance Payment (RAP), and Mod Rehab properties, upon contract expiration or termination, to convert...

Dicty_cDB: Contig-U05238-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available ase subunit I (... 34 0.91 3 ( EF104618 ) Agrodiaetus dagmara voucher VL04A001 cytochrome o... 34 0.91 3 ( A...askhabadicus voucher VL03F5... 34 0.91 3 ( AY954006 ) Agrodiaetus rjabovi ssp. NP

Impact of accessible sexual and reproductive health care on poor and underserved adolescents in Managua, Nicaragua: a quasi-experimental intervention study.

NARCIS (Netherlands)

Meuwissen, L.E.; Gorter, A.C.; Knottnerus, A.J.A.

2006-01-01

BACKGROUND: The objective of this study was to evaluate a competitive voucher program intended to make sexual and reproductive health care (SRHC) accessible to adolescents from disadvantaged areas of Managua. METHODS: A quasi-experimental intervention study was performed in which 28,711 vouchers

75 FR 59284 - Notice of Submission of Proposed Information Collection to OMB Grant Drawdown Payment Request...

Science.gov (United States)

2010-09-27

... subject proposal. Public and Indian Housing Grant recipients use the payment vouchers to request funds... Information and Its Proposed Use: Public and Indian Housing Grant recipients use the payment vouchers to... Proposed Information Collection to OMB Grant Drawdown Payment Request/LOCCS/VRS Activated System AGENCY...

La mise en valeur de l'huile de tournesol enrichie localement au ...

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

Promoting Locally Fortified Sunflower Oil Using E-Vouchers (CIFSRF Phase 2). Tanzania, along with most African countries, has been struggling to address persistent nutritional challenges, including vitamin A and iron deficiencies. View morePromoting Locally Fortified Sunflower Oil Using E-Vouchers (CIFSRF Phase 2).

75 FR 3275 - Agency Information Collection; Activity Under OMB Review; Part 249, Preservation of Records

Science.gov (United States)

2010-01-20

... below has been forwarded to the Office of Management and Budget (OMB) for extension of currently... operators. Estimated Time per Response: 3 hours per certificated air carrier. 1 hour per charter operator...: general and subsidiary ledgers, journals and journal vouchers, voucher distribution registers, accounts...

Analisis dan Perancangan Aplikasi Administrasi User Pada Server Radius Berbasis Web (Studi Kasus Binus@Ccess

Directory of Open Access Journals (Sweden)

Rony Baskoro Lukito

2010-12-01

Full Text Available Bina Nusantara University as one of the information technology-based educational institutions in Indonesia have used the Internet in learning activities. To meet the needs of Internet access, Binus provides students with BiNus@ccess Premium service. BiNus@ccess Premium already have an application to help admin to user management with the help of a centralized accounting system (which is provided by the RADIUS server. However, applications that use is still limited in some ways so that there are still many manual processes. Therefore we need an application that serves to replace the existing application but still supports the existing system. The methodology used to admin consists of interviews, questionnaires to users, observation to analyze the problem, designing application solutions, and evaluation by distributing questionnaires to the admin. With the RSIM applications, manual administrative processes can be eliminated because the user can perform the registration process and the addition of its own loans through the application by themselves. RSIM Applications can also provide solutions for prepaid voucher sales system because it provides the ability to generate a voucher, print vouchers, and see the voucher reports, list payment, and the sale report. Suggestions for further development is to create applications for the sale of voucher system with e-commerce or SMSgateway.. 

Seroprevalence of human immunodeficiency virus, hepatitis B and C viruses and syphilis infections among blood donors at the Muhimbili National Hospital in Dar Es Salaam, Tanzania

Directory of Open Access Journals (Sweden)

Lyamuya Eligius F

2006-01-01

Full Text Available Abstract Background According to the latest Tanzanian National AIDS Control Programme (NACP report a total of 147,271 individuals donated blood during the year 2002. However, blood safety remains an issue of major concern in transfusion medicine in Tanzania where national blood transfusion services and policies, appropriate infrastructure, trained personnel and financial resources are inadequate. Most of the donated blood is screened for HIV alone. Methods We determined among blood donors at Muhimbili National Hospital (MNH, the seroprevalence of human immunodeficiency virus (HIV, hepatitis C virus (HCV, hepatitis B surface antigen (HBsAg and syphilis by donor type, sex and age and to determine association, if any, in the occurrence of the pathogens. The sample included 1599 consecutive donors, 1424(89.1% males and 175 (10.9% females, who donated blood between April 2004 and May, 2005. Most of them 1125 (70.4% were replacement donors and a few 474 (29.6% voluntary donors. Their age (in years ranged from 16 to 69, and most (72.2% were between 20–39 years. Results Two hundred and fifty four (15.9% of the donated blood had serological evidence of infection with at least one pathogen and 28 (1.8% had multiple infections. The current seroprevalence of HIV, HBsAg, HCV and syphilis among blood donors at MNH in Dar es Salaam was found to be 3.8%, 8.8%, 1.5% and 4.7%, respectively. Respective seroprevalences among HIV seronegative blood donors were 8.7% for HBV, 1.6% for HCV and 4.6% for syphilis. The differences in the prevalence of HIV and syphilis infections between replacement and voluntary donors were statistically significant (P 2 = 58.5 df = 5, P Conclusion The high (15.9% seroprevalence of blood-borne infections in blood donated at MNH calls for routine screening of blood donors for HBV, HCV, HIV and syphilis and for strict selection criteria of donors, with emphasis on getting young voluntary donors and for establishment of strict guidelines

24 CFR 982.516 - Family income and composition: Regular and interim examinations.

Science.gov (United States)

2010-04-01

... VOUCHER PROGRAM Rent and Housing Assistance Payment § 982.516 Family income and composition: Regular and... assistance payment. (For a voucher tenancy, the housing assistance payment shall be calculated in accordance... the housing assistance payment resulting from an interim redetermination. (2) At the effective date of...

77 FR 64822 - Notice of Submission of Proposed Information Collection to OMB; Rental Assistance Demonstration...

Science.gov (United States)

2012-10-23

... contracts; and Rent Supplement (Rent Supp), Rental Assistance Payment (RAP), and Mod Rehab properties, upon contract expiration or termination, to convert tenant protection vouchers (TPVs) to project-based vouchers... rights and duties of the applicant and HUD, with respect to the converted project and any payments under...

75 FR 62815 - Notice of Public Information Collection(s) Being Reviewed by the Federal Communications...

Science.gov (United States)

2010-10-13

... (or a remittance voucher form in lieu of an advice form) must accompany any payment to the Federal... Collection; Form 159-E, Remittance Voucher; and Form 159-W, Interstate Telephone Service Provider Worksheet. Type of Review: Extension of a currently approved collection. Respondents: Individuals or households...

77 FR 44713 - Submission for OMB Review; Comment Request

Science.gov (United States)

2012-07-30

...) OMB Number: 1510-0037. Type of Review: Extension without change of a currently approved collection. Title: Voucher for Payment of Awards. Form: TFS 5135. Abstract: Awards certified to Treasury are paid... payments due. Award-holders sign vouchers certifying that he/she is entitled to payment. Affected Public...

76 FR 47229 - Redelegation of Authority to Regional Public Housing Directors

Science.gov (United States)

2011-08-04

... Policy, Program and Legislative Initiatives, Office of Public and Indian Housing, Department of Housing... Management Division of the Housing Choice Vouchers program for vouchers-only PHAs; 9. Coordination of audit responses through PIH's Audit Liaison Officer on reports by the U.S. General Accounting Office and through...

Uncovering and responding to needs for sexual and reproductive health care among poor urban female adolescents in Nicaragua.

NARCIS (Netherlands)

Meuwissen, L.E.; Gorter, A.C.; Segura, Z.; Kester, A.D.M.; Knottnerus, J.A.

2006-01-01

BACKGROUND: To meet the needs of female adolescents from low-income urban areas for sexual and reproductive health (SRH) care, vouchers providing free-of-charge access to SRH care at 19 primary care clinics were distributed in Managua, Nicaragua. These vouchers substantially increased the use of

48 CFR 49.112-2 - Final payment.

Science.gov (United States)

2010-10-01

... voucher or invoice and forward the documents to the disbursing officer for payment. (b) Settlement by...) Construction contracts. In the case of construction contracts, before forwarding the final payment voucher, the... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Final payment. 49.112-2...

78 FR 63488 - 60-Day Notice of Proposed Information Collection: Grant Drawdown Payment Request/LOCCS/VRS Voice...

Science.gov (United States)

2013-10-24

.... Public and Indian Housing Grant recipients use the payment vouchers to request funds from HUD through the... system. The information collected on the payment voucher will also be used as an internal control measure... Information Collection: Grant Drawdown Payment Request/LOCCS/VRS Voice Activated AGENCY: Office of the...

48 CFR 532.905 - Payment documentation and process.

Science.gov (United States)

2010-10-01

... payments. The contracting officer or designee must review the processing of invoices or vouchers before... approval of any payment on (or attached to) the invoice or voucher submitted by the contractor and forward... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Payment documentation and...

76 FR 57014 - Award Fee for Service and End-Item Contracts

Science.gov (United States)

2011-09-15

... next payment voucher for the amount of such overpayment or refund the difference to the Government, as... evaluation score, the Contractor will either credit the next payment voucher for the amount of such... the Award Fee for Service Contracts clause to allow the contracting officer to withhold fee payments...

48 CFR 6105.502 - Request for decision [Rule 502].

Science.gov (United States)

2010-10-01

... a question involving a payment the disbursing official or head of agency will make, or a voucher presented to a certifying official for certification, which concerns the following type of claim made...) of the employee affected by the specific payment or voucher; and (C) Any other information which the...

75 FR 40028 - Proposed Collection; Comment Request for Form 8283-V

Science.gov (United States)

2010-07-13

... Form 8283-V, Payment Voucher for Filing Fee Under Section 170(f)(13). DATES: Written comments should [email protected] . SUPPLEMENTARY INFORMATION: Title: Payment Voucher for Filing Fee Under... deduction is not allowed. Current Actions: There are no changes being made to Form 8283-V. Type of Review...

31 CFR 285.5 - Centralized offset of Federal payments to collect nontax debts owed to the United States.

Science.gov (United States)

2010-07-01

... offset of certain types of Federal payments, including tax refunds (31 CFR 285.2), Federal benefit... certified payment vouchers or other similar forms, to a disbursing official for disbursement. Payment record means information contained on a payment request, in the form of a certified payment voucher or other...

76 FR 7562 - Notice of Public Information Collection(s) Being Submitted for Review to the Office of Management...

Science.gov (United States)

2011-02-10

... electronically file a payment. A remittance advice form (or a remittance voucher form in lieu of an advice form... Advice Bill for Collection; Form 159-E, Remittance Voucher; and Form 159-W, Interstate Telephone Service Provider Worksheet. Type of Review: Extension of a currently approved collection. Respondents: Individuals...

7 CFR 246.23 - Claims and penalties.

Science.gov (United States)

2010-01-01

... through a review of the State agency's reports, program or financial analysis, monitoring, audit, or... cash-value vouchers and taken appropriate follow-up action on all redeemed food instruments and cash... inability to account for the disposition of each redeemed food instrument or cash-value voucher; and (iii...

24 CFR 982.54 - Administrative plan.

Science.gov (United States)

2010-04-01

... PHA waiting list; (2) Issuing or denying vouchers, including PHA policy governing the voucher term and... length of any extension or suspension; (3) Any special rules for use of available funds when HUD provides... conducting required HQS inspections; and (23) PHA screening of applicants for family behavior or suitability...

Dicty_cDB: Contig-U05006-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available AE017355_2391( AE017355 |pid:none) Bacillus thuringiensis serovar ... 33 3.8 DQ194420_1( DQ194420 |pid:none) Maori...ne) Kikihia sp. 'aotea east' cytochrom... 33 6.6 AF313507_1( AF313507 |pid:none) Maoricicada cassiope cytoch...toc... 33 6.6 DQ194397_1( DQ194397 |pid:none) Maoricicada nigra nigra voucher M.... 33 6.6 AF205156_1( AF205...otermes brevis voucher BYU IG... 33 6.6 DQ194417_1( DQ194417 |pid:none) Maoricicada oromelaena voucher M.o..... 6.6 DQ194392_1( DQ194392 |pid:none) Maoricicada otagoensis maceweni vo... 33 6.6 AF205144_1( AF205144 |pid:

24 CFR 982.627 - Homeownership option: Eligibility requirements for families.

Science.gov (United States)

2010-04-01

... individual living alone (or paying his or her share of food and housing costs) multiplied by twelve; or (ii..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SECTION 8 TENANT BASED ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM... the Section 8 Housing Choice Voucher program, in accordance with subpart E of this part. (2) The...

26 CFR 1.1446-6 - Special rules to reduce a partnership's 1446 tax with respect to a foreign partner's allocable...

Science.gov (United States)

2010-04-01

... submit with a Form 8813, “Partnership Withholding Tax Payment Voucher (Section 1446),” and Form 8805... Payment Voucher (Section 1446),” filed for the first installment period. Under paragraph (c)(2)(ii)(B) of...(b)(2)(i) for computation requirements for installment payments of 1446 tax when a partnership...

24 CFR 982.452 - Owner responsibilities.

Science.gov (United States)

2010-04-01

... DEVELOPMENT SECTION 8 TENANT BASED ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Housing Assistance Payments... voucher-holder to lease the unit, and deciding if the family is suitable for tenancy of the unit. The fact... not covered by the housing assistance payment). (iii) Any charges for unit damage by the family. (6...

76 FR 31356 - Notice of Proposed Information Collection: Comment Request; Congregate Housing Services Program

Science.gov (United States)

2011-05-31

... requirements through the evaluation of this budget. HUD will use the Payment Voucher to monitor use of grant funds for eligible activities over the term of the grant. The Grantee may similarly use the Payment Voucher to track and record their requests for payment reimbursement for grant-funded activities. Agency...

48 CFR 4.902 - General.

Science.gov (United States)

2010-10-01

....C. 3325(d) requires the Government to include, with each certified voucher prepared by the Government payment office and submitted to a disbursing official, the TIN of the contractor receiving payment under the voucher. The TIN may be used by the Government to collect and report on any delinquent amounts...

Competition to design a new logo for the CERN Staff Association : an award ceremony was held on Friday 1st March in the Main building in the presence of the six laureates.

CERN Multimedia

Jacques Hervé Fichet

2013-01-01

The six laureates received a price offered as follows: 1st prize: an Ezee Suisse electric bike. - 2nd prize (equal second) : a voucher for Go Sport with a value of 200 €. - 4th to 6th prize: a voucher for Go Sport with a value of 50 €

Public Schools: Make Them Private.

Science.gov (United States)

Friedman, Milton

1997-01-01

A voucher system enabling parents to choose freely the schools their children attend is the most feasible way to improve education. Vouchers will encourage privatization. That will unleash the drive, imagination, and energy of competitive free enterprise to revolutionize the education process. Government schools will be forced to improve to retain…

Three-Year Durability of Immune Responses Induced by HIV-DNA and HIV-Modified Vaccinia Virus Ankara and Effect of a Late HIV-Modified Vaccinia Virus Ankara Boost in Tanzanian Volunteers.

Science.gov (United States)

Joachim, Agricola; Munseri, Patricia J; Nilsson, Charlotta; Bakari, Muhammad; Aboud, Said; Lyamuya, Eligius F; Tecleab, Teghesti; Liakina, Valentina; Scarlatti, Gabriella; Robb, Merlin L; Earl, Patricia L; Moss, Bernard; Wahren, Britta; Mhalu, Fred; Ferrari, Guido; Sandstrom, Eric; Biberfeld, Gunnel

2017-08-01

We explored the duration of immune responses and the effect of a late third HIV-modified vaccinia virus Ankara (MVA) boost in HIV-DNA primed and HIV-MVA boosted Tanzanian volunteers. Twenty volunteers who had previously received three HIV-DNA and two HIV-MVA immunizations were given a third HIV-MVA immunization 3 years after the second HIV-MVA boost. At the time of the third HIV-MVA, 90% of the vaccinees had antibodies to HIV-1 subtype C gp140 (median titer 200) and 85% to subtype B gp160 (median titer 100). The majority of vaccinees had detectable antibody-dependent cellular cytotoxicity (ADCC)-mediating antibodies, 70% against CRF01_AE virus-infected cells (median titer 239) and 84% against CRF01_AE gp120-coated cells (median titer 499). A high proportion (74%) of vaccinees had IFN-γ ELISpot responses, 63% to Gag and 42% to Env, 3 years after the second HIV-MVA boost. After the third HIV-MVA, there was an increase in Env-binding antibodies and ADCC-mediating antibodies relative to the response seen at the time of the third HIV-MVA vaccination, p < .0001 and p < .05, respectively. The frequency of IFN-γ ELISpot responses increased to 95% against Gag or Env and 90% to both Gag and Env, p = .064 and p = .002, respectively. In conclusion, the HIV-DNA prime/HIV-MVA boost regimen elicited potent antibody and cellular immune responses with remarkable durability, and a third HIV-MVA immunization significantly boosted both antibody and cellular immune responses relative to the levels detected at the time of the third HIV-MVA, but not to higher levels than after the second HIV-MVA.

AFSC/ABL: Young of the year sablefish (Anoplopoma fimbria) voucher otoliths 1995-2004.

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — We studied young of the year sablefish Anoplopoma fimbria to collect basic life history information on their abundance, growth, and diet and to determine whether...

29 CFR 15.10 - Action on approved claim.

Science.gov (United States)

2010-07-01

.... (a) Payment. Payment of a claim approved under this subpart is contingent upon claimant's execution of a “Voucher for Payment Under Federal Tort Claims Act,” Standard Form 1145. When a claimant is represented by an attorney, the voucher for payment shall designate both the claimant and his or her attorney...

45 CFR 35.7 - Payment of approved claims.

Science.gov (United States)

2010-10-01

... duly authorized agent shall sign the voucher for payment, Standard Form 1145, before payment is made. (b) When the claimant is represented by an attorney, the voucher for payment (SF 1145) shall... 45 Public Welfare 1 2010-10-01 2010-10-01 false Payment of approved claims. 35.7 Section 35.7...

77 FR 18106 - Award Fee for Service and End-Item Contracts

Science.gov (United States)

2012-03-27

... payments exceed the final evaluation score, the Contractor will either credit the next payment voucher for... either credit the next payment voucher for the amount of such overpayment or refund the difference to the... fee payments, at a not-to-exceed amount of $100,000 for the contract, in reserve to protect the...

40 CFR 10.7 - Payment of approved claim.

Science.gov (United States)

2010-07-01

..., claimant or his duly authorized agent shall sign the voucher for payment, Standard Form 1145, before payment is made. (b) When the claimant is represented by an attorney, the voucher for payment (SF 1145... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Payment of approved claim. 10.7 Section...

The Efficacy of Choice Threats within School Accountability Systems: Results from Legislatively Induced Experiments. PEPG 05-01

Science.gov (United States)

West, Martin R.; Peterson, Paul E.

2005-01-01

Stigma and school voucher threats under a revised 2002 Florida accountability law have positive impacts on student performance. Stigma and public school choice threats under the U.S. federal accountability law, No Child Left Behind, do not have similar effects in Florida. Significant impacts of stigma, when combined with the voucher threat, are…

Special Ed. and Choice Ties Grow

Science.gov (United States)

Shah, Nirvi

2012-01-01

Creating private school vouchers for special education students--programs that are largely unchallenged in court, unlike other publicly financed tuition vouchers--can be the perfect way to clear a path for other students to get school options, according to school choice proponents. At least seven states--Arizona, Florida, Georgia, Louisiana, Ohio,…

Canadian International Food Security Research Fund (CIFSRF)

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

The research team will test innovative mechanisms such as elec- tronic vouchers to target vulnerable groups on a large scale. E-voucher discounts delivered by mobile phone to 65,000 lactat- ing mothers will provide a temporary price incentive to help build a market for the product. The scheme will also enable researchers.

Increasing access to institutional deliveries using demand and supply side incentives: early results from a quasi-experimental study

Directory of Open Access Journals (Sweden)

Serwadda David

2011-03-01

Full Text Available Abstract Background Geographical inaccessibility, lack of transport, and financial burdens are some of the demand side constraints to maternal health services in Uganda, while supply side problems include poor quality services related to unmotivated health workers and inadequate supplies. Most public health interventions in Uganda have addressed only selected supply side issues, and universities have focused their efforts on providing maternal services at tertiary hospitals. To demonstrate how reforms at Makerere University College of Health Sciences (MakCHS can lead to making systemic changes that can improve maternal health services, a demand and supply side strategy was developed by working with local communities and national stakeholders. Methods This quasi-experimental trial is conducted in two districts in Eastern Uganda. The supply side component includes health worker refresher training and additions of minimal drugs and supplies, whereas the demand side component involves vouchers given to pregnant women for motorcycle transport and the payment to service providers for antenatal, delivery, and postnatal care. The trial is ongoing, but early analysis from routine health information systems on the number of services used is presented. Results Motorcyclists in the community organized themselves to accept vouchers in exchange for transport for antenatal care, deliveries and postnatal care, and have become actively involved in ensuring that women obtain care. Increases in antenatal, delivery, and postnatal care were demonstrated, with the number of safe deliveries in the intervention area immediately jumping from Conclusions Transport and service vouchers appear to be a viable strategy for rapidly increasing maternal care. MakCHS can design strategies together with stakeholders using a learning-by-doing approach to take advantage of community resources.

34 CFR 35.7 - Payment of approved claims.

Science.gov (United States)

2010-07-01

... sign the voucher for payment, Standard Form 1145, before payment is made. (b) When the claimant is represented by an attorney, the voucher for payment (SF 1145) shall designate both the claimant and his... 34 Education 1 2010-07-01 2010-07-01 false Payment of approved claims. 35.7 Section 35.7 Education...

12 CFR 793.7 - Payment of approved claims.

Science.gov (United States)

2010-01-01

... voucher for payment, Standard Form 1145, before payment is made. (b) When the claimant is represented by an attorney, the voucher for payment (S.F. 1145) shall designate both the claimant and his attorney... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Payment of approved claims. 793.7 Section 793.7...

Partnerships

CERN Multimedia

Staff Association

2014-01-01

Go Sport Free prize draw    Win Go Sport vouchers by participating in a prize draw of the Staff Association! Thanks to our partnership, 30 vouchers of 50 euros each have been offered to us. To reward you for your loyalty, the Staff Association, organizes a free prize draw for its members. The 30 people who will specify a number that comes closest to the total number of participants to this draw will win a voucher. Deadline for participation: Monday 14th July 2014 – 2 p.m. To participate: https://ap-vote.web.cern.ch/content/concours-de-lassociation-du-personnel-2014-competition-staff-association Upon presentation of the Staff Association membership card Go Sport Val Thoiry offers a 15 % discount on all purchases in the shop (excluding promotions, sale items and bargain corner, and excluding purchases using Go Sport and Kadéos gift cards. Only one discount can be applied to each purchase). The manager of Go Sport Val Thoiry hands the discount vouchers to the presid...

Importance of ethnicity, CYP2B6 and ABCB1 genotype for efavirenz pharmacokinetics and treatment outcomes: a parallel-group prospective cohort study in two sub-Saharan Africa populations.

Directory of Open Access Journals (Sweden)

Eliford Ngaimisi

Full Text Available We evaluated the importance of ethnicity and pharmacogenetic variations in determining efavirenz pharmacokinetics, auto-induction and immunological outcomes in two African populations.ART naïve HIV patients from Ethiopia (n = 285 and Tanzania (n = 209 were prospectively enrolled in parallel to start efavirenz based HAART. CD4+ cell counts were determined at baseline, 12, 24 and 48 weeks. Plasma and intracellular efavirenz and 8-hydroxyefvairenz concentrations were determined at week 4 and 16. Genotyping for common functional CYP2B6, CYP3A5, ABCB1, UGT2B7 and SLCO1B1 variant alleles were done.Patient country, CYP2B6*6 and ABCB1 c.4036A>G (rs3842A>G genotype were significant predictors of plasma and intracellular efavirenz concentration. CYP2B6*6 and ABCB1 c.4036A>G (rs3842 genotype were significantly associated with higher plasma efavirenz concentration and their allele frequencies were significantly higher in Tanzanians than Ethiopians. Tanzanians displayed significantly higher efavirenz plasma concentration at week 4 (pG genotype. Within country analyses indicated a significant decrease in the mean plasma efavirenz concentration by week 16 compared to week 4 in Tanzanians (p = 0.006, whereas no significant differences in plasma concentration over time was observed in Ethiopians (p = 0.84. Intracellular efavirenz concentration and patient country were significant predictors of CD4 gain during HAART.We report substantial differences in efavirenz pharmacokinetics, extent of auto-induction and immunologic recovery between Ethiopian and Tanzanian HIV patients, partly but not solely, due to pharmacogenetic variations. The observed inter-ethnic variations in efavirenz plasma exposure may possibly result in varying clinical treatment outcome or adverse event profiles between populations.

Tanzania.

Science.gov (United States)

1992-05-01

Background notes on Tanzania present a profile of nationality, population count of 26 million, growth rate of 3.5%, ethnic groups (130), religions (33% Muslim, 33% animist, 33% Christian), languages, education (86% primary), literacy (79%), health (infant mortality of 106/1000), and work force (90% agriculture). Geographic data are given for the area, cities, terrain, and climate. The Tanzanian government is a republic with executive, legislative, and judicial branches of government. There is 1 political party and everyone 18 years is eligible to vote. 4% of the gross domestic product (GDP) ($5.9 billion) is devoted to defense. Economic growth is 4.3%/year and person income is $240/capita. Natural resources, agriculture, industry, and trade are identified. $400 million has been received between 1970-92 in US economic aid. The 1992 official exchange rate is 300 Tanzanian shillings to the US dollar. Descriptive text is given for the population, the history of Tanganyika and Zanzibar, the government, principal government officials (President, 1st Vice President [VP], 2nd VP and President of Zanzibar, Prime Minister, Foreign Affairs Minister, Ambassador to the US, Ambassador to the UN, and US embassy address and phone number), political conditions, the economy, the defense, foreign relations, and US-Tanzanian relations. Principal US officials are identified for the Ambassador, Deputy Chief of Mission, USAID Director, and Public Affairs Officer; the US embassy address is given also. The population is 80% rural with a density of 1/sq km in arid areas, 51/sq km on the mainland, and 134/sq km on Zanzibar. The new capital will be Dodoma in central Tanzania. Most residents are of Bantu stock; nomadic groups are the Masai and the Luo. 1% are non-Africans. Government has a strong central executive. The current President is Ali Hassan Mwinyi. The Revolutionary Party is in the primary policymaking body and provides all government leaders. The government seeks to foster the

Dicty_cDB: Contig-U14530-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available |pid:none) Cyanolyca turcosa voucher ANSP 512... 35 4.5 FJ173444_1( FJ173444 |pid:none) Phylloscopus trivir...gatus isolate P... 34 5.8 FJ173443_1( FJ173443 |pid:none) Phylloscopus trivirgatu...1( FJ598176 |pid:none) Cyanolyca pulchra voucher QCAZ 300... 34 7.6 FJ173456_1( FJ173456 |pid:none) Phylloscopus

Funding Public Higher Education in Colorado: How Has the College Opportunity Funding Model Impacted Educational Funding and Performance?

Science.gov (United States)

Middlemist, George Edward

2017-01-01

During the 2004 legislative session, the Colorado General Assembly enacted Senate Bill 189 (SB189), which established the first system of college vouchers in the United States. The supporters of SB189 hoped that the voucher system, called the College Opportunity Fund (COF), would: 1) stabilize the flow of state funding to higher education; 2)…

Plant identification credibility in ethnobotany: a closer look at Polish ethnographic studies

Directory of Open Access Journals (Sweden)

Łuczaj Łukasz J

2010-12-01

Full Text Available Abstract Background This paper is an attempt to estimate the percentage of erroneously identified taxa in ethnographic studies concerning the use of plants and to propose a code for recording credibility of identification in historical ethnobotany publications. Methods A sample of Polish-language ethnobotanical literature (45 published sources from 1874-2005 and four collections of voucher specimens (from 1894-1975 were analyzed. Errors were detected in the publications by comparing the data with existing knowledge on the distribution of plant names and species ranges. The voucher specimens were re-examined. A one-letter code was invented for quick identification of the credibility of data published in lists of species compiled from historical or ethnographic sources, according to the source of identification: voucher specimen, Latin binominal, botanical expert, obvious widespread name, folk name, mode of use, range, physical description or photograph. To test the use of the code an up-to-date list of wild food plants used in Poland was made. Results A significant difference between the ratio of mistakes in the voucher specimen collections and the ratio of detectable mistakes in the studies without herbarium documentation was found. At least 2.3% of taxa in the publications were identified erroneously (mean rate was 6.2% per publication, and in half of these mistakes even the genus was not correct. As many as 10.0% of voucher specimens (on average 9.2% per collection were originally erroneously identified, but three quarters of the identification mistakes remained within-genus. The species of the genera Thymus, Rumex and Rubus were most often confused within the genus. Not all of the invented credibility codes were used in the list of wild food plants, but they may be useful for other researchers. The most often used codes were the ones signifying identification by: voucher specimen, botanical expert and by a common name used throughout the

Plant identification credibility in ethnobotany: a closer look at Polish ethnographic studies.

Science.gov (United States)

Łuczaj, Łukasz J

2010-12-17

This paper is an attempt to estimate the percentage of erroneously identified taxa in ethnographic studies concerning the use of plants and to propose a code for recording credibility of identification in historical ethnobotany publications. A sample of Polish-language ethnobotanical literature (45 published sources from 1874-2005) and four collections of voucher specimens (from 1894-1975) were analyzed. Errors were detected in the publications by comparing the data with existing knowledge on the distribution of plant names and species ranges. The voucher specimens were re-examined.A one-letter code was invented for quick identification of the credibility of data published in lists of species compiled from historical or ethnographic sources, according to the source of identification: voucher specimen, Latin binominal, botanical expert, obvious widespread name, folk name, mode of use, range, physical description or photograph. To test the use of the code an up-to-date list of wild food plants used in Poland was made. A significant difference between the ratio of mistakes in the voucher specimen collections and the ratio of detectable mistakes in the studies without herbarium documentation was found. At least 2.3% of taxa in the publications were identified erroneously (mean rate was 6.2% per publication), and in half of these mistakes even the genus was not correct. As many as 10.0% of voucher specimens (on average 9.2% per collection) were originally erroneously identified, but three quarters of the identification mistakes remained within-genus.The species of the genera Thymus, Rumex and Rubus were most often confused within the genus.Not all of the invented credibility codes were used in the list of wild food plants, but they may be useful for other researchers. The most often used codes were the ones signifying identification by: voucher specimen, botanical expert and by a common name used throughout the country. The results of this study support the rigorous use

An exceptional case of historical outbreeding in African sable antelope populations

DEFF Research Database (Denmark)

Pitra, C.; Hansen, Anders J.; Lieckfeldt, D.

2002-01-01

) sequences analysed from 95 individuals representing 17 sampling locations scattered through the African miombo (Brachystegia) woodland ecosystem] and phylogeographical statistical procedures (gene genealogy, nested cladistic and admixture proportion analyses), we (i) give a detailed dissection...... of the geographical genetic structure of Hippotragus niger; (ii) infer the processes and events potentially involved in the population history; and (iii) trace extensive introgressive hybridization in the species. The present-day sable antelope population shows a tripartite pattern of genetic subdivision representing...... West Tanzanian, Kenya/East Tanzanian and Southern Africa locations. Nested clade analysis revealed that past allopatric fragmentation, caused probably by habitat discontinuities associated with the East African Rift Valley system, together with intermediary episodic long-distance colonization...

Conservation biology: lion attacks on humans in Tanzania.

Science.gov (United States)

Packer, Craig; Ikanda, Dennis; Kissui, Bernard; Kushnir, Hadas

2005-08-18

Large carnivores inspire opposition to conservation efforts owing to their impact on livestock and human safety. Here we analyse the pattern of lion attacks over the past 15 years on humans in Tanzania, which has the largest population of lions in Africa, and find that they have killed more than 563 Tanzanians since 1990 and injured at least 308. Attacks have increased dramatically during this time: they peak at harvest time each year and are most frequent in areas with few prey apart from bush pigs (Potamochoerus larvatus), the most common nocturnal crop pest. Our findings provide an important starting point for devising strategies to reduce the risk to rural Tanzanians of lion attacks.

2015 Annual Report - Geothermal Technologies Office

Energy Technology Data Exchange (ETDEWEB)

None

2016-04-01

Over the past year, the U.S. Department of Energy’s (DOE’s) Geothermal Technologies Office (GTO) supported a number of exciting initiatives and research and development (R&D)activities! The GTO budget was increased in Fiscal Years (FY) 2015-2016, providing the opportunity to invest in new technologies and initiatives, such as the DOE-wide Subsurface Crosscut Initiative, and the Small Business Vouchers (SBV)Program, which is focused on growing our small business and national laboratory partnerships. These efforts will continue to advance geothermal as an economically competitive renewable energy.

Getting a healthy start: The effectiveness of targeted benefits for improving dietary choices.

Science.gov (United States)

Griffith, Rachel; von Hinke, Stephanie; Smith, Sarah

2018-03-01

There is growing policy interest in encouraging better dietary choices. We study a nationally-implemented policy - the UK Healthy Start scheme - that introduced vouchers for fruit, vegetables and milk. We show that the policy has increased spending on fruit and vegetables and has been more effective than an equivalent-value cash benefit. We also show that the policy improved the nutrient composition of households' shopping baskets, with no offsetting changes in spending on other foodstuffs. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

All projects related to Kenya | Page 6 | IDRC - International ...

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

Integrated Human and Animal Disease Control for Tanzanian Pastoralists ... can affect developing countries' ability to implement regulatory goals and reforms will ... TO CHANGE, WATER RESOURCES, WATER MANAGEMENT, DISASTER ...

Dicty_cDB: VFG368 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available FJ468790 |pid:none) Napeogenes stella ssp. ME-2009 vou... 34 3.7 FJ468736_2( FJ468736 |pid:none) Napeogenes duessa incas... voucher 05... 34 3.7 EU069085_2( EU069085 |pid:none) Napeogenes duessa incas...FJ468735_2( FJ468735 |pid:none) Napeogenes duessa incas voucher 05... 34 3.7 AY521251_8( AY521251 |pid:none)

Defense Departmental Reporting System-Budgetary Was Not Effectively Implemented for the Army General Fund

Science.gov (United States)

2012-05-31

or events. Unsupported journal vouchers increase the risk of materially misstated balances reported on the AGF financial statements. DFAS...with U.S. generally accepted accounting principles and that the Army automated systems did not support material amounts on the financial statements...files, abnormal balance detection , journal vouchers, and reconciliations between Army and OMB SF 133s and the Statements of Budgetary Resources

HOME COMPUTER USE AND THE DEVELOPMENT OF HUMAN CAPITAL*

Science.gov (United States)

Malamud, Ofer; Pop-Eleches, Cristian

2012-01-01

This paper uses a regression discontinuity design to estimate the effect of home computers on child and adolescent outcomes by exploiting a voucher program in Romania. Our main results indicate that home computers have both positive and negative effects on the development of human capital. Children who won a voucher to purchase a computer had significantly lower school grades but show improved computer skills. There is also some evidence that winning a voucher increased cognitive skills, as measured by Raven’s Progressive Matrices. We do not find much evidence for an effect on non-cognitive outcomes. Parental rules regarding homework and computer use attenuate the effects of computer ownership, suggesting that parental monitoring and supervision may be important mediating factors. PMID:22719135

VOL 6. NO. 1 2015 BILINGUAL LITERATURE OF TANZANIA AS A ...

African Journals Online (AJOL)

Frederick Iraki

relatively young literary traditions, characterized by rather high level of dynamics. .... birthplace for Tanzanian English language literature, whose very existence was until ..... “O nauchno-issledovatelskom proekte 'Osobye mezhliteraturnye.

Nation/non-nation

DEFF Research Database (Denmark)

Sonnichsen, André; Gad, Ulrik Pram

2008-01-01

Is nationality the only way of organizing political community? Given the ubiquity of the national principle, one might think so. But, in practice, the national principle is constantly challenged by what can be termed non-national identities. This article looks at manners in which such deviating...... identities can be conceptualized, how contemporary European states have attempted to deal with them when they arise and to what extent non-national modes of organizing political community can point towards a challenge to the national principle itself. In its capacity as an introduction to the special issue......, this article seeks to frame the subsequent articles within the overarching theme of the tension between national and non-national communities in contemporary Europe....

Nutritional status of underfive children in a pastoral community in ...

African Journals Online (AJOL)

Key words: nutrition, children, pastoral community, Tanzania. Introduction. Nutritional ... adequate diet, availability of education, health services and healthy environment ..... improve growth or hemoglobin status of rural. Tanzanian infants from ...

Effect of locally tailored labour management guidelines on intrahospital stillbirths and birth asphyxia at the referral hospital of Zanzibar

DEFF Research Database (Denmark)

Maaløe, N.; Housseine, N.; Meguid, T.

2018-01-01

Objective: To evaluate effect of locally tailored labour management guidelines (PartoMa guidelines) on intrahospital stillbirths and birth asphyxia. Design: Quasi-experimental pre-post study investigating the causal pathway through changes in clinical practice. Setting: Tanzanian low-resource ref......Objective: To evaluate effect of locally tailored labour management guidelines (PartoMa guidelines) on intrahospital stillbirths and birth asphyxia. Design: Quasi-experimental pre-post study investigating the causal pathway through changes in clinical practice. Setting: Tanzanian low......-resource referral hospital, Mnazi Mmoja Hospital.Population: Facility deliveries during baseline (1 October 2014 until 31 January 2015) and the 9th to 12th intervention month (1 October 2014 until 31 January 2015). Methods: Birth outcome was extracted from all cases of labouring women during baseline (n = 3690...

Reducing Lead on the Landscape: Anticipating Hunter Behavior in Absence of a Free Nonlead Ammunition Program.

Directory of Open Access Journals (Sweden)

Loren Chase

Full Text Available Lead is a neurotoxin that has been documented to affect many forms of wildlife, and has been identified as a limiting factor in a population of California Condors in Northern Arizona. The Arizona Game and Fish Department provides vouchers for free nonlead ammunition to hunters selected to hunt within the distribution of California Condors, with the intention of having fewer lead-laden offal piles available to California Condors. Although wildlife agencies may reasonably assume voucher programs motivate hunters into choosing nonlead ammunition, the lead reduction efforts attributable to the voucher program has not been empirically quantified. Our intention was to compare a control group of hunters to a treatment group of hunters within California Condor occupied areas. Both groups received educational materials regarding the deleterious effects of lead, but the treatment group also received a voucher for a free initial box of ammunition. About half of the control group used nonlead ammunition, compared to about three-fourths of the treatment group. Prominent barriers to adoption of nonlead ammunition included a general difficulty of obtaining it, obtaining it in the desired caliber, and its costliness. Frequently mentioned motivations for using nonlead was the exhortation to use it by the Department, and the desire to aid California Condor recovery by hunters. The disparate compliance rates found herein confirm and quantify the success of nonlead ammunition voucher programs, but underscore the importance of working to increase the supply of nonlead ammunition with the end of facilitating its procurement and reducing its cost.

Impact of two policy interventions on dietary diversity in Ecuador.

Science.gov (United States)

Ponce, Juan; Ramos-Martin, Jesus

2017-06-01

To differentiate the effects of food vouchers and training in health and nutrition on consumption and dietary diversity in Ecuador by using an experimental design. Interventions involved enrolling three groups of approximately 200 randomly selected households per group in three provinces in Ecuador. Power estimates and sample size were computed using the Optimal Design software, with a power of 80 %, at 5 % of significance and with a minimum detectable effect of 0·25 (sd). The first group was assigned to receive a monthly food voucher of $US 40. The second group was assigned to receive the same $US 40 voucher, plus training on health and nutrition issues. The third group served as the control. Weekly household values of food consumption were converted into energy intake per person per day. A simple proxy indicator was constructed for dietary diversity, based on the Food Consumption Score. Finally, an econometric model with three specifications was used for analysing the differential effect of the interventions. Three provinces in Ecuador, two from the Sierra region (Carchi and Chimborazo) and one from the Coastal region (Santa Elena). Members of 773 households randomly selected (n 4343). No significant impact on consumption for any of the interventions was found. However, there was evidence that voucher systems had a positive impact on dietary diversity. No differentiated effects were found for the training intervention. The most cost-effective intervention to improve dietary diversity in Ecuador is the use of vouchers to support family choice in food options.

Tuberculosis in HIV-infected Tanzanian children below 14 years.

Science.gov (United States)

Njau, J C; Aboud, S

2010-09-01

Tuberculosis (TB)-human immunodeficiency virus (HIV) co-infection is an important public health problem. Diagnosis of TB in children usually follows discovery of an adult case, and relies on clinical presentation, sputum examination and chest radiograph. However, clinical features are non-specific, chest radiographs are difficult to interpret, and routine laboratory tests are not helpful. The aim of the current study was to determine the prevalence of TB in HIV-infected children below 14 years attending a tertiary hospital. A cross-sectional study was conducted in HIV-infected children below 14 years of age at Muhimbili National Hospital, in Dar es Salaam, Tanzania, between July 2008 and January 2009. Information on socio-demographic and anthropometric characteristics was collected using a structured questionnaire. Following assessment of clinical presentation, physical examination, tuberculin skin test, and chest radiograph were performed for each child. Two consecutive sputum specimens and blopd sample were collected for microscopy and culture, and CD4 T-lymphocyte percentage test, respectively. Chi-square test was used to compare differences in proportions. Odds ratio (OR) and their 95% confidence interval (CI) are presented as the risk estimator. Of 182 HIV-infected children enrolled in the study, 104 (57.1%) were males. Overall, thirty-seven (20.3%) children had TB. The prevalence of TB was highest in males (78.4%) compared to females (p = 0.003). There was a higher proportion of TB (45.9%) in the age group below 24 months compared to other age groups (p = 0.001). Male gender, history of positive TB contact and severe immunosuppression were found to be significant risk factors for TB while use of antiretroviral therapy was found to be associated with decreased risk for TB. One-fifth of children had TB/HIV co-infection. Presence of four or more clinical manifestations and a low CD4+ T-lymphocyte percentage can be used to predict active TB in HIV

Six-month trial of bupropion with contingency management for cocaine dependence in a methadone-maintained population.

Science.gov (United States)

Poling, James; Oliveto, Alison; Petry, Nancy; Sofuoglu, Mehmet; Gonsai, Kishorchandra; Gonzalez, Gerardo; Martell, Bridget; Kosten, Thomas R

2006-02-01

No effective pharmacotherapies exist for cocaine dependence, although contingency management (CM) has demonstrated efficacy. To compare the efficacy of bupropion hydrochloride and CM for reducing cocaine use in methadone hydrochloride-maintained individuals. This 25-week, placebo-controlled, double-blind trial randomly assigned participants to 1 of 4 treatment conditions: CM and placebo (CMP), CM and 300 mg/d of bupropion hydrochloride (CMB), voucher control and placebo (VCP), or voucher control and bupropion (VCB). Outpatient clinic at the Veterans Affairs Connecticut Healthcare System. A total of 106 opiate-dependent, cocaine-abusing individuals. All study participants received methadone hydrochloride (range, 60-120 mg). Participants receiving bupropion hydrochloride were given 300 mg/d beginning at week 3. In the CM conditions, each urine sample negative for both opioids and cocaine resulted in a monetary-based voucher that increased for consecutively drug-free urine samples during weeks 1 to 13. Completion of abstinence-related activities also resulted in a voucher. During weeks 14 to 25, only completion of activities was reinforced in the CM group, regardless of sample results. The voucher control groups received vouchers for submitting urine samples, regardless of results, throughout the study. Thrice-weekly urine toxicologic test results for cocaine and heroin. Groups did not differ in baseline characteristics or retention rates. Opiate use decreased significantly, with all treatment groups attaining equivalent amounts of opiate use at the end of the study. In the CMB group, the proportion of cocaine-positive samples significantly decreased during weeks 3 to 13 (P<.001) relative to week 3 and remained low during weeks 14 to 25. In the CMP group, cocaine use significantly increased during weeks 3 to 13 (P<.001) relative to week 3, but then cocaine use significantly decreased relative to the initial slope during weeks 14 to 25 (P<.001). In contrast, by

Emergency pulpotomy in relieving acute dental pain among Tanzanian patients

Directory of Open Access Journals (Sweden)

Simon Elison NM

2006-01-01

Full Text Available Abstract Background In Tanzania, oral health services are mostly in the form of dental extractions aimed at alleviating acute dental pain. Conservative methods of alleviating acute dental pain are virtually non-existent. Therefore, it was the aim of this study to determine treatment success of emergency pulpotomy in relieving acute dental pain. Methods Setting: School of Dentistry, Muhimbili National Hospital, Dar es Salaam, Tanzania. Study design: Longitudinal study. Participants: 180 patients who presented with dental pain due to acute irreversible pulpitis during the study period between July and August 2001. Treatment and evaluation: Patients were treated by emergency pulpotomy on permanent posterior teeth and were evaluated for pain after one, three and six week's post-treatment. Pain, if present, was categorised as either mild or acute. Results Of the patients with treated premolars, 25 (13.9% patients did not experience pain at all while 19 (10.6% experienced mild pain. None of the patients with treated premolars experienced acute pain. Among 136 patients with treated molars 56 (31% did not experience any pain, 76 (42.2% experienced mild pain and the other 4 (2.2% suffered acute pain. Conclusion The short term treatment success of emergency pulpotomy was high being 100% for premolars and 97.1% for molars, suggesting that it can be recommended as a measure to alleviate acute dental pain while other conservative treatment options are being considered.

Preserving reptiles for research

Science.gov (United States)

Gotte, Steve W.; Jacobs, Jeremy F.; Zug, George R.; Dodd, C. Kenneth

2016-01-01

What are voucher specimens and why do we collect them? Voucher specimens are animals and/or their parts that are deposited in a research museum to document the occurrence of a taxon at a specific location in space and time (Pleijel et al., 2008; Reynolds and McDiarmid, 2012). For field biologists, vouchers are the repeatable element of a field study as they allow other biologists, now and in the future, to confirm the identity of species that were studied. The scientific importance of a voucher specimen or series of specimens is that other people are afforded the opportunity to examine the entire animal and confirm or correct identifications. A photographic record is somewhat useful for recording the occurrence of a species, but such records can be insufficient for reliable confirmation of specific identity. Even if a photo shows diagnostic characters of currently recognized taxa, it may not show characters that separate taxa that may be described in the future. Substantial cryptic biodiversity is being found in even relatively well-known herpetofaunas (Crawford et al., 2010), and specimens allow researchers to retroactively evaluate the true diversity in a study as understanding of taxonomy evolves. They enable biologists to study the systematic relationships of populations by quantifying variation in different traits. Specimens are also a source of biological data such as behaviour, ecology, epidemiology, and reproduction through examination of their anatomy, reproductive and digestive tracts, and parasites (Suarez and Tsutsui, 2004). Preserving reptiles as vouchers is not difficult, although doing it properly requires care, effort, and time. Poorly preserved vouchers can invalidate the results and conclusions of your study because of the inability to confirm the identity of your study animals. Good science requires repeatability of observations, and the absence of vouchers or poorly preserved ones prevents such confirmation. Due to space restrictions, we are

1945-IJBCS-Article-Emmy Lema

African Journals Online (AJOL)

hp

Agrochemicals use in horticulture industry in Tanzania and their potential impact to ... (Fertilizers and Pesticides) in the Tanzanian horticulture industry especially the Northern regions and their potential to ...... the Philippines and Thailand.

Factors associated with women's intention to request caesarean ...

African Journals Online (AJOL)

audit meetings, engaging mothers in the decision-making process ..... The findings regarding the influence of advanced maternal age, .... emergency caesarean section: A quality assurance analysis by criterion-based audit at two Tanzanian.

The role of mass media in disease outbreak reporting in the United ...

African Journals Online (AJOL)

Tanzania Journal of Health Research ... Emerging infectious diseases and the growth of information communication technology have produced ... An analysis of disease outbreak information and reporting by the Tanzanian mass media was ...

Public Health

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

ian health ministry, and the Canadian. International ... Tanzanian and Canadian researchers began work on ... information on the major causes of death ... The effects have been dramatic. Accord- ... destroy mosquito breeding grounds, such.

Establishing a faith-based organisation nursing school within a national primary health care programme in rural Tanzania: an auto-ethnographic case study

Directory of Open Access Journals (Sweden)

Alexander Bischoff

2016-05-01

Full Text Available Background: In 2007, the Tanzanian government called for improvements in its primary health care services. Part of this initiative was to accelerate the training rate for nurses qualified to work in rural areas. The aim of this study was to reflect on the issues experienced whilst establishing and implementing a faith-based organisation (FBO nursing school and make recommendations for other similar initiatives. Design: This paper describes an auto-ethnographic case study design to identify the key difficulties involved with establishing and implementing a new nursing school, and which factors helped the project achieve its goals. Results: Six themes emerged from the experiences that shaped the course of the project: 1 Motivation can be sustained if the rationale of the project is in line with its aims. Indeed, the project's primary health care focus was to strengthen the nursing workforce and build a public–private partnership with an FBO. All these were strengths, which helped in the midst of all the uncertainties. 2 Communication was an important and often underrated factor for all types of development projects. 3 Managing the unknown and 4 managing expectations characterised the project inception. Almost all themes had to do with 5 handling conflicts. With so many participants having their own agendas, tensions were unavoidable. A final theme was 6 the need to adjust to ever-changing targets. Conclusions: This retrospective auto-ethnographic manuscript serves as a small-scale case study, to illustrate how issues that can be generalised to other settings can be deconstructed to demonstrate how they influence health development projects in developing countries. From this narrative of experiences, key recommendations include the following: 1 Find the right ratio of stakeholders, participants, and agendas, and do not overload the project; 2 Be alert and communicate as much as possible with staff and do not ignore issues hoping they will solve

Establishing a faith-based organisation nursing school within a national primary health care programme in rural Tanzania: an auto-ethnographic case study.

Science.gov (United States)

Bischoff, Alexander

2016-01-01

In 2007, the Tanzanian government called for improvements in its primary health care services. Part of this initiative was to accelerate the training rate for nurses qualified to work in rural areas. The aim of this study was to reflect on the issues experienced whilst establishing and implementing a faith-based organisation (FBO) nursing school and make recommendations for other similar initiatives. This paper describes an auto-ethnographic case study design to identify the key difficulties involved with establishing and implementing a new nursing school, and which factors helped the project achieve its goals. Six themes emerged from the experiences that shaped the course of the project: 1) Motivation can be sustained if the rationale of the project is in line with its aims. Indeed, the project's primary health care focus was to strengthen the nursing workforce and build a public-private partnership with an FBO. All these were strengths, which helped in the midst of all the uncertainties. 2) Communication was an important and often underrated factor for all types of development projects. 3) Managing the unknown and 4) managing expectations characterised the project inception. Almost all themes had to do with 5) handling conflicts. With so many participants having their own agendas, tensions were unavoidable. A final theme was 6) the need to adjust to ever-changing targets. This retrospective auto-ethnographic manuscript serves as a small-scale case study, to illustrate how issues that can be generalised to other settings can be deconstructed to demonstrate how they influence health development projects in developing countries. From this narrative of experiences, key recommendations include the following: 1) Find the right ratio of stakeholders, participants, and agendas, and do not overload the project; 2) Be alert and communicate as much as possible with staff and do not ignore issues hoping they will solve themselves; 3) Think flexibly and do not stubbornly

Anthropogenic impacts on coral reefs and their effect on fishery of ...

African Journals Online (AJOL)

Anthropogenic impacts on coral reefs and their effect on fishery of Kilwa District, Tanzania. ... Tanzanian fishing coastal communities live on fishing activities as one their major economic activities, practicing fishing on shallow ... Overfishing,

Government Expenditure on Growth Strategies and Poverty ...

African Journals Online (AJOL)

The Household Budget Survey 2011/12 shows that majority of Tanzanians, about 74 .... Table 3: Annual Growth Rates in Economic Activities at 2001 prices (%) ... hotels and restaurants, transport, communications, financial intermediation, real ...

Economic and Social Potential of Family-supporting Services, Limits and Challenges

Directory of Open Access Journals (Sweden)

Peter Thijs

2014-01-01

Full Text Available Due to the increase of the economic pressure on households, it is increasingly more difficult to balance family life and economic activity. Reasons for this evolution can be the increased labour market participation of women, the ageing of the population to name a few. Within the EU, different systems to offer assistance in creating a balanced social and economically active life have been established in numerous countries. However, the aims, results and general scope of these national policies differ.The main focus of this paper will be the Belgian situation, i.e. the voucher system (services cheques. Starting with a general view of the reasons of existence of family-support services, followed by the different support services policies offered in various European countries, the Belgian situation will be discussed.The voucher system in Belgium has encountered an explosive boom which brings unexpected results and side effects. These affect the country’s social economical system. The paper discusses the evolution of the system. What are the reasons for the unexpected success? What are the economic and social consequences for a modern active welfare state, can growth be limitless? The paper will attempt to provide answers on these questions raised.

Nationalism in Stateless Nations

DEFF Research Database (Denmark)

Thomsen, Robert Chr.

"Nationalism in Stateless Nations" explores national identities and nationalist movements since 1967, using the examples of Scotland and Newfoundland. Adding to the debate about globalisation and the future of the nation-state, the book argues that ethnically rooted nationalism in modern liberal ...... - intellectuals, political parties and the media - the book combines historical, sociological, political and media studies analyses in an interdisciplinary investigation, providing a comprehensive account of the waxing and waning of nationalism....

Monitoring and evaluation pilots Energy Box and Energy vouchers. Measuring the success rate of two instruments for energy saving in households; Monitoring en evaluatie pilots Energiebox en Energiebon. Succesmeting van twee instrumenten voor energiebesparing bij huishoudens

Energy Technology Data Exchange (ETDEWEB)

Groot, M.I.; Koot, M.C.M.; Schepers, B.L.; Wielders, L.M.L. [CE, Delft (Netherlands); Jungblut, P. [Blauw Research, Rotterdam (Netherlands)

2007-06-15

The Dutch government wants to incite energy saving behavior in households and increase the use of energy saving products. By means of the pilot projects of the Energy Box and the Energy Voucher the Dutch Ministry of Housing, Spatial Planning and the Environment wants to examine if these instruments can contribute to changing behavior and the corresponding CO2 reduction. This final report describes the results of the monitoring and evaluation study of the pilots with the aim of establishing how the actions are values in real life, which products are actually used and what the direct and indirect effects are of these actions on energy saving, CO2 reduction and changing behavior [mk]. [Dutch] De overheid wil Nederlandse huishoudens aanzetten tot energiebesparend gedrag en gebruik van energiebesparende producten. Met de uitgevoerde pilotprojecten van de Energiebox en de Energiebon wil het Ministerie van VROM onderzoeken of met deze instrumenten een bijdrage kan worden geleverd aan gedragsverandering en de daarmee samenhangende CO2-reductie. In deze eindrapportage worden de resultaten van de monitoring en evaluatiestudie van de pilots beschreven met als doel: Bepalen hoe de acties in de praktijk gewaardeerd worden, welke producten daadwerkelijk worden gebruikt en welk directe en indirecte effecten de acties hebben op energiebesparing, CO2-reductie en gedragsverandering.

Effects of a 2014 Statewide Policy Change on Cash-Value Voucher Redemptions for Fruits/Vegetables Among Participants in the Supplemental Nutrition Program for Women, Infants, and Children (WIC).

Science.gov (United States)

Okeke, Janice O; Ekanayake, Ruwani M; Santorelli, Melissa L

2017-10-01

Purpose In 2014, the New Jersey Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began requiring WIC-authorized stores to stock at least two fresh fruits and two fresh vegetables. We aimed to evaluate the effect of this policy change on fruit and vegetable purchases among WIC-participating households and to assess variation by household access to a healthy food store such as a supermarket or large grocery store. Description Households with continuous WIC enrollment from June 2013 to May 2015 were included (n = 16,415). Participants receive monthly cash-value vouchers (CVVs) to purchase fruits and vegetables. For each household, the CVV redemption proportion was calculated for the period before and after the policy by dividing the total dollar amount redeemed by the total dollar amount issued. Complete redemption was defined as a proportion ≥90% and the change in complete redemption odds was assessed after adjusting for Supplemental Nutrition Assistance Program participation. Assessment We observed a small increase following the policy change [odds ratio (OR) 1.10, 95% confidence interval (CI) 1.04-1.17]; however, the effect varied by healthy food access (p = 0.03). The odds increased for households with access to at least one healthy food store (OR 1.13, 95% CI 1.06-1.20) while no effect was observed for households without such access (OR 0.91, 95% CI 0.76-1.10). Conclusion Policy change was associated with a small increase in purchasing, but only among households with healthy food access. The state is addressing this gap through technical assistance interventions targeting WIC-authorized small stores in communities with limited access.

Seasonal variation of organic matter concentration and characteristics in the Maji ya Chai River (Tanzania): Impact on treatability by ultrafiltration

KAUST Repository

Aschermann, Geert; Jeihanipour, Azam; Shen, Junjie; Mkongo, Godfrey; Dramas, Laure; Croue, Jean-Philippe; Schä fer, Andrea

2016-01-01

The Tanzanian river Maji ya Chai was sampled monthly during one year. The composition of NOM in Maji ya Chai River is influenced strongly by precipitation. Total organic carbon (TOC), specific ultraviolet absorbance (SUVA

Search Results | Page 560 | IDRC - International Development ...

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

Results 5591 - 5600 of 9604 ... Socialisation of solid waste management in Ho Chi Minh City, Vietnam ... to Improve Electronic Health Record Implementation within a Tanzanian ... issues, with a focus on integrated water resource management.

Agrochemicals use in horticulture industry in Tanzania and their ...

African Journals Online (AJOL)

hp

(Fertilizers and Pesticides) in the Tanzanian horticulture industry especially the Northern regions ... It is apparent that most of the horticultural farms in Northern Tanzania are located on gently .... evaluate any potential for polluting such water.

Performance of Solanum incunum Linnaeus as natural coagulant ...

African Journals Online (AJOL)

hope&shola

2- concentrations for the treated water conforms to the Tanzanian Standards and WHO guidelines for drinking ... that S. incunum is promising as coagulant and disinfectant product for water purification. Key words: .... light greenish blue-grey.

COSTECH - HURIA JOURNAL VOL. 24 (2) COSTECH FINAL_NEW

African Journals Online (AJOL)

Prof Kigadye

. Understanding of scientific concepts is very crucial for students' learning as it helps them to ... Simple Machine in Tanzanian Secondary Schools. H. Muhomi .... Figure 2: Algorithm for multimedia teaching aids development and inegrating in ...

Low Sensitivity of T-Cell Based Detection of Tuberculosis among ...

African Journals Online (AJOL)

Low Sensitivity of T-Cell Based Detection of Tuberculosis among HIV Co-Infected Tanzanian In-Patients. ... with and without HIV infection. Design: Cross-sectional study. ... like Tanzania. Larger studies in resource-poor settings are required.

Technical procedures for ecology: Environmental field program, Deaf Smith County Site, Texas: Final draft

International Nuclear Information System (INIS)

1987-08-01

This volume contains Technical Procedures pursuant to the Land Use Site Study Plan including walkover surveys for threatened, endangered, or candidate species; vegetation classification and mapping; reclamation planning; wetland and floodplain determination and characterization of playas; wildlife habitat mapping methods; mammal sampling; bird survey methods; reptile and amphibian survey methods; preexisting environmental; stress and disturbance studies methods; voucher specimens for plants; and voucher specimens to wildlife. 9 refs., 5 figs., 1 tab

Publications | Page 497 | IDRC - International Development ...

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

Results 4961 - 4970 of 6388 ... Through books, articles, research publications, and studies, we aim to widen the impact of our ... Private sector development and income dynamics: a panel study of the Tanzanian labour market (restricted access).

Download this PDF file

African Journals Online (AJOL)

UDSM

In this study, the occurrence of culturable Vibrio cholerae serogroup O1 and O139 in three selected Tanzanian Estuaries ... INTRODUCTION. Cholera is a waterborne infectious disease ..... Brazil, Peru, Chile, Mexico, India and. United States of ...

Panic disorder in rural Tanzania: an explorative study

African Journals Online (AJOL)

research from low-income countries on the relevance of diagnoses ... study examines cultural based interpretations of the PD diagnose ... for PD may be adapted to a rural Tanzanian setting, also taking into consideration the limited financial ...

in_focus - Fixing Health Systems (2nd edition) | IDRC - International ...

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

2008-01-01

Jan 1, 2008 ... In 1993, the World Development Report suggested that directing health ... In TEHIP 's two Tanzanian test districts, for example, modest funding ... the numbers | Treating the whole child | New weapons in the war on malaria.

Neighborhoods and Academic Achievement: Results from the Moving to Opportunity Experiment

OpenAIRE

Lisa Sanbonmatsu; Jeffrey R. Kling; Greg J. Duncan; Jeanne Brooks-Gunn

2006-01-01

Families originally living in public housing were assigned housing vouchers by lottery, encouraging moves to neighborhoods with lower poverty rates. Although we had hypothesized that reading and math test scores would be higher among children in families offered vouchers (with larger effects among younger children), the results show no significant effects on test scores for any age group among over 5000 children ages 6 to 20 in 2002 who were assessed four to seven years after randomization. P...

Private school location and neighborhood characteristics

OpenAIRE

Lisa Barrow

2002-01-01

Any voucher program that is going to have a major impact on the public education system is likely to require an expansion of private schools in order to accommodate increased demand; however, very little is known about where private schools open and, therefore, how a major voucher program might affect private school availability in various communities. This article examines the relationship between the location of private schools and local neighborhood characteristics, hoping to shed some lig...

Determinants of timely uptake of ITN and SP (IPT) and pregnancy time protected against malaria in Bukoba, Tanzania.

Science.gov (United States)

Protas, Joyce; Tarimo, D; Moshiro, C

2016-06-21

Insecticides treated nets (ITNs) and intermittent preventive therapy with two doses of sulfadoxine-pyrimethamine (SP IPTp) are the cornerstone for malaria control in pregnancy. Despite the coverage of these interventions being high, it is not known whether they confer optimal protection time against malaria in pregnancy. This study investigated the timing and determinants of timely uptake of SP(IPTp) and ITNs and the pregnancy time protected. A health facility based cross-sectional study was carried out in Bukoba urban district from 16th April to 29 May 2013. Involving pregnant women and post natal mothers attending Reproductive and Child Health (RCH) clinics. Data on their socio-economic background, pregnancy history and attendance to RCH, receipt of a voucher and acquisition of an ITN as well as SP for IPTp were collected. Their responses were validated from the records of antenatal cards. Data was analysed using SPSS computer program version 20. A total of 530 mothers were recruited. The overall uptake of SP IPTp was 96 % and the uptake of two SP (IPTp) doses was 86 %. Timely uptake of 1st dose was predicted by early antenatal booking, [AOR 2.59; 95 % CI 1.51-4.46; P = 0.001], and the availability of SP at the facility [AOR 4.63; 95 % CI 2.51-8.54; P discount vouchers at different gestational age and of these, less than a quarter (21.4 %) received timely. Timely receipt of discount voucher was highly predicted by early antenatal booking [AOR 200; 95 % CI 80.38-498; P discount vouchers for ITNs, timely uptake and therefore optimal protection time depended on early antenatal booking, the availability of (SP IPTp) and discount voucher at the health facility.

Responsibility as a dimension of HIV prevention normative beliefs: measurement in three drug-using samples.

Science.gov (United States)

Ross, M W; Timpson, S C; Williams, M L; Amos, C; McCurdy, S; Bowen, A M; Kilonzo, G P

2007-03-01

The concept of responsibility was derived originally from principles of morality, as part of a network of rights, duties and obligations. HIV risk-related studies have suggested that a sense of responsibility for condom use to protect a partner is a potentially important predictor of condom use in drug-using populations. We created a four-item scale measuring Self responsibility to use condoms and Partner's responsibility to use condoms. Data were collected from three drug-using samples: crack smokers, HIV seropositive crack smokers in an intervention study in Houston, Texas, and Tanzanian heroin users in Dar es Salaam. Data indicated that the four responsibility items had high alpha coefficients in each sample, and that there were moderate to high intercorrelations between equivalent self and partner responsibility items. There were significant differences in scale scores between the crack smokers and the HIV positive crack smokers and the Tanzanian samples, but no significant differences between the HIV positive and Tanzanian samples. Comparing within the first crack-smoker sample those who were HIV positive and negative showed significant differences in the direction of higher beliefs in responsibility to use condoms in the HIV positive group. These data suggest that responsibility is measurable, holds similar psychometric properties across three samples differing in culture and HIV serostatus, and that condom use responsibility is conceptualized as a measure of general responsibility rather than as a reciprocal self/partner responsibility.

Growth and Poverty

DEFF Research Database (Denmark)

Arndt, Channing; Leyaro, Vincent; Mahrt, Kristi

2017-01-01

This chapter considers the evolution of welfare of the Tanzanian population using a multi-dimensional approach. It also employs a detailed economy-wide model of the Tanzanian economy to explore growth and monetary poverty reduction scenarios from 2007 to 2015. This approach permits assessment...... of the coherence of observed trends in macroeconomic variables and projects consumption poverty outcomes to 2015. In the multi-dimensional approach, we find that real gains have been achieved. On monetary poverty, our model broadly reproduces key macroeconomic features of the past eight years. We find...... that published consumption poverty reductions for 2007 to 2011/12 from the most recent assessment fall within a reasonable to optimistic range. And, the simulations generate broader based growth across the income distribution compared with the recent assessment. Looking forward, the simulations from 2012 to 2105...

Phytoplankton production and adaptation in the vicinity of Pemba ...

African Journals Online (AJOL)

Phytoplankton production and physiology were investigated at six selected locations during a research cruise in early October 2007 in Tanzanian coastal waters. The dataset included photosynthesis–irradiance and active fluorescence parameters, phytoplankton absorption coefficients, and pigment concentrations. Primary ...

Author Details

African Journals Online (AJOL)

Antiplasmodial, anti-trypanosomal, anti-leishmanial and cytotoxicity activity of selected Tanzanian medicinal plants ... Contribution of different constituents to the toxicity of the essential oil constituents of Vernonia amygdalina (Compositae) and Xylopia aetiopica (Annonaceae) on maize weevil Sitophilus zeamais ...

the present state of swahili literature as an artistic and social

African Journals Online (AJOL)

Frederick Iraki

In addressing the urgent problems of present-day world (not on- ... Swahili fiction, 6 of which were written by Tanzanians; by the year 2007, the ... there are additional mechanisms of stimulation – for example, the annual Jomo Kenyatta Prize,.

randomised trial of alternative malaria chemoprophylaxis strategies

African Journals Online (AJOL)

hi-tech

2000-02-02

Feb 2, 2000 ... randomisation produced comparable intervention and comparison groups with balanced characteristics. Specific results of the baseline studies are presented in the companion paper. ... strategies for protecting pregnant women against malaria. ..... from malaria vaccine trial conducted among Tanzanian.

Improving Tanzanian childbirth service quality.

Science.gov (United States)

Jaribu, Jennie; Penfold, Suzanne; Green, Cathy; Manzi, Fatuma; Schellenberg, Joanna

2018-04-16

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

Dicty_cDB: Contig-U13775-1 [Dicty_cDB

Lifescience Database Archive (English)

Full Text Available Y310255_1( AY310255 |pid:none) Docodesmus trinidadensis voucher D... 165 8e-40 AY310269_1( AY310269 |pid:none) Narceus american...ctylus oerstedii voucher ... 160 4e-38 AY310275_1( AY310275 |pid:none) Uroblaniulus canadensi...biania investiens elongation fa... 135 7e-31 EU624190_1( EU624190 |pid:none) Halichrysis micans...QAFPQCVFDHWASIGVVNKDKKATEVALATRKRKGLAPEIPD LDKFHEKL*ti*valefsnivtxxkk Translated ..._285( FM992689 |pid:none) Candida dubliniensis CD36 chromo... 147 2e-34 AY618550_

Peru: World Oil Report 1991

International Nuclear Information System (INIS)

Anon.

1991-01-01

This paper reports on strong measures that are being taken to resuscitate Peru's hydrocarbon sector. The first step last August was the cutting of fuel subsidies in half. Then the administration issued tax vouchers to state utilities for the money they still owed national oil company Petroperu. A precursor to what are expected to be widespread changes to the existing petroleum legislation occurred last fall. As part of a package of fiscal reforms, the official base rate that the government paid Occidental Petroleum to produce crude for Petroperu was dropped. A new, free market rate was adopted, which was six times the old base rate

Inclusions and Exclusions in Rural Tanzanian Primary Schools: Material Barriers, Teacher Agency and Disability Equality

Directory of Open Access Journals (Sweden)

Susie Miles

2018-03-01

Full Text Available This article begins with the assumption that the argument for the inclusion of children with disabilities in mainstream schools, championed by Sustainable Development Goal 4 and Article 24 of the UN Convention on the Rights of Persons with Disabilities, has largely been accepted nationally and internationally by policy makers, and is increasingly being accepted by teachers. In interrogating the complex craft of developing inclusive and equal learning environments for children with disabilities, this article draws upon Kershner’s ‘core aspects of teachers’ knowledge and knowing’, and in particular, ‘the school as a site for the development of teaching expertise and the creation of knowledge’. Data is presented from in-depth interviews following videoed lesson observations with experienced teachers in 15 rural, urban and coastal primary schools in four districts in Tanzania. Findings indicate that the teachers’ practice is moving unevenly towards disability equality, and involves processes of inclusions and exclusions. This involves teacher autonomy, agency and reflective practice in the context of material, attitudinal, structural, pedagogic and curricular barriers. The teachers’ expertise has potential to inform national and international policy developments, and so reduce the evident rhetoric-reality gap. In conclusion, it is argued that inclusive education needs to grapple with disability as a social construct, and lessons are drawn for the further fulfilment of the rights of children with disabilities to equal participation in education.

Benthic macroinvertebrate assemblages in mangroves and open ...

African Journals Online (AJOL)

Benthic macroinvertebrate assemblages in mangroves and open intertidal areas on the Dar es Salaam coast, Tanzania. ... it is recommended that conservation efforts along the Tanzanian coast should focus here. Keywords: benthic macrofauna, community structure, littoral zone, Tanganyika, Western Indian Ocean ...

The food of three seabirds at Latham Island, Tanzania, with ...

African Journals Online (AJOL)

Exocoetidae) contributed 90% by mass of prey items regurgitated by masked boobies Sula dactylatra. The fish had a mean caudal length of 164mm. Two boobies generally foraged in deep water, away from the Tanzanian coastline, ranging up to ...

Western Indian Ocean Journal of Marine Science - Vol 3, No 1 (2004)

African Journals Online (AJOL)

Studies on Tanzanian Hypneaceae: Seasonal Variation in Content and Quality of Kappa-Carrageenan from Hypnea musciformis (Gigartinales : Rhodophyta) · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. MSP Mtolera, AS Buriyo, 43-49 ...

Illness experiences of diabetes in the context of malaria in settings experiencing double burden of disease in southeastern Tanzania

NARCIS (Netherlands)

Metta, Emmy; Bailey, Ajay; Kessy, Flora; Geubbels, Eveline; Haisma, Hinke

2017-01-01

BACKGROUND: Tanzania is doubly burdened with both non-communicable and infectious diseases, but information on how Tanzanians experience the co-existence of these conditions is limited. Using Kleinman's eight prompting questions the study synthesizes explanatory models from patients to describe