The Wind River Indian Reservation undertook the development of an agricultural resource management plan in 2015. The reservation is 8903 sq.km of which 63% is in crop and grazing lands. This project’s aim was to crea...The Wind River Indian Reservation undertook the development of an agricultural resource management plan in 2015. The reservation is 8903 sq.km of which 63% is in crop and grazing lands. This project’s aim was to create a community-based integrated plan. A series of community meetings identified 83 issues and topics relating to agricultural development on the reservation. Using information from community meetings, the final agricultural resource management plan consists of 9 major elements, with 12 goals, 46 objectives and 88 policies. Three key issues are addressed in the plan: provide the reservation with a plan that leads to self-management of their agricultural resources;integrate the major agricultural elements as defined by the community into policies;and, create a governance structure that fosters agricultural development into the future.展开更多
In 2012,an estimated 8.6 million people developed tuberculosis(TB)and 1.3 million died from the disease.With its recent resurgence with the human immunodeficiency virus(HIV);TB prevention and management has become fur...In 2012,an estimated 8.6 million people developed tuberculosis(TB)and 1.3 million died from the disease.With its recent resurgence with the human immunodeficiency virus(HIV);TB prevention and management has become further challenging.We systematically evaluated the effectiveness of community based interventions(CBI)for the prevention and treatment of TB and a total of 41 studies were identified for inclusion.Findings suggest that CBI for TB prevention and case detection showed significant increase in TB detection rates(RR:3.1,95%CI:2.92,3.28)with non-significant impact on TB incidence.CBI for treating patients with active TB showed an overall improvement in treatment success rates(RR:1.09,95%CI:1.07,1.11)and evidence from a single study suggests significant reduction in relapse rate(RR:0.26,95%CI:0.18,0.39).The results were consistent for various study design and delivery mechanism.Qualitative synthesis suggests that community based TB treatment delivery through community health workers(CHW)not only improved access and service utilization but also contributed to capacity building and improving the routine TB recording and reporting systems.CBI coupled with the DOTS strategy seem to be an effective approach,however there is a need to evaluate various community-based integrated delivery models for relative effectiveness.展开更多
文摘The Wind River Indian Reservation undertook the development of an agricultural resource management plan in 2015. The reservation is 8903 sq.km of which 63% is in crop and grazing lands. This project’s aim was to create a community-based integrated plan. A series of community meetings identified 83 issues and topics relating to agricultural development on the reservation. Using information from community meetings, the final agricultural resource management plan consists of 9 major elements, with 12 goals, 46 objectives and 88 policies. Three key issues are addressed in the plan: provide the reservation with a plan that leads to self-management of their agricultural resources;integrate the major agricultural elements as defined by the community into policies;and, create a governance structure that fosters agricultural development into the future.
文摘In 2012,an estimated 8.6 million people developed tuberculosis(TB)and 1.3 million died from the disease.With its recent resurgence with the human immunodeficiency virus(HIV);TB prevention and management has become further challenging.We systematically evaluated the effectiveness of community based interventions(CBI)for the prevention and treatment of TB and a total of 41 studies were identified for inclusion.Findings suggest that CBI for TB prevention and case detection showed significant increase in TB detection rates(RR:3.1,95%CI:2.92,3.28)with non-significant impact on TB incidence.CBI for treating patients with active TB showed an overall improvement in treatment success rates(RR:1.09,95%CI:1.07,1.11)and evidence from a single study suggests significant reduction in relapse rate(RR:0.26,95%CI:0.18,0.39).The results were consistent for various study design and delivery mechanism.Qualitative synthesis suggests that community based TB treatment delivery through community health workers(CHW)not only improved access and service utilization but also contributed to capacity building and improving the routine TB recording and reporting systems.CBI coupled with the DOTS strategy seem to be an effective approach,however there is a need to evaluate various community-based integrated delivery models for relative effectiveness.
