This paper examines the potential of China-Pakistan Economic Corridor for shared prosperity and economic development through enhanced regional connectivity. It argues that CPEC can act as a regional ...connector for South Asian and Middle Eastern states by bringing enormous economic and trade opportunities. Having examined the potential utilisation of CPEC as a regional connector in contextualising the Pakistan-China shared consensus for the inclusion of new partners, this paper investigates the areas of regional connectivity cooperation and cross-border linkages with India, Afghanistan, Iran, and Saudi Arabia, and highlights the prospects and challenges to CPEC for mutual collaboration and expanded regionalisation.
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In this study, we explore the experiences of innovative nurses who have developed cross-sector collaborations toward promoting a culture of health, with the aim of identifying lessons that can inform ...similar efforts of other health care professionals. We used a mixed-methods approach based on data from both an online survey and telephone interviews. A majority of the participants had significant collaborations with health care providers and non–health care providers. Strong partners included mental health providers, specialists, and primary care providers on the health side, and for non–health partners, the strongest collaborations were with community leaders, research institutions, and local businesses. Themes that emerged for successful collaborations included having to be embedded in both the community and in institutions of power, ensuring that a shared vision and language with all partners are established, and leading with strength and tenacity. A focus on building a culture of health will grow as payment policy moves away from fee-for-service toward models that focus on incentivizing population health. Effective efforts to promote a culture of health require cross-sector collaborations that draw on long-term, trusting relationships among leaders. Health care practitioners can be important leaders and “bridgers” in collaborations, but they must possess or develop the knowledge, attitudes, and skills of “bilingual” facilitators, partners, and “relationship builders.”
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3.
Community Readiness to Prevent Opioid Overdose Ringwalt, Christopher; Sanford, Catherine; Dasgupta, Nabarun ...
Health promotion practice,
09/2018, Volume:
19, Issue:
5
Journal Article
Peer reviewed
Open access
Effective community-based actions are urgently needed to combat the ongoing epidemic of opioid overdose. Community readiness (CR) has been linked to communities’ support for collective action, which ...in turn has been associated with the success of community-wide prevention strategies and resulting behavior change. Our study, conducted in North Carolina, assessed the relationship between CR and two indices of opioid overdose. County-level data included a survey of health directors that assessed CR to address drug overdose prevention programs, surveillance measures of opioid overdose collected from death records and emergency departments, and two indicators of general health-related status. We found that counties’ rates of CR were positively associated with their opioid-related mortality (but not morbidity) and that this relationship persisted when we controlled for health status. North Carolina counties with the highest opioid misuse problems appear to be the most prepared to respond to them.
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It’s What’s Normal for Me Nixon, Elizabeth; Greene, Sheila; Hogan, Diane
Journal of family issues,
06/2015, Volume:
36, Issue:
8
Journal Article
Peer reviewed
Relative to research that has explored outcomes for children associated with living in a single parent family, less attention has been paid to how children interpret and make sense of their family ...situation. Drawing on qualitative interviews with 38 children and adolescents, aged 7 to 17 years in Ireland, this study explores children’s experiences of growing up in a continuously single-parent family, without experiencing separation and transitions usually associated with single-parent families. Children drew on societal discourses and comparisons with their peer group to evaluate their own family situation. Continuity and a sense of normality represented a salient aspect of their experiences since living in a one-parent family was all they had ever known. Children’s agency emerged in how they negotiated family between two homes and how they weighed up the costs and benefits of potential new parental partnerships.
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Needle and syringe programs (NSPs) are key public health and HIV prevention programs. We sought to compare over time the quality of relationships between NSPs and police, and implementation of best ...practices. We conducted cross-sectional surveys in 2008 (n = 32) and 2015 (n = 28) with NSP managers in Ontario, Canada. Participants were recruited via e-mail to complete an online survey. Over the period studied, self-reported quality of NSP–police relationships did not change—roughly two thirds of NSP managers reported a positive/mostly positive relationship. In 2015, higher proportions of programs offered training to police about the following: the purpose and goals of NSPs (48% vs. 41% in 2008), NSP effectiveness (55% vs. 34%), the health and social concerns of people who use drugs (52% vs. 40%), and needlestick injury prevention (44% vs. 31%). Few managers reported formal conflict resolution procedures with the police (22% in 2015, 9% in 2008). Our findings show that NSP–police relationships did not deteriorate during a time when such programs fell into disfavor with the federal government. More research is needed to understand if and when formal versus informal agreements with police serve the needs of NSPs.
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Although the importance of health care access is widely acknowledged, less is known about how partnerships can help assure access to quality health services for those experiencing health inequities. ...This report describes implementation of collaborative efforts through the Health Access Committee of the Latino Health for All Coalition (Wyandotte County/Kansas City, Kansas) to address its three goal areas (1) improving cultural competence through organizational change, (2) improving access to quality health services through access to diabetes prevention services, and (3) improving access and linkage to care via enrollment in health insurance. Using community-based participatory approaches, we documented and reflected on the pattern of activities facilitated by the coalition and its partners for each goal area over a 1-year period. This case report outlines strategies, activities, and lessons learned by coalition partners. This article offers practical guidance about how to structure and implement a coalition that provides technical support for increasing health care access and cultural competency.
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Introduction. The American Heart Association (AHA) was funded to implement a nationally led initiative to implement policy, systems, and environment (PSE) interventions in communities across the ...United States. In Cohort 1, 15 communities were tasked with working with local community partners to plan and implement initiatives. Method. Engaged as the evaluators, Texas A&M researchers conducted telephone interviews with project managers (employed by AHA) and community partners representing the 15 communities. Interviewees were asked questions pertaining to partnership planning and involvement in initiatives and overall perceptions of the impact of the program. Interviews were analyzed qualitatively using the Consolidated Framework for Implementation Research as the guiding framework. Results. Thematic analysis revealed that partners were used in planning and implementing initiatives and felt that initiatives were successful in building community engagement. Some noted success in PSE changes, although this was not a major focus of respondents, regardless of it being a main indicator for the funder. Discussion. Themes reveal several recommendations for those embarking on community-level work. Those recommendations include (1) build on existing priorities, (2) focus on incremental steps that build toward the bigger goal, (3) use national organizations to move more quickly, and (4) leverage resources through collaborative efforts.
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Intersectoral health promotion (IHP) has pushed health professions to engage in new tasks and interprofessional ways of working. We studied how care assistants from a nursing home and school teachers ...implemented a cookery project targeted at children (“Cool Beans”) as an example of an IHP project in Denmark. Our aim was to examine the impact of the IHP project on the practices of the professions involved. We used a qualitative case study to investigate joint care and teaching situations with the two professions and their users. Our data consisted of documents, participatory observations, and informal interviews (17 hours) as well as semistructured interviews with professionals (n = 4). We used a sociological institutional framework to analyze the professional practices emerging in joint care and teaching situations and identified three themes of new professional activities: (1) “interplay” related to making different generations collaborate on the tasks involved in the cookery session; (2) “care” concerned with caregiving activities; and (3) “learning” focused on schooling on healthy food and cooking. We conclude that changes in professional practices occurred informally and were induced by the concrete activities in the cookery project. The specific, practical tasks of the IHP project thus offered an important leverage for future interprofessional collaborations.
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To adapt and renew today's fraying international order, the West must partner more closely with democratic rising powers that remain ambivalent about existing international arrangements. There are ...four such 'global swing states': Brazil, India, Indonesia and Turkey. An effective engagement strategy will need to adjust the order's main pillars to enhance their appeal without transforming the fundamental character of the system in the process. It will need to influence what global swing states want through outreach to publics and private sectors. And it will need to make the case that all four can best manage China's rise by strengthening international rules of the road. If the West can enlarge the circle of countries that uphold the global order to include these rising democracies, the system that has long safeguarded international security and prosperity and promoted human rights will be able to endure.
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In the first of a series of articles providing practical guidelines to help practitioners provide tax-planning advice to clients, Chris Tate and Phil Drum examine partnerships and trusts
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