Program Implementers Research Articles

Essential components of an educational program for implementing skin-to-skin contact for preterm infants in intensive care units: an integrative literature review

BackgroundGlobally, prematurity is the primary factor behind the mortality of children under the age of 5 years, resulting in approximately 1 million children dying annually. The World Health Organization (WHO) recommends Skin-to-Skin Contact (SSC) as part of routine care for preterm infants. Evidence shows that SSC reduces mortality, possibly by improving thermoregulation, facilitating the earlier initiation of breastfeeding and reducing the risk of nosocomial infection. An educational program for implementing SSC has been demonstrated to enhance the knowledge and practice of parents and nurses in intensive care units. This study, the first of its kind in the North West Province (NWP), aims to identify the essential components of an educational program for implementing SSC for premature infants in intensive care units.ObjectiveThis paper presents an integrative literature review that critically synthesizes research-based literature on essential components of an educational program for implementing SSC for preterm infants in intensive care units.MethodsA comprehensive search of electronic databases, such as CINAHL, MEDLINE, PsycINFO, ProQuest and Health Source: Nursing/Academic Edition and Health Source-Consumer Edition, was conducted using different keywords and references lists from the bibliography.ResultsTwelve articles relevant to this review were identified, read and synthesized to answer the research question. Three essential components emerged from the findings of this review, namely (1) the necessity of policy and role players for implementing SSC, (2) the availability of education and training, and (3) counseling and support for parents of preterm infants.ConclusionsThe outcomes of this study have the potential to facilitate the implementation and expansion of SSC in intensive care units. This could aid program implementers, policymakers, and researchers to implement and scale up this important tool in intensive care units.

Implementing a student-centered stroke intervention and prevention education program; evaluating motivation, cognitive load, and performance among middle school students.

In this study, we investigated the association between motivation, cognitive load, difficulty, and performance in a stroke education outreach program implemented for middle school students. Various interactive instructional activities were developed to engage students throughout the program to assess cognitive and intrinsic load arising from learner implementation of various tasks in a stroke education program for middle school kids. Performance was measured using a post-test to assess knowledge gained by the 6th, 7th, and 8th-grade middle school students. A short questionnaire was also administered to collect data on students' motivation using the ARCS model to asses attention, relevance, confidence, and satisfaction. In addition, we evaluated difficulty level and cognitive load. The relationship between performance and motivation was assessed using Pearson's correlation. In our results, there was no significant difference (p > 0.05) in performance between the 6th, 7th, and 8th-grade students. The difference in performance, cognitive load (mental effort and difficulty), or motivation between the 6th, 7th, and 8 t-grade students was not significant (p > 0.05). The correlation between motivation and performance was significant (r = 0.87, p = 0.001), while the correlation between mental effort and performance was not significant (r = 0.34, p = 0.270). Also, the correlation between difficulty and performance was not significant (r = 0.38, p = 0.361). In the ARCS motivation model, attention, and confidence received the lowest mean scores (3.9), while relevance received the highest score (4.3). Our findings reveal the importance of implementing novel activities to enhance students' motivation to improve performance in the implementation of stroke education outreach programs for middle school students.

Community Service Program to Increase the Effectiveness and Efficiency of Organic Fertilizer from Goat Faeces in Wonorejo Village, Baluran National Park Buffer Zone

The Community Service Program was carried out in Wonorejo Village, Banyuputih District, Situbondo. The program implementer is a Community Service team and students participating in MMD 1000 Villages in 2023 funded by MMD 1000 Villages Grant Universitas Brawijaya. The target recipients of the program are members of the Soponyono Kendal farmers group that produces organic fertilizer and the purpose of the program was to aid facilities and training for effective organic fertilizers processing acivities. The methods used are Focus Group Discussion, hybrid extension, providing modules, providing production advice, and assistance in making NIB/BIN (Business Identification Number) as legalization of business production. The result is that the program has succeeded in achieving the planned output target. Moreover, this activity is also able to involve the village government and BABINSA (Bintara Pembina Desa/Village Development Officer).

Cost-effectiveness of Neonatal Hearing Screening Programs: Systematic Review.

Introduction Universal newborn hearing screening (UNHS) has been widely and strongly advocated as an early detection strategy for hearing loss in children. This intervention aims to prevent delays in speech and language development, which, in turn, has long-term beneficial effects on the social and emotional development and quality of life of individuals. However, the implementation of UNHS programs is circumstantial in different settings, for different reasons. Objectives The present systematic review aimed to identify whether the implementation of UNHS programs are cost-effective, as well as their variations by localities. Data Synthesis A search was conducted in seven databases: PubMed (Medline), Scopus, Web of Science, Embase, CINAHL, Lilacs, and Cochrane Library. Studies that included a cost analysis of UNHS programs were eligible for inclusion. Studies on evaluations of preschool or school-based programs only were excluded, among others. A total of 1,291 records were found. Of these, 23 articles were analyzed in full. All articles identified the cost-effectiveness of the UNHS programs implemented. Regarding the UNHS protocols, a wide variation was observed in all aspects: tests used, period established between tests and retests, professionals responsible for screening, environment, and criteria for defining hearing loss, limiting the generalization of this information. All studies presented values related to the expenses with the program, but none of them showed statistical elements for the described analyzes or any theoretical basis for such. Conclusion It is necessary to estimate local specific issues, as well as the accuracy of the chosen tests and the NHS protocols used, so that more accurate analyzes on cost-effectiveness are possible.

Clinical Profile and Outcome of Neonates Admitted in Intensive Care Unit: A Cross Sectional Study in District Hospital

Neonatal period, which is the first 28 days of an infant’s life, is the most crucial and vulnerable period. A remarkable decline in mortality rates during neonatal period for the past two decades is due to the advances of obstetric practice in term of medical screening and surveillance and increased neonatal specialization. However, respiratory tract disorders, along with sepsis and other types of infection, are the major causes of neonatal morbidities and mortalities. Hence, this study is aimed to bridge these gaps and provide inputs to the program implementers to design necessary interventions that could contribute to the reduction of neonatal morbidity and mortality.Aims: To determine the clinical profile and neonatal outcome admitted to NICU in district hospitalObjectives: 1. To determine the socio demographic factors associated with neonatal outcome 2. To determine the obstetric profile associated with neonatal outcome.Methods: This hospital based retrospective study was conducted in the NICU of Tumakuru district hospital from Jan to March 2023. Records of all the admitted neonates were reviewed. The details were collected based on a structured questionnaire prepared in English. This contained information regarding obstetric and antenatal care (ANC), gestational age at birth, birth weight, sex, APGAR score, age at admission, admission diagnosis, neonatal outcomes and other related details. The data collected was entered in Microsoft excel (MS Excel) and quantitative variables was analysed by mean and qualitative variable by proportion by epi in go 3.4.3. Chi square was used to find out the association between the neonatal outcome and other variables. P value <0.05 was considered significant.
 Results: A total of 120 neonates were admitted during the study period. 47 (39.1%) mothers of the neonates were aged 21-25years and followed by 34 (28.3%) mothers in the age of 26-30 years. Association between neonatal outcome and socio demographic components was not statistically significant but definitely outcome was better with the good socio demographic profile. Regarding ANC follow up, 119 (99.1%) mothers had attended at leastone prenatal visit and majority 100 (80%) were having ANC check-up at government hospital. The most commoncauses of neonatal mortality were respiratory distress syndrome 4(3.33%), followed by low birth weight 4(3.33%), and preterm 3(2.5%).Conclusion: Inspite of improved technology and facilities available still the neonatal outcome is worst. These all are preventable causes of neonatal mortality and morbidities which has to be taken care bygiving due importance to its predictors. Maternal and environmental factors has to be taken care and dealt.

Success in vaccination programming through community health workers: a qualitative analysis of interviews and focus group discussions from Nepal, Senegal and Zambia

ObjectivesCommunity health workers are essential to front-line health outreach throughout low-income and middle-income countries, including programming for early childhood immunisation. Understanding how community health workers are engaged for successful early...

Leadership Strategies of School Principals in Enhancing Quality Education in the Era Of Freedom to Learn

As a leader, the school principal faces significant challenges in developing school quality standards. The principal must plan appropriate programs and strategies to improve the quality of the school, achieve academic excellence, and produce graduates ready to compete globally. The aim of this research is to describe (1) the strategies implemented by the school principal in enhancing school quality, (2) the impact of the implementation of these programs and strategies, and (3) the supporting and hindering factors in their implementation. This research adopts a field study approach with a qualitative and descriptive methodology, employing interview techniques, observations, and document analysis. The primary informants for this research are school principals and teaching staff. The research findings indicate that the programs implemented by the school principal to enhance school quality include curriculum development, improvement of teacher quality, focus on student needs, and enhancement of school facilities. The strategies implemented by the school principal have proven successful and have a positive impact on raising school standards. The implementation of these programs and strategies is tailored to the specific needs of the school. The positive impact of the programs and the leadership of the school principal is reflected in the achieved excellence, both academically and extracurricularly. Factors supporting the school's success have been effectively managed by the school principal.

Evaluation of student internship programs to support the sustainability of vocational education institutions and industrial cooperation programs

The internship program is an annual routine activity in all faculties at Universitas Negeri Yogyakarta (UNY). This program implements a link and match between educational institutions and industry but has not been evaluated comprehensively. Therefore, conducting program evaluation research using the Context, Input, Process, and Product (CIPP) model is important. The type of research used is program evaluation research with the CIPP model. Data collection techniques in this research used questionnaires, interviews, and focus group discussions. The research subjects were UNY students who were grouped into four groups. Data were analyzed descriptively and quantitatively. The results showed that the context aspect of the internship program (goals and objectives) was in accordance with the graduate profile set at UNY. However, the general policy for organizing internships during the pandemic still needs to be developed. The systems and procedures of the academic community support the internship program, but there is still a need to improve cooperation documents and internship information systems for all faculties. The implementation of the internship program is in accordance with the activity plan set at UNY, but SIPKL needs to be developed to equalize the perception of field supervisors. The product of the internship program is in accordance with the goals and objectives set at UNY, but some students (34.16%) still have not received a job offer from the internship site. The results of this research can contribute to developing a quality-oriented internship program, which will then positively impact the cooperation relationship between universities and industry. Thus, a good working relationship will benefit both parties and potentially develop cooperation in other programs.

Perceptions and experiences of an intervention to improve diets of women and young children in Ghana

BackgroundEfficacious integrated intervention strategies to address the drivers of malnutrition at multiple levels are hardly implemented at scale, although opportunities for cross-sectoral action exist. In 2020, the Improved Feeding Practices (IFP) Project was implemented in Ghana to improve the dietary diversity and well-being of women of reproductive age (15-49 years) and children >2 years.ObjectiveThis paper reports the perceptions and experiences of project beneficiaries and the lessons learned from the IFP project.MethodsUsing a socio-ecological framework, data from the IFP project documents (n=8) and in-depth interviews with key stakeholders, including local government officers, and direct and indirect beneficiaries (n=61), were triangulated to construct an evidence-based overview of the implementation of the complementary strategies of the IFP project. The interviews explored respondents' knowledge, experiences of the project activities, and perceptions of how the project affected their lives. The data were analysed and synthesized thematically using ATLAS.ti.ResultsThe IFP project envisaged an impact pathway through promoting community- or home-based nutrient-rich crop production and poultry to enhance diet quality, child care and feeding practices. Multi-sectoral partners facilitated training and service delivery at community, farm, facility, and household levels. Beneficiaries reported an overall positive experience of participating in the project, including enhanced dietary knowledge, capacity to produce and use eggs and orange fleshed sweet potatoes (OFSP), earned revenues, and access to nutritious foods. Caregivers reported that the IFP project contributed to enhancing children’s diet quality, reduced disease incidence, and improved child growth. Community-level program implementers experienced capacity strengthening. The dry season, increased poultry feed input prices, diseases (such as fowl pox, Newcastle and smallpox), and poultry deaths, limited the scale of benefits. Key implementation lessons include leveraging local resources to produce poultry feed at home, crossbreeding local and commercial poultry, and enhancing disease management, leading to improved potential for project sustainability.ConclusionsOverall, the communities reported a positive experience of an integrated nutrition-sensitive agriculture (NSA) intervention, leading to improved diets of households, women of reproductive age, and young children >2 years. These strategies can be adapted for use in other to improve women's and children's dietary diversity in similar settings, giving due consideration to lessons learned.

Publication Rates of Podium Presentations at an Annual Orthopedic Surgery Resident and Fellow Research Symposium.

Introduction Research is an important aspect of residency and fellowship programs across the country. Developing strategies to foster research productivity is worthwhile. An annual research project is one strategy that some programs implement. Methods All resident and fellow (Sports Medicine, Adult Reconstruction, Spine) presentations at an orthopedic surgery department's annual research symposium from June 2016 through June 2021 were identified. Abstract titles, title keywords, and author names were searched in PubMed and Google Scholar to identify the presence of a peer-reviewed publication. Using the total number of research symposium presentations given, the publication rate was calculated for each year, as well as collectively for 2016 to 2021. In addition to publication rate, first author percent, number of citations, Altmetric score, and journal impact factor were recorded. Current PGY-2 through PGY-5 residents completed a survey to assess the perceived value of the annual research symposium. Results Ninety-eight research symposium presentations were reviewed (69 residents, 29 fellows). Forty (58%) resident studies were published and 28 were first-author publications (70%). Thirteen (45%) fellow studies were published and seven were first-author publications (54%). Combining residents and fellows, the overall publication rate was 54% (53/98), and 66% of these (35/53) were first-author publications. There was a wide range of published manuscript journal impact factors, Altmetric scores, and number of citations. All residents surveyed reported finding value in the research symposium. Conclusion The overall publication rate of presentations at an annual orthopedic surgery department research symposium between 2016 and 2021 was 54%, consistent with publication rates reported at National Orthopedic Surgery Society meetings. All residents reported finding value in the annual research symposium.The results of this study support the academic value of implementing a required annual research project and may provide a useful gauge to inform residency and fellowship curricula at other institutions.

Implementation, enrollment, and engagement in an opt-out telehealth pharmacist-assisted tobacco treatment program for patients seen in oncology outpatient clinics.

To describe the workflow, reach, cost, and self-reported quit rates for an opt-out tobacco treatment program (TTP) for patients seen in 43 oncology outpatient clinics. Between May 25, 2021, and December 31, 2022, adult patients (≥18 years) visiting clinics affiliated with the Medical University of South Carolina Hollings Cancer Center were screened for smoking status. Those currently smoking were referred to a telehealth pharmacy-assisted TTP. An attempt was made to contact referred patients by phone. Patients reached were offered free smoking cessation counseling and a 2-week starter kit of nicotine replacement medication. A random sample of 420 patients enrolled in the TTP were selected to participate in a telephone survey to assess smoking status 4 to 12 months after enrollment. During the reference period 35,756 patients were screened and 9.3% were identified as currently smoking. Among the 3319 patients referred to the TTP at least once, 2393 (72.1%) were reached by phone, of whom 426 (12.8%) were ineligible for treatment, 458 (13.8%) opted out of treatment, and 1509 (45.5%) received treatment. More than 90% of TTP enrollees smoked daily, with an average of 13.1 cigarettes per day. Follow-up surveys were completed on 167 of 420 patients, of whom 23.4% to 33.5% reported not smoking; if all nonresponders to the survey are counted as smoking, the range of quit rates is 9.3% to 13.3%. The findings demonstrate the feasibility of reaching and delivering smoking cessation treatments to patients from a diverse set of geographically dispersed oncology clinics.

Government and Program Implementation Bodies Policies on Performance of Women Empowerment Projects in Dagoretti Area, Nairobi County, Kenya

Purpose: Women’s social, political and economic empowerment is a prerequisite for sustainable development and pro poor growth. Achieving women’s economic empowerment requires sound public policies, a holistic approach and long-term commitment and gender-specific perspectives must be integrated at the design stage of policy and programming. Accordingly, this study was designed to investigate the influence of government and program implementation bodies’ policies on the performance of women’s empowerment projects in Dagoretti area, Nairobi County, Kenya. To achieve this, the following specific objectives were utilized; to examine distribution of resources policies on the performance of women empowerment projects in Dagoretti area, Nairobi County, Nairobi, to assess decision making policies on the performance of women empowerment projects in Dagoretti area, Nairobi County, Nairobi, to assess monitoring and evaluation policies on the performance of women empowerment projects in Dagoretti area, Nairobi County, to examine leadership and coordination policies on the performance of women empowerment projects in Dagoretti area, Nairobi County.
 Methodology: The research design that was adopted was descriptive research design. The study involved interviewing of key actors involved in women’s empowerment programs (particularly in the community based organizations (CBOS). The target population comprised of 33 women groups in Dagoretti Area, 4 county officials and 20 Chair persons of Program Implementing Bodies. The sample drawn from the target population was based on the basis of 30% of 33 that resulted to a selection of 10 women groups that were randomly selected. 3 officials from the county office dealing with Youths and women affairs and 7 officials from implementing bodies were purposively selected. The scope of study was Dagoretti Area, Nairobi County. Data was collected through a semi-structured questionnaire which was administered to the county official. Focus group discussion guides were carried out on women who were selected randomly during their meetings. Data collected was analyzed qualitatively and quantitatively through the help of SPSS computer software and presented through themes percentages, frequencies, tables and bar graphs.

Implementasi Program Pemberian Makanan Tambahan Pemulihan (PMT-P) pada Balita untuk Menurunkan Prevalensi Stunting di Puskesmas Kabupaten Jember

Jember Regency is included in the five cities/regencies with the highest prevalence of stunting in East Java, with a percentage ranging from 40-45%. One of the interventions for toddlers to reduce the prevalence of stunting is the Recovery Supplemental Feeding (PMT-P). The study aimed to study the implementation of the Recovery Supplemental Feeding (PMT-P) program for toddlers to reduce the prevalence of stunting. This is a qualitative approach. The data was collected by in-depth interviews and documentation. The results showed that the implementation of the PMT-P Program was not fully in accordance with the 2011 PMT-P Guidelines from the Indonesian Ministry of Health, the program implementers had good insight, knowledge, and response in implementing the PMT-P program. The output of the PMT-P program implementation was not in accordance with David C. Korten's theory of suitability. It is suggested to cook together among midwives, cadres, and mothers of target toddlers, create a community of toddlers’ mothers as a sharing platform about the implementation of Recovery Supplemental Food, and increase monitoring in the provision program for toddlers to ensure that supplemental food is actually consumed by the target toddlers.

Medication adherence framework: A population-based pharmacokinetic approach and its application in antimalarial treatment assessments.

We reported here on the development of a pharmacometric framework to assess patient adherence, by using two population-based approaches - the percentile and the Bayesian method. Three different dosing strategies were investigated in patients prescribed a total of three doses; (1) non-observed therapy, (2) directly observed administration of the first dose, and (3) directly observed administration of the first two doses. The percentile approach used population-based simulations to derive optimal concentration percentile cutoff values from the distribution of simulated drug concentrations at a specific time. This was done for each adherence scenario and compared to full adherence. The Bayesian approach calculated the posterior probability of each adherence scenario at a given drug concentration. The predictive performance (i.e., Youden index, receiver operating characteristic [ROC] curve) of both approaches were highly influenced by sample collection time (early was better) and interindividual variability (smaller was better). The complexity of the structural model and the half-life had a minimal impact on the predictive performance of these methods. The impact of the assay limitation (LOQ) on the predictive performance was relatively small if the fraction of LOQ data was less than 20%. Overall, the percentile method performed similar or better for adherence predictions compared to the Bayesian approach, with the latter showing slightly better results when investigating the adherence to the last dose only. The percentile approach showed acceptable adherence predictions (area under ROC curve > 0.74) when sampling the antimalarial drugs piperaquine at day 7 postdose and lumefantrine at day 3 postdose (i.e., 12 h after the last dose). This could be a highly useful approach when evaluating programmatic implementations of preventive and curative antimalarial treatment programs in endemic areas.

Adopting the RE-AIM analytic framework for rural program evaluation: experiences from the Advance Care Planning via Group Visits (ACP-GV) national evaluation.

To support rigorous evaluation across a national portfolio of grants, the United States Department of Veterans Affairs (VA) Office of Rural Health (ORH) adopted an analytic framework to guide their grantees' evaluation of initiatives that reach rural veterans and to standardize the reporting of outcomes and impacts. Advance Care Planning via Group Visits (ACP-GV), one of ORH's Enterprise-Wide Initiatives, also followed the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. ACP-GV is a national patient-centered intervention delivered in a large, veterans integrated healthcare system. This manuscript describes how RE-AIM was used to evaluate this national program and lessons learned from ORH's annual reporting feedback to ACP-GV on their use of the framework to describe evaluation impacts. We used patient, provider, and site-level administrative health care data from the VA Corporate Data Warehouse and national program management databases for federal fiscal years (FY) spanning October 1, 2018-September 30, 2023. Measures included cumulative and past FY metrics developed to assess program impacts. RE-AIM constructs included the following cumulative and annual program evaluation results. ACP-GV reached 54,167 unique veterans, including 19,032 unique rural veterans between FY 2018 to FY 2023. During FY 2023, implementation adherence to the ACP-GV model was noted in 91.7% of program completers, with 55% of these completers reporting a knowledge increase and 14% reporting a substantial knowledge increase (effectiveness). As of FY 2023, 66 ACP-GV sites were active, and 1,556 VA staff were trained in the intervention (adoption). Of the 66 active sites in FY 2023, 27 were sites previously funded by ORH and continued to offer ACP-GV after the conclusion of three years of seed funding (maintenance). Lessons learned developing RE-AIM metrics collaboratively with program developers, implementers, and evaluators allowed for a balance of clinical and scientific input in decision-making, while the ORH annual reporting feedback provided specificity and emphasis for including both cumulative, annual, and rural specific metrics. ACP-GV's use of RE-AIM metrics is a key step towards improving rural veteran health outcomes and describing real world program impacts.

Сравнительная оценка энергетических затрат при перемещениях кранов-штабелеров

Within the framework of the put forward hypothesis that energy costs of working movements of the links of racking stacker cranes are inextricably linked to the shape of the working area of the warehouse in which the crane operates, to reduce energy costs, it was pro-posed to use a rotating boom in the design of the stacker crane. With the help of program implementations of mathematical models of stacker cranes of traditional bicycle design and the proposed design with a rotating boom, it became possible to determine the average energy costs for all possible movements of loads of the same mass within the corresponding working areas of these designs. For this purpose, systems of differential equations in Cauchy form were developed, where dissipation of energy was taken into account. The total value of work of crane drives during acceleration and braking was determined. The latter were carried out with constant accelerations, and the movement after acceleration — with constant speeds. The developed simulation mathematical models of cranes of traditional design and the proposed design with a rotating boom allow to determine the energy costs in the drives when moving the crane links along the given trajectories. According to the criterion of average total energy costs, adopted for all possible combinations of movements within areas of the same capacity of one hundred square meters, the stacker crane of the proposed design has an advantage over the crane of traditional design. This makes it possible to significantly reduce energy costs when using such cranes in warehouses and hangars. It is reasonable to recommend the use of a stacker crane of the developed design in warehouses of round shape — it will allow to reduce significantly the energy costs when using such cranes in warehouses and hangars.

Provider perceptions of systems-level barriers and facilitators to utilizing family-based treatment approaches in adolescent and young adult opioid use disorder treatment

BackgroundAmidst increasing opioid-related fatalities in adolescents and young adults (AYA), there is an urgent need to enhance the quality and availability of developmentally appropriate, evidence-based treatments for opioid use disorder (OUD) and improve youth engagement in treatment. Involving families in treatment planning and therapy augments medication-based OUD treatment for AYA by increasing treatment engagement and retention. Yet, uptake of family-involved treatment for OUD remains low. This study examined systems-level barriers and facilitators to integrating families in AYA OUD treatment in Rhode Island.MethodsAn online survey was administered to clinic leaders and direct care providers who work with AYA in programs that provide medication and psychosocial treatments for OUD. The survey assessed attitudes towards and experiences with family-based treatment, barriers and facilitators to family-based treatment utilization, as well as other available treatment services for AYA and family members. Findings were summarized using descriptive statistics.ResultsA total of 104 respondents from 14 distinct treatment programs completed the survey. Most identified as White (72.5%), female (72.7%), and between 25 and 44 years of age (59.4%). Over half (54.1%) of respondents reported no experience with family based treatment and limited current opportunities to involve families. Barriers perceived as most impactful to adopting family-based treatment were related to limited available resources (i.e. for staff training, program expansion) and lack of prioritization of family-based treatment in staff productivity requirements. Barriers perceived as least impactful were respondent beliefs and attitudes about family-based treatment (e.g., perception of the evidence strength and quality of family-based treatment, interest in implementing family-based treatment) as well as leadership support of family-based treatment approaches. Respondents identified several other gaps in availability of comprehensive treatment services, especially for adolescents (e.g. services that increase social recovery capital).ConclusionsFamily-based treatment opportunities for AYA with OUD in Rhode Island are limited. Affordable and accessible training programs are needed to increase provider familiarity and competency with family-based treatment. Implementation of programming to increase family involvement in treatment (i.e. psychoeducational and skills-based groups for family members) rather than adopting a family-based treatment model may be a more feasible step to better meet the needs of AYA with OUD.Trial registration: not applicable.

Motivation-opportunity-ability-behaviour of community members and program implementers towards mass drug administration for lymphatic filariasis elimination in India: a systematic review and implementation priority.

Lymphatic filariasis (LF) is a significant public health issue in India. Despite 10-15 rounds of mass drug administration (MDA) in India, the global LF elimination target of 2030 appears challenging. To strengthen the program, community and provider perspectives on ways to bridge a gap in MDA are needed. Through the motivation-opportunity-ability-behaviour (MOAB) lens, we systematically reviewed the facilitators and barriers encountered in LF elimination in India. We followed Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. We searched PubMed, Embase, ProQuest and Google Scholar databases to explore factors related to MDA program implementation in India through 30 June 2021. We analysed the data using a thematic framework. We identified 576 studies; of these, 20 studies were included. This review revealed that the public health system for distributing MDA drugs in India created a better enabling environment, including zero out-of-pocket expenditure, door-step distribution of medicines and ample capacity-building training and follow-up. However, community members were unaware of the rationale for drug consumption, leading to a gap in drug distribution and consumption. Motivation is required among community members, which suggests capacity-building training for service providers to counsel the community.

Studi Program Youth Entrepreneurship And Employment Support Services Pada Peternakan Kambing Di Kecamatan Gondang Kabupaten Tulungagung

Tulungagung Regency was chosen to implement the YESS program because the majority of its people rely on the agricultural sector as their main livelihood and raising livestock as a side business. Geographically, the location of the Tulungagung Regency area is also quite strategic with abundant natural resources, thus supporting it as a target for implementing the Program. This research was carried out for 1 month from March 10 2023 to April 15 2023. In this research primary data and secondary data were obtained. Primary data was obtained from interviews and observations of 7 breeders who received benefits from competitive grants from the YESS Program in 2022, goat breeders as key informants in Gondang District, Tulungagung Regency and Expert Informants who came from YESS Program implementers from the Tulungagung Agriculture Service and program facilitators. Secondary data was obtained from literature. From the research, the results showed that the YESS program was considered successful in improving livestock farmers' skills, facilitating market access, increasing access to financing and activating institutional policies and media for youth involvement in rural areas. The suggestion for this research is that it is necessary to carry out further analysis regarding the obstacles that occur in implementing the YESS program.

Enhancing Behavioral Health Implementation in a Care Coordination Program at a Federally Qualified Health Center: A Case Study Applying Implementation Frameworks.

Federally Qualified Health Centers are charged with providing comprehensive health care in traditionally underserved areas, underscoring their importance in caring for and promoting health equity for the large portion of historically marginalized communities in this setting. There is a significant need to ensure Federally Qualified Health Centers are equipped to appropriately address the immense behavioral health needs common among patients served. Care coordination is an evidence-based model that is increasingly utilized in Federally Qualified Health Centers to improve care equity and outcomes. Addressing and supporting behavioral health needs is a key aspect of such care coordination models. Context-specific considerations and programmatic supports, particularly those that address the needs of care coordinators and the complex patients they serve, are needed to ensure such models can appropriately meet and address the behavioral health concerns of the diverse populations served. The goal of this study was to present a mixed-methods case study that systematically applies implementation frameworks to conduct a needs and context assessment to inform the development and testing of evidence-based practice strategies and implementation support as part of a care coordination program within a partnered Federally Qualified Health Center.