Using birthing kits to promote clean birth practices in Ethiopia

This article explores three NGO projects that assemble and distribute clean birthing kits in Ethiopia. It contrasts the government's health strategy that aims to increase skilled birth attendance, with local realities as most women in rural and remote settings give birth at home, often in unhygienic conditions, and without skilled assistance. Many health facilities are also unable to provide hygienic conditions for birthing women. The findings indicate that clean birth kits have assisted the NGOs to effectively promote clean delivery at home or in health facilities, and to encourage antenatal care, and early referral to emergency obstetric and new-born care.     

Methodological considerations in the evaluation of offender interventions: the problem of attrition

Attrition from offender interventions presents methodological problems when the effectiveness of the intervention is under evaluation. This article proposes a treatment-received (TR) design, which incorporates one-to-one matching on criminogenic variables. This design permits the comparison of completer, noncompleter, and nonstarter groups with their paired comparisons and, hence, allows a more accurate evaluation of program completion and noncompletion effects. A sample of 173 offenders, referred to one of two general offending behavior cognitive skills programs within community settings, was matched one-to-one by criminogenic variables to offenders from an appropriate comparison group. Reconviction analyses were undertaken using intention to treat (ITT) analysis, TR analysis using the full comparison group, and TR analysis using matched comparison groups. The ITT design found no impact of group membership on reconviction. The TR designs, however, provided evidence of moderate effects of completion: For every three completers, five of the matched comparison group members were reconvicted. The analysis also suggested a noncompletion effect: Noncompleters were twice as likely as their matched comparison group to be reconvicted.     

Translating the Adverse Childhood Experiences (ACE) Study into Public Policy: Progress and Possibility in Washington State

On June 15, 2011, Washington became the first state in the United States to enact legislation aimed at preventing adverse childhood experiences (ACE), reducing their prevalence, and mitigating their effects. House Bill 1965 (HB 1965) was established on the understanding among legislators and Washington communities of the need for policies aimed at preventing child abuse, promoting healthy development of children, and building community capacity to improve public health. Empirical examples of integrating ACE-related research with public policy and programmatic design are chronicled. The legislators who developed HB 1965 lay out questions that, if answered, would further improve policymakers' ability to craft public policy and programs that prevent ACE, reduce their effects, and promote a healthier, safer future.     

“龙象并肩”:中印非传统安全合作

非传统安全合作是国际关系领域的新焦点。近年来,越来越多的国际关系学者开始关注日益凸显的非传统安全问题,包括恐怖主义、金融危机、跨国有组织犯罪、传染性疾病、气候变化、移民难民、复合性自然灾害、自然资源枯竭或跨界资源冲突等。非传统安全挑战严重威胁着区域安全,东亚和南亚地区也不例外。审视中国和印度这两个地缘相连的竞争大国之间的关系以及中印双边非传统安全合作,从传统安全角度看,长期以来存在的领土争议是阻碍中印关系发展的核心问题,而从非传统安全角度看,中印之间的合作交流却超过以往。中印之间存在的传统安全问题和非传统安全问题之间的关联,经济安全、能源安全、民族分裂主义与恐怖主义、水资源安全、流行性疾病、海洋安全、生态安全等领域是双方能够实现合作的非传统安全优先领域,而"和合主义"理念范式与"多元共赢"合作模式为中印之间的非传统安全合作提供了重要的理论指导,从而展示出中印共同携手发展的可能与前景。     

Prenatal diagnosis and eugenic ideology

The new techniques of prenatal diagnosis confront women with choices that are constrained by the social and economic realities of the societies in which we live. These societies take little, if any, responsibility for meeting the special needs of people with disabilities and, in fact, discriminate against them. Prejudices against people with disabilities, poor people, and immigrants during the nineteenth century generated a science of ‘race improvement’, called eugenics. In the United States, a number of eugenic measures were enacted early in this century, but it was in Nazi Germany that eugenics or ‘racial hygiene’ flourished. In the guise of furthering the health of the German people (the Volk), German scientists and physicians designed programs of ‘selection and eradication’ (Auslese und Ausmerze) that were initially implemented by sterilizing people who were judged unfit to have children. Next came euthanasia and finally mass extermination of ‘lives not worth living’ (lebensunwerte Leben). Present-day German women, looking at this history, are opposing the ideology that underlies the new technical developments in prenatal diagnosis and some feminists outside Germany share their misgivings. This paper tries to place the new technologies in the context of eugenics and to point out some of the ways in which the new,supposedly liberating, choices in fact limit women's control over our lives.     

Proximity to service providers and service utilization among welfare recipients: the interaction of place and race.

Currently, welfare programs coordinate a range of services to support work among welfare recipients and help them overcome barriers to employment. This paper considers the relationship between spatial proximity to and utilization of support services among welfare recipients. Accessibility of mental health and substance abuse service providers among welfare recipients is examined in the three-county Detroit metropolitan area and the relationship between mental health service accessibility and mental health service utilization among welfare recipients considered. Not only does access to service providers vary significantly across the metropolitan area by race and place, but these analyses reveal that greater spatial proximity to service providers increases the probability that welfare recipients will receive services. When controlling for access to providers and individual-level characteristics, we also find that African American welfare recipients are about half as likely to use mental health services as white recipients.