1Chief of Obstetrics Service, Professor of Obstetrics, Hospital Aleman, Buenos Aires University, Argentina 2Chief of Oncology Service, Hospital Aleman, Buenos Aires University, Argentina 3Chief of Surgery Service, Hospital Aleman, Buenos Aires University, Argentina 4Chief of Residents at Obstetrics & Gynecology Service, Hospital Aleman, Buenos Aires University, Argentina 5Obstetrical staff phyc...

Fourty-two village animal health workers called keymen (KM) and 84 veterinary assistants (VA) involved in a Basic Animal Health Service (BAHS) Programme in northern Malawi were interviewed during 1998. The general characteristics and perceptions of both groups were analysed using uni- and multivariate techniques. Detailed sales and treatment patterns of six KM and 12 VA were evaluated for the p...

This study examined the ideologies and conditions that are creating women's vulnerability to spousal abuse in the Asian Indian community in the US. The study focused on the multiple factors involved in Asian Indian women's experiences of domestic violence in the US: their minority status, life as an immigrant, and pressures to preserve a flawless public image of their community. The data were...

In the Western Indian Ocean (WIO), local communities are increasingly assuming responsibility for inshore marine resources either on their own or through collaborative management arrangements with governments or non-state actors. In this paper, we trace the evolution and expansion of community management in the WIO and present the first ever inventory and assessment of the region's locally mana...

The National Health Service, yet again, is being cajoled and coerced into being more efficient. Many in the NHS resent this, perhaps understandably given the way in which the concept of efficiency has been devalued by this government. It is, however, an unfortunate reaction because efficiency is not something to be despised or feared. Despite the cajoling, little seems to change. The Royal Comm...

NICE: The National Institute for Health and Clinical Excellence, and its Recent Guidance for Intrapartum Care The National Institute for Health and Clinical Excellence (NICE) is an independent organization with legal status as a Special Health Authority to the National Health Service (NHS) in England and Wales. Its purpose is to develop guidance regarding quality and cost-e¡ectiveness of clinic...

OBJECTIVES To determine the extent of provider communication, predictors of good communication and the association between provider communication and patient outcomes, such as patient satisfaction, in seven sub-Saharan African countries. DESIGN Cross-sectional, multicountry study. SETTING Data from recent Service Provision Assessment (SPA) surveys from seven countries in sub-Saharan Africa....

The culture of midwifery in the National Health Service was examined in order to foster understanding of the context of midwifery practice. In-depth interviews were conducted with midwives in five, very different, sites across England. The culture which emerged was one of service and sacrifice where midwives lacked the rights as women which they were required to offer to their clients. There wa...