Street Program Research Articles

Alternative Community Empowerment Program as an Effort to Improve Street Vendors Empowerment in Jayapura City

The economic recession triggered by the COVID-19 pandemic has significantly impacted street vendors (PKL), heightening the economic burden on families despite government social assistance efforts. This study aims to formulate an effective street vendor empowerment program in Jayapura City. Using the Analytic Hierarchy Process (AHP) method with the ExpertChoice 11 software, the research involved several relevant agencies as respondents. The findings indicate that the main obstacle to empowering street vendors is their low business management ability, driven by the underutilization of training institutions. This limitation also contributes to weak innovation capabilities and the uniformity of products offered by street vendors. Moreover, the incomplete street vendor database exacerbates the issue by hindering targeted interventions. The proposed empowerment program emphasizes improving innovation and business management skills through education and training, which can be implemented using micro, mezzo, or macro approaches. The mezzo approach, in particular, is highlighted as a suitable framework for addressing the identified challenges. This study highlights the need for more intensive, persuasive efforts by the Jayapura City government to increase participation in empowerment initiatives while encouraging street vendors to independently enhance their skills and innovate to improve the competitiveness and diversity of their products.

A Qualitative Study to Describe the Nature and Scope of Street Medicine Programs in the United States.

Street medicine is a health delivery model designed to provide direct patient care to people experiencing unsheltered homelessness where they are physically located, whether that be on the streets or in encampments. The model has developed in response to the barriers people experiencing homelessness (PEH) encounter when accessing care through traditional points of access such as primary care clinics. Street medicine programs are rapidly emerging across the United States (U.S.) in response to the health needs and challenges associated with care access and coordination for unsheltered homeless individuals. Although street medicine is a rapidly growing field, existing street medicine programs have rarely been studied collectively, limiting our understanding of the nature, scope, and range of street medicine programs in the U.S. This study examined 13 programs from across the U.S. to develop a broad characterization of street medicine programs. Results from interviews with representatives from each of the 13 programs show that there is a high degree of variability among the structure, operations, and scope of care of street medicine programs. However, consistent among street medicine programs is the adoption of a patient-centered approach to care and the use of harm-reduction principles. Street medicine programs are also highly engaged with community partners and affiliate organizations that work in their local and regional areas. Because street medicine programs often serve as a bridge between formal healthcare entities and PEH, street medicine offers a strategy for reconnecting individuals to vital healthcare services.

Reflecting on City Governmental Responses to COVID-19: Focus on Design Justice

In the early stages of the COVID-19 pandemic and the resultant stay-at-home mandates, local governments in some cities in the United States implemented programs in response to the pandemic. This article focuses on Slow Streets, which were several programs implemented in eleven cities (Los Angeles, Oakland, San Francisco, Seattle, Portland, Denver, Chicago, Minneapolis, Detroit, Boston, and New York) in the United States. The programs were intended to keep people healthy by providing temporary public spaces on residential roads where residents were allowed to exercise and socialize. Some practitioners characterized the programs as tactical urbanism or tactical placemaking and as agile responses to the public health crisis. The programs deserve a critical reflection, considering their potential impact on community health and the limited amount of the literature on the program in terms of design justice, which is an approach to design that prioritizes marginalized communities and challenges their structural inequality. This reflective study attempts to fill that gap in the literature of architecture and urban design. This article aims to examine whether the Slow Streets programs promoted design justice. To address that aim, we propose a social justice framework to evaluate the program, because social justice is essential to design justice. Data from publicly available information online about the eleven cities’ Slow Streets programs, interviews, surveys, focus groups, and the interdisciplinary literature support the qualitative research. The study outcomes suggest that the Slow Streets program had limited success because their attention to the priorities of underserved populations was ineffective. We argue that while the programs provided a timely response to the pandemic, the programs did not adequately address the vulnerability of low-income communities of color due to the limited consideration of design justice. Building on the lessons from social justice and human geography, the article concludes with recommendations for future practices including place-cultivating and human geography-informed design to better serve vulnerable communities of color.

Evaluation of the Implementation of the Field Work Practice Program

School is the first and main step in developing the talents and skills possessed by everyone. This study aims to determine the management and implementation of the field work practice program at SMKN 1 Selayar with the type of qualitative research and data collection techniques through interviews and documentation. Based on the results of this study, it is shown that the evaluation of the management and implementation of the field work practice program at SMKN 1 Selayar can be seen from the indicators of preparation, demonstration, imitation, practice, and evaluation in the "effective" category. It can be seen from the aspect of preparation that holds socialization and core meetings between teachers and parents of students to set the goals and direction of the street vendor program and conduct exploration to several agencies relevant to the existing department and the signing of the MoU. Demonstration where each department head and productive teacher provides examples of work activities that must be mastered by students during the street vendor program in the agency. Imitation provides an opportunity for students to simulate work activities that have been taught previously by utilizing the available school facilities. Practice emphasizes the responsibility of students to professionally carry out work activities in the agency by applying the knowledge and work skills that have been obtained at school and according to the direction of the field supervisor. The evaluation, which is carried out periodically every two months in the step of monitoring and identifying obstacles that may arise, and for the final assessment is the responsibility of the field supervisor to provide grades and certificates for the implementation of street vendors. These stages show that the structured commitment to achieve the objectives of the field work practice program is as stipulated in the desired regulation of the Minister of Education and Culture of the Republic of Indonesia.

An interrupted time series analysis of fentanyl, naloxone, and opioid-involved deaths in five counties in Eastern Missouri

IntroductionRates of opioid overdose deaths (OOD) have increased since the introduction of illicitly manufactured fentanyl in the U.S. drug supply. Though community-based naloxone distribution efforts have been found to effectively reduce OOD, no studies to date have examined their effects during the fentanyl era, nor in the epicenter of a state's overdose crisis. Thus, the current study assessed the impacts of both fentanyl and of subsequent grant-funded community-based naloxone distribution on OOD across Missouri's St. Louis region. MethodsMedical examiner data includes individuals who died within one of the five study counties (St. Louis City, St. Louis County, and Franklin, Jefferson, St. Charles counties [combined as “Collar Counties”]) between 2011 and 2022 due to an opioid overdose (N = 6,799). Naloxone distribution date and location data came from Missouri's university-based naloxone distribution team. We conducted a controlled interrupted time series using an autoregressive model via proc ARIMA to examine changes over time in the rate of OOD associated with the introduction of fentanyl (defined to be present in 25% of opioid overdose deaths; June 2015) and the start of naloxone distribution for each location (August 2017, October 2017, and January 2018, respectively). ResultsThe introduction of fentanyl into the drug supply of St. Louis City was associated with an increased rate of OOD over time (p < .001). Naloxone distribution in the City was associated with an immediate decrease in OOD (p < .001) followed by a slowed increase in OOD (p < .001). These findings were not replicated in St. Louis County nor the Collar Counties. ConclusionsThe effects of fentanyl and naloxone on OOD varied by region in Eastern Missouri. Specifically, fentanyl and naloxone effects were only found in a high-need urban area with existing harm reduction and street outreach programs, but not in surrounding suburban or rural areas. State-level naloxone distribution decision-makers should prioritize funding harm reduction services in both urban and non-urban settings to help increase targeted naloxone distribution to those actively using drugs. Additionally, interventions tailored for people who engage in solitary drug use - such as safe consumption spaces and overdose detection technologies - should receive increased investment and implementation, particularly in rural areas where harm reduction infrastructure is more scarce.

Manhattan's Street Trees: An Unfinished Public Health Story.

Stephen Smith launched a 40-year effort to bring trees to New York City streets in 1872, the year he founded the American Public Health Association (APHA). Smith argued that street trees would mitigate the adverse health effects of Manhattan's summer heat and help purify the air. The young APHA endorsed Smith's position and gave trees a prominent role in urban sanitation, but public health turned away from trees and urban reform movements as it adopted a biomedical public health model in the late 19th century. Nevertheless, Smith wrote and campaigned for a successful 1902 law requiring the New York City Parks Department to assume management of street trees in the name of public health. He then led a 1914 campaign to force the department to uphold his law. New York's street tree program has had an erratic trajectory, but it now generally follows Smith's vision. Public health could play a bigger role in creating greener cities and mitigating climate change with more field research and the health in all policies approach that Smith used to bring trees to Manhattan's streets in 1914. (Am J Public Health. 2025;115(1):66-74. https://doi.org/10.2105/AJPH.2024.307856).

How Boys Deflect Responsibility for Street Harassment: Class, Race, and Responses to Sexual Violence Awareness Programs

This paper shows how boys respond to harassment awareness training programs and analyzes how such audiences might fail to see street harassment as ‘their’ problem (therefore deflecting responsibility for sexual violence). It is based on ethnographic observations of street harassment awareness programs organized in France and interviews with their participants. Boys’ intersectional identities informed how they responded to this program. Boys of color in schools in underprivileged areas argued that racism towards racialized men, rather than the latter’s behavior, often led white women to report being sexually harassed. White boys in schools located in more affluent areas avoided feeling responsible for street harassment by associating violent acts with working-class men or men of colour. I argue that boys are more likely to deflect responsibility for sexual violence when a training program insufficiently relates the message to their personal experiences and lifeworld.

The impact of the built environment on human mobility patterns during Covid-19: A study of New York City's Open Streets Program

This study uses the Open Streets Program in New York City as a natural experiment to test the effects of change in street use on foot traffic changes during COVID-19. In a two-stage-least-squares (2SLS) design, the Open Streets Program is used as an instrumental variable to isolate the exogenous effect of expanded streets for pedestrians on foot traffic patterns. We then estimate a difference-in-differences model that compares the change in foot traffic to public points-of-interests (POI) in neighborhoods that are part of the Open Streets Program with those that are not “before and after” the start of the city-wide program, in addition to other controls such as street types and weather characteristics to help reduce the error variance of the regression. We find that the Open Streets Program helped increase pedestrian activity at a neighborhood level, even when controlling for street types and other confounding temporal factors such as precipitation and temperature.

Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams.

People experiencing homelessness are at increased risk for serious burn injuries and face additional barriers to care such as inability to perform wound care and difficulty with follow-up. Although not burn-specific, street medicine programs provide direct medical care to people experiencing unsheltered homelessness in their own environment and may be well positioned to bridge this gap in burn care for this population. We conducted a cross-sectional survey to characterize the burn care experience of street medicine teams with providing burn care for people experiencing homelessness. The 60 respondents included 18 (30%) physicians, 15 (25%) nurse practitioners or physician assistants, 15 (25%) registered nurses, and 6 (10%) medical students, and 6 (10%) other team members. The most common reported barriers to care were prior negative experiences with emergency departments, and transportation to burn centers. There was regional variability in frequency of providing burn care, which was reflected in respondent comfort with assessing and treating burns. Burns were most often dressed with daily dressings such as a non-adherent dressing over silver sulfadiazine or bacitracin. Silver-based contact dressings were rarely used. Street medicine teams in the United States are treating burn injuries among people experiencing homelessness, though management practices and experience treating burns was variable. As street medicine programs continue to grow, burn-related education, training, and connections to local burn centers for team members is important. Through strengthened partnerships between burn centers and street medicine teams, these programs may be well positioned to bridge the gap in burn care for people experiencing homelessness.

Street Medicine as Service Learning: Lessons from a Needs Assessment Conducted by Medical Students

Background The homeless population is growing across the United States, particularly in urban areas. Oftentimes, there is a disconnect between existing community services and actual needs of individuals experiencing homelessness. These services gaps are frequently identified by needs assessments and utilized by community agencies to inform outreach efforts and program development. Community outreach by medical students through participation in community-based service learning projects is critically important for the preparation of future physicians to care for underserved and vulnerable populations. This study describes the stepwise approach taken by medical students to design and administer a needs assessment for the purpose of informing the development of a new street medicine program. This study is intended to serve as a guide to students who aspire to launch a new street medicine program but is generalizable to other student-led service learning outreaches. Methods We conducted a needs assessment from April-June 2018 of 144 unsheltered homeless individuals in metro Phoenix, Arizona. The 16-question survey investigated perceptions of priority needs, sources of medical care, health literacy, and health status. Survey results were analyzed using Wilcoxon Rank Sum Test, chi-squared analysis, and multivariable logistic regression. Results Most respondents (91.6%) identified food as a top need. The majority (64.1%) utilized Emergency Departments as their primary source of care, and 40.1% reported suboptimal health. Suboptimal health was more likely to be reported in those who expressed transportation (OR 3.03, 95% CI: 1.30-7.07) as a top priority need. Health illiteracy (OR 3.68, 95% CI: 0.76-17.9) was associated with suboptimal health, as was obtaining care at an Emergency Department (OR 2.05, 95% CI: 0.81-5.25). Conclusions Pairing health care with meals and other primary needs may be an effective strategy to increase service utilization by this population. Needs assessments provide an opportunity for health professional students to learn about social needs and more effectively connect patients with services from community agencies and health care organizations.

The Role of Street Medicine and Mobile Clinics for Persons Experiencing Homelessness: A Scoping Review.

An estimated 5800 to 46,500 lives are lost due to homelessness each year. Experiencing homelessness and poor health are cyclically related, with one reinforcing the other. Mobile programs, which include vehicles that travel to deliver care, and street medicine, the act of bringing care to spaces where PEH live, may play a role in alleviating this burden by providing trusted, affordable, and accessible care to this community. We conducted a scoping review of peer-reviewed literature on the role of mobile clinics and street medicine in providing care for PEH by searching PubMed, Embase, and Web of Science on 10 August 2023. Articles from 2013 to 2023 specific to programs in the United States were included. The protocol was developed following the PRISMA-ScR guidelines. The primary outcome was the role of mobile programs for persons experiencing homelessness. A total of 15 articles were included in this review. The descriptive findings emphasized that street medicine and mobile clinics provide primary care, behavioral health, and social services. The utilization findings indicate that street medicine programs positively impact the health system through their ability to defer emergency department and hospital visits, providing financial benefits. The comparative findings between mobile programs and office-based programs indicate current successes and areas for improvement. Mobile clinics and street medicine programs that serve PEH provide a wide range of services. While more significant structural change is needed to address healthcare costs and housing policies in the United States, mobile clinics and street medicine teams can improve healthcare access and the healthcare system.

Pengaruh Program Tayangan Sinetron Anak Jalanan A New Beginning Terhadap Perilaku Remaja

Since ancient times, soap operas have presented many continuous stories, the content of the stories is very diverse. Many soap operas have high ratings. One of them is the soap opera that will be discussed in this research, namely the soap opera Street Children A New Beginning which aired on GTV. This soap opera has also been criticized by the Indonesian Broadcasting Commission (KPI) because there are many scenes that should not be published. The KPI believes that this soap opera contains many violations committed by teenagers. The aim of this research is to measure the street children broadcast program A New Beginning on GTV, measure the behavior of teenagers in RW 011 North Meruya Village and measure the influence of the Street Children Program A New Beginning on GTV on the behavior of teenagers in RW 011 North Meruya Village. The theories used in this research are broadcasting, broadcast media, broadcast programs, types of programs, watching and soap operas as well as adolescent behavior theory. This research uses a quantitative approach and survey research mode. The data collection technique was carried out by distributing questionnaires to 75 predetermined respondents. Sampling used the Startified Random Sampling Technique. This research is shown by the average value of respondents' answers for variable (X) of 3.63, this value is classified as high (Agree) and the average value of respondents' answers for variable (Y) is also classified as high (Agree) at 4.03. The quite large influence of soap opera program broadcasts on adolescent behavior can also be assessed at the (R) correlation of 0.806 which is classified as very high and R square 0.649 or 64.9% influence while the remaining 35.1% is influenced by other factors.

PROTOCOL: Street outreach conflict mediation programs for reducing violence.

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: This systematic review will synthesize the available evaluation research on the effectiveness of street outreach conflict mediation programs. The review seeks to answer the following primary question: Are street outreach worker strategies that use conflict mediation and/or violence interruption strategies effective at reducing violence? Assuming a sufficient number of eligible studies, this review will also address two additional questions: Are there certain program elements that render these strategies more or less effective? Are there certain conditions under which these strategies are more or less effective? As policymakers struggle to understand the policy options available to them for preventing and reducing violence, having clear answers to these three questions will help them make more informed decisions. The primary focus of this review is the effect of these strategies on violence. Nonetheless, when data are available we will collect information on secondary outcomes such as the cost-effectiveness of these strategies and their impacts on perceptual or attitudinal measures such as fear, perceived safety, and violence-related norms.

Provider perceptions of challenges and facilitators to surgical care in unhoused patients: A qualitative analysis

BackgroundUnhoused patients have worse surgical outcomes than the general population. However, the drivers of this inequity have not been studied. MethodsWe conducted 26 semi-structured interviews of clinicians who care for patients with surgical disease, using a purposive sampling strategy to intentionally recruit participants with significant experience caring for unhoused patients across different roles. We used thematic analysis to analyze the resulting data. ResultsWe conducted 26 interviews: 11 with surgeons (42%), 8 with internal medicine physicians (30%), 2 with surgical advanced practice providers (8%), 3 with social workers or case managers (11%), and 2 with registered nurses (8%). One-third of the participants worked in either medical respite or street medicine programs. We identified 5 themes, each of which was most relevant at a distinct point along the spectrum of surgical care: (1) patients and clinicians face multiple challenges meeting preoperative requirements, (2) although surgeons do not make major operative decisions based on housing status, some take it into consideration for minor care decisions, (3) clinicians perceive that unhoused patients have negative postoperative experiences in the hospital, (4) discharge options for unhoused patients are commonly imperfect, which can lead to inadequate postoperative care, (5) challenges with formal communication between surgeons and non-surgeons are amplified when caring for unhoused patients. ConclusionClinicians who care for unhoused patients with surgical disease relayed multiple challenges throughout all phases of surgical care and relied on both formal and informal mechanisms to mitigate these challenges. There may be opportunities to intervene and improve access to surgical care for this vulnerable group.

Health disparities among illegal immigrants and homeless people in the USA: a struggle within

Undocumented immigrants in the United States face significant barriers in accessing healthcare services, which contribute to health disparities. This population is often affected by homelessness due to limited access to affordable housing, limited employment opportunities, language barriers, fear of deportation, and lack of social support. Homelessness and the fear of deportation can lead to stress, anxiety, and physical illness among undocumented immigrants, highlighting the need for healthcare services tailored to their unique needs. Access to healthcare is further hindered by a lack of health insurance coverage, financial constraints, language and cultural barriers, and the ineligibility for public health insurance schemes. Undocumented immigrants who are homeless encounter additional challenges, including difficulties in accessing resources, navigating the healthcare system, and facing societal discrimination. This article focuses on the barriers faced by undocumented migrants in the United States regarding healthcare access and proposes feasible solutions to promote health equity and advance universal health coverage in the country. The absence of health coverage for undocumented migrants undermines the concept of universal healthcare in the USA, as it excludes a significant portion of the population from accessing essential healthcare services. Hence, there is a need for comprehensive immigration reform and policies that ensure impartial access to healthcare. Practical solutions include establishing culturally competent care, implementing mobile clinics or street medicine programs, fostering collaborative relationships with nonprofit organizations, advocating for policies safeguarding the rights of undocumented immigrants, and enhancing data collection techniques.

Aplikasi lampu bertenaga surya untuk penerangan

Electricity use tends to come from energy produced by PLN, where the energy produced in several areas is from non-renewable oil-fueled power plants. This causes several areas to remain dark because they do not have street lighting and are dependent on electricity services from the government, including Banguntapan Village which has minimal lighting. The absence of lighting makes the road dark and prone to crime such as theft, which is often due to darkness. To prevent theft, residents are required to guard the village system, but this is not optimal. For this reason, community service is carried out by creating a sense of security through the street lighting construction program in Banguntapan Village, especially the Muhammadiyah Islamic Center (MIC) complex. The aim of carrying out this community service activity is to provide an alternative, renewable electrical energy source by utilizing solar panels that the community can use. Activities were carried out in several stages, namely observation, outreach, and counseling, as well as training on solar-powered lighting installations. The activity partner is PRM 3 Banguntapan which is located in the Muhammadiyah Islamic Center (MIC) complex, precisely in Sorowajan Hamlet, Banguntapan Village. The results obtained are the availability of alternative electrical energy sourced from sunlight stored in batteries and solar-powered lighting units. Residents know and understand that the use of solar energy is a form of energy-independent village development.

EVALUATION OF TECHNOLOGY AND ENGINEERING VOCATIONAL SCHOOL STUDENTS IMPLEMENTATION: SYSTEMATIC LITERATURE REVIEW

Implementation of Field Work Practice (FWP) for Vocational High School (VHS) students is one of the programs planned as a means for students to improve competence in both soft skills and hard skills, besides that by carrying out FWP students get learning and training bythe world of work. Every student supervisor or teacher has difficulty evaluating the results of street vendors, due to the lack of references obtained by student supervisors in implementing the street vendors program at VHS. This study aims to identify and analyze various approaches and evaluation models that have been used in the implementation of street vendors in VHS students. This research method uses a systematic literature review (SLR) with a descriptive explanatory type of research to gain a comprehensive understanding of the evaluation of the street vendors program implementation. This study found 50 articles on the topic of street vendors from various disciplines, but 15 research articles that were appropriate to the topic of Technology and Engineering came from various literary sources or based on the database found on Google Scholar. This study produced three evaluation models, namely the Context, Input, Process, and Product (CIPP) model with 15 articles, the discrepancy model with 3 articles, and the goal-oriented model with 2 articles. The contribution of this research is expected to increase understanding of the evaluation of the implementation of the street vendors program for VHS students and to lay a strong basis for the development of better evaluations in the future.

Street soccer and homelessness: Exploring social identities, health, and well-being

Membership in social and physical activity groups has the potential to help people with a range of physical and mental health challenges. The purpose of this study was to examine the experiences of members of a unique physical activity group: people who were formerly or currently homeless participating in a street soccer program in Western Canada. Ten participants in the Vancouver Street Soccer League (VSSL) were interviewed about the extent to which this program fostered a sense of community, social connectivity, and quality of life among people with experience of homelessness. Interviews were augmented with a Social Identity Mapping activity and observations from the first author who took part in weekly practice with the VSSL for over a year. The data were analysed using thematic analysis, in which four themes were developed to reflect the findings. These included (1) Coming together through soccer, (2) Dynamics motivating continued involvement in the league, (3) Leaders and leadership: Social influence in the league, and (4) The league and health outcomes. The findings provide insight into how a street soccer program which fostered shared social identity, psychological safety, friendly competition, and social support contributed to the well-being of people impacted by homelessness, various traumas, and marginalisation.

Analisis Penanganan Kerusakan Jalan Menggunakan Metode Bina Marga dan Pavement Conditional Index (PCI) Pada Ruas Jalan Kabuh - Tapen

The Kabuh – Tapen thruway is included within the category of Course III Collector road type which may be a interfacing street between Kabuh and Tapen streets. In this ponder, the point was to get the esteem of the harm list along the Kabuh - Tapen street. as a work reference and sort of street harm dealing with. Analysts will utilize the PCI and Bina Marga 1990 strategies as a reference. From the examination of the condition of the Kabuh – Tapen street segment on unbending asphalt at STA. 0+000 – 7+340 based on the Asphalt Condition Record (PCI) strategy, a esteem with an normal of 99% is gotten, demonstrating that the asphalt is in exceptionally great condition. On the adaptable asphalt at STA. 7+340 – 9+234, an normal esteem of 40% is gotten, showing that the street asphalt is in a awful condition. The comes about of the Bina Marga strategy on unbending asphalts gotten a priority order esteem of 7 so that the street is included within the schedule support program, whereas on flexible asphalts a need arrange esteem of 3 is gotten, hence it is included within the street enhancement program.

Behavioral Health Care Delivery Through Street Medicine Programs in California

Mental health and substance use disorders are prevalent among people experiencing homelessness. Street Medicine can reach unhoused people who face barriers to accessing healthcare in more traditional medical settings including shelter-based clinics. However, there is little guidance on best practices for mental health and substance use treatment through Street Medicine. The aim of the study was to describe behavioral health care through Street Medicine by analyzing data from the California Street Medicine Landscape survey and follow-up qualitative interviews. Most street medicine programs utilize non-psychiatrists to diagnose and treat mental health and substance use disorders, though the capacity to provide the level of care needed varies. There is a lack of street-based psychiatric clinicians and programs have difficulty making referrals to mental health and addiction services. This report shows that Street Medicine could serve as a strategy to expand access to behavioral health care for the unhoused.