Letteratura scientifica selezionata sul tema "Client staff"
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Articoli di riviste sul tema "Client staff"
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Pino, Marco. "Delivering criticism through anecdotes in interaction". Discourse Studies 18, n. 6 (6 ottobre 2016): 695–715. http://dx.doi.org/10.1177/1461445616668069.
Testo completoAbstract (sommario):
Criticising someone’s conduct is a disaffiliative action that can attract recipient objections, particularly in the form of defensive detailing by which the recipient volunteers extenuating circumstances that undermine the criticism. In Therapeutic Community (TC) meetings for clients with drug addiction, support staff regularly criticise clients’ behaviours that violate therapeutic principles or norms of conduct. This study examines cases where, rather than criticising a client’s behaviour directly, TC staff members do so indirectly through an anecdote: a case illustrating the inappropriateness of the type of conduct of which the client’s behaviour is an instantiation. TC staff members design the anecdote to convey a principle or norm of conduct which the client has putatively violated, and they systematically pursue endorsement of that principle by the client. By constructing the anecdote as an exemplary case, distanced from the individual client’s personal experience, TC staff members make it an empirically unverifiable, self-evident, and therefore hard to challenge, illustration of a norm.
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Saxby, Helen, David Felce, Martin Harman e Alan Repp. "The Maintenance of Client Activity and Staff–Client Interaction in Small Community Houses for Severely and Profoundly Mentally Handicapped Adults: A Two-Year Follow-Up". Behavioural and Cognitive Psychotherapy 16, n. 3 (luglio 1988): 189–206. http://dx.doi.org/10.1017/s0141347300013641.
Testo completoAbstract (sommario):
In a previous study (Felce, de Kock and Repp, 1986), appropriate client activity was found to be considerably higher in two community homes for severely and profoundly mentally handicapped adults than in a number of institutions. Client activity was also shown to be related to the extent of staff interaction. The method of this study was replicated in a two-year follow-up to investigate whether these desirable levels of staff interaction and client activity were maintained. Client engagement in appropriate activity remained similar for five subjects but had fallen slightly for a further five. The duration of instruction given to the majority of subjects by staff had declined but so too, for a variety of reasons, had staff–client ratios. Overall, the follow-up data give a general impression of the maintenance of client activity with some subjects engaging with greater independence. However, interpretation is dependent on the role that staff–client ratio may play in determining staff performance and in particular their level of interaction with clients.
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Walz, Linda T., e Laura H. Goldstein. "The Mental Impairment and Evaluation Treatment Service: staff attitudes and staff–client interactions". Psychological Medicine 22, n. 2 (maggio 1992): 503–11. http://dx.doi.org/10.1017/s0033291700030440.
Testo completoAbstract (sommario):
SYNOPSISThis study describes and evaluates a new short-term residential service for adults with mild learning difficulties and challenging behaviour, the Mental Impairment Evaluation and Treatment Service. The study examines staff attitudes towards management practices, towards the potential achievement of individuals with learning difficulties, the staff's perceived involvement in decision making, and also the nature of their interaction with the clients, in two different settings on the Unit. The Unit's management practices were found to be client-orientated in nature and staff were more in agreement with client-orientated than institution-orientated management practices. Staff were generally optimistic about clients' potential and felt involved in decision making. Correlations between certain staff characteristics, attitudes and interactions are discussed. The study extends the range of services that have been evaluated in this way, and provides a description of the service in its early stages, which will provide an important comparison point for it when it is more permanently established.
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Broerse, Jora. "“How Do We Put Him in the System?”: Client Construction at a Sport-Based Migrant Settlement Service in Melbourne, Australia". Social Inclusion 7, n. 1 (28 febbraio 2019): 238–47. http://dx.doi.org/10.17645/si.v7i1.1803.
Testo completoAbstract (sommario):
The empirical focus of this article is a sport-based settlement service targeting newly arrived migrants in Melbourne, Australia. This five-month study examines staff members’ everyday work routines with a focus on their participation in meetings and the production of documents. Embedded in the Australian immigration policy context, this article shows how staff members aim to empower clients while simultaneously falling back into stigmatising refugee/client identification through administrative practices. The results indicate that staffs’ everyday client constructions reinforce the othering and categorisation of ethnic minorities and support a reductionist deficit model of presenting clients. This may limit the opportunities for migrants to identify with and participate in wider Australian society and thus has the opposite effect of what governments and the sector aim to accomplish.
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Clark, Carrie, Elizabeth Scott e Terry Krupa. "Involving Clients in Programme Evaluation and Research: A New Methodology for Occupational Therapy". Canadian Journal of Occupational Therapy 60, n. 4 (ottobre 1993): 192–99. http://dx.doi.org/10.1177/000841749306000405.
Testo completoAbstract (sommario):
Eliciting client satisfaction with services has become common in mental health settings and in the planning of service delivery systems. It is also compatible with the client-centred practice of occupational therapy. The traditional approach to collecting satisfaction information involves staff interviewing clients using questionnaires developed by staff. However, there is often a lack of variability in responses and the vast majority of clients report being satisfied. A review of the literature reveals that these favourable reports may be a result of social desirability and of clients being interviewed by treatment providers who have the power to give or withhold care. This paper reviews the relationship between occupational therapy and client involvement, examines the rationale for involving clients in programme evaluation and research, reviews the limitations with traditional methods of collecting information about client satisfaction, and discusses how clients are involved in evaluation and research in today's mental health care setting.
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Rege, Swapnil, Aisha Mian Malik, Marybeth Ward e Jing Hong. "Checklists in community care: reducing differences in care delivery between regular and relief staff to improve consistency and client experience". BMJ Open Quality 9, n. 2 (giugno 2020): e000809. http://dx.doi.org/10.1136/bmjoq-2019-000809.
Testo completoAbstract (sommario):
BackgroundToday, healthcare is more complex than just ensuring clients receive quality care; it also involves consistently delivering excellent client experience. A non-profit community support services agency conducted an extensive diagnostic journey to determine root causes of inconsistent care delivery between regular and relief frontline staff.Local problemClients and family caregivers noted lower satisfaction in care delivery when a relief staff (ie, internal staff or an external agency that is covering a shift) provided service in comparison with their regular staff. The diagnostic journey discovered that the shift exchange process—when outgoing staff transfers critical knowledge to incoming staff for continuing care—varied significantly between the 11 service locations, leading to a lack of consistent service delivery, thereby impacting client experience.MethodsA working group consisting of Supervisors of Client Services, Personal Support Workers (PSW) and management were tasked with process mapping the current state, highlighting gaps and outlining the ideal state of the shift exchange process.InterventionsUsing best practices from the aviation industry, a checklist was developed that encapsulated all the critical steps needed to be undertaken for a successful, consistent shift exchange. The theory was that the utilisation of the checklist would enable consistency and improve client satisfaction with care delivery, especially when care is delivered by a staff unfamiliar with clients.ResultsPrior to the checklist implementation, 74% of clients were satisfied or very satisfied with their relief staff, and post checklist implementation client satisfaction improved to 90%. Staff self-assessments also indicated that PSWs agreed that the checklist helped provide consistent care.ConclusionThe use of checklists can transform the way care is delivered in the community support sector and other service delivery agencies alike to bring greater standardisation of care between providers, thus significantly improving client experience across the healthcare sector.
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Crocker, Peter J., e Margo S. George. "Participation and Utilization: Assessing the Skills Training Needs of the Chronically Mentally Ill". Canadian Journal of Community Mental Health 4, n. 2 (1 settembre 1985): 73–82. http://dx.doi.org/10.7870/cjcmh-1985-0016.
Testo completoAbstract (sommario):
Utilization-focused and stakeholder-based approaches to evaluation attempt to enhance utilization through the participation of individuals with a vested interest in evaluation outcomes. The present study sought to determine the skills training needs of the chronically mentally ill, and involved program participants (clients and staff) in measurement and design issues. Client interview, nominal group, and key informant strategies were used to obtain a variety of perspectives on client needs. Program clients were given a voice in decision-making and program planning, and research results were used to develop a skills training program relevant to client's needs.
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Molina, Julian. "Intervention Tales: Talk, Documents, and “Engagement” on a Wage Subsidy Project". Qualitative Sociology Review 14, n. 1 (15 marzo 2018): 68–82. http://dx.doi.org/10.18778/1733-8077.14.1.04.
Testo completoAbstract (sommario):
Drawing from ethnographic fieldwork on a wage subsidy project for NEETs in London, this article examines how talk and documents are used to make sense of caseloads and clients. The article draws attention to the way that staff account for clients through using “Intervention Tales.” The use of these tales provide insights into the routine implementation of labor market interventions. The article describes the work involved in documenting staff-client interactions and selecting which clients to put forward for “live vacancies.” The article shows how organizational documents, spreadsheets, and client registration forms are used as resources for assessing “hard to engage” clients during routine activities. In this sense, intervention tales, talk, and documents provide practical resources for organizing ordinary activities, such as segmenting client caseloads and characterizing individual clients.
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Wilkinson, Joanne, Nechama W. Greenwood, Claire Tienwey Wang, Laura F. White e Larry Culpepper. "Measuring Staff Empowerment Regarding Health Care for Clients with Intellectual Disabilities". International Journal of Family Medicine 2014 (25 febbraio 2014): 1–6. http://dx.doi.org/10.1155/2014/678127.
Testo completoAbstract (sommario):
Background. Women with intellectual disabilities (ID) contract breast cancer at the same rate as the general population but have higher breast cancer mortality and lower rates of breast cancer screening. Many women with ID live in group homes or supported residences where they are cared for by direct support workers. While direct support workers are thought to influence client health, this effect is underresearched, and we lack tools for measuring staff empowerment and perceptions regarding client health. Methods. We developed and validated an instrument, the staff empowerment tool (SET), to measure staff empowerment as related to supporting clients in preventive health. Results. The SET was found to be a reliable instrument for measuring staff activation and empowerment in helping clients access mammography screening. Discussion. Quantifying staff empowerment and perspectives is important in studying and reducing disparities among adults with ID, a vulnerable population. Further research to determine the impact of staff empowerment levels on their clients’ health and health care access is suggested. The SET is a valuable tool for measuring the construct of staff empowerment, evaluating interventions, and collecting data regarding variation in staff empowerment.
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Van der Meulen, Anne Pier S., Maaike A. Hermsen e Petri JCM Embregts. "Restraints in daily care for people with moderate intellectual disabilities". Nursing Ethics 25, n. 1 (4 aprile 2016): 54–68. http://dx.doi.org/10.1177/0969733016638141.
Testo completoAbstract (sommario):
Background: Self-determination is an important factor in improving the quality of life of people with moderate intellectual disabilities. A focus on self-determination implies that restraints on the freedom of people with intellectual disabilities should be decreased. In addition, according to the Dutch Care and Coercion bill, regular restraints of freedom, such as restrictions on choice of food or whom to visit, should be discouraged. Such restraints are only allowed if there is the threat of serious harm for the clients or their surroundings. Research question: What do support staff consider as restraints on freedom and how do they justify these restraints? Research design: In this study, data were collected by semi-structured interviews. Participants and research context: Fifteen support staff working with clients with moderate intellectual disabilities were interviewed. All participants work within the same organisation for people with intellectual disabilities in the Eastern part of the Netherlands. Ethical considerations: The study was conducted according to good scientific inquiry guidelines and ethical approval was obtained from a university ethics committee. Findings: Most restraints of freedom were found to be centred around the basic elements in the life of the client, such as eating, drinking and sleeping. In justifying these restraints, support staff said that it was necessary to give clarity in what clients are supposed to do, to structure their life and to keep them from danger. Discussion: In the justification of restraints of freedom two ethical viewpoints, a principle-guided approach and an ethics of care approach, are opposing one other. Here, the self-determination theory can be helpful, while it combines the autonomy of the client, relatedness to others and the client’s competence. Conclusion: Despite the reasonable grounds support staff gave for restraining, it raises the question whether restraints of freedom are always in the interest of the client.
Tesi sul tema "Client staff"
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Stewart, Rose E. "Borderline personality disorder from both sides : staff and client perspectives". Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/51658/.
Testo completoAbstract (sommario):
The difficulties faced by individuals attracting a diagnosis of Borderline Personality Disorder (BPD) are multiple and varied. Whilst the psychological difficulties characteristic of this diagnosis have a significant impact on these clients’ everyday lives, they also contend with others’ attitudes and responses to their diagnosis, which has proved both controversial and stigmatising. Chapter one concentrates on the stigma that surrounds the BPD label by presenting a systematic review of the literature relating to professionals’ attitudes and responses to individuals diagnosed with BPD. This highlights the predominantly negative perceptions of this client group, the strength of countertransference experienced by professionals working with this client group, and the ways in which clinicians respond to this. Chapter two concentrates on the perspectives of clients with BPD by reporting an empirical study investigating the lived experiences of parenting for mothers with BPD. The experiences of six mothers are explored using a phenomenological approach and the themes emerging from their interviews are discussed in detail. The findings are considered in relation to the existing literature and the implications in terms of providing support for mothers with BPD are discussed. Chapter three continues the theme of motherhood by presenting a reflective paper focussing on the analysis of parenting–related dreams experienced by the author during the course of the research. The personal and professional implications of the dream analysis and research completion are considered.
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Russell, Daniel Craig. "Educating staff at Fulton State Hospital regarding client spirituality issues". Theological Research Exchange Network (TREN), 2002. http://www.tren.com.
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Wright, Sharon Elizabeth. "Confronting unemployment in a street-level bureaucracy : jobcentre staff and client perspectives". Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/259.
Testo completoAbstract (sommario):
This thesis presents an account of the roles played by social actors in the implementation of unemployment policy in the UK. Lipsky’s (1980) theory of street-level bureaucracy has been adopted, updated to the contemporary context of the managerial state (Clarke & Newman, 1997) and developed in the specific case of the Jobcentre. The analysis is based on data collected during an ethnographic investigation of one case study Jobcentre office in Central Scotland. The methods consisted of six months of direct observation, interviews with 48 members of Jobcentre staff, semi-structured interviews with 35 users and analysis of notified vacancies and guidance documents. The argument is that front-line workers re-create policy as they implement it. They do so in reaction to a series of influences, constraints and incentives. Users therefore receive a service that is a modified version of the official policy. Users do not necessarily accept the policy that they are subjected to. They do not identify with the new managerialist notion of customer service because as benefit recipients they are denied purchasing power, choice and power. Unemployment policy is not delivered uniformly or unilaterally because front-line staff are active in developing work habits that influence the outcomes of policy. Policy is accomplished by staff in practice by categorising users into client types. This is significant because staff represent the state to the citizen in their interaction. Users are also active in accomplishing policy, whether they conform with, contest, negotiate or co-produce policy. Understanding what unemployment policy actually is, and what it means to people, depends on understanding these social processes by which policy emerges in practice.
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Meson, Tracy. "An exploration of the staff variables on helping behaviour : a pilot study of the staff-client interactive behaviour inventory". Thesis, University of East Anglia, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.554260.
Testo completoAbstract (sommario):
Background. Previous research examining staff responses to clients with a learning disability and challenging behaviour have focused on behavioural models, and Weiner's (1980) helping behaviour model. More recently, Willems et al. (2010) considered the interactional nature of the staff-client interaction using Benjamin's Structural Analysis of Social Behaviour (1974). This was considered novel to this study. They developed the Staff Client Interactive Behaviour Inventory (SCIBI) on the basis of this model. Aims. The aim of the current study was thus twofold: to pilot the SCIBI in a British population, investigating possible relationships between staff responses ('helping behaviour') and the SCIBI factors, and to assess the psychometric properties of the SCIBI. Method. The SCIBI was originally piloted in a Dutch sample, and thus the language composition was adjusted initially. This study recruited frontline support staff in community settings for adults with a learning disability and challenging behaviour (N = 67). All participants completed the SCIBI, Intrex questionnaire (Benjamin, 1983,2000) and measure of helping behaviour in response to an identified target client. The factors of the SCIBI were correlated with staff helping behaviour to explore possible relationships. The psychometric properties of the SCIBI were also assessed (internal consistency, test-retest reliability & concurrent validity). Results. A significant positive relationship was found between helping behaviour and assertive control on the SCIBI. The results of this study found poor reliability for the SCIBI in a British sample. The concurrent validity of the SCIBI was only found to be good enough for the hostility factor of the SCIBI. Conclusions. To conclude the results of this study found little support for a relationship between the SCIBI factors and helping behaviour. Further, the pilot data investigating its psychometric properties in a British population demonstrated poor reliability and validity. The SCIBI in this study had several limitations.
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Crawford, Grace Edith. "Associations Between Staff Willingness to Help and Client Challenging Behaviour; The Role of Staff Attributions, Emotions and CHent Perceptions of their Relationship with Care Staff". Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.525920.
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Smith, Terry L. "Staff knowledge of client rights in West Virginia institutions for the developmentally disabled". Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/53585.
Testo completoAbstract (sommario):
Analysis of staff knowledge of client rights in West Virginia institutions for the developmentally disabled was undertaken in this study. Even with the identification of guaranteed rights for institutionalized individuals through federal and state legislation, standards, policies, and judicial decisions, whose findings have shown that violation of client rights continues to occur in most institutions. A review of the literature indicated that one possible cause for the continuation of rights violations may be the staff limited understanding of client rights. The literature also has revealed few studies have attempted an investigation in this area. This study involved 644 full-time staff who were representative of one of six different job categories. The staff were employed in one of three West Virginia institutions for the developmentally disabled. It was hypothesized that if differences in staff knowledge of client rights were identified, this information could be used to direct staff training and policy-making decisions and perhaps minimize the continuous violations of client rights.
That significant differences in knowledge of client rights did exist when different job categories of staff were compared within each institution as well as across institutions. It was found that significant relationships in knowledge of client rights exist between staff with different job longevity rates, but the correlation was too low to be considered a reliable predictor of limited value. No significant differences in staff knowledge of client rights were found between the three institutions. The implication of these research findings and the future need for research in this area are discussed.Ed. D.
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Gillespie, Morna. "Clients engagement with assertive outreach services : a comparison of client and staff perceptions of engagement and its effect on later engagement". Thesis, University of Birmingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269552.
Testo completoAbstract (sommario):
Volume I of the thesis comprises the research component, which consists of two papers: a review paper and a main empirical paper. The review paper explores to what extent engaging with services may be beneficial or detrimental to people with severe and enduring mental health problems. The paper examines the impact of therapeutic alliance, duration of untreated psychosis and assertive outreach services. The potential negative impact of engagement with services is also addressed by reviewing studies looking at stigma, labelling and racial discrimination. The paper concludes that engaging with services has the potential to be beneficial to people with severe and enduring mental health problems, once barriers such as stigma and racial discrimination have been addressed, and services are acceptable to the people using them. The main empirical paper explores clients' engagement with assertive outreach services, comparing client and staff perceptions of engagement and its impact on later engagement. The study's findings highlight differences and similarities between client and statT perceptions of engagement and suggest possible reasons for these. The clinical implications of these findings are discussed and future directions for research are suggested The final section of Volume I consists of a set of appendices. Appendix 1 is a public domain briefing paper that summarises the review paper and the main empirical paper. The remaining appendices contain information relevant to the main paper but not recorded within it. This information includes copies of questionnaire measures, demographic and clinical characteristics, information and consent forms, ethical approval and instructions to authors for journal submission. Volume II of the thesis consists of the five clinical practice reports completed during the course, which reflect work carried out on clinical placement. These reports include: a case study of a three and a half year old girl with a phobia of opening her bowels, formulated from three different theoretical perspectives; a study investigating community mental health team users' views on assertive outreach and services; a case study using exposure therapy to treat a man with a learning disability, who had a fear of visiting his G.P.; a single case experimental design of a staff intervention for an older adult with challenging behaviour; and a presentation of a shared formulation of a client with delusional beliefs in an assertive outreach team.
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Elliott, Teresa. "Service organisation, staff performance and client outcomes in services for people with learning disabilities". Thesis, University of Kent, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399603.
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Stairs, Mary E. "Dialectic tension of emancipation and control in staff/client interaction at shelters for battered women". Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020184.
Testo completoAbstract (sommario):
This study investigates the dialectic of emancipation and control in the relationship between staff and clients at shelters for battered women. The dialectic of emancipation and control represents the tension shelter workers feel in trying to empower their clients while, at the same time, maintaining control over the programs and domestic order of the shelter. Past research has introduced this dialectic, but no studies exist which view it in the context of the staff/client relationship. Additionally, very little communication research exists exploring the interaction that takes place in shelters for battered women.Four employees of four different shelters were interviewed by this researcher. Their accounts were recorded, transcribed, and analyzed using the constant comparative review method consistent with grounded theory. The workers' accounts indicated that the nature of their profession requires them to be dominant over their clients in five areas. Additionally, the workers discussed four contradictory aspects of their work which reflect the existence of the dialectic of emancipation and control in their interaction with clients.Department of Speech Communication
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Cameron, David. "The level of expressed emotion in staff client relationships of the severe and chronic mentally ill". Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246898.
Testo completoLibri sul tema "Client staff"
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Bingen, R. James. Staff management issues in on-farm client-oriented research. The Hague, Netherlands: International Service for National Agricultural Research, 1990.
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Bingen, R. James. Staff management issues in on-farm client-orientet research. The Hague: International Service for National Agricultural Research, 1990.
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Bingen, R. James. Staff management issues in on-farm client-oriented research. Hague, Netherlands: ISNAR, International Service for National Agricultural Research, 1990.
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Mickenberg, Ira. Staff attorney litigation manual. [Charleston, W. Va.?]: West Virginia Public Defender Services, 2005.
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Cameron, David W. The level of expressed emotion in staff-client relationships of the severe and chronic mentally ill: A transactional model. [S.l: The Author], 2002.
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Kitson, C. The level of knowledge and experience of HIV infection among staff who care for people with learning difficulties: And their attitudes towards the care of HIV-positive members of this client group. London: UEL, 1992.
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Double tap. [Waterville, Me.]: Wheeler Pub., 2005.
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Bender, Mike. Welcoming your clients: A practical handbook for care staff. Bicester: Winslow, 1995.
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Turow, Scott. Sudebnye oshibki: [roman]. Moskva: Izd-vo AST, 2006.
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Double tap. New York: Putnam, 2005.
Cerca il testo completoCapitoli di libri sul tema "Client staff"
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Stevenson, Olive. "Selection, Attitudes and Training of Staff 1". In Claimant or Client?, 172–200. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003199229-8.
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Burgio, Louis D. "Behavioral Staff Training and Management in Geriatric Long-Term Care Facilities". In Handbook of Clinical Behavior Therapy with the Elderly Client, 423–38. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-0638-0_19.
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Istace, Kathy. "Advocating for pet dental health." In An introduction to pet dental care: for veterinary nurses and technicians, 232–35. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781789248869.0016.
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Gonsiorek, John C. "Organizational and Staff problems in Gay/Lesbian Mental Health Agencies". In A Guide to Psychotherapy with Gay and Lesbian Clients, 193–208. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781315781747-16.
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Łuczak, Anna. "Psychosocial Stressors at Work and Stress Prevention Methods among Medical Staff of Psychiatric and Addiction Treatment Wards". In Emotional Labour in Work with Patients and Clients, 89–112. First edition. | Boca Raton : CRC Press, 2020. |: CRC Press, 2020. http://dx.doi.org/10.1201/9781003032496-6.
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Hunt, Abigail, e Nick Taylor. "Collaborating with students to provide consultancy to Lincoln City Football Club and the visitor economy." In Managing events, festivals and the visitor economy: concepts, collaborations and cases, 160–66. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781789242843.00012.
Testo completoAbstract (sommario):
Abstract This chapter aims to demonstrate how collaborative working between university staff and students, particularly in the context of subject-based research and inquiry, can result in providing effective consultancy to external clients and address real-life challenges linked to the visitor economy. This aim is achieved through critical analysis of the literature around university staff and students collaborating in research and inquiry activities and the co-creation of academic communities of practice to provide business solutions, and examination of the University of Lincoln/Coventry University/LCFC project to ascertain the role the club has to play in developing 'Brand Lincoln' and the city's economy in the 2020s.
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Fluttert, Frans, Gunnar Eidhammer e Karl Yngvar Dale. "Early Recognition Method: ‘Opening Doors’ in Risk Management Dialogue Between Mental Health and Prison Services". In Improving Interagency Collaboration, Innovation and Learning in Criminal Justice Systems, 267–95. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70661-6_11.
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AbstractIn secured institutions, which include prison services, violence between clients or towards staff has a major impact, eliciting feelings of stress, anger and fear for those involved. In this chapter we explain how violence can be understood as a complexity of multiple factors, and why a structured risk management strategy is necessary to adequately assess and manage violence. We describe specifically the Early Recognition Method (ERM) as a step-wise forward strategy aiming to identify, formulate and manage early warning signs of violence and allows a risk management dialogue to develop between prison staff and inmates. The ERM-dialogue strategy has successfully been developed and applied in forensic psychiatry and in this chapter we explore how, in a process of innovation, the knowledge and research of the ERM-applied in forensic services, has been transferred to prison services. The ‘multivoicedness’ of the ERM is explored through the theoretical concept of the ‘Self’
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"Staff involvement". In Client Management for Solicitors, 211–17. Routledge-Cavendish, 1997. http://dx.doi.org/10.4324/9781843143413-36.
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"Staff and client management". In Client Management for Solicitors, 195–210. Routledge-Cavendish, 1997. http://dx.doi.org/10.4324/9781843143413-35.
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"Developing Staff: The Client Team". In Implementing the Wealth Management Index, 51–63. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2012. http://dx.doi.org/10.1002/9781118531679.ch4.
Testo completoAtti di convegni sul tema "Client staff"
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Fien, Gert-Jan A. F., e Samar M. Semaan. "Driving Operational Excellence and Energy Reduction via End-To-End Production & Energy Loss Accounting at an Oil&Gas Client". In ADIPEC. SPE, 2022. http://dx.doi.org/10.2118/211193-ms.
Testo completoAbstract (sommario):
Abstract This paper will cover the recent implementation of a new end-to-end Production & Energy Loss Accounting (PELA) system at three separate sites of a major refining and petrochemicals company in the Middle East. It describes the development of practical tools, governance structure, training of relevant staff, embedding and evolving of the associated Management Operating System (MOS) and some of the early benefits achieved. The new system includes customized software tools providing shift operators in each process with real-time information about production and energy losses in the main value drivers: asset utilization, product quality, reprocessing, equipment efficiencies, flaring, etc. The tools allow immediate assignment of standardized "cause categories" for later aggregation and analysis. A separate data compilation and visualization tool was also developed, along with work processes to support deviation analysis and decision making. More than a hundred technical staff across the three sites received training and a weekly meeting cadence was established for maximum leverage from this initiative. This PELA system successfully covers 21 separate process areas. It led to confirmed savings of 7.9 MMUS$ in the first year alone, by wiring the organization for continuous improvement and providing greater transparency for staff and management alike. PELA serves as a vehicle for change by driving awareness of the front-line staff and ensuring better cooperation between them, process engineers, maintenance, and production planning. The success of such a program relies on lean skills, analytical capabilities, expertise in change management, and strong leadership within the line.
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Kotova, E. E. "Training Specialists in the ICT Industry Based on a Client-Oriented Approach". In 2018 XVII Russian Scientific and Practical Conference on Planning and Teaching Engineering Staff for the Industrial and Economic Complex of the Region (PTES). IEEE, 2018. http://dx.doi.org/10.1109/ptes.2018.8604204.
Testo completo
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Golubeva, Tatyana, Lyudmila Tropina e Arina Nifontova. "On Identifying Customer Needs when Selecting Service Enterprise Optimisation Techniques". In The Public/Private in Modern Civilization, the 22nd Russian Scientific-Practical Conference (with international participation) (Yekaterinburg, April 16-17, 2020). Liberal Arts University – University for Humanities, Yekaterinburg, 2020. http://dx.doi.org/10.35853/ufh-public/private-2020-56.
Testo completoAbstract (sommario):
The article covers the controversial issue on embracing the client-focused approach with regards to implementing optimisation procedures. The stages highlighted by business consultants are demonstrated and attention is drawn to the lack of a stage for identifying client attitudes towards optimisation measures. The opinion of business consultants is presented: upon the fulfillment of non-standard orders, the profitability of the business decreases. There is a contradiction between the need to optimise business operations to increase profits and the mission of the service enterprise; to satisfy the needs of the target customer group. In order to resolve the contradiction, it is proposed to introduce a customer needs identification phase into the optimisation process to inform the choice of optimisation techniques. The example of a catering company in Ekaterinburg shows the feasibility of selecting optimisation techniques based on an analysis of the reasons why customers refuse services. The following optimisation techniques were chosen: service format modification (the study was run prior to the pandemic outbreak), the optimisation of service assortment and personnel activities. As a result, new varieties of the catering service for the company were selected; menu options for different price ranges and target purposes were proposed; the introduction of additional services was justified. In optimising staff activities, it was decided to abandon hourly pay by linking it to the number of customers served, the complexity of the menu items, master classes, work at an offsite/stationary event, and the number of staff per shift. A new position has been added to the staffing table, allowing the company’s core staff to focus on the quality of their duties. The example illustrates the resolution of the contradiction between the optimisation goal of increasing profits and the principle of customer focus.
4
Chrastina, Jan. "END-OF-LIFE AND DYING IN PERSONS WITH INTELLECTUAL DISABILITIES: IMPLICATIONS FOR COUNSELLING, EDUCATION AND SUPPORT". In NORDSCI International Conference Proceedings. Saima Consult Ltd, 2019. http://dx.doi.org/10.32008/nordsci2019/b1/v2/26.
Testo completoAbstract (sommario):
People with intellectual disabilities (ID) generally have a shorter lifespan, but the duration of quality life is becoming more and more extended. That is why supportive, holistically oriented palliative care is also gaining in importance in the period when a client with ID is dying or is in the end-of-life stage of life. Although recent years have seen a steady increase in published surveillance and theoretical studies, empirical data about the needs of palliative care for people with ID are still rather rare. Most of the staff working in the health, social, and other service sectors are confronted with the difficulty of caring for, the approach to be taken to, and communication with people with ID. These people need adequate support in the topics of death, dying, accompanying, and mourning. People engaged in the helping professions should not deliberately avoid these topics, but, on the contrary, become initiators of open, clear, and objective communication heading towards the greatest possible extent of help and support to people with ID. At the same time, it is a huge demand for education and a great challenge for the pre-graduate and professional training of helping professions.
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Borucki, Andrzej. "Humanization of Work in Project Management". In Applied Human Factors and Ergonomics Conference. AHFE International, 2020. http://dx.doi.org/10.54941/ahfe100329.
Testo completoAbstract (sommario):
The experience gathered in the course of many IT projects ranging from the simplest to the very complex, shows that the key adverse factors affecting the productivity of project teams are: the stress that accompanies designers in the development and implementation of IT projects, poor use of the intellectual capacities of individual project team members, excessive focus on design support tools at the expense of project quality, excessive adherence to a specific method of IT project management, the pressures of time and budget restraints on projects where labor intensity has been underestimated. According to many IT project managers, the treating of people as “spare parts” often jeopardizes project outcome. Managers commonly forget the simple fact that the intellect and personalities of every employee are different and that often neglected in accomplishing project goals by not helping individual staff members to achieve personal satisfaction. My practice shows that the choice of a design method has little effect on design productivity and often reduces it where the system needs continuous customization to ever new client requirements and restrict the operating freedom on individual projects contributing to less innovative outcomes.
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Zhang, Huai Qiang, Qing Cheng Liu e Yu Juan Liu. "Study on Network Radiation Environmental Monitoring System". In 2013 21st International Conference on Nuclear Engineering. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/icone21-15487.
Testo completoAbstract (sommario):
With the application of nuclear technology in many fields and the development of nuclear power, the people pay more and more attention to which the radioactive substances are harmful to the human, environmental pollution and nuclear security. In order to prevent the dangers of radioactive substances on the professional staff and the public, the pollution of the environment, it is particularly important to establish a scientific and perfect radiation environment monitoring system. In this paper, the radiation environmental monitoring system based on network is designed for environment radiation situation of the original enterprise, such as the uranium mining, nuclear power plant, uranium hydrometallurgical plant, nuclear fuel processing plant. The network technology is introduced in the monitoring system which links the field monitoring system, data center service system, data transmission system and client system. the worker can control the on-site monitoring points, data acquisition and transmission in any of the network interface functions, complete displaying, analyzing and processing in the remote server, meanwhile the network power supply technology is applied in the monitoring system which can supply electricity to on-site monitoring points. According to the test, the radiation environmental monitoring system which based on network technology is easy to apply and maintain, with a certain degree of practicality and economy.
7
Torosyan, Liya D., Katerina А. Stepanenko, Vera V. Semina e Armine E. Grigoryan. "Further Education as an Integrative Pivot of Lifelong Learning". In 14th International Scientific Conference "Rural Environment. Education. Personality. (REEP)". Latvia University of Life Sciences and Technologies. Faculty of Engineering. Institute of Education and Home Economics, 2021. http://dx.doi.org/10.22616/reep.2021.14.023.
Testo completoAbstract (sommario):
this study is focused on analysing further education as an integrative pivot of lifelong learning. Modern universities are currently undergoing changes in terms of transformation into entrepreneurial units aimed at commercialization of educational services including further educational programs. The topicality of the research is stipulated by the global urge to stay competitive in the saturated educational services market due to the increasing number of institutions both state and private rendering educational services. The aim of the study is to reveal the needs for further education of representatives among young and academic audiences and devise a course syllabus within further educational programs relevant to the detected requirements of potential listeners. The authors put forward a hypothesis suggesting that there are courses whose unique selling points might be attractive to learners. The results obtained through the questionnaires demonstrated that students and academic staff envision an ideal course to meet all their educational needs in a different way which gives momentum to reconsider the format of rendering educational services and recompose further educational programs making them client-friendly in terms of duration, group size, location, range of courses available and flexibility regarding program contents. The results of the study are of significance due to the fact that further educational programs will be far more susceptible to the needs and requirements of the target audience possessing such features as adjustability, flexibility and modularity.
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Arslan, Çetin, e Didar Özdemir. "The Protection of Confidential Business Information by Criminal Law". In International Conference on Eurasian Economies. Eurasian Economists Association, 2017. http://dx.doi.org/10.36880/c08.01824.
Testo completoAbstract (sommario):
The Turkish Penal Code (TPC) no.5237 embodies “the reveal of confidential business information and documents” as a crime. However, neither article 6 of the TPC titled “definitions” nor the legal justification of the article contains the definition of the confidential business information or commercial secret. The abrogated Turkish Commercial Code no.6762 disposes the reveal of this kind of information as an act of unfair competition. In a similar vein, the current Turkish Commercial Code no.6102 assumes the illegal acquisition and the reveal of business secrets as acts of unfair competition and subjects them to criminal sanction. Also the article 562 of the TCC no.6102 disposes that if the auditors reveal the confidential business information of the auditee company, they are punished according to the article 239 of the TPC. The Proposal of Code on Business, Bank and Client Secrets refers to the article 239 of the TPC in case of the violation of the confidentiality obligation. Finally, the Act of the Protection of Competition no.4054 brings a confidentiality obligation for the Council and staff members. In this study, we will try to explain first the notion of confidential business information or commercial secret, then the penal norms about the confidential business information and the confidentiality obligation and last, the elements of the crime disposed in the article 239 of the TPC which is referred by most of the other penal norms in this respect.
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Allan, R. G., K. D. Harford, D. Noon, J. Bjerkeset, J. Dalton e W. Siegel. "Concept Development, Detailed Design and Construction of the Three Forty Three – North America's Most Powerful Fireboat". In SNAME Maritime Convention. SNAME, 2010. http://dx.doi.org/10.5957/smc-2010-t18.
Testo completoAbstract (sommario):
This paper reviews the process of the complete design development, from concept to completion of the largest and most capable fireboats in North America, and among the largest in the world, for the Fire Department of New York (FDNY). The Three Forty-Three is the first of two new fireboats to this design built at Eastern Shipbuilding Inc. of Panama City, Florida and delivered in May 2010. The second vessel is due for completion later in the year. As the result of an international design competition, Robert Allan Ltd. was selected to provide complete engineering and design services for the new boats, from initial concept through detailed engineering design and a comprehensive value engineering process. The scope of services also included the support of FDNY through every stage of major component procurement and the shipbuilding contract award. Robert Allan Ltd.’s shipyard supervisory staff also acted in the capacity of Owner’s Representatives on-site in the shipyard throughout the entire construction process. These major, fast response fireboats were designed to specifically address the fire-fighting and rescue needs of the greater New York harbour, including the New Jersey shore. This includes the capability within the vessel to respond to any CBRN (Chemical, Biological, Radiological, and Nuclear) incident. The fireboats are designed for a response speed of 17.4 knots, with a low-wake, 12 knot cruising/patrol speed. The powering, seakeeping, and wake generation characteristics of the semi-displacement hull form were all verified in an extensive model-testing program. The resulting propulsion system is a unique quadruple screw, CPP configuration. The paper focuses on the various initial studies performed to establish the basic design configuration, the model testing and performance verification process, the value engineering studies performed, the many unique design features of the fire-fighting and emergency response capability of these vessels and the performance trials results. Finally, the challenges of managing a major shipbuilding project for a major civic Government Client such as FDNY concludes the paper.
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Miller, Mary L., e Cameron Shankland. "Utilizing Low Level Videography and GIS to Rethink Traditional Phase I Environmental Site Assessments". In 2006 International Pipeline Conference. ASMEDC, 2006. http://dx.doi.org/10.1115/ipc2006-10428.
Testo completoAbstract (sommario):
The method used for traditional “Phase I” Environmental Site Assessments (ESA’s) has required staff to physically walk the rights-of-way (ROW). In order to compete the ESA in a more timely and cost-effective manner than traditional techniques allowed, URS Corporation (URS) contracted LinearVision (LV) to fly the utility ROW and collect low-level, airborne, geo-referenced videography, complemented with geo-referenced still-imagery to enable URS to complete the Phase I ESA data analysis in their office. The data provided enabled URS’s analysts the ability to access all ROW points of interest in their Geographic Information System (GIS), and “fly” the line with oblique and downward perspectives from their computer screen. The digital video could be sped up or slowed down allowing URS the ability to review each frame for careful, detailed analysis, and identify potential recognized environmental conditions (RECs) and encroachment upon the ROW. The high-resolution still-imagery provided URS the ability to zoom into the potential REC for a closer inspection of site features, vegetation, and surrounding land use. URS created a database of potential RECs and areas of interest along with a simple user interface as a deliverable to the client, which allows the user to link directly to specific video frames and high-resolution photographs for their own review and analysis. The cost of the airborne data capture and processing was substantially less than a traditional Phase I ESA. Furthermore, the video and high-resolution images provided for a more comprehensive analysis tool, which can be reviewed by multiple analysts and catalogued for future reference by third parties. An additional benefit is that the high-resolution photographs can be imported into AutoCAD or other software for development of maps and figures. Overall, the net result of low-level GIS integrated videography is enhanced quality of data and a 50% reduction in total cost for the ROW project as compared to traditional Phase I ESA methodology.
Rapporti di organizzazioni sul tema "Client staff"
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Lam, Terence, e Keith Gale. Construction frameworks in the public sector: Do they deliver what they promise? Property Research Trust, novembre 2021. http://dx.doi.org/10.52915/sbuk7331.
Testo completoAbstract (sommario):
We demonstrate that the use of Performance Frameworks for the procurement of construction projects by public sector organizations in the UK (specifically, in England) leads to significantly improved outcomes in terms of time, cost, quality, sustainability and closer relationships, than the traditional ‘open tender’ approach of procuring discrete projects, individually. We identify the factors that lead to such improvements. We label these: supplier’s task performance factors (project staff, execution approach, competence of firm and structure of firm); supplier’s contextual performance factors (trust and collaboration, culture and conscious behaviour); and client’s organisational factors (incentives, performance monitoring, procurement approach and communication). And we offer a performance improvement model that will help project managers to select the most appropriate suppliers at the procurement phase, to achieve successful project outcomes. The model can also be used to drive project performance further, by adopting client’s organisational factors during the procurement and construction phases. By applying the research conclusions, suppliers will be able to focus on communicating their strengths in the relevant aspects of task and contextual performance for technical tender proposals, and so increase the value of their services and the probabilities of winning work. And the analysis can be used by policy makers to help in drafting regulations and legislation on formal frameworks, in ways that will improve the delivery of policy objectives.
2
Enhancing quality for clients: The balanced counseling strategy. Population Council, 2003. http://dx.doi.org/10.31899/rh2003.1014.
Testo completoAbstract (sommario):
A central focus of high-quality family-planning care is the interaction between clients and the providers who serve them. In the ideal client-provider interaction, the provider treats all clients respectfully, responds to their reproductive needs and intentions, helps in the selection of the most appropriate family planning method, and offers sufficient information to use the method safely and effectively. To improve the quality of the client-provider interaction, Population Council staff developed a “Balanced Counseling Strategy,” a type of algorithm or decision tree, to be used in combination with several job aids, or visual memory aids. The Balanced Counseling Strategy structures the client-provider interaction to focus on the client’s needs and support the client’s choice of an appropriate method, and leads to improvements in the client-provider interaction when providers use the strategy along with job aids. This brief describes the Balanced Counseling Strategy as an ongoing approach to improving quality of care. It outlines the origin and rationale for developing the strategy and details its subsequent adaptation for use in other contexts.
3
Situation analysis of LGU Health Centers for integrating RTI management within the Philippines FP/MCH Program. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1024.
Testo completoAbstract (sommario):
A Situation Analysis (SA) was conducted in seven local government health centers as part of a larger project studying the feasibility of integrating RTI services within the existing Family Planning/Reproductive Health Program of the Department of Health (DOH). The SA was part of a series of baseline activities conducted by the Family Planning Operations Research and Training Project as part of its study on Integrating RTI Management in Local Government Unit Health Centers. It was conducted by Population Council, Manila, for the DOH. Participating health centers were located in a large and highly urbanized community, a medium-sized city, and two semi-urban municipalities. The research team visited these centers to examine existing facilities and equipment, staff capabilities, and client-provider interactions. Clients related their perceptions about quality of service. SA results showed that FP/MCH and other services offered in the clinics were generally satisfactory. In the clinics that had a laboratory, capacity was limited due to inadequate supplies. None of the centers could conduct basic lab tests for RTIs. As this report indicates, clinic facilities, client-provider interaction, and staff capability, though satisfactory, can still be improved. However, RTI services are either lacking or only addressed inadequately.
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Integration of STI and HIV/AIDS with MCH-FP services: A case study of the Busoga Diocese Family Life Education Program, Uganda. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1005.
Testo completoAbstract (sommario):
The Family Life Education Project (FLEP) was started in 1986 by the Busoga Diocese of the Anglican Church of Uganda with assistance from Pathfinder International. The project provides integrated MCH, FP, STD, and HIV/AIDS services to more than 500,000 individuals through 48 clinics and 162 trained village health workers (VHWs). Each clinic serves an estimated 11,000 people living in a sub-Parish. Each sub-Parish has a health subcommittee selected by the community that is responsible for hiring clinic staff, identifying VHWs, and mobilizing resources for clinic staff salaries. Data suggest that the program is reaching a large number of clients through the clinic and community-based approaches. The methodology used for the case study involved review of available data and reports, in-depth interviews with management team, modified situation analysis, and guided group discussions. As noted in this report, using simple rural-based health facilities and volunteer community-based workers to provide family planning and STD/HIV services using the integrated approach is possible, however considerable work must be done before the project can provide high-quality MCH/FP and STD/HIV services to every client using this approach.
5
An assessment of clinic based family planning services in Kenya: Results from the 1995 situation analysis study. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1014.
Testo completoAbstract (sommario):
This study’s objective was to assist the Kenya Ministry of Health (MOH), the National Council for Population and Development (NCPD), NGOs, and donor agencies in planning the expansion and improvement of family planning (FP) and other reproductive health (RH) services provided in Kenya. Data on the functioning of program subsystems and the quality of care provided were collected in May 1995 from 254 maternal and child health/family planning (MCH/FP) facilities throughout the country using a situation analysis approach. The study sample included a representative sample of facilities from the MOH and NGO sectors. It also included a census of all facilities operated by the Nairobi City Council so that comparisons could be made with the situation analysis study undertaken in 1991. Data were collected through an inventory of facility infrastructure and equipment, staff interviews, observations of FP client-provider consultations, and exit interviews with FP and MCH staff. This is the second time that a national situation analysis study was undertaken in Kenya, and a comparison was made with the results from the first study, which was undertaken in 1989.
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Kenya: Identifying RTIs remain problematic: Prevention is essential. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1015.
Testo completoAbstract (sommario):
Since 1990, the Nakuru Municipal Council (Kenya) has implemented a multifaceted program to reduce the incidence of reproductive tract infections (RTIs), especially those that are sexually transmitted, including HIV/AIDS. Staff in the Council’s five health clinics use syndromic management guidelines, based on clients’ reported symptoms and clinical signs, to identify clients with RTIs. In 1998, the Population Council conducted a study to assess the accuracy of syndromic management and determine the best ways to integrate RTI management into existing antenatal (ANC) and family planning (FP) services. After an assessment of existing RTI services, 18 nurses from the five municipal clinics attended a three-day refresher course in syndromic management. As noted in this brief, more than half of the FP and ANC clients in Nakura had one or more RTIs, and roughly one-third of these infections were sexually transmitted. Using syndromic management algorithms based on reported symptoms, providers correctly classified only 5–16 percent of women who later tested positive with laboratory results. Given the limitations of syndromic management, programs need to stress prevention of sexually transmitted infections.
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The costs of integrating reproductive health services: An example using syndromic management of STIs in family planning clinics in Zimbabwe. Population Council, 1999. http://dx.doi.org/10.31899/rh1999.1005.
Testo completoAbstract (sommario):
Estimates from the United Nations Population Fund indicate that the costs of family planning (FP) and other reproductive health (RH) services are increasing and that it will be difficult for donors and countries to meet these costs. Many institutions delivering RH services operate significantly below their physical capacity to see clients, and much of the equipment required for expanding RH services may already be available for use. The marginal costs of adding infrastructure could be low. Many institutions have staff that are not fully occupied, and thus the staff necessary to expand RH services may also be in place. In this paper, we examine the cost implications for labor of expanding the provision of syndromic management services in FP clinics in Zimbabwe. Syndromic management of sexually transmitted infections allows health care workers to make a diagnosis without sophisticated laboratory tests because it is based on clinical syndromes and, in some cases, assessments of an individual patient’s risk for STI infection.
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The PLHA-friendly achievement checklist: A self-assessment tool for hospitals and other medical institutions caring for people living with HIV/AIDS (PLHA). Population Council, 2003. http://dx.doi.org/10.31899/hiv2003.1005.
Testo completoAbstract (sommario):
The Population Council/Horizons (New Delhi and Washington, DC) and the Society for Service to Urban Poverty (New Delhi) are conducting an operations research study in three New Delhi hospitals. The study, entitled “Improving the hospital environment for HIV-positive clients in India,” is endorsed by the National AIDS Control Organization (NACO) of India. The main objective is to assess factors that affect the quality and type of care received by the general patient population, with special emphasis on patients with HIV. Another objective is to assess and address factors that affect staff safety with respect to infectious diseases. As part of the study, a practical checklist was developed that can be used by managers and others to identify institutional strengths, pinpoint problems, and set goals for improvement of services for people living with HIV/AIDS (PLHA) and staff safety. The PLHA-friendly Achievement Checklist is intended as a self-assessment tool for managers to use in gauging how well their facility reaches, serves, and treats HIV-positive patients. NACO plans to distribute the checklist to all government medical facilities throughout India.
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Kenya: On-site antenatal syphilis services are cost-effective. Population Council, 2001. http://dx.doi.org/10.31899/rh2001.1020.
Testo completoAbstract (sommario):
The World Health Organization has determined that screening and treating all pregnant women for syphilis is cost-effective if at least 0.1 percent of pregnant women have syphilis. To address the high rate of syphilis among pregnant women (6.5–7.3 percent), the Nairobi City Council (NCC) introduced maternal syphilis screening and management in its antenatal clinics in 1989. However, its centralized approach—taking collected blood samples to a central laboratory for testing—was inefficient. Therefore, in 1992 the NCC tested a decentralized approach in 9 of its 54 antenatal clinics, which featured on-site rapid testing of women by clinic staff and same-day treatment of positive women by nurses, and promotion of notification and presumptive treatment of the positive women’s partners. This approach was deemed successful and was replicated in five additional clinics. In 2000, the Population Council conducted a case study to assess the effectiveness, cost, and sustainability of the decentralized syphilis screening program after eight years of operation. As noted in this brief, providing antenatal clients with same-day screening and treatment for syphilis resulted in higher treatment rates for positive clients and their partners at an affordable cost.
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South Africa: Providers should encourage sexually active youth to use condoms. Population Council, 2001. http://dx.doi.org/10.31899/rh2001.1028.
Testo completoAbstract (sommario):
To assess the effectiveness of youth centers in reaching adolescents with reproductive health information, life skills, and services, the Reproductive Health Research Unit in KwaZulu Natal and the Population Council conducted an assessment of 12 youth centers and their affiliated peer education programs. The centers were run by the KwaZulu Natal Department of Health, the loveLife program, and the Youth and Adolescent Reproductive Health Program. Researchers also examined young people’s use of condoms as protection against pregnancy and HIV/AIDS. Data sources for this study, conducted in 2000, were an inventory of youth center services, interviews with center staff and clients, service statistics, and community surveys of 1,399 young people aged 12–24 and their parents. As noted in this brief, the study found that many sexually active young people in South Africa are knowledgeable about the sexual transmission of HIV/AIDS but do not use condoms consistently. Service providers can do more to promote condom use among youth by placing condom dispensers in private places and counseling youth on correct condom use and safer sexual practices.