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1

Muswazi, Paiki. "Distance Education Library Services in Swaziland." Information Development 19, no. 3 (September 2003): 214–24. http://dx.doi.org/10.1177/0266666903193011.

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2

Munro-Ludders, Bruce, Thomas Simpatico, and Daria Zvetina. "Making Public Mental-Health Services Accessible to Deaf Consumers: Illinois Deaf Services 2000." American Annals of the Deaf 148, no. 5 (2004): 396–403. http://dx.doi.org/10.1353/aad.2004.0008.

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3

Slater, Lindsay. "Public Library Services to Deaf Families and Deaf Children." OLA Quarterly 19, no. 3 (2013): 12–17. http://dx.doi.org/10.7710/1093-7374.1752.

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4

Kiyange, F., V. Walusansa, G. Mandosela, H. Nzereka Kambale, E. Luyirika, and J. Orem. "The Role of South-to-South Partnerships in Developing Cancer Services in Africa." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 163s. http://dx.doi.org/10.1200/jgo.18.21200.

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Background and context: Despite being a growing public health concern in Africa, access to effective cancer treatment and pain relief is still limited in sub-Saharan Africa. The African Palliative Care Association (APCA) in collaboration with the American Cancer Society and the Ministry of Health of Swaziland have successfully implemented a South-to-South partnership which has facilitated the development and operation of a cancer unit in Mbabane National Hospital. Although the cancer burden continues to rise in Africa, many countries do not have established oncology services. They rely on cancer treatment, care and support through referral to neighboring countries or overseas, which is costly for governments and poses multiple challenges for patients and their families. Until recently, Swaziland has relied on cancer treatment and care in South Africa. This paper presents a model where the Uganda Cancer Institute (UCI) in Uganda has been facilitated to support the establishment of a cancer unit in Swaziland. Aim: The intervention aimed at providing technical assistance to the Ministry of Health of Swaziland to initiate and operate a cancer unit in Mbabane Government Hospital through a formal arrangement with the UCI. Strategy/Tactics: The planning and execution of activities was done by a tripartite of APCA, Uganda Cancer Institute a government entity and the Swazi Ministry of Health. Program/Policy process: Over a period of one year (Decemeber 2016 to December 2017) APCA, through a grant from the ACS formerly engaged the UCI to support the initiation and operation of a cancer unit in Swaziland. This was through expert exchange visits through which on-job training and mentorship was provided to a team of staff at Mbabane Government Hospital, with coordination by the Swaziland Ministry of Health. Experiential visits to Uganda were also organized for the lead pharmacist in Swaziland and a doctor to enable them set up and run a cancer unit in their country. The exchange visits provided a forum for both observation and application of knowledge and skills. Outcomes: A cancer unit was successfully established at Mbabane Government Hospital in Swaziland, which now provides services for patients, with breast cancer and expanding to include other cancers. The Swaziland Ministry of Health has been key to the success of this development and continues to identify human, financial and other resources to sustain the cancer unit. To date 69 patients have successfully undergone chemotherapy: 43 breast cancer, 22 Kaposi sarcoma, 2 colorectal cancer, 1 bladder cancer, 1 multiple myeloma. 21 health care workers were trained on cancer management; 9 doctors, 7 nurses and 5 pharmacists. What was learned: There are many opportunities for South-to-South partnership to support the establishment or improvement of cancer care. This model implemented in Swaziland can be replicated in other African countries. Documenting the model for replication in other countries is recommended.
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Ziyane, Isabella S., and Makhosazana Thwala. "Low uptake of postnatal care services in Swaziland." African Journal of Midwifery and Women's Health 4, no. 1 (January 2010): 15–21. http://dx.doi.org/10.12968/ajmw.2010.4.1.46308.

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6

Kitson, N. "Availability of specialist services. Deaf people need psychiatric services." BMJ 307, no. 6903 (August 28, 1993): 567. http://dx.doi.org/10.1136/bmj.307.6903.567-b.

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7

Barrett, S. S. "Comprehensive Community-based Services for Adults who are Deaf-Blind: Issues, Trends, and Services." Journal of Visual Impairment & Blindness 86, no. 9 (November 1992): 393–97. http://dx.doi.org/10.1177/0145482x9208600904.

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Persons who are deaf-blind are a heterogeneous group that require individualized rehabilitation and supported-living services to deal with their profound disabilities. This article discusses the factors that enhance the provision of high-quality services, transitional programs, and the importance of interagency collaboration in developing new services that can assist persons who are deaf-blind to live and work in their communities.
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8

Muswazi, Paiki. "HIV/AIDS information resources and services: a Swaziland case study." Library Review 49, no. 1 (February 2000): 34–39. http://dx.doi.org/10.1108/00242530010307878.

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9

Swanson, L. "New mental health services for deaf patients." Canadian Medical Association Journal 176, no. 2 (January 16, 2007): 160. http://dx.doi.org/10.1503/cmaj.061352.

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10

Ing, Paul S., Melanie L. Lempke, Shelley D. Smith, and William J. Kimberling. "Availability of genetic services to the deaf." American Journal of Medical Genetics 34, no. 2 (October 1989): 300–301. http://dx.doi.org/10.1002/ajmg.1320340239.

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11

Johnson, Sammy Jo. "Disservice to Society: A Transnational Analysis of the Canadian Hearing Services." Canadian Journal of Disability Studies 10, no. 1 (March 4, 2021): 272–93. http://dx.doi.org/10.15353/cjds.v10i1.738.

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This paper expresses a growing sentiment the author felt as an employee of Canadian Hearing Services, one that is only implied in the Deaf Citizens petition. Namely, that the current operation of CHS is contributing to a disconnect from the Ontario and Canadian deaf communities, but it also signifies a disconnect from something bigger—what the author calls the global deaf network or what Murray (2007) calls “the transnational Deaf public sphere” (p.4)— and therefore the actions taking place at CHS reverberate beyond provincial and national borders. In applying a transnational analysis, the author explores the connections and linkages between CHS and a deaf network that exists globally, which includes CHS’ past participation in large international deaf events and the role of CHS offices in bringing together people who have unique and important experiences engaging with global deaf spaces and networks, and consider if the changes recently implemented at CHS signify an organizational withdrawal from these global spaces and networks. While this discussion only scratches the surface of possible connections linking CHS to a global deaf network, the author aims to add their voice to those calling on CHS to rebuild bridges that have previously linked the organization with deaf networks at local as well as global levels.
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12

Dlamini, Sotja G., Abdi-Khalil Edriss, Alexander R. Phiri, and Micah B. Masuku. "Determinants of Swaziland’s Sugar Export: A Gravity Model Approach." International Journal of Economics and Finance 8, no. 10 (September 23, 2016): 71. http://dx.doi.org/10.5539/ijef.v8n10p71.

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The sugar industry in Swaziland is the highest contributor to the government treasury through taxation, social services and trade. The sugar industry also plays a crucial role in the Swaziland’s economy by influencing economic growth and employment. Given the role of the Swaziland’s sugar industry, it is therefore important to understand the influencing factors of the Swaziland sugar exports volumes to its major trading partners. The study objective was to analyze the factors determining sugar export from Swaziland to her trading partners using a gravity model approach. The study used panel dataset for the period 2001 to 2013. The results showed that Swaziland’s GDP, importer’s GDP, importer’s land area and official common language had significant positive effects on Swaziland’s sugar exports. The study further revealed that the creation of COMESA and EU trading blocs had significant positive effects on the Swaziland’s sugar exports. This implies that the above-mentioned factors have contributed to the sugar trade flows increase during the time period under study. On the other hand, importer’s population, Swaziland openness and distance between Swaziland and her trading partner’s capital cities had a significant negative effect on Swaziland’s sugar export flows. It is therefore recommended that policies that lead to the exceptional advancement of the Swaziland and importer’s economy should be promoted which will have an effects on the Swaziland GDP and importer’s GDP. Trading with less self-sufficient, neighbouring countries and deepening the economic integration processes enhances Swaziland sugar exports flows.
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13

McDonnall, Michele C., Adele Crudden, B. J. LeJeune, and Anne Carter Steverson. "Availability of Mental Health Services for Individuals Who Are Deaf or Deaf-Blind." Journal of Social Work in Disability & Rehabilitation 16, no. 1 (January 2, 2017): 1–13. http://dx.doi.org/10.1080/1536710x.2017.1260515.

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14

Rabkin, Miriam, Anton Palma, Margaret L. McNairy, Averie B. Gachuhi, Samkelo Simelane, Harriet Nuwagaba-Biribonwoha, Pido Bongomin, Velephi J. Okello, Raymond A. Bitchong, and Wafaa M. El-Sadr. "Integrating cardiovascular disease risk factor screening into HIV services in Swaziland." AIDS 32 (July 2018): S43—S46. http://dx.doi.org/10.1097/qad.0000000000001889.

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15

Ferguson-Coleman, Emma, Alice Johnston, Alys Young, Fiona Brown, Ruth de Sainte Croix, and Paul Redfern. "How do we know what we don’t know? Exploring Deaf people’s experiences of supporting their Deaf family member living with dementia." Dementia 19, no. 5 (September 17, 2018): 1381–96. http://dx.doi.org/10.1177/1471301218798993.

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Deaf sign language users living with dementia and their carers, some of whom are Deaf, routinely face everyday barriers in accessing information, support (both formal and informal) and services. The familial care situation is further complicated given that most Deaf people will choose a life partner who is Deaf and most Deaf couples will have hearing children. This study focussed specifically on the everyday experiences of Deaf carers and the impact of caring for a loved one with dementia. Drawing on data from a wider consultation about dementia care, three Deaf carers were directly interviewed in British Sign Language by a Deaf researcher about their everyday experiences of care, support, and services. Thematic analysis focussed on: access is more than the provision of interpreters; effective care for the carers; and unknowing risk taking. Findings demonstrate the multifaceted effects of barriers to knowledge and information when the care partner is also Deaf, the urgent need for effective support for Deaf carers and unrecognised safeguarding concerns that are a result of lack of access to forms of basic knowledge about living with someone with dementia and potential coping strategies. Nonetheless, the participants demonstrated novel solutions and resilience in the face of these multiple challenges. Implications are drawn for future targeted services to supported Deaf carers of people affected by dementia.
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16

Shadrick, Ian, and Carol Etlen. "Predictors of Competitive Employment of Adults With Deaf-Blindness Following Vocational Rehabilitation." Journal of Applied Rehabilitation Counseling 50, no. 2 (June 1, 2019): 148–59. http://dx.doi.org/10.1891/0047-2220.50.2.148.

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The purpose of this study was to examine employment outcomes for adult vocational rehabilitation clients with deaf-blindness. Specifically, this study examined the relationship between case service provisions, and competitive employment outcomes for individuals with deaf-blindness. The sample was obtained from Rehabilitation Services Administration Case Service Report (RSA-911) data and included 135 cases of individuals with deaf-blindness identified as their primary or secondary disability and whose cases were closed during the fiscal year 2016. The independent variables consisted of vocational rehabilitation case service-related variables. The dependent variable was attainment of competitive employment. Results indicated that three vocational rehabilitation case service variables were associated with client outcomes for those with deaf-blindness seeking and obtaining competitive employment. Implications for improving employment outcomes for clients with deaf-blindness include supporting postsecondary educational attainment opportunities, providing job placement services, and providing job search-related services. Implications for services provided by vocational rehabilitation agencies are discussed.
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17

Alhassan, Fatemah, Mona Elharbi, Mai Elharbi, and Amjad Alqanny. "Technology-based services for deaf and dumb people." International Journal of Data Science 5, no. 2 (2020): 160. http://dx.doi.org/10.1504/ijds.2020.10034183.

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18

Alhassan, Fatemah, Amjad Alqanny, Mai Elharbi, and Mona Elharbi. "Technology-based services for deaf and dumb people." International Journal of Data Science 5, no. 2 (2020): 160. http://dx.doi.org/10.1504/ijds.2020.112136.

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19

Scott, Jackie. "Services for Deaf-blind Adults: Problems and Possibilities." British Journal of Visual Impairment 16, no. 1 (January 1998): 15–17. http://dx.doi.org/10.1177/026461969801600104.

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20

Briccetti, Katherine A. "Mental Health Services for Deaf Students in California." American Annals of the Deaf 132, no. 4 (1987): 280–82. http://dx.doi.org/10.1353/aad.2012.0643.

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21

Warner, Henry C. "The Marketing of Interpreter Services for the Deaf." American Annals of the Deaf 131, no. 5 (1986): 365–66. http://dx.doi.org/10.1353/aad.2012.1033.

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22

Vernon, McCay. "Mental Health Services for People Who Are Deaf." American Annals of the Deaf 152, no. 4 (2007): 374–81. http://dx.doi.org/10.1353/aad.2008.0005.

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23

Miller, K. B., and F. R. Peck. "Outreach Low Vision Services to Children with Deaf-Blindness." Journal of Visual Impairment & Blindness 89, no. 3 (May 1995): 267–71. http://dx.doi.org/10.1177/0145482x9508900313.

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This article presents an overview of a model project for delivering comprehensive vision care and educational support services to children who are deaf-blind. It describes the characteristics of the 170 children served by the project—including the conditions that caused their deaf-blindness, other medical conditions, and visual conditions—and the intervention strategies that were recommended.
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24

DuFeu, M. "The Challenge of Psychiatric Treatments in the Deaf Population." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70418-3.

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Delivering appropriate psychiatric treatments to a Deaf population faces many challenges:•The geographical spread of this client group, who comprise about one in a thousand of the general population.•The complexity of the treatment needs of Deaf people, who may have neurological, psychiatric, social, emotional and psychological difficulties, in addition to a deprived history, which can include significant language delay or deprivation.•The challenge of delivering multi disciplinary treatment programs in conjunction with locally based mainstream resources. Most specialist Mental Health services for Deaf people do cannot provide out of hours or crisis services, and some do not have sufficient community based staff, or any day or in patient provision.The specialist Deaf mental health services need to undertake major awareness, teaching and liaison programs:•With any agency in contact with Deaf people, including Health, Mental Health and Social work and voluntary organistions.•With the Deaf Community to raise awareness of mental health issues, to give information and remove stigma.All these initiatives need to take place locally as well as at national policy making level.
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25

Warshaw, Janice Smith, Peter Crume, and Hilda Pinzon-Perez. "Impact of Service-Learning on Hispanic College Students: Building Multi-cultural Competence." International Journal of Multicultural Education 22, no. 3 (December 31, 2020): 50. http://dx.doi.org/10.18251/ijme.v22i3.2413.

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This article explores the experiences of Spanish-speaking heritage language university students in a sign language interpreting program who were enrolled in service-learning classes. In the service-learning classes, the students partnered with a community service-agency for the deaf that provided intervention services to Spanish-speaking families with deaf children. The findings indicate that the students developed a deeper awareness of their own multicultural and multilingual identity. Moreover, the students gained authentic experiences in brokering linguistic and cultural differences between the American deaf and Hispanic communities in an effort to enhance intervention services for the deaf Hispanic children.
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26

Hansen, Elsa, Julie Ernst, and Julia Washburn. "Interpretive Accommodations for National Park Service Visitors who are d/Deaf or Hard of Hearing." Journal of Interpretation Research 22, no. 1 (April 2017): 5–32. http://dx.doi.org/10.1177/109258721702200102.

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Interpretation plays a critical role in fulfilling the mission of the National Park Service (NPS). This study used survey research to describe the interpretive accommodations currently provided to NPS visitors who are d/Deaf or hard of hearing (HoH). Results show that most park units have completed accessibility assessments and provide some form of interpretive accommodations for visitors who are d/Deaf or HoH. However, many park units perceived their unit was not sufficiently meeting the needs of visitors who are d/Deaf or HoH, and felt that their unit should be doing more. Perceived barriers to providing interpretive accommodations included budget and staffing constraints, lack of familiarity with possible services used by visitors who are d/Deaf or HoH, and limited knowledge of legal responsibilities or guidelines pertaining to visitors who are d/Deaf or HoH. Recommendations stemming from this study include the following: staff training; incorporation of the Principles of Universal Design; inclusion of individuals who are d/ Deaf or HoH in planning and evaluation of interpretive services; regular assessments for accessibility; personal and agency-level commitment toward equitable service; use of websites as source of information regarding interpretive accommodations; development of Standard Operating Procedures (SOPs) for accommodative services; creation of a collateral duty for general accessibility; and additional research regarding what services visitors who are d/Deaf or HoH would find most useful to prioritize limited time and budget.
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27

Mastrocinque, Jeanna M., Denise Thew, Catherine Cerulli, Christina Raimondi, Robert Q. Pollard, and Nancy P. Chin. "Deaf Victims’ Experiences With Intimate Partner Violence: The Need for Integration and Innovation." Journal of Interpersonal Violence 32, no. 24 (September 13, 2015): 3753–77. http://dx.doi.org/10.1177/0886260515602896.

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While in recent years, intimate partner violence (IPV) has attracted considerable research attention, the experiences of IPV affecting the Deaf community have been understudied. As a linguistic and cultural minority, Deaf victims of IPV encounter significant barriers in accessing information and services designed to address the medical and legal consequences of victimization. The number of Deaf Americans who communicate via American Sign Language (ASL) may well exceed a half-million, yet little is known about Deaf IPV victims’ experiences and the characteristics of persons who perpetrate IPV with ASL users. This study addressed both topics. The current study is based on interviews in ASL with 14 Deaf IPV victims (participants). We explored: the types of abuse participants experienced; characteristics of victims and perpetrators; participants’ help-seeking behaviors; and the availability, use, and helpfulness of various resources. These findings were compared to what is known about IPV in the hearing community. Our findings include that lack of information regarding IPV and lack of access to specialized IPV services were pervasive problems affecting Deaf victims. For some victims, the close-knit nature of the Deaf community was a barrier for discussing IPV and accessing information and support. It was common for Deaf victims to receive services or information about IPV from providers who were not IPV specialists. Communication abuse was prevalent in our study. The nature of communication abuse is unique for Deaf victims compared to hearing victims.
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28

Mkhabela, Mildred P. S., Thandisizwe R. Mavundla, and Nonhlanhla A. Sukati. "Experiences of Nurses Working in Voluntary Counseling and Testing Services in Swaziland." Journal of the Association of Nurses in AIDS Care 19, no. 6 (November 2008): 470–79. http://dx.doi.org/10.1016/j.jana.2008.07.003.

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29

Groce, Nora, Aisha Yousafzai, Phindile Dlamini, Sarah Zalud, and Shelia Wirz. "HIV/AIDS and disability: a pilot survey of HIV/AIDS knowledge among a deaf population in Swaziland." International Journal of Rehabilitation Research 29, no. 4 (December 2006): 319–24. http://dx.doi.org/10.1097/mrr.0b013e328010c68f.

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30

Moore, Corey L. "Comparative Competitive Employment Levels for Latinos and Non-Latinos Without 12 Years of Education." Journal of Applied Rehabilitation Counseling 33, no. 1 (March 1, 2002): 13–18. http://dx.doi.org/10.1891/0047-2220.33.1.13.

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The purpose of this research was to identify disparities in proportions of cases “successfully closed” (status 26 only) into competitive jobs based on ethnicity (Latino vs. non-Latino). Case records (n=1 ,224) from the RSA-911 database, fiscal year 1997, were obtained and evaluated for consumers who were deaf with less than 12 years of education. A logistic regression analysis and chi-square tests were utilized to investigate potential relationships. Results indicated that significantly more non-Latino consumers who were deaf achieved competitive jobs compared to Latino consumers who were deaf. Findings also indicated that a significantly greater proportion of those consumers who were deaf provided with counseling and job placement services achieved competitive jobs compared to consumers who did not receive these services. Finally, results suggested that a significantly lower proportion of those vocational rehabilitation services found to be significantly associated with competitive jobs (i.e., job placement) were provided to Latino consumers who were deaf. Results are presented for competitive jobs and the implications of findings for service and research are discussed.
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31

Mak, Joelle, Susannah H. Mayhew, Ariane von Maercker, Integra Research Team, and Manuela Colombini. "Men’s use of sexual health and HIV services in Swaziland: a mixed methods study." Sexual Health 13, no. 3 (2016): 265. http://dx.doi.org/10.1071/sh15244.

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Background: Over one-quarter of the adult population in Swaziland is estimated to be HIV positive. Men’s use of sexual health (SH) services has significant implications for HIV prevention. This study aimed to understand Swazi men’s health-seeking behaviours in relation to SH and HIV services. Methods: A household survey was conducted in Manzini (n = 503), complemented by 23 semi-structured interviews and two focus group discussions (with a total of 10 participants). Results: One-third of male survey participants used SH services in the past year, most commonly HIV testing (28%). Service users were more likely to be sexually active (aOR 3.21, 95% CI: 1.81–5.68 for those with one partner; and aOR 2.35, 95% CI: 1.25–4.41 for those with multiple partners) compared with service non-users. Service users were less likely to prefer HIV services to be separated from other healthcare services (aOR 0.50, 95% CI: 0.35–0.71), or to agree with travelling further for their HIV test (aOR 0.52, 95% CI: 0.33–0.82) compared with non-users, after controlling for age-group and education. Men avoided SH services because they feared being stigmatised by STI/HIV testing, are uncomfortable disclosing SH problems to female healthcare providers, and avoided HIV testing by relying on their wife’s results as a proxy for their own status. Informal providers, such as traditional healers, were often preferred because practitioners were more often male, physical exams were not required and appointments and payment options were flexible. Conclusion: To improve men’s uptake of SH services, providers and services need to be more sensitive to men’s privacy concerns, time restrictions and the potential stigma associated with STI/HIV testing.
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McMillann, Ian. "Services in northern Ireland slammed for failing deaf children." Mental Health Practice 9, no. 3 (November 2005): 5. http://dx.doi.org/10.7748/mhp.9.3.5.s8.

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33

TACHIIRI, Hajime. "Audiological Services in Schools for Children Who Are Deaf." Japanese Journal of Special Education 35, no. 4 (1998): 21–27. http://dx.doi.org/10.6033/tokkyou.35.21_2.

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34

Iqbal, Z., and R. Hall. "Mental health services for deaf people: a need identified." Public Health 105, no. 6 (November 1991): 467–73. http://dx.doi.org/10.1016/s0033-3506(05)80618-3.

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35

Saar, Michael, and Helena Arthur‐Okor. "Reference services for the deaf and hard of hearing." Reference Services Review 41, no. 3 (August 15, 2013): 434–52. http://dx.doi.org/10.1108/rsr-12-2012-0083.

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36

Castillo-Garzon, M. J. "Faxing helps deaf people access health services in Spain." BMJ 326, no. 7393 (April 12, 2003): 824a—824. http://dx.doi.org/10.1136/bmj.326.7393.824/a.

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37

Meadow-Orlans, Kathryn P., Kee Duk Lee, and Marilyn Sass-Lehrer. "Support Services for Families with Children Who Are Deaf." Topics in Early Childhood Special Education 15, no. 3 (July 1995): 314–34. http://dx.doi.org/10.1177/027112149501500305.

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38

Gutman, V. "Ethical Reasoning and Mental Health Services with Deaf Clients." Journal of Deaf Studies and Deaf Education 10, no. 2 (April 1, 2005): 171–83. http://dx.doi.org/10.1093/deafed/eni017.

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39

Appleford, Jim. "Clinical activity within a specialist mental health service for deaf people: comparison with a general psychiatric service." Psychiatric Bulletin 27, no. 10 (October 2003): 375–77. http://dx.doi.org/10.1017/s0955603600003159.

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Aims and Method This paper compares the case mix and clinical activity in a specialist mental health service for deaf people within a general psychiatric population, using ICD–10 diagnostic criteria. Results Out-patient and in-patient caseloads differ between the two services: 27% of the deaf out-patient caseload have schizophrenia, schizotypal and delusional disorders (compared with 19% of hearing patients) and 19% have neurotic, stress-related and somatoform disorders (compared with 8% of hearing patients). The general psychiatric service out-patient case-load had rates of 8% and 43% for bipolar affective disorder and unipolar depression, respectively, compared with 3% and 17% in the deaf group. Deaf patients have a mean length of stay of 59 days, compared with 30 days for the hearing group. In-patient treatment accounts for 89% of the annual treatment cost for the deaf patient population. Clinical Implications Expansion of community services for deaf people as recommended by a recent Health Advisory Service report could reduce admission rates for deaf patients, delivering treatment benefits and cost savings.
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40

Appleford, Jim. "Clinical activity within a specialist mental health service for deaf people: comparison with a general psychiatric service." Psychiatric Bulletin 27, no. 10 (October 2003): 375–77. http://dx.doi.org/10.1192/pb.27.10.375.

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Aims and MethodThis paper compares the case mix and clinical activity in a specialist mental health service for deaf people within a general psychiatric population, using ICD–10 diagnostic criteria.ResultsOut-patient and in-patient caseloads differ between the two services: 27% of the deaf out-patient caseload have schizophrenia, schizotypal and delusional disorders (compared with 19% of hearing patients) and 19% have neurotic, stress-related and somatoform disorders (compared with 8% of hearing patients). The general psychiatric service out-patient case-load had rates of 8% and 43% for bipolar affective disorder and unipolar depression, respectively, compared with 3% and 17% in the deaf group. Deaf patients have a mean length of stay of 59 days, compared with 30 days for the hearing group. In-patient treatment accounts for 89% of the annual treatment cost for the deaf patient population.Clinical ImplicationsExpansion of community services for deaf people as recommended by a recent Health Advisory Service report could reduce admission rates for deaf patients, delivering treatment benefits and cost savings.
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41

Farrugia, David. "Practical Steps for Access and Delivery of Mental Health Services to Clients Who are Deaf." Journal of Applied Rehabilitation Counseling 20, no. 1 (March 1, 1989): 33–35. http://dx.doi.org/10.1891/0047-2220.20.1.33.

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There are a number of unique communication and psychological dynamics associated with counseling persons who are deaf that can lead to poor delivery of services, especially by non-specialists. Unfortunately, the literature rarely goes beyond recognition of the problem. The purpose of this article is to provide some specific suggestions regarding access and delivery of mental health services for clients who are deaf. Attention is given to referral procedures and to considerations for the non-specialized counselor who may occasionally be involved in counseling a client who is deaf.
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Masango, P. S., J. I. Rugambisa, A. S. Singh, and D. Kibirige. "The Contribution of Swaziland Dairy Board on Dairy Farmers’ Productivity: A Case of Mbabane Sub-Region, Swaziland." Journal of Agricultural Studies 5, no. 2 (June 29, 2017): 163. http://dx.doi.org/10.5296/jas.v5i2.11470.

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The Swaziland Dairy Board (SDB) was established under the Act No. 28 of 1968 to promote increased dairy production to satisfy the domestic and export market. Despite numerous efforts of SDB through its dairy policy goals, Swaziland is failing to achieve self-sufficiency in liquid milk production, and can hardly sustain its local demand. Therefore, the study aimed at establishing the contribution of SDB policy goals on smallholder dairy farmers’ productivity. Primary data was collected from 120 dairy farmers through the use of a structured questionnaire in the Mbabane sub-region. The study characterized dairy farmers as mostly male (57%) who are aged above 55 years and married (88%), attained secondary education(48%) with farming experience of 4 years, milking averagely 2 cows per day, and each cow yielding averagely 10 litres and 13 litres per day for non-SDB and SDB members, respectively. The results further revealed that farmers trained by SDB were practicing more of the recommended animal husbandry practices compared to non-SDB farmers. Moreover, the SDB farmer’s milk yields were higher than non-SDB farmers at 10% significant level, although SDB farmers’ milk productivity is still regarded relatively low. Factors influencing productivity of milk among small holder dairy farmers included sex of the farmer, age, dairy sales incomes, number of milking cows, market distance, use of supplementary feed, dairy records keeping and the breeding system. Therefore, local milk production can increase if the stakeholders in the dairy industry can adopt SDB policy strategies, dairy related services and good livestock husbandry practices.
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Pugh, Gaylen S., and Doin Hicks. "Deaf Education Initiatives Project: A Response to the Challenge." Journal of Childhool Communication Disorders 17, no. 1 (October 1995): 5–8. http://dx.doi.org/10.1177/152574019501700101.

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The Deaf Education Initiatives Project, conceptualized during Dr. Robert Davila's tenure with the Office of Special Education and Rehabilitative Services, brought together diverse groups in an unprecedented effort to build concensus regarding services for students with hearing losses. The project generated unusual levels of attention and interest, marshalled active participation of national organizations representing hundreds of thousands of concerned individuals, and produced a set of mutually agreed upon guidelines for services to students who are deaf and hard of hearing.
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Moreland, Christopher J., Dominique Ritley, and Patrick S. Romano. "Interpreting for California’s Insured Deaf or Hard of Hearing Population." Journal of Disability Policy Studies 22, no. 3 (April 11, 2011): 170–78. http://dx.doi.org/10.1177/1044207311403627.

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Deaf or hard of hearing (DHOH) people experience significant health disparities in the United States; signed language interpretation services may increase their access to health care via health insurance plans. The authors’ objective is to describe signed language interpretation (SLI) services provided by California’s health maintenance organizations (HMOs) to their DHOH members. They conducted a descriptive review of an annual state-administered survey of California HMOs from 2003 through 2008 via retrospective analysis of annual or biennial survey responses to questions regarding SLI services and DHOH members. From 2003 through 2008, California HMOs increased efforts to inform DHOH members of SLI services while using more formal methods to assess the quality of those services. DHOH members were increasingly discouraged from using family members for medical SLI. California’s HMOs have improved efforts to promote and evaluate SLI services for the DHOH community.
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Zambone, A. M., and K. M. Huebner. "Services for Children and Youths who are Deaf-Blind: An Overview." Journal of Visual Impairment & Blindness 86, no. 7 (September 1992): 287–90. http://dx.doi.org/10.1177/0145482x9208600706.

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The uniqueness and complexity of needs and characteristics of the population of children who are deaf-blind make it extremely difficult to determine who they are. Consequently, identifying and meeting their needs through appropriate intervention models and strategies is also difficult. This paper provides an overview of what is currently known about the population of children who are deaf-blind, a description of the service delivery and resource systems currently in place, and a discussion of current and future issues relevant to providing intervention.
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Kyzar, Kathleen B., and Jean Ann Summers. "Students With Deaf-Blindness and Their Families: Service Utilization and Satisfaction." Inclusion 2, no. 3 (September 1, 2014): 195–211. http://dx.doi.org/10.1352/2326-6988-2.3.195.

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Abstract Research on child- and family-related service needs for families of children with severe disabilities is scant, and the literature regarding the service needs of children/families with deaf-blindness is almost nonexistent. This study examined child and family disability-related service utilization and satisfaction with services from the perspective of a national sample of 227 parents who had a child aged birth through 21 with deaf-blindness. Participants were recruited from state deaf-blind technical assistance projects. We utilized survey research design and descriptive statistics to report results. Friend and family support had the highest ratings of utilization. Education and related services were also highly used, whereas mental health services and intervener services were among services/supports with the lowest rates of use. After-school care also had low rates of utilization and, for participants who reported using the service, satisfaction ratings were low. On average, only three services had satisfaction ratings within the “adequate” range: well-child checks, early intervention, and health provider (for informational purposes). A discussion of the findings in terms of the implications for family support policy, practice, and research is provided.
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Ballan, Michelle S., Molly Burke Freyer, Lauren Powledge, and C. Nathan Marti. "Intimate Partner Violence Among Help-Seeking Deaf Women: An Empirical Study." Violence Against Women 23, no. 13 (August 30, 2016): 1585–600. http://dx.doi.org/10.1177/1077801216664428.

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Deaf women face heightened rates of intimate partner violence (IPV) compared with hearing women, yet limited research has focused on IPV among this population. Empirical studies are warranted to examine the unique experiences and resource needs of Deaf women, along with barriers excluding Deaf participants from IPV research and service provision. Our study addresses these gaps by providing a profile of 80 Deaf women attending an IPV program serving individuals with disabilities. Demographic and psychosocial characteristics, referral channels that led women to the program, and services sought post-referral are discussed to help guide best practices with Deaf survivors of IPV.
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Mottram, Vicki. "A community forgotten: Deaf people in health care." BMJ 319, Suppl S4 (October 1, 1999): 9910380. http://dx.doi.org/10.1136/sbmj.9910380.

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Fernandez, V. "Deaf services for children and young people: A national approach." Neuropsychiatrie de l'Enfance et de l'Adolescence 60, no. 5 (July 2012): S293. http://dx.doi.org/10.1016/j.neurenf.2012.04.830.

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Day, John Michael. "Guidelines for Library Services to Deaf People: Development and Interpretation." IFLA Journal 18, no. 1 (March 1992): 31–36. http://dx.doi.org/10.1177/034003529201800108.

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