Program Staff Research Articles

Perceptions of key stakeholders on peer led strength building program for suicide prevention among young adolescents: A qualitative study from Karnataka, India.

Adolescent suicides are a significant public health concern in India and understanding the intersecting perspectives becomes imperative for the prevention of various mental health concerns. Assessing perceptions of various key stakeholders, that is, mental health experts, school and college teachers, and District Mental Health Program staff about peer-led strength building programs for suicide prevention. A cross-sectional qualitative design using two Focus Group Discussions (FGDs) with mental health experts and teachers and one FGD with DMHP staff was conducted. The sample comprised 45 participants from Bengaluru urban district. The data were analyzed manually by the method of direct content analysis, and themes were determined using existing literature. The teachers and the DMHP highlighted the need for an intensive training program/module that is necessary to be developed in order to train the peer leaders first. The mental health experts opined that creating a network will help in easy identification of the cases and appropriate treatment could be provided without delays. This study indicated that suicide is a preventable public health emergency and inaccessibility to existing as well as proper support systems was perceived as a major concern. Therefore, peer-led programs are beneficial in steering and improving help seeking behavior in suicidal adolescents.

Abstract WP114: Texas Stroke Program Assessment: Infrastructure, Turnover, and Burnout Implications

Introduction: Unlike state designation for trauma centers, there are no Texas State rules on certain infrastructure requirements for stroke designation and independent stroke center accreditation. To assess the current state of program manager impact, a Texas Stroke Program Survey was administered. Hypothesis: Lack of requirements results in overburdened programs, high turnover, poor mentorship, and burnout. Methods: Electronic survey contained program assessment with link to validated instrument (MBI-HSS), administered by Mind Garden Inc, to assess burnout, well-being, and work-related dimensions for medical personnel. Of the 181 Texas designated stroke facilities, 98% were contacted with each site having one anonymous senior program staff member complete the survey. Results: Survey responses were 105 among which 78 completed MBI-HSS (26% CSC, 1% TCS, 59.6% PSC, 17.3% ASRH). Respondents: 66.7% stroke coordinators, 23.8% stroke program managers/directors, and 9.5% identified as other. Majority (41%) were in current role for 1-2 yrs (19% <1 yr, 20% 3-5 yrs, 13.3% 6-9 yrs, 6.7% > 10 yrs) and 42.9% did not consider resigning. Over 5 yr period, 49.5% reported 2 or more turnovers of their position (none 26.7%, once 21.9%, twice 20%, > twice 29.5%, new role 1.9%). Majority (57.1%) reported serving more than one major role at facility. Reported 67.3% had dedicated stroke coordinators and 49% data collectors. Only 53.3% reported adequate resources and 15.2% felt program was priority with sufficient hospital support. Role on-boarding was reported by 16.2% and 61.9% reported no mentorship. MBI-HSS revealed 74.4% had burnout profile of ineffective, overextended, or burnout. Conclusion: Survey demonstrates variability in infrastructure, reduced support and mentorship, high rates of turnover and burnout in Texas stroke programs. Nearly all respondents (91.4%) felt requirements for infrastructure and support for stroke program development and growth were needed.

APLIKASI INFORMASI DIGITAL FAKULTAS ILMU KOMPUTER UNIVERSITAS MUSLIM INDONESIA

The selection of the appropriate information media is very important in supporting the success of delivering information to those concerned, including the Faculty of Computer Science, University of Muslim Indonesia.Furthemore, this research is made with the title "Digital Information Application Based on Website at FIKOM – UMI " to facilitate the delivery of information from faculty staff, study program staff, lecturers and faculty leaders to students to be more efficient in terms of costs, media used to the effectiveness of delivering and receiving information.This system is designed using UML modeling. Meanwhile, the programming language used is PHP and MySQL database.The information contained is the applicable regulations, agenda or event, today's lecture status, lecturers present today, articles that support academic knowledge and all academic and non-academic information deemed necessary to be conveyed to students.

The mediating effects of motivation on the relations between occupational stress and physical activity among underresourced afterschool program staff

ObjectiveGuided by Self-Determination Theory, this study aimed to examine the potential mediating effects of autonomous and controlled motivations on physical activity (PA) experiences of afterschool program (ASP) staff with occupational stress.MethodA total of 58 ASP staff provided full data. Staff occupational stress and self-determination motivations for PA were assessed. Participants’ daily moderate-to-vigorous physical activity (MVPA) was measured using accelerometer wear. A path analysis was used to address the research purpose.ResultsOccupational stress negatively and indirectly predicted daily MVPA which was mediated by controlled motivation (β = − 4.15, p <.05). Autonomous motivation directly and positively predicted daily MVPA across all types and levels of ASP staff occupational stress (β = 9.93, p =.01).ConclusionsAutonomous motivation is a powerful predictor of staff PA levels despite the degree to which they experience stress. In contrast, controlled motivations are more vulnerable to occupational stress, and can lead to lower MVPA.Trial registrationConnect Through PLAY: A Staff-based Physical Activity Intervention for Middle School Youth (Connect). https://clinicaltrials.gov/ct2/show/NCT03732144. Registered 11/06/2018. Registration number: NCT03732144.

Supporting adolescents' leisure time physical activity in low‐income areas: A qualitative systematic review of participant, parent and stakeholder perspectives on family and community interventions

AbstractIn low‐income communities, there is often a lack of resources and facilities for adolescents to engage in organized sports and leisure time physical activity. Therefore, different intervention strategies have been applied to promote physical activity. Yet, a systematic overview of the experiences of those involved in the interventions is lacking. Thus, the purpose of this qualitative systematic review was to synthesize participating adolescents', their parents' and other stakeholders' perspectives on family and/or community interventions that seek to support adolescents' leisure time physical activity in low‐income areas. Five databases were searched using PIICo (P [population], I [intervention], I [phenomena of interest], and Co [context]) to operationalize the review question. Sixteen studies met the inclusion criteria. Through a thematic synthesis inspired by Thomas and Harden, six themes were constructed: (1) developing relationships with a trustworthy adult coach, (2) meeting an inclusive approach: ‘A place for everyone’, (3) forming new friendships through fun sports activities, (4) receiving support through free services, (5) experiencing the neighbourhood as unsafe and (6) challenging life circumstances for adolescents' participation. The findings showed that coaches and other programme staff are significant for adolescents' positive experiences of the intervention and continuous participation. Furthermore, mutual trust, respect and coaches utilizing inclusive approaches were significant to the development of social bonds between peers and their coaches. However, life circumstances and the experience of an unsafe neighbourhood impacted the adolescents' attendance negatively. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

Inspections and evaluations as part of United Nations internal oversight

The article deals with the issue of inspections and evaluations as part of the internal oversight of the United Nations. It is described the powers and activities of the Inspection and Evaluation Division (IED), which operates within the structure of the Office of Internal Oversight Services. In particular, it is indicated that the Inspection and Evaluation Division conducts programme evaluations to conduct analytical and critical assessments of programme implementation and legal frameworks, checking whether changes in them require a review of implementation methods and the relevance of administrative procedures. The main functions of the Division include: preparing a report on programme implementation at the end of each biennium containing qualitative and quantitative information; assessing, on a systematic and objective basis, the relevance, effectiveness, efficiency and efficiency of the Organisation’s activities in achieving its objectives; submitting a report to the UN General Assembly on strengthening the evaluation function and related oversight activities within the UN; conducting special inspections of programmes and organisational units to identify problems affecting the efficiency and effectiveness of the implementation of programmed activities and recommending corrective measures to improve programme delivery; providing internal management advisory services to programme managers, upon request etc. It is stated that the Division carries out several types of evaluation activities, including: programme evaluations; thematic evaluations; inspections; biennial studies on evaluation; evaluation dashboard etc. Themes covered by evaluations include: peace and security; sustainable development; human rights and humanitarian assistance; and organisational management and support. The main target audiences and users of the IED evaluation materials are: the Secretary-General, UN programme managers and staff, member states, primarily the Committee for Programme and Coordination (CPC) and the Administrative and Budgetary Committee (Fifth Committee) of the General Assembly and Security Council, UN stakeholders and partners.

Process evaluation of the Yéego! Program to increase healthy eating and gardening among American Indian elementary school children

BackgroundAmerican Indian children are at increased risk for obesity and diabetes. School-based health promotion interventions are one approach to promoting healthy behaviors to reduce this risk, yet few studies have described their implementation and fidelity. We conducted a qualitative process evaluation of the Yéego! Healthy Eating and Gardening Program, a school-based intervention to promote healthy eating among Navajo elementary school children. The intervention included a yearlong integrated curriculum, as well as the construction and maintenance of a school-based garden.MethodsOur process evaluation included fidelity checklists completed by program staff and qualitative interviews with program staff and classroom teachers after the intervention was implemented. We used content analysis to identify themes.ResultsWe identified several themes related to evidence of delivery adherence, program satisfaction, and lessons learned about delivery. Intervention staff followed similar procedures to prepare for and deliver lessons, but timing, teaching styles, and school-level factors also impacted overall implementation fidelity. Teachers and students had positive perceptions of the program, especially lessons that were highly visual, experiential, and connected to Navajo culture and the surrounding community. Teachers and program staff identified ways to enhance the usability of the curriculum by narrowing the scope, relating content to student experiences, and aligning content with school curriculum standards.ConclusionsThe program was implemented with moderately high fidelity across contexts. We identified areas where modifications could improve engagement, acceptability, efficacy, and sustainability of the program. Our results have implications for the evaluation and dissemination of school-based health interventions to promote healthy eating among children, especially in American Indian communities.

Providing technical assistance to inclusive postsecondary education programs on paid employment experiences of college students with intellectual and developmental disabilities: A case study

BACKGROUND: Students with intellectual and developmental disabilities lag behind their peers without disabilities when it comes to participation in college and employment. In response to this, researchers at Virginia Commonwealth University (VCU) created an online, six-week course for staff who work with students with disabilities in inclusive postsecondary education (IPSE) programs. OBJECTIVE: To create a course and technical assistance (TA) based on implementing supported employment strategies through VCU’s ACE-IT in College model, using evidence-based employment practices. The course and TA were developed to increase the skills of IPSE program staff, as well as increase the number of paid internship opportunities for the students in their programs. METHODS: VCU staff offered a six-week training program, followed by yearlong technical assistance to college and university staff who implement inclusive postsecondary education programs. The researchers conducted a case study of one program and followed them through the course and their TA activities. Data examined were: facilitated discussion board responses, needs assessment results, meeting notes and case study notes, as well as goals and strategies they developed. RESULTS: Results indicate a need for more staff and funding, as well as university buy-in. The fidelity of implementation allowed researchers to make slight adjustments for future TA participants. CONCLUSION: One participating program emerged as a case study site, and results indicate a need for more staff and funding. Detailed descriptions and technical assistant support strategies are provided, as well as implications for further research.

Sociocultural understanding of Tuberculosis and implications for care-seeking among adults in the province of Zambezia, Mozambique: Qualitative research.

Mozambique has a high burden of Tuberculosis (TB) with an incidence of 368 per 100,000 population in 2020, coupled with a low all-form TB detection rate. The COVID-19 pandemic has exacerbated delays in timely diagnosis and treatment of new TB cases. Promoting active TB case finding is a national priority in Mozambique. We conducted qualitative research to explore factors influencing TB testing in Zambezia province in Mozambique. One-to-one, semi-structured, audio-recorded telephone interviews were conducted to explore TB-related knowledge, and barriers and facilitators to TB testing. A sample of two TB Program staff, two community providers of TB services, and 19 community members (10 women and 9 men) was recruited, with support from provincial government TB staff, from four districts in Zambezia with a high TB burden. Interviews were transcribed verbatim, and thematic analysis was conducted. The Mozambican National Bioethics Committee for Health approved the study protocol. Our study highlights that knowledge about TB symptoms and its causes is low, which could delay timely TB testing. Sociocultural beliefs often implicate certain types of sexual activity and women as causes of TB symptoms; for example, having sex with a widow who has not been traditionally purified, or with a woman who has had an abortion. Therefore, people usually tend to first seek care from traditional healers instead of going to a health facility. Additionally, stigma associated with HIV and TB also delays care seeking. Gender-related disparities in TB care seeking were also evident. This study provides valuable insights into how healthcare seeking for TB is influenced by sociocultural understanding of symptoms and gender dynamics. Therefore, interventions to promote timely and appropriate care seeking for TB should be contextually tailored, culturally appropriate, and gender sensitive.

Evaluation of the Administrative, Coordination, and Financing Capacity of the Sub-National Malaria Elimination Programs in Nigeria: A Case Study of Cross River State.

Background: This study appraised the implementers’ perspective of the program’s existing administrative and management; coordination and collaboration; and financing and accountability capacities to deliver its malaria prevention and control mandate. Method: The instrument used was a structured interviewer-administered questionnaire adapted from an already existing National Malaria Programme’s Capacity Assessment tool. Being a widely used open-source program tool, a pretest was done to ascertain its suitability and applicability to the study context and for field assistants to gain familiarity with it. The total population sampling method was used due to the small size of the target population. The target population/sample size was therefore 137, comprising the State Malaria Technical Working Group members, key officers of Cross River State Malaria Elimination Program (CRSMEP), and the Local Government Areas (LGA) Malaria implementing teams. It was a descriptive cross-sectional study. Each element per section of the questionnaire was weighted using the Likert scale and calculated using simple percentages. Results: Research results showed that the malaria program at the State and LGA level have adequate administrative and management capacity with confirmation by 64% and 82.1% of respondents respectively. 80% of respondents confirmed average coordination and collaboration capacity at the State level while 50% of respondents at the LGA level confirmed that the program has adequate coordination and collaboration capacity. For financing and accountability capacity, 36% of respondents affirmed that there is average capacity at the State level while 37.5% confirmed that there is no capacity at LGA level. Conclusion: The study revealed the program’s capacity gaps at State and LGA in the 3 aforementioned key areas. Therefore, interventions to address the capacity gaps are training/re-training of program staff and health workers on program management, administration, and finance, establishing performance management and accountability mechanisms, conducting evidence-based advocacy visits to policymakers for prioritizing allocating and releasing funds for malaria control activities, especially for intervention areas that are not supported by donor/partner organizations.

A ‘training of trainers’ programme for operational research: increasing capacity remotely

ABSTRACT Background Operational research (OR) is a process to improve health system capacity by evaluating interventions to improve health delivery and outcomes. The World Health Organization (WHO) Structured Operational Research Training Initiative (SORT-IT) programme promotes how OR contributes to improved health care delivery and health outcomes. A partnership project between the International Institute of Primary Health Care (IPHCE) in Ethiopia and The University of Queensland (UQ) in Australia modified the SORT-IT programme to deliver a hybrid Training of Trainers programme and improve OR capacity. Objective This study was performed to develop and evaluate the effectiveness of Train-the Trainers approach in building capability to expand the capacity of the IPHCE to deliver the SORT-IT programme. Methods Recruitment of participants and training were aligned with the principles of the SORT-IT programme. Training was face-to-face for the first session with subsequent training sessions delivered via Zoom over a 13-week period. Participants were required to complete all activities in line with SORT-IT deliverables. Slide decks supporting the SORT-IT training videos were developed and adapted to the Ethiopian context. Results Participants had diverse experience from programme directors to research officers. All training sessions were recorded and available for participants to watch and review when required. All participants completed OR protocols to the draft stage. Course evaluation revealed participants found the content and format of the training useful, pertinent, and interesting. Conclusion A hybrid model (face-to-face and video platform) for OR training was implemented. Managing contextual challenges such as information technology were managed easily by programme staff. Translating course requirements at a management level proved challenging with data collection for the protocols but provided insight into potential future challenges. This OR Training of Trainers course demonstrated that sharing of skills and knowledge can occur through a hybrid delivery model and contribute to developing capacity.

‘The secret sauce’: Experience of a group‐based intervention for Black and Latino fathers

AbstractFatherhood interventions have emerged as significant tools for strengthening father identity and parenting skills. Despite the growing evidence of the effectiveness and benefits of these interventions for fathers and their families, there are limited studies on fathers' and providers' perspectives and experiences with the implementation of father‐based interventions. To fill this gap, we explore the unique experiences of the Black and Latino programme staff and fathers in the implementation of the 24/7 Dad® intervention. Qualitative data were collected between October 2021 and February 2022 from all programme staff (n = 7) and selected Dad 24/7 fathers (n = 20) from the English (n = 10) and Spanish (n = 10) intervention groups. All programme staff completed a semi‐structured interview via phone and/or video conferencing. A qualitative descriptive approach was used for analysis. Average age of staff was 53 years; mean age of fathers was 43 years. Among staff, 43% were Black, and 57% were Latino. Fathers self‐identified as Black (30%) and Latino (70%). Three key staff themes were benefits to fathers, impact on fathers and facilitators, and ways to strengthen fatherhood interventions. Three key father themes were intervention benefits, intervention impact (what ‘made it work’) and ways to strengthen intervention services. Fathering is a key component in maintaining healthy families and communities. Fatherhood interventions have great potential for empowering fathers and strengthening families. Finding ways to a relational approach, allocating more time for robust participation and building on facilitators' experiences and assets can help strengthen the impact of fatherhood interventions.

Employee investigation and contact tracing program in a pediatric cancer hospital to mitigate the spread of COVID-19 among the workforce, patients, and caregivers.

Case investigations and contact tracing are essential disease control measures used by health departments. Early in the pandemic, they were seen as a key strategy to stop COVID-19 spread. The CDC urged rapid action to scale up and train a large workforce and collaborate across public and private agencies to halt COVID-19 transmission. We developed a program for case investigation and contact tracing that followed CDC and local health guidelines, compliant with the Occupational Safety and Health Administration (OSHA) regulations and tailored to the needs and resources of our institution. Program staff were trained and assessed for competency before joining the program. From March 2020 to May 2021, we performed 838 COVID-19 case investigations, which led to 136 contacts. Most employees reported a known SARS-CoV-2 exposure from the community (n = 435) or household (n = 343). Only seven (5.1%) employees were determined as more likely than not to have SARS-CoV-2 infection related to workplace exposure, and when so, lapses in following the masking recommendations were identified. Between June 2021-February 2022, our program adjusted to the demand of the different waves, particularly omicron, by significantly reducing the amount of data collected. No transmission from employees to patients or caregivers was observed during this period. Prompt implementation of case investigation and contact tracing is possible, and it effectively reduces workplace exposures. This approach can be adapted to suit the specific needs and requirements of various healthcare settings, particularly those serving the most vulnerable patient populations.

Results of screening for antibodies to varicella-zoster virus in healthcare workers of a multidisciplinary hospital in Moscow

Introduction. Given the unfavorable epidemic situation with chickenpox and shingles in Russia, there is a high risk of virus introduction and spread in healthcare settings, including among medical staff who are not immune to varicella zoster virus (VZV).&#x0D; The objective of this study is to assess the immunity of employees of a multidisciplinary hospital in Moscow to VZV.&#x0D; Materials and methods. A selective screening study was carried out. Venous blood serum samples were taken from 1546 hospital employees as material for detection of IgG antibodies to VZV antigens using a commercial solid-phase enzyme immunoassay (ELISA) test system "Vecto VZV-IgG". All employees were questioned to obtain information about their infectious and vaccine history in relation to VZV.&#x0D; Results and discussion. Screening for antibodies to VZV in the hospital workers revealed that 6.3% of those workers are not immune to VZV. The proportion of seronegative individuals was the highest (12.6 ± 2.4%) in the age group of 29 years and younger. VZV seronegative healthcare workers were found in various departments, but the presence of non-immune individuals among the staff of the obstetrics and gynecology departments (6.5%) is of epidemiologic concern. The results of the survey showed that documented data on infection and vaccination history cannot be used to assess the protection of healthcare workers against VZV infection.&#x0D; Conclusion. The results of serologic screening for antibodies to VZV made it possible to identify a significant number of susceptible employees of the multidisciplinary hospital. In order to prevent the formation of multiple epidemic foci of varicella in medical organizations, it is advisable to include anti-VZV testing of medical staff in the state prevention programs with subsequent vaccination of non-immune individuals.

"I Would Rather Die Drinking than take the Medicine": Role of Alcohol Use Disorder in Loss-to-follow-up of Tuberculosis Treatment in a Rural Area of Ballabgarh, Haryana.

Alcohol use disorder (AUD) is a significant risk factor for tuberculosis (TB) treatment loss-to-follow-up (LTFU). This field-based study was undertaken to understand the role of AUD and TB treatment LTFU and the reasons behind this association in a rural area of Ballabgarh, Haryana. TB patients who had completed their treatment and who had been LTFU were included in the study, along with the National TB Elimination Program (NTEP) staff, healthcare providers, family, and community members from Ballabgarh block of the north Indian state of Haryana. In-depth interviews (IDIs) and focused group discussions (FGDs) were conducted to gauge the perceptions of stakeholders regarding reasons for LTFU, especially in the context of alcohol use. Inductive analysis of the transcripts was done in keeping with the grounded theory, and themes with their sub-themes were identified. A conceptual framework of TB-AUD was constructed, and potential areas for intervention were determined. Fifty-eight IDIs and four FGDs were conducted in mid-2018. Almost all key informants and many patient participants believed that alcohol use makes TB patients highly susceptible to treatment LTFU. Key themes identified were shared personality traits and attitudes, combined side effects of anti-tubercular drugs and alcohol use, lack of family support, and an adverse financial situation. These findings call for a change in NTEP's approach to AUD-TB. Interventions may include collecting alcohol use information at patient enrolment and closure, integrating brief interventions for alcohol cessation in NTEP, and linking patients to deaddiction centers with the provision of appropriate dietary and financial support.

The acceptability, practicality, implementation and efficacy of a physical and social activity intervention 'BreatheHappy' for people with long-term respiratory conditions: A feasibility study.

This study aimed to determine the feasibility of a group-based pilot programme of low-to-moderate physical activity training, education and social activities, by investigating acceptability, practicality, implementation and efficacy testing. We offer suggestions on programme adaptions for future study. People with a range of chronic respiratory diseases were invited to participate in a pilot 12week group activity programme. Activities included outdoor walking, tai-chi, education and a range of social activities. Acceptability was determined by participant experiences determined during interviews. Practicality was determined by programme and outcome measure completion, cost and adverse events. Implementation was determined according to whether the programme ran as planned. Efficacy was determined by statistical analyses of outcomes including hand grip strength, timed up and go test, COPD Helplessness Index, COPD Assessment Test, and measures of physical activity via accelerometry. Thematic analysis indicated that the "BreatheHappy" programme was acceptable. Seven of nine participants completed eight out of 10 sessions and the majority completed all outcome measures. "BreatheHappy" was therefore considered practical. The programme was not implemented as planned, with only 10 sessions running rather than the 12 intended. There was a significant increase in daily step counts (MD: 1284 95% CI: 240-2329 p: 0.024 effect size: 0.988), stepping time (MD: 16 min 95% CI: 5-27 min p: 0.011 effect size: 1.36) and daily minutes completing light physical activity (MD: 23 95% CI: 6-38 p: 0.006 effect size: 1.6). However, time spent sitting for ≥30min but ≤60min significantly increased (MD: 26 95% CI: 0.2-52min p: 0.049 effect size: 0.931), showing signs of efficacy and changing physical activity behaviour patterns. A 10-week programme of low-moderate physical activity training, education and social activities shows signs of feasibility for future research. Suggested adaptions for future study include using physical activity measures such as daily step count or light physical activity for a primary outcome, and mental health and social health related outcome measures relatable to participant's beneficial experiences of the programme. Recruitment in future studies will try and reach both those less socially active and possibly those who have completed pulmonary rehabilitation (PR). Venues should be close to efficient transport links whilst different frequencies and durations of programme delivery should be trialled. Adequate funding should be provided for both staff running the programme and blinded research staff for outcome measurement.

Preface

ITB International Geothermal Workshop 2023 was an event organized by ITB Geothermal Master Program which was held on 06th-7th June 2023 onsite at East Campus Center Building ITB Bandung. Attended by more than 200 participants of geothermal community across the world, such as academia, industries, and governments. This year’s theme is “Geothermal for Accelerating Post-Pandemic Economic Recovery”. The theme focuses on how geothermal can help the economy and accelerate geothermal programs in Indonesia by inviting speakers from various aspects of geothermal energy.The academia participants include participants from Institut Teknologi Bandung, Universitas Brawijaya, Universitas Negeri Manado, Universitas Pattimura, Universitas Pertamina, Kyoto University, Institut Teknologi Sepuluh November, Universitas Padjajaran, and UPN Veteran Yogyakarta. Participants from industries include PT. Geo Dipa Energi, Ormat Technologies, Medco Cahaya Geothermal, PT. Sumbawa Timur Mining, PT. Pertamina Geothermal Energy, Star Energy Geothermal, Rigsis Energi Indonesia, Sarulla Operation, PT. Schlumberger Indonesia, Ecolab, PT. EDC Indonesia, West Japan Engineering Consultant, Thermochem Indonesia, PT. Toshiba Asia Pacific Indonesia, Mubadala Energy Indonesia, Arka Data Primatama, Dian Swastika Sentosa, Green Chemical, Power Perdana Nusantara, and PT. Perusahaan Listrik Negara. Government Representatives are BRIN, Ministry of Energy and Mineral Resources, and New Zealand Trade and Enterprise, as well as public participants.We want to give many thanks for all the support that has been given for this event, from the Geothermal Engineering Magister Program Staff to all Chairman, authors, presenters, paper reviewers, and all the sponsors for assistance and cooperation in support of this event.List of Conference Details, Committee, Keynote Speakers, Sponsors are available in the pdf.

Evaluation of the administrative, coordination and financing capacity of the sub-national malaria elimination programs in Nigeria: a case study of cross river state.

This study appraised the implementers' perspective of the program's existing administrative and management; coordination and collaboration; and financing and accountability capacities to deliver its malaria prevention and control mandate. The instrument used was a structured interviewer-administered questionnaire adapted from an already existing National Malaria Programme's Capacity Assessment tool. Being a widely used open-source program tool, a pretest was done to ascertain its suitability and applicability to the study context and for field assistants to gain familiarity with it. The total population sampling method was used due to the small size of the target population. The target population/sample size was therefore 137, comprising the State Malaria Technical Working Group members, key officers of Cross River State Malaria Elimination Program (CRSMEP), and the Local Government Areas (LGA) Malaria implementing teams. It was a descriptive cross-sectional study. Each element per section of the questionnaire was weighted using the Likert scale and calculated using simple percentages. Research results showed that the malaria program at the State and LGA level have adequate administrative and management capacity with confirmation by 64 and 82.1% of respondents respectively. 80% of respondents confirmed average coordination and collaboration capacity at the State level while 50% of respondents at the LGA level confirmed that the program has adequate coordination and collaboration capacity. For financing and accountability capacity, 36% of respondents affirmed that there is average capacity at the State level while 37.5% confirmed that there is no capacity at LGA level. The study revealed the program's capacity gaps at State and LGA in the 3 aforementioned key areas. Therefore, interventions to address the capacity gaps are training/re-training of program staff and health workers on program management, administration, and finance, establishing performance management and accountability mechanisms, conducting evidence-based advocacy visits to policymakers for prioritizing allocating and releasing funds for malaria control activities, especially for intervention areas that are not supported by donor/partner organizations.

DESIGNING FOR PROGRAM SUSTAINABILITY: AN EVALUATION OF BC’S PROVINCIAL BETTER AT HOME PROGRAM

Abstract Better at Home programs help older adults in communities across British Columbia with non-medical tasks such as light housekeeping, yard work, transportation to appointments, grocery and meal delivery, and friendly visiting, helping them to remain at home and stay connected to their communities. Better at Home is funded by the Province of British Columbia and managed by the United Way. An evaluation of 81 Better at Home programs took place over 2022/23 focusing on the delivery, design, and sustainability of programs. A multipronged evaluation approach was utilized, including site visits; document and administrative data review; interviews with program staff, older adults, and caregivers (n=87); and a survey of program stakeholders (n=399). Over 2021/22, a total of 244,875 services were provided through Better at Home. The most common services provided were light housekeeping, friendly visiting, prepared meal delivery, and grocery services. The evaluation identified design and delivery best practices (e.g., building trust and relationships), program opportunities (e.g., leveraging communities of practice), and lessons learned (e.g., increasing awareness of burnout, capacity, and duplication). Some challenges to program efficiency were also identified (e.g., increased demand for services and complexity of client needs, staff and volunteer turnover). Six program improvements were recommended to ensure the long-term sustainability of Better at Home programs: 1) Securing multi-year funding that accounts for inflation, 2) Ensuring sufficient human resources for service delivery, 3) Offering strategic training opportunities, 4) Continuing to invest in existing programs, 5) Growing partnerships and community networks, and 6) Providing comprehensive supports to program staff.

VARIATIONS ACROSS 11 DEPARTMENT OF VETERANS AFFAIRS HOSPITAL-IN-HOME PROGRAMS IN 2021–2022

Abstract The Department of Veterans Affairs’ (VA) Hospital-In-Home (HIH) program provides Veterans with the option to receive acute level services in the comforts of their own homes. A total of 11 HIH programs operated between fiscal years 2021 and 2022. We examined the volume of the programs and average risk of one-year mortality (using the Care Assessment of Needs measure) among each program’s participants and characteristics of HIH stays (length-of-stay [LOS] and discharge destination) across program sites and program types (complementary- admissions from hospital and substitutive- other admissions) using VA administrative data linked with Medicare claims. The number of patients served in a year varied between 36 and 680 with 6 programs having &amp;lt;200 patients. Substitutive HIH was the dominant HIH type in 8 programs (&amp;gt;50% of patients) while only one program had clearly more complementary HIH (87%) and only 9 programs had complementary HIH. Average length-of-stay (los) in HIH was 20.5 days (SD=24.4 days, median=13 days), with averages across programs ranging between 3 - 36 days, 6 programs with average los&amp;lt;13 days and 5 programs with average los &amp;gt;19 days. Predicted risk of death within one-year varied: among substitutive HIH, 7 programs’ average risk was &amp;gt; 20% and 4 programs’ average risk was &amp;lt;15%. Among complementary HIH only one program’s risk was &amp;lt;15% and the rest was &amp;gt;20%. Substitutive HIH programs discharged 2-10% of Veterans to hospital, while complementary programs discharged 11-23% to hospital. Interviews with program staff will help elucidate reasons for differences and inform expected outcomes.