Areas Of Outreach Research Articles

Neonatal outcome in new-borns admitted in NICU of tertiary care hospital in central India: a 5-year study

Background: Neonatal mortality rate contributes significantly to under five mortality rates. Data obtained from pattern of admission and outcome may uncover various aspects and may contribute and help in managing resources, infrastructure, skilled hands for better outcome in future.Methods: This retrospective study was done on 1424 neonates who were admitted at LN Medical College and JK Hospital, Bhopal in neonatal intensive care unit (NICU) in the Department of Paediatrics from January 2013-December 2017.Results: 1424 newborns admitted within 24 hours of birth were included in the study. About 767 were male neonates, (Male: female1.16:1). The low birth weight babies were 54% in our study. Among the various causes of NICU admission, Respiratory distress was present in 555 (39%) of neonates, Respiratory distress syndrome (Hyaline membrane disease) being the most common cause of respiratory distress. Neonatal sepsis accounted for morbidity in 24% of neonates, with Klebsiella being the most common organism grown in the blood culture. The incidence of congenital anomalies was 2.5%. The neonatal mortality was found to be 11% in our study. Prematurity with Respiratory distress syndrome (Hyaline membrane disease) and perinatal asphyxia were the two most common causes of neonatal mortality in the study. Extremely low birth weight neonates had the highest case fatality rate in the study, which indicates the need to develop an efficient group of professionals in teaching hospitals who will provide highly specialized and focused care to this cohort of vulnerable neonates.Conclusions: Present study has shown respiratory distress, perinatal asphyxia, and sepsis as the predominant causes of neonatal morbidity. All three are preventable causes, and our health-care programs should be directed toward addressing the risk factors in the community responsible for the development of these three morbidities. The preterm and low birth weight babies had significantly high mortality even with standard intensive care; therefore, a strong and effective antenatal program with extensive coverage of all pregnant females specifically in outreach areas should be developed which will help in decreasing preterm deliveries and also lower the incidence of low birth weight babies.

A Study on Time, Cost & Challenges to Access Social Protection Schemes in Rural Rajasthan

Government of Rajasthan spent 42% of state budget on social sector. Majority of this amount is use to provide social security safety net to the poor and poorest families living in outreach areas of the state through various social protection schemes. While increase in number of social protection schemes have helped poor and vulnerable families to attain the basic human need of food, shelter and livelihood, there is an increasing concern about the poor coverage,time and cost involved for accessing these schemes by the targeted beneficiaries. Poor targeting, lack of awareness, procedural difficulties, poor delivery mechanism, long approval processes inadequate infrastructure, capacity gaps in human resource and attitude of the community & service providers have emerged as major disabling factors affecting the coverage of social protection schemes in the community. This paper tried to understand the time and cost factor restricting a beneficiary to avail the benefits of a social protection scheme. In order to attain this objective, the study covered 100 respondents across 16 Gram Panchayats in Dungarpur district of Rajasthan state. The study examines 4 major flagship schemes of the Government of Rajasthan and reviewed the cost and time required by a beneficiary to avail the benefit of any of these social protection schemes. Using mix method approach, the study finds that 45% of the respondents availed scheme benefits within the stipulated time of 3 months from the submitting the application, while 41% respondent have taken 3 to 6 months’ time to find the actual benefit of social protection schemes, whereas number of respondent who were able to receive benefits only after 6 months of application were as less as 14%.In terms of cost, majority 56% of the respondents stated to have spent INR 1-500 followed by 23% who spent INR 500-1000 and 21% respondents who have spent more than INR 1000 in the entire process to avail the benefit of the social protection scheme. These results are important for Government of Rajasthan, as long approval process and high out of pocket expenditure is one of the main reasons behind the low coverage of social protection schemes in state and a cause for concern.

Establishing campus rain gardens that link student experiential learning with stakeholder education and outreach

Low impact development (LID) practices are and will continue to be an important element in the design of public and private landscapes. One LID strategy that can be installed across a range of sites and scales is a rain garden. Within the design, installation, and evaluation of such gardens, many areas of education and outreach can be addressed. At the University of Tennessee, Knoxville (UTK), investments in campus rain gardens have involved collaborations across academic departments and program areas and are implemented in such a way as to provide education to several stakeholder groups. Underutilized spaces on campus have been transitioned to green infrastructure (GI) that can enable experiential learning opportunities for students and serve as demonstrations for outreach programs. Since their construction, these GI projects have been a multi-faceted tool to educate current and future landscape and stormwater professionals as well as Extension personnel, volunteers, practitioners, and citizens about the role rain gardens can play in current and future development. These tactical projects have also contributed to GI practices becoming a significant aspect of the campus' future stormwater management strategy. These stakeholders will be critical to the future of sustainable urban development.

Public Media and Marginalized Publics

Curious City, a series produced by WBEZ Chicago Public Media, invites listeners to participate in the reporting process. Using the Hearken digital engagement platform, listeners ask and then vote on questions that are turned into radio stories. Over a year, Curious City attempted to engage residents of Chicago areas that traditionally had few public radio listeners, mostly stigmatized African-American and Latinx neighborhoods, to participate via face-to-face outreach, outreach via community partners, or social media marketing. Using a communication infrastructure theory framework, this study draws from observations and 25 interviews with journalists, participating audience members, residents of targeted outreach areas, and partner organizations to examine best practices to combine digital and offline strategies, and the importance of pre- and post-broadcast engagement. The study also reflects on journalistic norms and approaches to participatory media, local news “storytelling networks,” and relations between public media and marginalized publics.

Prospective observational research on the clinical profile and outcome analysis among a cohort of patients sustaining traumatic cervical spine and cord injury in a peripheral tertiary spine care centre in Nepal

Background: In developing nations like Nepal, spinal cord injury has multispectral consequences for both the patient and their family members. It has the tendency to cripple and handicap the patients, and burn out their caretakers, both physically and mentally. Furthermore, the centralization of health care with only a handful of dedicated rehabilitation centers throughout Nepal further places patients into disarray. This study was carried out as a pilot study to determine the modes of injury, age groups affected, clinical profiles and patterns of injury sustained, as well as the efficacy of managing a subset of patients, who have sustained cervical spine and cord injuries. Methods: This was a prospective cohort study comprising of 163 patients enrolled over a period of three years that were managed in the spine unit of College of Medical Sciences, Bharatpur, Nepal. Results: Road traffic accidents were implicated in 51% of these patients. 65% of them were in the age group of 30-39 years. Traumatic subluxation occurred in 73 patients with maximum involvement of the C4/5 region (28.76%). Good outcome was seen in patients with ASIA ‘C’ and ‘D’ with 55% of patients showed improvement from ‘C’ to ‘D’ and 95% of patients showed improvement from ‘D’ to ‘E’ at 1 year follow up. The overall mortality in the patients undergoing operative interventions was only 1.98%. Conclusions: The prevalence of cervical spine injuries in the outreach area is still significant. The outcome of managing these patients, even in the context of a resource limited setup in a spine unit outside the capital city of a developing nation, can be as equally as effective and efficient compared to the outcome from a well-equipped and dedicated spine unit elsewhere.

Prospective observational research on the clinical profile and outcome analysis among a cohort of patients sustaining traumatic cervical spine and cord injury in a peripheral tertiary spine care centre in Nepal.

Background: In developing nations like Nepal, spinal cord injury has multispectral consequences for both the patient and their family members. It has the tendency to cripple and handicap the patients, and burn out their caretakers, both physically and mentally. Furthermore, the centralization of health care with only a handful of dedicated rehabilitation centers throughout Nepal further places patients into disarray. This study was carried out as a pilot study to determine the modes of injury, age groups affected, clinical profiles and patterns of injury sustained, as well as the efficacy of managing a subset of patients, who have sustained cervical spine and cord injuries. Methods: This was a prospective cohort study comprising of 163 patients enrolled over a period of three years that were managed in the spine unit of College of Medical Sciences, Bharatpur, Nepal. Results: Road traffic accidents were implicated in 51% of these patients. 65% of them were in the age group of 30-39 years. Traumatic subluxation occurred in 73 patients with maximum involvement of the C4/5 region (28.76%). Good outcome was seen in patients with ASIA 'C' and 'D' with 55% of patients showed improvement from 'C' to 'D' and 95% of patients showed improvement from 'D' to 'E' at 1 year follow up. The overall mortality in the patients undergoing operative interventions was only 1.98%. Conclusions: The prevalence of cervical spine injuries in the outreach area is still significant. The outcome of managing these patients, even in the context of a resource limited setup in a spine unit outside the capital city of a developing nation, can be as equally as effective and efficient compared to the outcome from a well-equipped and dedicated spine unit elsewhere.

STEM Bridges: Evolution of an Academic Library STEM Outreach Program

ABSTRACTBig Orange STEM Saturday (BOSS) is a sustainable model of outreach that fosters the STEM cycle of discovery and learning experiences. Through this program, the library creates and reinforces a bridge between secondary educational experiences and higher education that facilitates the transfer of knowledge from the classroom to the world. Local high school students are able to engage with experts in several different ways to explore what STEM has to offer and to look beyond their current experiences. This approach creates a venue for STEM teaching spaces outside the school classroom for enrichment and innovation. Over the past 5 years, the variety of experiences offered at BOSS have expanded and the reputation of the program has grown. This article explores the challenges, lessons, and impact that this program has had on its constituents, with a particular focus on the impact the library can have when exploring nontraditional areas of support and outreach.

Population Health: Enhancing Community Outcomes through an Inter-Professional Collaborative Education Project on Executive Functions

Population health looks at health outcomes for specific populations. Researchers, clinicians and policy makers analyse issues/concerns and data regarding health outcomes to determine best practices and programs to improve community health. Programs should focus on social determinants of health (SDH). Programs, which are interprofessional, collaborative ventures between organizations within a community, have improved outcomes. Executive Functions (EF) is a set of skills required to perform high-level cognitive functions and regulate behaviors. Weakened EF is commonly found in children with developmental disabilities, and in those without disabilities. Failure to assist children with weak EF may result in academic failure and disruptive behaviors, resulting in poor outcomes as they mature. Parents Reaching Out (PRO) is a non-profit organization devoted to improving the outcomes of families with children who have developmental disabilities. In collaboration with the University of New Mexico College of Nursing (NMCON), PRO has partnered to create an inter-professional evidence-based educational project to improve the outcomes of children with weak EF throughout New Mexico. Commencement of the project began in April 2016 and continues today. The program has dual processes and goals: (a) Upgrading and training of PRO staff in Executive Functions, (b) development of workshops, trainings and supportive materials for PRO staff to teach EF issues in the community and (c) enhance management of current health concerns (EF weakness) throughout the state of New Mexico. This project received wide acceptance by the PRO staff and the several community members who participated in the various forms of education provided. The project is on-going and the areas of outreach and education continue to grow.

Ethiopian Surgical Camps a Win for Surgeons and Patients

Ethiopian Surgical Camps a Win for Surgeons and Patients

Preschool Children's Food Involvement is Related to Fruit and Vegetable Intake

ObjectiveThe majority of American children fall far short of meeting national nutrition recommendations for fruit and vegetable consumption. Participation in home meal preparation has been associated with stronger preferences for fruits and vegetables and improved diet quality in school‐aged children, but this association has never been examined in younger children. This study investigated the association between involvement in food preparation and planning and fruit and vegetable intake in preschool‐aged children.MethodParents of preschool‐aged children (n = 479) participating in the Synergistic Theory and Research on Obesity and Nutrition Group (STRONG) Kids Study filled out the Comprehensive Feeding Practices Questionnaire (CFPQ) and a Children's Nutrition Behavior Questionnaire based on the Early Childhood Longitudinal Survey, Kindergarten Class (ECLS‐K) interview protocol. The food involvement scale of the CFPQ was calculated (range 0–5), quantifying how much parents encourage children to be involved in meal planning and preparation. Data from the ECLS‐K Children's Nutrition Behavior Questionnaire were transformed to represent the reported number of servings of vegetables and fresh fruit eaten per day by children in the study.ResultsParticipants ate an average of 1.68 servings (SD = .91) of fresh fruit and 1.40 servings (SD = .82) of vegetables per day. Analyses investigated the relationship between food involvement (as measured by the CFPQ, M = 2.92, SD = .95) and fruit and vegetable intake (as measured by the ECLS‐K Children's Nutrition Behavior Questionnaire). Food involvement was strongly correlated with children's vegetable consumption (r(479) = .155, p = .001)) and fresh fruit consumption (r(479) = .141, p = .002)). Fresh fruit intake and vegetable intake were also strongly correlated, r(479) = .376, p < .001.ConclusionsIncreased child participation and involvement with food is positively associated with fruit and vegetable intake among preschool aged children. Future investigations should examine the relationship between food involvement and diet quality over time in attempts to determine the causal direction of this relationship. Research efforts going forward should also investigate the predictors and facilitators of food involvement to identify potential areas for future outreach and intervention efforts.Support or Funding InformationThis research was funded, in part, by grants from the Illinois Council for Agriculture Research to Kristen Harrison (PI) and the University of Illinois Health and Wellness Initiative to Barbara Fiese and Sharon Donovan and United States Department of Agriculture (Hatch 793–328) to Barbara Fiese (PI). The STRONG Kids Team includes Kristen Harrison, Kelly Bost, Brent McBride, Sharon Donovan, Diana Grigsby‐Toussaint, Juhee Kim, Janet Liechty, Angela Wiley, Margarita Teran‐Garcia and Barbara Fiese.Jessica Jarick was supported by the Agriculture and Food Research Initiative of the USDA National Institute of Food and Agriculture under the Illinois Transdisciplinary Obesity Prevention Program grant (2011‐67001‐30101) to the Division of Nutritional Sciences at the University of Illinois. Correlations between food involvement and fresh fruit and vegetable intake. Food Involvement Fresh Fruit Intake Vegetable Intake Food Involvement .141** .155** Fresh Fruit Intake .376*** Vegetable Intake p < .05, p < .01, p < .001

Malnutrition among HIV- infected Children by Anthropometric Measures in Poor Outreach Area of a Developing Country and its Relationship with CD4 Counts

Background: Diagnosis and management of malnutrition in HIV- infected children is important as it is both a manifestation as well as an independent risk factor for death. Extent in hilly poor outreach areas of North India has been poorly studied. Aim: to study the prevalence of malnutrition among children with HIV/AIDS using WHO z- score and Indian Academy of Pediatrics (IAP) method and effect of malnutrition on immune status. Material and Methods: Setting-Antiretroviral (ART) Centre of a teaching medical college in Uttarakhand-India. Anthropometric measurements (weight, height) and CD4 counts were taken on registration and follow up and duly recorded. Data analysis was done using SPSS -18 and WHO z- score value was calculated using WHO AntroPlus software. Result: A total of 107 children ( 67 male and 40 female) were studied with mean age of 7.15years.Valid z- score could be calculated only for 46 children and it showed stunting in 69.8%(30/43), wasting in 22.4%(10/46), underweight in 58.9%(27/46). Using IAP method 75% (81/107) had PEM, 85.5% (93/107) stunting. There was no difference between male and female (P>0.05) and no relation between CD4 count and nutritional status (P>0.05). Single dose nevirapine used earlier for Prevention of Parent to Child Transmission (PPTCT) used in 10 newborns resulted in 3/10 HIV negative, 3/10 positive, 4/10 deaths at 18 months. Conclusion: Malnutrition is rampant in children with HIV/AIDS in hilly poor Outreach areas of India. Chronic malnutrition or stunting was the most common abnormality seen in three fourth of all the children. Hence sensitizing health care workers for timely recognition and prompt remedial measures (ART, nutritional interventions) are need of the hour to reduce mortality and prevent growth failure. It also provides baseline data of efficacy of single dose nevirapine to compare efficacy of newer regimes in prevention of PPTCT.

A Cross Sectional Study on Acceptability and Safety of IUCD among Postpartum Mothers at Tertiary Care Hospital, Telangana.

India is world's 2(nd) largest populated country. It is first to introduce family planning services. IUCD is most effective, safe, long acting and do not interfere with coitus. Immediately or within 72 hours after delivery of placenta in a health care facility is convenient for those who are in outreach area, where family planning facilities are less available. To study the socio demographic profile of parturients attended to obstetric ward for delivery. To assess the acceptability and safety of IUCD among study population. A cross-sectional study was conducted among eligible postpartum women at Gandhi hospital secunderabad. Counseling was given about IUCD. After obtaining consent, Cu-T 380 was inserted in a 250 women, followed up to 6 weeks. The reasons for both acceptance and decline were recorded. Mean age of acceptance was 23.70±2.95 years. Majority were from urban area (79.75%). Acceptance was more in those who completed their secondary school level education (23.3%). Women undergoing caesarean section were accepting PPIUCD, more frequently than those who underwent normal vaginal delivery. Majority (67.12%) accepters told that they accepted IUCD because it is a reversible method. Main reported complications were pain abdomen (17.14%), bleeding (14.28%). Expulsion rate was 6.8%. Most common reason (40%) for removal of IUCD was inclination to other methods. Even though expulsion rate high with, acceptance was high IUCD when it is inserted in postpartum period.

Morbidity profile and mortality of neonates admitted in Neonatal Intensive Care Unit of a Central India Teaching Institute: A prospective observational study

Introduction: Neonatal mortality contributes to 40% of infant mortality rate (IMR). Over the years, the IMR has reduced worldwide, as well as in India, but neonatal mortality rate has not decreased proportionately. We have taken up this study so as to ascertain the causes of morbidity prevalent in the neonates admitted in Neonatal Intensive Care Unit (NICU) of a teaching hospital. The teaching hospitals cater to a large population, being a referral center and having majority of facilities required for the adequate care of sick newborn babies. Materials and Methods: The study is conducted in NICU of a teaching hospital admitted within 24 h of birth in central India over a period of 1-year. Results: One thousand three hundred and eighty-eight newborns admitted within 24 h of birth were included in the study. About 63.4% were male neonates, (Male:female 1.7:1). The low birth weight babies were 63.5% in our study. Respiratory distress was present in 47.2% of neonates, meconium aspiration syndrome being the most common cause of respiratory distress. Neonatal sepsis accounted for morbidity in 45.10% of neonates, with Klebsiella being the most common organism grown in the blood culture. The incidence of congenital anomalies was 5.4% with cardiac anomalies being most common. The neonatal mortality was found to be 26.6% in our study. Neonatal sepsis and birth asphyxia were the two most common causes of neonatal mortality in the study. Extremely low birth weight neonates had the highest case fatality rate in the study, which indicates the need to develop an efficient group of professionals in teaching hospitals who will provide highly specialized and focused care to this cohort of vulnerable neonates. Conclusion: Our study has shown respiratory distress, perinatal asphyxia, and sepsis as the predominant causes of neonatal morbidity. All three are preventable causes, and our health-care programs should be directed toward addressing the risk factors in the community responsible for the development of these three morbidities. The preterm and low birth weight babies had significantly high mortality even with standard intensive care; therefore a strong and effective antenatal program with extensive coverage of all pregnant females specifically in outreach areas should be developed which will help in decreasing preterm deliveries and also lower the incidence of low birth weight babies.

Mainstream disaster health as a policy priority: experiences from Chennai floods and a cross sectional study during disaster relief phase

Background: The months leading to the end of 2015 exposed the pernicious compromise of India’s flood protection mechanism and India’s deep unpreparedness for addressing Disasters and humanitarian emergencies. Chennai was washed out by the annual northeast monsoon during the November-December months of 2015. More than 500 people lost their lives and more than 18 lakh people were displaced and over 22 lakh vehicles were damaged with economic losses ranging from US$7-15 billion, going by popular media estimates. Methods: A cross sectional study was carried out through a convenience sampling n = 400 and subjects coming under different wards in Chennai municipal corporation were administered a questionnaire which was made exclusively for the Chennai floods. The subjects who participated in the study were belonging to the outreach area zones identified by Help Age Chennai Mobile Unit. Help Age India and Help Age Chennai identified in particular worst affected zones due to the floods and provided medical relief. The first author observations while responding to the floods have also been synced into the discussion. Results: The floods in Chennai led to significant depression among the populace where 87.9 % felt depressed (p value<0.009). 332 (83%) felt that Governmental help did not come, and it signals the massive collapse of the Government structure. Public drainage water got mixed with the clean water during the floods and remained that way without adequate chlorination in many areas and 88.2% felt it affected their health (p value <0.001). Conclusions: Great co-ordination needs to be brought and work integrated between the city corporation, public work department, slum clearance board, housing boards and development authority to be able to respond to any catastrophe.

Understanding User Perceptions of Eva [Commonwealth of Virginia E-Procurement System

This report explores the reasons for Virginia local governments’ currently low usage levels of eVA for procuring goods and services and what changes DPS might make to facilitate the localities’ increased use. This report explores the reasons why localities within the state of Virginia do or do not use the state’s electronic procurement system (eVA) in its two main forms eVA-Lite and eVA-Full. A group of four Master of Public Administration students at Virginia Commonwealth University have been tasked with researching the issue and providing recommendations to improve eVA and to make it more of an asset to the Commonwealth and its localities.eVA is owned and managed by the Virginia Department of General Services’ (DGS), Division of Purchases and Supply (DPS) and is the central procurement system for all nonconstruction and non-IT procurement needs for all state agencies and institutions. Research question: What are the reasons for local governments’ low use of eVA for procuring goods and services and what changes might DPS make to increase usage? Of the approximately $6 billion in expenditures procured by the state, localities currently make only 1.4 percent of those expenditures through the eVA procurement system. DPS is interested in understanding the reasons why localities do not use eVA for all essential goods and services. From DPS's perspective, using eVA will help increase local government’s access to essential goods and services through an affordable and efficient system. Methods of research and analysis include interviews with members of DPS; a survey sent to all localities that use eVA-Lite and eVA-Full, and observations of eVA outreach presentations to localities. The main findings revolve around the format of the eVA system and user’s understanding of the system. Survey findings suggest that many local governments perceive that eVA is not user-friendly and is time consuming. Additionally, responses from many local government procurers suggest the need for more education and training to better understand all aspects of the eVA system.Finally, the recommendations section offers considerations for DPS to improve the existing eVA system, according to the responses and suggestions of the survey participants. The recommendations fall under the areas of system changes, outreach and marketing strategies, and providing incentives for increasing local governments’ use of eVA.

Information and informatics literacies of first-year medical students.

The study evaluated medical students' familiarity with information literacy and informatics during the health sciences library orientation. A survey was fielded at the start of the 2013 school year. Seventy-two of 77 students (94%) completed the survey. Over one-half (57%) expected to use library research materials and services. About half (43%) expected to use library physical space. Students preferred accessing biomedical research on laptops and learning via online-asynchronous modes. The library identified areas for service development and outreach to medical students and academic departments.

Pregnancy Following Cervical Tuberculosis

Incidence of urogenital tuberculosis is a raising concern worldwide specially in developing countries, in most cases, primary foci may not be identified either due to ignorance of the individual or her family may remain unaware about the seriousness or consequences. In this case a multiparous reproductive aged woman presented with repeated episode of post coital bleeding. Most of the attending Physician confused with hormonal disturbance and treated with hormone and others for months in outreach area. Once upon a time however she was referred to Gynae OPD and after inspection of cervix she was advised for inpatient admission for Examination Under Anaesthesia (EUA) and biopsy. Histopathology report revealed chronic granulomatous lesion of the cervix and ultimately she was diagnosed as a case of tubercular ulcer of the cervix. After successful treatment by antitubercular medication as per schedule, she was conceived and gave birth to a healthy term baby. Pregnancy following cervical Tuberculosis (TB) is a rare incidence and probably not reported in literature. JCMCTA 2015 ; 26 (1) : 55-58

South Korea's Global Health Outreach through Official Development Assistance: Analysis of Aid Activities of South Korea's Leading Aid Agencies, 2008–2012

AbstractAlthough South Korea is one of the newest members to join the Organisation for Economic Co‐operation and Development's Development Assistance Committee in 2010, it has a long history of official development assistance (ODA), first as a recipient of aid (1945–1995) and later as an emerging donor (with the establishment of aid‐implementing agencies for concessional loans in 1987, and for grant aid in 1991, respectively). And, global public health has been one of the three largest outreach areas of South Korea's foreign aid programmes. This article examines the global public health outreach activities of South Korea's leading aid‐implementing agencies, namely Korea International Cooperation Agency, Korea Foundation for International Healthcare and Economic Development and Cooperation Fund, using data for the latest period, 2008–2012. South Korea's innovative global public health ODA through the Global Poverty Eradication Contribution is also examined. The analysis of global public health outreach activities has shown that South Korea has concentrated its foreign aid to Asia and Africa, and that a large share of its aid has been focused on health care services; water, sanitation and hygiene (WASH); maternal and child health (MCH); and infectious diseases. A significant regional difference was found: South Korea's aid focused on health care services and MCH in Asia, while it focused on WASH and infectious diseases in Africa. Findings have also shown that South Korea's priority countries for development cooperation have received more aid compared with non‐priority countries. In conclusion, we have found that South Korea's global health outreach activities were in line with the Millennium Development Goals (MDGs), but that they lack a clear focus and do not have globally recognised initiatives or projects compared with large and traditional donors such as the United States and Japan. Further research is needed to examine the impact of the rapidly rising aid activities of South Korea, especially in global public health.

Usage of E-resources: Virtual Value of Demographics

The focus of this study was to identify: 1) usage of library e-resources by faculty and staff affiliation and status to identify research and teaching needs; 2) usage of library e-resources by student major, status, gender, registered disability and registered veteran to establish best outreach practices and areas that need service improvement and collection development in support of student learning; and 3) the correlation between use of library e-resources and student attainment as defined by grade point average (GPA). Demographic data was collected for these users based on their university NetID logins. The findings in this study conclusively document that students and faculty use library e-resources to a statistically significant extent and that a statistical relationship exists between student GPA and their use of e-resources. This information confirms the value of library resources to institutional teaching and research needs and can be used to document library value to the institutional mission.

Development and implementation of a longitudinal quality assessment for community outreach programs.

235 Background: Part of Dana-Farber Cancer Institute’s mission is to educate the community and raise awareness about the importance of cancer prevention, outreach, screening, early detection, clinical trials and survivorship. Development of a logic model and evaluation plan enables us to assess program quality and identify areas for improvement and future outreach. Methods: A forward logic, iterative approach was used to develop logic models for our community outreach programs. Models were reviewed by key stakeholders including program staff and management. These were used as the basis for a comprehensive logic model encompassing the common elements across all programs. Results: Seven logic models were developed to capture work in tobacco, sun safety, breast health, obesity prevention, community education programs, as well as comprehensive community benefits program model. We designed a developmental evaluation to allow for an assessment that could be adapted in a dynamic, ever-changing environment. This approach is also responsive to program growth and changes. It measures demographic information about our community participants, satisfaction with our programs, and strength of our community partnerships and compares these to internal benchmarks and state information. We can re-contact participants for on-going assessments and provide cross-sectional and longitudinal reports. RedCap freeware was used to create online versions of all tracking measures. Since (date) we have captured information from 119 community participants, most of whom are Black and Latino/a, and are representative of traditionally underserved minorities. Conclusions: Logic models and evaluation plans are integral components of community outreach programming. They ensure that effective, high-quality community outreach programming is being delivered, allow for the assessment of impact and assessment against program benchmarks. More importantly, they provide continuous information about areas for program growth and improvement.