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1
Eccleston, Anthony L., and n/a. "Coordinating information provision in government agencies using an integrated information management strategy." University of Canberra. Information, Language & Culture Studies, 1996. http://erl.canberra.edu.au./public/adt-AUC20060404.123006.
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The specific aims of this study were determined on a conceptual appreciation that
management of information assets and services in some government agencies was
deficient in meeting both existing and developing demands. This appreciation
manifested itself in a commitment to investigate the principles and processes
intrinsic to existing management methodologies, to relate these processes to the
needs of users, and to determine a strategy which could more ably meet the
information provision requirements of those users.
The achievement of these aims predicated the use of the case study research
method, selecting as the first case study the Department of Human Services and
Health (DHSH), an agency that had recognised that a problem existed in the
provision of information services, and had initiated action to address that
problem. As a counter, the Department of Defence, an agency which adrmts to a
problem, but which had yet to initiate an active, global program for its resolution,
was chosen as the second case study.
A theoretical model, which reflects extant international thinking and practice, was
initially constructed in order to establish a basis on which to ascertain and
evaluate the information management circumstances of the two case study
departments. This model specified the objectives considered to be fundamental
to effective information management in a public service environment. It included
studying the foundation repositories of information services from which
information in the portfolio domains of government are sought. These services
are the traditional records centres or registries, the library services which provide
a repository of published and grey material in printed, image and magnetic
formats, and the computerised networks holding electronic records at varying
levels of development.
An analysis of findings was carried out separately on each case study agency
before bringing the data together for cross-case analysis. In order to maximise
the veracity and validity of the data collected and its subsequent interpretation by
the researcher, the draft analysed case study findings were submitted to the
respective agencies for review and critique. All matters of substance received
have been incorporated in the final version.
The findings from the two case studies and the cross-case analysis confm that,
despite significant advances in some specific agencies, the initial hypothesis that
government agencies are still deficient in providing optimum services to meet the
information needs of users, is demonstrated. The advances that have been made,
however, similarly support the other thesis hypotheses that the implementation of
an integrated information management strategy in any government agency will
provide a foundation for improved information provision and the timely delivery
of relevant available information to the user.
Finally, a model of optimum processes involved in such a strategy, derived from
the theory and practical products of this study, is offered. This could be the
subject for future evaluation and testing for realistic and functional application.
2
McGowan, Dan W. "Improving the current DHS capabilities framework." Thesis, Monterey, Calif. : Naval Postgraduate School, 2008. http://edocs.nps.edu/npspubs/scholarly/theses/2008/Sept/08Sep%5FMcGowan.pdf.
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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, September 2008.Thesis Advisor(s): Woodbury, Glen ; Gordon, Ellen. "September 2008." Description based on title screen as viewed on November 3, 2008. Includes bibliographical references (p. 109-117). Also available in print.
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Corzine, Larry M. "Communication breakdown DHS operations during a cyber attack." Thesis, Monterey, California. Naval Postgraduate School, 2010. http://hdl.handle.net/10945/4987.
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Approved for public release; distribution is unlimitedThe Department of Homeland Security (DHS) leverages information technology to increase the effectiveness of first responders during disaster recovery. At the same time, cyber attacks against these information technologies have significantly increased. Unfortunately, cyber attacks have grown faster than the technologies used to defend them. The reliance on technology coupled with the difficulty of defending it makes it unrealistic to assume that communications will always be available when needed. Therefore, it is critical that first responders are prepared to operate when one or some of their communications abilities are lost. Alarmingly, DHS has the responsibility to prepare first responders to operate during disasters; however, they lack the authority to enforce programs to ensure this happens. This lack of authority affects how first responders communicate and provides gaps in DHS efforts to prepare for disasters. Until DHS has the authority to enforce change across all levels of government, communications will not be guaranteed during disaster recovery operations. However, DHS could leverage communication outages during operational exercises to better prepare first responders. This thesis explores DHS exercises on the federal, state and local levels and how they are preparing first responders to operate through cyber attacks.
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Johnson, Bobbie L. "Managing the reputation of DHS and its components." Thesis, Monterey, Calif. : Naval Postgraduate School, 2009. http://edocs.nps.edu/npspubs/scholarly/theses/2009/Jun/09Jun%5FJohnson_Bobbie.pdf.
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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, June 2009.Thesis Advisor(s): Hocevar, Susan Page ; Thomas, Gail Fann. "June 2009." Description based on title screen as viewed on July 10, 2009. Author(s) subject terms:Reputation, Reputation Management, Reputation Spillover, Image, Identity, Public Affairs. Includes bibliographical references (p. 93-98). Also available in print.
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Leone, Tiziana. "Fertility and union dynamics in Brazil." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273878.
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PENG, SISI. "Evaluating Automatic Model Selection." Thesis, Uppsala universitet, Statistiska institutionen, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-154449.
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In this paper, we briefly describe the automatic model selection which is provided by Autometrics in the PcGive program. The modeler only needs to specify the initial model and the significance level at which to reduce the model. Then, the algorithm does the rest. The properties of Autometrics are discussed. We also explain its background concepts and try to see whether the model selected by the Autometrics can perform well. For a given data set, we use Autometrics to find a “new” model, and then compare the “new” model with a previously selected one by another modeler. It is an interesting issue to see whether Autometrics can also find models which fit better to the given data. As an illustration, we choose three examples. It is true that Autometrics is labor saving and always gives us a parsimonious model. It is really an invaluable instrument for social science. But, we still need more examples to strongly support the idea that Autometrics can find a model which fits the data better, just a few examples in this paper is far from enough.
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Benhamadi, Bey. "Les déterminants de l'endogamie au Maroc, DHS I et II." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ32585.pdf.
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Hall, Christopher E. "Has the Department Of Homeland Security (DHS) outlived its usefulness?" Thesis, Monterey, California. Naval Postgraduate School, 2012. http://hdl.handle.net/10945/27839.
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The Department of Homeland Security (DHS) continues to be scrutinized for its inability to meet its mission mandate as outlined by the Homeland Security Act of 2002 This study looked at two of DHSs most important functionsintelligence and emergency management. Problems that constrain DHSs ability to play a relevant role in the intelligence community stem from limitations imposed on the organization in the early phase of creation; the missed opportunity of adding the Federal Bureau of Investigation to its organizational structure; and the poor relationship it has with state and local fusion centers. FEMA presents a similar set of challenges whereas the agency has served as an independent organization for much of its existence. Including FEMA in the DHS merger has downgraded the agencys ability to prepare and respond to all-hazards. The call is to reestablish the organization as a stand-alone agency with direct links to the president. DHSs inability to effectively perform two of its most important tasks requires lawmakers to review their 2002 decision and decide if an organizational change is in order. They may find that the way forward for DHS is to downsize and refocus its mission on border security.
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Bauer, Sabine. "The association of sociodemographic, behavioural and informational factors with engaging in sexual intercourse among never-married adolescents aged 15 - 24 years in Indonesia: A secondary analysis of DHS data from 2012." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-254694.
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Background: Sexual and reproductive health education and services are often of poor quality in Indonesia and although sexual intercourse among adolescents is not socially accepted, a change of norms is observable, putting adolescents at risk to acquire unwanted health outcomes. Aim: To analyse associations of behavioural, sociodemographic and informational factors with engaging in sexual intercourse among never-married adolescents aged 15 - 24 in Indonesia and to analyse potential differences in age groups. Methods: Data from 19,649 never-married male and female adolescents who ever went to school, obtained from the 2012 Indonesian Demographic and Health Survey, was used for analysis. Multiple logistic regression was applied to test for significance separately and after adjusting for variables. Results: Among all adolescents, factors associated with engaging in sexual intercourse were: older age, male sex, ever drank alcohol, smoking and ever used drugs. After stratifying for age, the same associations were found for older and younger adolescents. Additionally, among younger adolescents (15 - 19 years), those from poorer households, with a higher educational level and those currently attending school were more likely to engage in sexual intercourse. Among older adolescents (20 - 24 years), those from poorer households and rural areas were more likely to engage in sexual intercourse. Conclusions: Interventions are needed to equip male adolescents, those who ever drank alcohol, were currently smoking or ever used drugs with sufficient knowledge and tools to make informed decisions. Further qualitative research is needed to investigate the behaviour of adolescents towards sexual intercourse more in depth.
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Ribeiro, Rita Elise Vaghetti. "Uso de DHS - dynamic hip screw - em fraturas instáveis do fêmur proximal : uma abordagem comparativa entre as deformações no fêmur normal e no fêmur com DHS." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/173704.
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O estudo fez comparações entre a intensidade e a distribuição das deformações a que fica submetido o fêmur proximal intacto e o fêmur proximal fraturado e implantado com o sistema parafuso deslizante Dynamic Hip Screw – DHS, em fraturas transtrocantéricas do tipo 31 - A2 – 2. Para isso, foram produzidas deformações, mediante carregamentos cíclicos, em fadiga. As amostras constituíram-se de ossos de fêmur sintéticos, intactos, e de ossos de fêmur sintéticos onde foram feitos cortes em laboratório produzindo situações de fratura do tipo 31 –A2.2. Nas amostras fraturadas foram colocadas as placas DHS simulando situações reais de osteossíntese. Os conjuntos de ossos mais placas foram então submetidos a ensaios de fadiga. Os resultados demonstraram que as presenças da fratura e do implante DHS alteraram a amplitude das deformações em todas as regiões do fêmur. Houve absorção da carga pelo implante DHS em todas as regiões de medição. Na região do colo femoral, o DHS absorveu 98% da carga, na região lateral 97%, no centro medial transversal 48%, no centro medial longitudinal 92%, no centro medial a 45 graus 94%, no calcar, antes da linha da fratura, 80%, na região do calcar, depois da linha da fratura, 81%, na região do segundo parafuso cortical transversal 81%, na região do segundo parafuso cortical longitudinal 73% e na região do segundo parafuso cortical a 45 graus 92%. A região do centro do pino guia e a região do segundo parafuso cortical foram as regiões de maior instabilidade mecânica. Para as condições de fratura do tipo 31 – A2.2 o implante do tipo DHS não absorve totalmente as deformações geradas, apresentando mobilidade do foco da fratura. Pequenas oscilações entre os ensaios causaram modificações importantes nos resultados, indicando que a relação ponto de medição ou a posição exata do implante podem implicar num desgaste ou afrouxamento prematuro do mesmo devido a uma sobrecarga.The study compared the intensity and distribution of the deformations to the intact proximal femur and the proximal femur fractured and implanted with the slide screw system, Dynamic Hip Screw – DHS, in transtrochanteric fractures, 31 – A2 – 2 type. In this way, deformations were produced, by means of cyclic loads, in fatigue. The samples consisted of synthetic femoral bones intact and synthetic femoral bones that were cut in the laboratory producing fracture situations of type 31 – A2.2 type. In the fractured samples the DHS plates were placed simulating real osteosynthesis situations. The bone sets and plaques were then subjected to fatigue testing. The results showed that the presence of fracture and DHS implant altered the amplitude of deformations in all regions of the femur. The load was absorbed by the DHS implant in all measurement regions. In the femoral neck region, DHS absorbed 98% of the load, in the lateral region 97%, in the medial center – transverse – 48%, in the medial center – longitudinal – 92%, in the medial center – 45 degrees – 94%, in the calcar region, before the fracture line 80%, in the calcar region, after the fracture line, 81%, in the region of the second cortical screw – transverse – 81%, in the region of the second cortical screw – longitudinal – 73% and in the region of the second cortical screw – 45 degrees – 92% . The region of the center of the guide pin and the region of the second cortical screw were the regions of greater mechanical instability. For fracture conditions of type 31 - A2.2, the DHS type implant does not totally absorb the generated deformations, presenting mobility of the fracture focus. Small oscillations between the tests caused significant changes in the results, indicating that the relationship between the point of measurement and the exact position of the implant may lead to premature wear or loosening of the implant due to an overload.
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Gonzalez, Uribe C. "Socioeconomic inequalities in use of contraception in Colombia, DHS 1986-2010." Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1348322/.
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Background: In 2005 Colombia adopted the national Millennium Development Goal (MDG5) target of 75% modern contraceptive prevalence rate (CPR) by 2015. Important gains have been achieved with respect to living conditions, education and health indicators in recent decades but inequalities within the country remain to be addressed. Methods: The aim was to analyse socioeconomic inequalities in women’s ‘current non-use of contraception’ using the six Colombian Demographic and Health Surveys (DHS). A multidimensional approach to socioeconomic position was implemented. Absolute and relative socioeconomic inequalities were analysed using the Slope Index of Inequality (SII) and Relative Index of Inequality (RII). The interplay between level of education and Public capital with respect to contraceptive non-use was examined. Individual and contextual effects were investigated using a multilevel approach. Results: National prevalence in current non-use of contraception between 1986 and 2010 decreased from32.6% to 22.9%. Nationally, absolute inequalities narrowed but relative inequalities did not decline. Women with less than primary education had not met the CPR target in 2010 in urban (30.9%) and rural (41.4%) areas respectively. Absolute inequalities narrowed in urban areas but relative inequalities persisted in urban and rural areas. Gradients in contraceptive non-use with respect to household wealth were stronger among women in rural than in urban areas. The impact of level of education on contraceptive non-use was relatively weak among women in households and within communities with high Public capital compared to low Public capital. Municipality ethnic composition had an effect on women’s contraceptive non-use over and above individual and community characteristics. Conclusion: Colombia reached the national CPR target ahead of time. However, the persistent socioeconomic gradients in non-use of contraception by household wealth and education indicate the need to go beyond country averages and individual level determinants to monitor urban and rural socioeconomic inequalities and contextual effects on women’s contraceptive behaviour.
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Ngondiop, Judith D’or Donang. "Socio-demographic analysis of domestic violence against women: evidences from DHS." Thesis, University of the Western Cape, 2013. http://hdl.handle.net/11394/4431.
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Magister Philosophiae - MPhilThe right for every woman to live free of violence is one of the basic human rights. Nevertheless, this right is still subject to violation on a massive and systematic scale around the world. At least one of three women around the world has reported been physical, sexual and emotional abuse by an intimate partner in her lifetime. Although, gender inequalities and discrimination are considered as the underlying factors of domestic violence, little is known about the contributions of the presence of sons and daughters at home, age, gender, education, marital status, working status, place of residence. Despite the fact that recommendations have been made both at the international and national levels to reduce intimate female abuse, the issue is still rampant in developing countries. The aim of this study was to identify and compare the impact of women’s socio-economic and demographic characteristics on domestic violence across seven countries (Cameroon, Ghana, Haiti, Liberia, Moldova, Nepal and Philippines). Frequencies and bivariate analyses were performed using the latest Demographic Health Surveys from 2005 to 2011. The findings established that on average 33.37 percent of women across the seven countries are abused. Domestic violence is a high concern in Cameroon. The educational level still remains a predicting factor of domestic violence across the countries under investigation except in Liberia. The number of living children was also identified as a predicting factor across the studied countries. Finally, a woman having a son or a daughter at home is more likely to expose the woman to intimate violence in Cameroon, Haiti, Moldova, Nepal and Philippines. All the countries are entrenched in a culture of male domination whereby women lack the freedom to decide on marital issues. As a recommendation, the government of each of the studied countries should be more proactive in reinforcing judicial system, policies and education that will help to curb the scourge of domestic violence. Furthermore, improving the level of literacy for women and educating men as the perpetrators of domestic violence will go a long way in abating this social ill.
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ARCAMONE, HERVE. "La vis plaque dhs dans le traitement des fractures du massif trochanterien : etude comparative de 151 cas traites par dhs et 93 cas traites par clou plaque." Nice, 1990. http://www.theses.fr/1990NICE6007.
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Bell, Christina A. "The state of leadership in DHS - is there a model for leading?" Thesis, Monterey, Calif. : Naval Postgraduate School, 2008. http://edocs.nps.edu/npspubs/scholarly/theses/2008/Dec/08Dec%5FBell.pdf.
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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, December 2008.Thesis Advisor(s): Bach, Robert ; Joyce, Nola. "December 2008." Description based on title screen as viewed on January 29, 2009. Includes bibliographical references (p. 179-186). Also available in print.
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Dash, Shirlana Norene. "Effectiveness of Practice Change From Risk Model to Safety Model at DHS." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5067.
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In 2012, the U.S. Department of Health and Human Services reported an estimated 686,000 victims of child abuse and neglect. Forty-nine states reported a total of 1,593 fatalities. This quantitative research study examined the relationship between the variables: age of child, gender of child, age of parent/caregiver, prior substantiated reports of abuse, and incidents of abuse in Philadelphia at the Department of Human Services using risk practice model (RPM) and safety practice model (SPM). Although child welfare practitioners have examined the relationship between family and societal factors that affect child abuse; few researchers have examined the correlation between service delivery practice models and incidents of abuse. The findings of this quantitative study examined 34,761 components of variable data from the Department of Human Services revealed that the age of the child, age of the caregiver, and incidents of abuse are statistically significant predictors of abuse, whereas the gender of child had minimal effect on incidents of abuse. The most accurate predictor of child abuse is prior substantiated reports of abuse. The study shows that reports received in 2007 using the RPM were 9.6% more likely to have a valid report; likewise, every report received during the years 2007 and 2012 increases the probability of a valid report by 94.2%. Development of a comprehensive assessment tool that combines the principle tenets of both RPM and SPM is recommended. The implications for social change include developing a practice model that can increase safety probabilities while diminishing incidents of abuse by using a more comprehensive assessment tool.
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Schopper, Clemens [Verfasser]. "Biomechanical evaluation of the femoral neck fracture fixation technique with the new implant FNS in comparison to DHS Blade, DHS Screw with antirotation screw and Three Cannulated Screws / Clemens Schopper." Ulm : Universität Ulm, 2018. http://d-nb.info/1151938327/34.
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Schopper, Clemens Oliver [Verfasser]. "Biomechanical evaluation of the femoral neck fracture fixation technique with the new implant FNS in comparison to DHS Blade, DHS Screw with antirotation screw and Three Cannulated Screws / Clemens Schopper." Ulm : Universität Ulm, 2018. http://d-nb.info/1151938327/34.
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DAT-SENAC, CALM CAROLINE. "Fracture de hanche chez la personne agee traitee par vis-plaque dhs : evaluation du devenir a six mois ; a propos de 54 cas." Toulouse 3, 1992. http://www.theses.fr/1992TOU31084.
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Asquith, Merrylyn. "Ideals, myths and realities a postmodern analysis of moral-ethical decision-making and professional ethics in social work practice." full text, 2002. http://www.dhs.sa.gov.au/dhs-library/documents/ideals,-myths-and-realities.pdf.
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Merchant, Roger T. "Fragmentation of DHS public corruption investigations: options to leverage overlapping jurisdiction and enhance collaboration." Monterey, California. Naval Postgraduate School, 2011. http://hdl.handle.net/10945/10652.
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CHDS State/LocalFrom maintaining aviation security, to patrolling the country's borders, to granting immigration documentation, the Homeland Security has tremendous responsibilities. As such, it is imperative that the Department has a robust internal investigative mechanism to prevent, deter and investigate allegations of public corruption. Currently, there are eight agencies that have authority to conduct public corruption investigations within the Department. For every allegation of corruption within the Department, there are three agencies that have concurrent jurisdiction to investigate; in some cases, four agencies have overlapping jurisdiction to investigate the same matter. To maximize efficiency of operations, avoid duplication of efforts and best serve the American public, collaboration is essential. This thesis will examine other domestic and foreign institutions that have grappled with overlapping jurisdiction and leadership issues and provide analysis as to how those lessons learned can be applied to the DHS anti-corruption community. Several policy options are provided to enhance collaborative efforts, improve information sharing and create synergy of efforts. The policy options include: recognition and utilization of an already existent megacommunity; expanding the cross-designation of agency personnel; and the formation of public corruption task forces.
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Madari, Zvikomborero T. R. "Analysis of fertility estimates in Zimbabwe : A comparison of the census and DHS data." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13122.
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Includes bibliographical references.Analysis of census data is important to uncover new insights as well as highlight where improvements in future data collection are required. The study provides an assessment of the fertility estimates derived from census data in comparison to those derived from the Zimbabwe Demographic and Health Surveys. Robust methods are used to estimate fertility levels and to identify the trends in fertility in Zimbabwe. Fertility decline in Zimbabwe is observed to have started in the early 1980s. The greatest level of decline occurred between the 1980s and the mid-1990s. In more recent years fertility in Zimbabwe has stalled at roughly four children per woman. Using projected parity progression ratios fertility decline has been observed to be in part a result of parity limitation, as fewer women progress to higher parities. A comparison of the census and Zimbabwe Demographic and Health Survey fertility measures show that for the same cohort of women, the measures of fertility are strongly congruent. While there are problems with census data, it has been shown that using robust estimation the census fertility estimates are comparable to those from the Demographic and Health Surveys.
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ETCHEBAR, FREDERIC. "Apport de la vis-plaque dhs dans les fractures de l'extremite superieure du femur : a propos d'une etude retrospective de 104 cas." Toulouse 3, 1992. http://www.theses.fr/1992TOU31069.
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Pirlich, Christian Rüdiger. "Rotationsfehlstellung des Kopf-, Halsfragmentes nach Osteosynthese trochanterer Femurfrakturen mit der dynamischen Hüftschraube (DHS) der AO." [S.l. : s.n.], 2003. http://www.bsz-bw.de/cgi-bin/xvms.cgi?SWB10990001.
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Lowery, Edward W. "Closing the cyber gap: integrating cross-government cyber capabilities to support the DHS cyber security mission." Thesis, Monterey, California: Naval Postgraduate School, 2014. http://hdl.handle.net/10945/44608.
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Approved for public release; distribution is unlimitedFollowing the 9/11 terror attacks, the Department of Homeland Security (DHS) was mandated to ensure the security of the nation’s cyber-supported critical infrastructure, which is predominantly privately owned and outside of the control of the U.S. government. This thesis examines the development of the government’s cyber-security policies and primary operational entities through their lawful authorities and capabilities. The thesis also examines and contrasts the effectiveness of DHS’s technology-centric, cyber-security approach, the deterrent effect realized through law enforcement cyber operations, and the suitability and effectiveness of the utilization of military or intelligence agencies, specifically the FBI, National Security Agency or Department of Defense, to fulfill the nation’s domestic cyber-security mission. Evidence suggests that DHS has consistently chosen to devote disproportionate budgetary resources to develop defensive technologies of questionable effectiveness, initiate redundant information-sharing programs, and develop cyber incidence response teams while not fully utilizing the U.S. Secret Service’s legal authorities and capabilities in furtherance of the department’s mission. Recommendations are offered to develop a whole-of-government cyber-security policy for an effective, integrated, cyber-security operation through the utilization of agency-specific authorities and capabilities, while protecting our nation’s critical infrastructure and our citizens’ civil liberties.
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Ha, Sau-mei Winnie. "A study on the impact of domestic household services (DHS) to housing managers in private housing sector /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B35819674.
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Colvin, Catherine. "DHS Homeland Security Grant Program the influence of committee membership on grant allocations for FYs 2004-2006 /." CONNECT TO ELECTRONIC THESIS, 2007. http://dspace.wrlc.org/handle/1961/4191.
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Ha, Sau-mei Winnie, and 哈秀美. "A study on the impact of domestic household services (DHS) to housing managers in private housing sector." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B35819674.
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Raymond, Stephanie M. "The Effect of Narrative Language Intervention on the Language Skills of Children with Hearing Loss." Scholar Commons, 2019. https://scholarcommons.usf.edu/etd/7902.
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Children with hearing loss have limited auditory access to their native language and struggle to develop appropriate language skills. These children consistently demonstrate less complex oral language output, smaller vocabulary inventories, and delays in overall communicative proficiency. With the extensive implications hearing loss has on language development, a child with hearing loss requires immediate access to appropriate and effective intervention to address deficits and curb long-term language delays. However, there is a paucity of research investigating the effects of various language intervention programs with children with hearing loss. Much of the existing research focuses on the consequences of a selected language modality or lacks the rigor needed to produce conclusive evidence. While it has not been extensively investigated with children with hearing loss, narrative language intervention has been effective at improving a number of language skills of children with a variety of disabilities and language needs. Therefore, the purpose of this study was to investigate the effect of narrative language intervention on the narrative retelling skills and vocabulary use of children with hearing loss. To do so, a multiple baseline research design and a repeated acquisition research design were implemented. Participants included two children ages 5 and 9 diagnosed with bilateral sensorineural hearing loss and fitted to an amplification device. Each child received weekly, individualized narrative language intervention with a focus on use of target vocabulary words. Both participants demonstrated weekly increases in narrative retell scores and repeated pre-test to post-test gains in the use of targeted vocabulary. Results suggest narrative language intervention improved the narrative retell ability and vocabulary use of children with hearing loss.
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Nguyen, Anthony H. "HIV/STIs and Intimate Partner Violence: Results from the Togo 2013-2014 Demographic and Health Surveys." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6553.
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Background: Among clinic based studies, intimate partner violence (IPV) has been shown to contribute to HIV/AIDS among young girls and women. Results from studies among the general population have been less consistent. This study evaluated the associations between HIV infection, any sexually transmitted infections, and IPV in a population based sample of Togolese women.
Methods: Data from the Togo 2013-2014 Demographic and Health Surveys were utilized for these analyses. Women aged 15-49 who were currently married, had HIV test results and answered the Domestic Violence Module were analyzed (n = 2386). Generalized linear mixed-models adjusting for sociodemographic variables, risk behaviors, and cluster effect were used to estimate HIV and STI risks with experience of IPV.
Results: HIV prevalence was 2.8%. Prevalence of IPV was 39% among HIV positive women and 38% among HIV negative women. Significant associations between IPV and HIV infection were not detected. Adjusted models found significant associations between experience of any IPV and having had STIs (OR 2.05, 95% CI 1.25-3.35).
Conclusions: The high rates of violence in this setting warrants community-based interventions that address abuse and gender inequity. These interventions should also discuss the spectrum of STIs in relation to IPV.
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MAISONNIER, MARC. "Osteosynthese des fractures du massif trochanterien par la vis-plaque dhs : etude clinique de 50 cas compares a 50 cas traites par enclouage de ender." Lyon 1, 1989. http://www.theses.fr/1989LYO1M024.
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Häußler, Felix. "Vergleichende biomechanische Untersuchungen zur dynamischen Hüftschraube (DHS), der Schraube des Gamma-3-Nagels und der Helixklinge des PFN A." kostenfrei, 2008. http://www.opus-bayern.de/uni-regensburg/volltexte/2009/1115/.
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Pashapa, Tapfuma. "Interrogation of the fertility differentials between the Malawi DHS and the Malawi Diffusion and Ideational Change Project survey data." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11511.
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Includes abstract.Includes bibliographical references (leaves 63-61).
Anglewicz, Adams, Obare et al (2009) show that the mean parities for the women who were interviewed in the Malawi Diffusion and Ideational Change Project (MDICP) surveys of 1998 and 2004 are generally higher than the mean parities for the women who were interviewed in the Malawi Demographic and Health Surveys (MDHSs) of 2000 and 2004 respectively.
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Kanjala, Chifundo. "HIV/AIDS impact on childhood mortality and childhood mortality measurement : from the perspective of Kenyan and Malawian DHS data." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/5901.
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Includes abstract.Includes bibliographical references (leaves 79-84).
This study has two goals. The first is to assess the consistency of the childhood mortality trends constructed from the direct and the indirect methods of estimation in high HIV prevalence scttings. The second goal is to assess the direct impact of HIV / AIDS on childhood mortality in Kenya and Malawi for the periods 1999 - 2003 and 2000 - 2004 respectively. It is important to understand the impact of HIV on childhood mortality and childhood mortality measurement to ensure that child health planning and cvaluation are correctly informed.
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Alasmari, Ali M. "Examining Reading Comprehension Strategies Selected and Used by Two Teachers of d/Dhh Students in an Elementary School Classroom." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1497544950318833.
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Jawla, Muhammed, Folawiyo S. Olanrewaju, and Megan Quinn. "Factors Influencing Attitude Towards The Use of Mosquito Nets in Households in The Gambia." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/38.
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Malaria is caused by Plasmodium parasites, which are transmitted via the bite of infected female anopheles mosquitoes. There were 217 million cases of malaria worldwide, and about 435,000 malaria related deaths in 2017. WHO Africa region accounted for 92% and 93% of malaria cases and deaths worldwide. According to The Gambia National Malaria Strategic Plan 2013-2020, malaria is a leading cause of morbidity and mortality. The aim of this study was to identify factors influencing attitude towards the use of mosquito nets in households in The Gambia using Demographic and Health Survey (DHS) data. The current study is a secondary data analysis with a, cross-sectional study design. The source of the data for this study is the DHS, which was conducted by the United States Agency for International Development (USAID) together with the Gambia Bureau of Statistics (GBOS) in 2013. The study sample is representative of The Gambian population. The sample size for the study was 5276 subjects. Statistical Analysis System (SAS 9.3) was used for data analysis. Descriptive statistics were generated for the factors been tested. These included area of residence, presence of electricity, indoor residual spraying, highest level of education and wealth index. The outcome variable measured was household use of mosquito nets (Yes/No). Logistic regression analysis was done to determine whether area of residence, wealth index, education level, presence of electricity and indoor residual spraying influence attitude towards use of mosquito nets in households. Stepwise binary logistic regression was used to determine the final model with the most significant predictors. Odds ratios and corresponding confidence intervals were reported. Most of the study participants were poor (46%). Those with no education made up 45.5% of the study population and 58% of dwellings had no indoor residual spraying done in the past year. 76.6% and 59.1% of respondents lived in households that had at least one mosquito net and no electricity supply, respectively. 50.6% of the respondents resided in rural areas. Logistic regression analysis showed that wealth index, indoor residual spraying and area of residence were significant factors (p<0.05) influencing attitude towards use of mosquito nets in households. Indoor residual spraying (OR=2.00; 95% C.I. 1.71-2.36), primary school education (OR=1.1; 95% C.I. 0.94-1.32), middle class wealth index (OR=1.32; 95% C.I. 1.05-1.67) and rural residence (OR=1.29; 95% C.I. 1.01-1.64) are all independent factors that increased likelihood of mosquito net usage in households. Identifying factors that influence the usage of mosquito nets in households, can be useful in developing target interventions to further reduce malaria morbidity and mortality in The Gambia. Knowledge from this study can be used to further strengthen the national malaria strategic plan. To further establish causality and increase strength of association between factors and outcome, a case control or cohort study design will be needed, since that is one of the limitations of a cross sectional study.
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Bailey, Emelie. "Healthcare access under health system decentralization in Honduras: A mixed methods study." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1471905575.
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Goldstein, Eric. "An investment in public safety do DHS assistance to firefighters grants lead to a reduction in first responder injury rates? /." Connect to Electronic Thesis (CONTENTdm), 2010. http://worldcat.org/oclc/646817140/viewonline.
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Pfaff, Katharina [Verfasser], and Chris [Akademischer Betreuer] Meier. "Synthese von Inhibitoren der zellulären Enzyme DHS und DHODH als potentielle Wirkstoffe gegen virale Infektionen / Katharina Pfaff ; Betreuer: Chris Meier." Hamburg : Staats- und Universitätsbibliothek Hamburg, 2020. http://d-nb.info/1216629668/34.
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Parker, Tanya L. "Assessing the Impact of the Department of Health (DHS) Division of Aging Services’ At-risk Adult Crime Tactics (ACT) Certification on Professionals." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/iph_theses/224.
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Background: Adults over 60 years of age in the United States are increasing in total percentage of the population and will continue to do so as each wave of the post-war, baby-boom generation enters older adulthood. Though elder mistreatment (EM) has undoubtedly been a public health problem for years, only recently has it been recognized as such. Violence prevention programs that focus on EM are needed to curb this rising epidemic. One such program, the At-Risk Adult Crime Tactics (ACT) Certification Training, is an at-risk, adult (elderly or disabled adults) prevention program designed to increase professional awareness of this population and equip primary and secondary responders (all mandated reporters) with the knowledge and skills to address the needs of Georgia’s at-risk adult crime victims.
Methodology: In order to assess the effectiveness of the ACT training, an invitation was emailed to 482 individuals who had previously completed the ACT Certification Training, inviting them to complete an (approximately) 20 minute, 41-question, online survey. Data analyses were performed to determine if these various professionals had, post ACT training, increased knowledge regarding at-risk adult abuse, increased interagency collaboration, changed management of cases involving at-risk adults, and felt that workshop topics presented during training were helpful in their profession. The survey also collected information on seven demographic indicators, and correlation analyses were run to determine their influence on survey responses. A p-value of < .05 was used to determine statistical significance of the analyses performed.
Results: Of the 482 professionals surveyed, 176 surveys were used for this research (a response rate of slightly over thirty-six percent). Results show that, post ACT training, respondents’ reported significantly increased levels of knowledge regarding all at-risk abuse topics, significantly increased interagency collaboration across all included agencies, significant change in case management of at-risk adults, significant levels of helpfulness on all workshop topics presented during ACT training. Furthermore, demographic analyses found significant negative correlations between extent of change in case management of at-risk adults and the demographic indicators of education and age. Also, a positive correlation was found between reported level of helpfulness on one workshop topic (community resources) and the service area of respondents.
Conclusions: Though the results of this survey are quite positive, more surveys need to be conducted on future classes of ACT training graduates to determine the validity of this study’s results. Moreover, in order to truly substantiate claims that ACT training prevents EM and other at-risk adult abuse, research must be conducted to document the link between this prevention program and improvements in EM outcomes.
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Bungu, Manyara Lillian. "Two investigations into the causal link between child mortality and subsequent fertility using DHS data from Kenya, Lesotho, Malawi, Tanzania and Zimbabwe." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/5897.
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Includes abstract.Includes bibliographical references.
This research performs two investigations into the causal link between childhood mortality and fertility using Demographic and Health Survey data from Kenya, Lesotho, Malawi, Tanzania and Zimbabwe, countries which are at different stages of the demographic transition. The first investigation assesses the effect of the death of a child on the timing of the birth of the next child. Piecewise log-rate models were used to investigate women who had experienced the loss of a child and in all the countries under study these women were found to have shorter birth intervals. The magnitude of the effect was strongest in Lesotho and Zimbabwe. The second investigation assesses the effect of the death of at least one child on insuring against future mortality. Logistic regression models showed that women aged 35-49 years old who had experienced at least one child death were likely to insure against future child mortality. This effect was most pronounced in Malawi.
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Gebregergish, Samron. "The prevalence and determining factors of comprehensive knowledge of HIV/AIDS and condom use among adolescents in Sierra LeoneData from DHS 2013." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-280741.
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Introduction: Adolescents are among the most vulnerable groups to HIV in a society and information regarding their sexual health including HIV is inadequate. This study aims at assessing comprehensive HIV knowledge and condom use among adolescents in Sierra Leone and their determining factors. Methods: Adolescents aged 15-19 from DHS Sierra Leone 2013 were studied. Analysis included comparison with DHS 2008 and assessment of potential predictors for both outcomes. Statistical tests include Pearson’s chi-squared test and logistic regression analysis. Results: Prevalence of comprehensive HIV knowledge was 30.2% in 2013 compared to 26.9% in 2008; higher among secondary/higher education (AOR2 2.34, 95% CI 1.90-2.89) and lower for rural (AOR2 0.83 95% CI 0.69-0.99), married/cohabiting (AOR2 0.65, 95% CI 0.50-0.84), middle wealth (AOR2 0.70, 95% CI 0.56-0.89), no accepting attitude to HIV (AOR2 0.57, 95% CI, 0.45-0.72) and unknown HIV status (AOR2 0.66, 95% CI 0.56-0.78). Prevalence of condom use was 8.6% in 2013 compared to 10.6% in 2008; higher among males (AOR2 2.93, 95% CI 2.14-4.01), Christians (AOR2 1.58, 95% CI 1.14-2.16) and adolescents with multiple sexual partners (AOR2 1.67, 95% CI 1.13-2.41) and lower for primary school adolescents (AOR2 0.43, 95% CI 0.18 -0.95). Conclusion: Comprehensive HIV knowledge increased and condom use decreased in 2013 compared to 2008 and several determining factors of both outcomes were identified for DHS 2013. This study enables targeting vulnerable groups and provides comparable findings which are informative in planning for broad objective of lowering the burden of HIV/AIDS in the society and adolescents in particular.
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Tronson, Deidre A., of Western Sydney Hawkesbury University, of Science Technology and Environment College, and of Science Food and Horticulture School. "Volatile compounds in some eastern Australian Banksia flowers." THESIS_CSTE_SFH_Tronson_D.xml, 2001. http://handle.uws.edu.au:8081/1959.7/140.
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This project was the very beginning of research into the chemistry of eastern Australian banksia flowers. Using dynamic headspace sampling (DHS) analysis, differences in volatile components, consistent with detection of differences in odour, were detected among three different species and one commercial cultivar. Infraspecific variation was also observed between two known subspecies of Banksia ericifolia and between differently coloured forms of Banksia spinulosa var. collina. The cultivar, Banksia 'Giant Candles', was shown to have some of the chemical components of each of its supposed ancestors. The absence of known wound-response chemicals indicated that this DHS method was successful in leaving the inflorescences undamaged throughout the sampling procedure. The Likens-Nickerson modification of classical hydrodistillation methods was useful. The static headspace method (SHS) was easily automated and was shown to be chemically robust and sufficiently sensitive to detect volatile compounds from only a few flowers. The milder DHS method, which minimised mechanical and heat damage to the plant tissue, produced a different set of results. From the results of this project, a suite of volatile compounds has been proposed that may be useful in future behavioural studies to help determine whether animals are attracted to components of banksia odours. These candidates include some compounds that have been reported in animal secretions, wound-response chemicals that may be produced by the plant to aid its communication with other organisms, and a compound (suggested to be sulfanylmethyl acetate) not previously reported from natural sources. The mildest of the three analytical methods used, dynamic headspace sampling, was shown to be suitable for the potential chemotaxonomic evaluation of some members of the Banksia genus.Doctor of Philosophy (PhD)
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Schulz, David V. "A Department of Homeland Security Reserves (DHS-R) simultaneously protecting the homeland while alleviating the increased DoD role in Homeland Defense and Security." Thesis, Monterey, Calif. : Naval Postgraduate School, 2007. http://bosun.nps.edu/uhtbin/hyperion-image.exe/07Dec%5FSchulz.pdf.
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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, December 2007.Thesis Advisor(s): Shore, Zachary. "December 2007." Description based on title screen as viewed on January 18, 2008. Includes bibliographical references (p. 67-71). Also available in print.
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Peyda, Moore Simon. "The effect of maternal education on breastfeeding initiation behavior of Ugandan mothers : Secondary analysis of DHS 2016 data using the COM-B model." Thesis, Uppsala universitet, Forskargrupper (Inst. för kvinnor och barns hälsa), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-385440.
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Background: The World Health Organization recommends early breastfeeding initiation, within the first hour of life. Ugandan mothers with no formal schooling appear superior in fulfilling this recommendation compared to mothers with primary, secondary, or higher education. Aim: This secondary analysis of Ugandan Demographic and Health Survey data from 2016 aimed to statistically analyze the association between maternal education and early breastfeeding initiation, to find socio-economic and health care determinants that promote the behavior. Methods: Ugandan mothers (n=9,209, 15 to 49 years) were included in statistical analysis. Chi-squared testing and logistic regression were used to assess associations between maternal education (exposure) and fulfillment of early breastfeeding initiation less than 1 hour after birth (outcome). Results: Out of the eligible mothers in a weighted sample, 68% (n=6,281) fulfilled early breastfeeding initiation and 32% (n=2,928) did not meet the criteria. Maternal primary education significantly predicted the outcome of early breastfeeding initiation (p ≤ 0.05, AOR: 0.80, with 95% CI 0.67-0.95) in a negative direction, compared to uneducated mothers. This result was adjusted for maternal residence, education, occupation, and parity, along with the husband/partner's education. Moreover, educational attainment beyond the primary level indicated a non-significant association to the criteria fulfillment when compared to uneducated mothers. Conclusions: Ugandan maternal education does not seem to significantly promote early BFI behavior. Primary level education only indicated a significantly negative association compared to uneducated Ugandan mothers. Traditional lifestyle factors (lower level education, and corresponding level of occupation, and larger families) appeared to be associated with the desired behavior.
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TUYISHIME, Eugenie. "FACTORS ASSOCIATED WITH THE PREVALENCE OF CONTRACEPTIVE USE AMONG WOMEN OF REPRODUCTIVE AGE IN RWANDA: A CROSS-SECTIONAL STUDY USING DEMOGRAPHIC AND HEALTH SURVEY RWANDA, 2010." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-296474.
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ABSTRACT Background: The Rwandan government has set family planning (FP) as one of the goals and strategies to improve the health of the population. However, unmet needs for modern contraceptive methods are still a problem, as is the variance of modern contraceptive use among the five regions of Rwanda. Aim: This study aimed at assessing key factors that contribute to the variance of modern contraceptive use between five regions of Rwanda. Methods: This study was a secondary analysis of the Rwanda Demographic health survey, 2010. A total of 492 clusters (urban/rural), composed by 12,792 households were selected in the survey; 13,790 women of reproductive age were systematically selected from selected households and interviewed about maternal and reproductive health issues. 6834 married women or living with their partners at the time of the survey were selected for this study. Results: Socio-economic and demographic characteristics of women, access to family planning (FP) information and women’s empowerment were associated with the variance of modern contraceptive use between the regions. Women’s empowerment was positively associated with modern contraceptive use in all regions. Access to information was associated with modern contraceptive use in all regions except in the North region (AOR: 1.24, 95%CI: O.8- 1.92). Conclusion: This study highlights that the variance of modern contraceptive use was associated to the way in which FP factors are associated with modern contraceptive use vary between regions and how different FP factors occur among regions. Further researches are needed to investigate potential factors on supply side that influence such variance.
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Smith, Teresa M. "Instilling a culture of accountability at the Department of Homeland Security (DHS): leveraging the Government Performance and Results Modernization Act (GPA-MA) of 2010." Thesis, Monterey California. Naval Postgraduate School, 2013. http://hdl.handle.net/10945/37720.
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CHDS State/LocalLinking the theoretical conceptualization of public and organizational accountability, defined as a culture of high-trust, with the Government Performance and Results Modernization Act (GPRA-MA) of 2010, may revolutionize the way Department of Homeland Security (DHS) leaders and performance practitioners, partners and stakeholders consider and apply strategic performance management practices and processes within the department. This thesis contains twelve (12) recommendations based on the concept of meta-governance, which incorporates relational webs and network power involving the general public, into departmental performance management and improvement processes. Our next generation solution to creatively implement the GPRA-MA, innovative (democratic) networked governance, integrates social complexity theory epistemologies and best practice principles in an attempt to ameliorate the five (5) cultural conditions identified as contributing to deficiencies within the five (5) major focus areas of the GPRA-MA. Placing organizational management, strategic planning, program evaluation, performance measurement, governance, accountability and decision making within the larger context of fiscal, ethical and democratic responsibility and responsiveness, would be an inestimable force multiplier to both DHS politically appointed and career officials, having the potential to revolutionize the way the United States of America secures and protects its homeland.
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Lara, Díaz Carolina Andrea, and Cabeza Constanza Paola Traverso. "Estudio descriptivo de la capacidad de vida y funcionalidad en pacientes operados de fractura extracapsular de cadera con DHS en el Hospital Clínico de la Universidad de Chile." Tesis, Universidad de Chile, 2005. http://www.repositorio.uchile.cl/handle/2250/110624.
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El propósito de este estudio es describir la Calidad de vida y Funcionalidad mediante test de valoración de dichas cualidades (SF-36 y Score Funcional Cadera de D`Aubigne y Postel ) en 8 pacientes intervenidos quirúrgicamente en los servicios de Urgencia y Traumatología del Hospital Clínico de la Universidad de Chile, en los que se realizó una fijación interna mediante la técnica de osteosíntesis DHS, entre agosto del 2003 y mayo del 2005. Paralelamente se realizaron las mismas evaluaciones en un grupo control integrado por 9 adultos mayores.The purpose of this study is to describe the Quality of life and hip Functionality using valuation tests of such qualities (SF-36 and D´ Aubigne and Postel Hip functional Score ) in 8 patients who were put under surgery product of a extracapsular hip fracture using the internal fixation method DHS in Universidad de Chile Clinical Hospital between August of the 2003 and May of the 2005. In parallel the same evaluations adults were carried out in a group control comprising 9 older adults.
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Papaioannou, Antigoni. "A cross-sectional study examining the association between litaracy and unmet need for contraception among women in Rwanda." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-388383.
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Introduction:Rwanda is one of the countries in Sub-Saharan Africa with the most remarkable health achievements. However, Rwanda is still one of the countries with a high unmet need (34%) and high prevalence of unintended pregnancies. Objective: To examine the association between literacy and unmet need for contraception among women in reproductive age in Rwanda. Research design and methods: A cross-sectional study based on secondary data, derived from the Demographic and Health Survey (DHS) program. The study population was women in reproductive age (15- 49 years old) who lived in Rwanda. It included 13217 females out of the 13497 after the exclusion of females who are not residents of Rwanda, who are blind or visually impaired and who are need language card. The methodology involved cross tabulations, bivariate and multivariate logistic analyses. Results: There was a significant bivariate association between literacy and unmet need for contraception (OR=1.28; 95% CI 1.17-1.40; p < .001), in which literate females where more likely to have an unmet need for contraception. There was no association between literacy and unmet need when controlling other factors. Others factors such as age, current marital status and province had a strong impact on the unmet need for contraception in the adjusted analysis. Conclusions: Literacy may be associated with the outcome, however, socio-economic factors have a stronger influence on the dependent variable. Regulations, policies and other features such as socio-cultural norms may differ from country to country, therefore it is important to consider the current situation of each country.
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Kiragu, Ann. "La mortalité maternelle au Kenya : mesures et déterminants." Thesis, Paris 1, 2015. http://www.theses.fr/2015PA010656.
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Dans les trois dernières décennies, les chercheurs et la communauté internationale ont montré un intérêt accru pour la mortalité maternelle. Des objectifs et des stratégies ont été proposés pour réduire celle-ci au cours de diverses conférences internationales (Conférence de la Maternité Sans Risque à Nairobi en 1987, Conférence Internationale sur la Population au Caire en 1994 et particulièrement, Sommet du Millénaire à New York en l'an 2000). Alors que certains pays en développement ont réussi à atteindre les objectifs fixés, le Kenya se trouve confronté à l’un des plus grands défis auquel il ait dû faire face en matière de santé : réduire les niveaux toujours élevés de la mortalité maternelle. Comme dans la plupart des pays d’Afrique subsaharienne, au Kenya, les données de l'état civil qui pourraient fournir des informations fiables sur les décès maternels sont généralement incomplètes et les Enquêtes Démographiques et de Santé sont devenues la principale source d'information pour estimer à la fois la mortalité des adultes et la mortalité maternelle. A l’aide de ces enquêtes cette thèse vise à expliquer les niveaux élevés de la mortalité maternelle au Kenya entre 1986 et 2008. Par ailleurs, les EDS sont utilisées en même temps qu’une enquête sur les morbidités obstétricales réalisée dans un hôpital de Nairobi pour mesurer les morbidités obstétricales qui accroissent les risques de mortalité. Cette thèse combine les méthodes démographiques classiques et les modèles linéaires généralisés pour étudier les niveaux et les tendances de la mortalité maternelle, analyser les morbidités obstétricales et les déterminants individuels de l’une et des autres. Elle se penche également sur les facteurs contextuels, en particulier le système de santé du Kenya. Les niveaux de mortalité maternelle sont liés à l’accessibilité, la disponibilité et la qualité des services de santé maternelle, de même qu’ils sont liés aux comportements des femmes en matière de reproduction et de recours de soins de santé maternelle. Mais, ces comportements sont influencés par l’environnement socioculturel de la femme et cette thèse étudie l’ensemble de ces déterminantsIn nearly the last three decades, an increased interest in maternal mortality has been taken by both researchers and the international community. Strategies and targets to reduce maternal mortality have been set during various International Conferences (The Safe Motherhood Conference in Nairobi in 1987, the International Conference on population in Cairo in 1994, and most importantly, the Millennium Summit in New York in the year 2000). While some developing countries have managed to meet the targets set, persistently high risks of maternal mortality remain one of the greatest health challenges that Kenya continue to face. Like in most sub-Saharan Africa countries, in Kenya, vital registration of births and deaths, that could reliably and continuously elicit information on maternal deaths, is usually incomplete. DHS sibling history data is the major source of information for both adult and maternal mortality. Using this data, this dissertation seeks to explain the persistently high levels of maternal mortality in Kenya between 1986 and 2008. A hospital based study is used to measure obstetric morbidities. This dissertation combines both classic demographic methods and generalized linear models to study levels and trends of maternal mortality, analyze obstetric morbidities and individual determinants of maternal mortality and morbidity. The Kenyan health system is considered as a contextual determinant of maternal mortality and morbidity in terms of availability, accessibility and quality of maternal health services. We find that the persistently high levels of maternal mortality are extremely related to the healthcare system, women’s reproductive and maternal healthcare seeking behavior, and that women’s’ behavior is highly linked to their socio cultural environment
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Al-kassab, Córdova Ali, and Claudia Silva-Pérez. "Tendencias, determinantes y distribución espacial de la cobertura completa de vacunación en infantes de 13 a 59 meses en el Perú. Un análisis secundario de la encuesta de demografía y salud familiar (DHS-Peru)." Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/657307.
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Introducción: Las vacunas constituyen una de las medidas de salud pública más costo-efectivas a nivel mundial, ya que previenen más de 25 enfermedades. Pese a que la cobertura de inmunizaciones en infantes incrementó en la región de Latinoamérica y el Caribe, esta permanece baja. Asimismo, en Perú hay regiones en donde la cobertura es baja. Esto puede deberse a factores culturales y socioeconómicos. La literatura sobre los determinantes de la cobertura completa de vacunación en infantes es controversial. Objetivos: Evaluar las tendencias, los determinantes y la distribución espacial de la cobertura de vacunación completa en infantes de 13 a 59 meses en el periodo 2010-2019 en el Perú. Materiales y métodos: Estudio cuantitativo, observacional, analítico, tipo transversal, basado en la Encuesta Demográfica y de Salud Familiar (ENDES). Nuestra muestra está constituida por los registros de infantes de 13 a 59 meses encuestados en la ENDES en el año 2010 y 2019. Para definir el outcome, nos basaremos en la definición de cobertura completa de inmunizaciones de la Organización Mundial de la Salud (OMS). Se empleará el análisis de descomposición para evaluar los determinantes del cambio de la prevalencia entre el 2010 y 2019. Asimismo, se analizará la tendencia en este periodo. Ambos análisis se harán en STATA 16.0. Finalmente, para determinar la distribución espacial de la cobertura completa de inmunizaciones en el 2019 se empleará la prueba de I de Moran y el test de Kulldorff, los mismos que se harán en ArcGis 10.8 y SaTScan 9.6, respectivamente.