Dissertations / Theses on the topic 'International Children's Care (Organization)'

Background. There is an increasing trend in the use of long-term oral anticoagulation therapy in children. Monitoring the international normalised ratio (INR) is an integral part in management of these patients, but standard laboratory testing of the INR presents challenges in this age group. Point-of-care INR monitors such as the Mission® PT/INR monitor provide advantages in efficiency and accessibility but have not been evaluated for accuracy in the South African paediatric setting. Objectives. This is a feasibility study with the aim to evaluate the accuracy of the Mission® PT/INR Monitor in comparison to standard laboratory INR measurement, in children presenting for INR testing. Methods. We compared the accuracy of the Mission® PT/INR monitor to the Sysmex Cs2100i laboratory analyser in 37 children aged between 1 year and 17 years, who presented for INR testing. The sample size was limited due to time constraints. 40 paired POC INR and laboratory INR values were obtained. Results. The majority of participants in the study were outpatients (62%) and required INR testing as part of screening in non-cardiac disease (81%) - the majority had chronic liver disease, and a minority were on warfarin therapy (13.5%). The mean INR value on the Mission® PT/INR was 1.49 (standard deviation (SD) 0.73) and was comparable to the Sysmex Cs-2100i (mean INR value 1.39 with SD 0.69). The Bland-Altman difference plot revealed good agreement. Bias between the two methods was 0.13 (SD 0.23). In total, 92.5% of POC INR values were within 0.5 units of laboratory INR value. Conclusion. The Mission® PT/INR point-of-care monitor has a clinically acceptable level of accuracy in children when compared with laboratory INR measurement, but larger studies are needed in the paediatric setting to evaluate patient safety and clinical outcomes. There is a need for implementing POC INR monitoring in outpatient settings but this practice will require robust assessment of infrastructure and quality control before application.

The purpose of this study is to contribute to the development of integrated child welfare services through an exploration of how professionals providing such services make sense of children's rights and interpret their understandings in their approach to practice. The study focuses on professionals providing services for children between 5 and 13 years old within the Every Child Matters initiative, designed to support the assessment and provision of integrated child and family preventive services in England. The aims were to explore professional understandings of, and engagement with children's rights, provide a description and analysis of the empirical data, and develop a theorised understanding of the factors influencing sense-making and their implications for professionals' interpretations of their role. Areas of interest included similarities and differences in professionals' understandings and how these matched the understandings of service users and those evident in legal and policy texts. It was anticipated that professionals' understandings and engagement would draw on a complex mix of variable knowledge and embedded assumptions and practices, contested and negotiated in relation to welfare structures, texts and professional identities. The study was designed to explore whether this was borne out. A post-modernist theoretical approach was used, drawing on Bourdieu's theories of structured inequalities and influenced by Actor Network Theory's perspectives on networks. Using qualitative methodologies a case study was undertaken within one local area, linking a range of elements in an iterative process, with data from one phase interwoven in the next. Thirty-nine semi-structured interviews with professionals from social work, education and health settings drew on material developed from focus group discussions with child and parent service users and were supplemented by analysis of legal and policy texts and of 30 case records and site-based observations. Initial findings were discussed in parent and professional focus groups. In a second stage analysis of a subset of the data, these findings were explored further and situated within research and academic debate on professional practices and theories of childhood and of rights. Three broad configurations emerged from the data, reflecting differing professionals' constructions and practice interpretations of children's rights. Some participants interpreted children's rights as an essential ‘golden thread' underpinning their practice; others took a more selective ‘pick and mix' approach; and in a third perspective, children's rights were positioned as ‘uncomfortable accommodations' in relation to interpretations of professional role and of family life. These varying dispositions and related interpretations of professionals' regulated liberties were associated with perspectives on childhood, rights knowledge, professional setting, personal dispositions and relational practices. The findings are necessarily tentative and a causal relationship cannot be inferred. Three overarching themes emerged across these configurations. These related to: a common rights language and framework; children's longer-term welfare rights; and conceptualisations of the role of rights within relationships. The absence of a common rights framework to support professional and interprofessional discussions of children's rights was evident across all settings, as was a professional focus on the immediate and lack of attention to children's longer-term welfare, civil and social rights. Participants indicated that providing information about children's rights and exploring rights-based relationships in work with parents and carers was very rare and often avoided. The study proposes that in order to address children's rights in a more consistent and holistic way professionals need opportunities to explore theories of human and children's rights using a broad common framework such as the UNCRC. In integrating children's rights within professional practice increased attention is needed to children's longer-term welfare and development rights and to providing children and adults with information about, positive modelling of and opportunities to explore the place of rights in children's key relationships.

The World Health Organization (WHO) Programme for International Drug Monitoring (PIDM) was developed for chemical rather than biological products. The ability of the PIDM to meet the needs of vaccine safety is of international public health importance. Three studies were conducted: (1) a survey of authorities responsible for reporting adverse events following immunizations (AEFIs); (2) an analysis of the WHO Adverse Reactions Database; and (3) a systematic review to identify and compare Bayesian methods used in drug and vaccine signaling. Communication between national surveillance authorities and lack of vaccine-specific terminologies are issues of concern. Many AEFI reports are not forwarded to the PIDM, and reporting timeliness and regularity should be improved. Few studies have examined the use of Bayesian methods in vaccine signaling. Vaccines should be recognized as a distinct group of drugs. Additional staff dedicated to AEFI reporting and vaccine signaling would be a valuable asset to the PIDM.

The work deals with the issue of different legal forms of nonprofit organizations from a historical perspective, the legal definition, management and financing, and on examples of specific organizations describes the cost intensity of alternative institutional care for the state and municipal budgets. The cost intensity is compared with the cost intensity of foster care. The material also quantifies the differences in various types of alternative care and tries to create optimal solution to the current situation.

"The implementation of the TRIPS Agreement, within the wider context of globalisation, has brought about a conflict between the obligation of states to promote and protect health and the achievement of economic goals pursued under the WTO regime. Since trade is the driving engine of globalisation, it is imperative that, at the very least, rules governing it do not violate human rights but rather promote them. The problem of IP and the right to health therefore lies in ensuring that the integration of economic rules and institutional operations in relation to IPRs coincide with states’ obligations to promote and protect public health. ... This study centres on the specific debate about health and IPRs in the context of the International Covenant on Economic, Social and Cultural Rights (ICESCR) and the WTO rules on IP protection. In terms of a human rights approach to the TRIPS Agreement, the ICESCR has been chosen for several reasons. First, the ICESCR specifically recognises both the right to health and the right to the protection of inventions in clearer terms than any other human rights instrument. Secondly, at least 111 of the state parties to the ICESCR are also members of the WTO including a large number of developing countries. Thirdly, if one sees the ICESCR as a vehicle for the fulfilment of the obligation to promote and protect human rights under the United Nations Organisation’s (UN) Charter, it can be argued that in line with article 103, the implementation and interpretation of TRIPS by all UN members states must take into account basic human rights. However, even with primary focus being on the ICESCR, most of the discussion on practical issues will focus on the experiences in Sub-Saharan Africa because the inequalities and problems of access to health care are most dramatically played out in this part of the world. The objective of the study is to examine the relationship between the obligation of states to progressively realise and guarantee the right to health, and the IP rules under the TRIPS Agreement. The specific objective is to examine the relationship between the exceptions under the TRIPS Agreement and the obligation to protect health and the identification of a consistent way of achieving a convergence between the implementation and interpretation of the rules of the two regimes in the area of health." -- Chapter 1
Mini Dissertation (LLM)--University of Pretoria, 2001.
http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html
Centre for Human Rights
LLM

This study from the onset sought to explore, through a postcolonial critique, the meaning ascribed to child labour by fishers in a fishing community in Ghana. The purpose was to inform practice in social work so that social justice might be achieved for working children and their parents. However the study expanded, methodologically and theoretically, to preliminarily include a psychoanalytically informed psychosocial and discursive approach, extending the postcolonial critique to develop a nuanced understandings of the fishers' lived experience of, and responses to, children's work. Distinct from the dominant reductionist and positivistic etiologic understandings of child labour, this approach neither derides child labour as morally reprehensible and unequivocally dangerous, nor romanticises its beneficial aspects and links to cultural and traditional beliefs and practices (see Klocker, 2012). Instead, enables understanding of the fishers as ‘defended subjects' who invest in certain discourses as a way of defending against their vulnerable selves. It also affords a critically reflexive understanding of myself as a ‘defended researcher', owing to my semi-insider position as a former child labourer, and of the impact of this on my research relationships and findings. The study is intended to inform social worker practices in order to deal with complex situations concerning the relationship among fishers and their children paying equal attention both to the inner and the social circumstances of the fishers (Wilson, Ruch, Lymbery, & Cooper, 2011). In this regard it is inspired by Mel Gray's (2005) contention that social work practice should be shaped by the extent to which local social, political, economic, historical and cultural factors, as well as local voices, mould and shape social work responses. The study is conducted using critical ethnographic design that draws on the lived experiences of 24 fishers. Attempts were made to explore the fishers' experiences using psychoanalytically informed method (FANI) in addition to other conventional methods. The study highlights the fishers' use of narratives of slavery to explicate child labour. It focuses on the relationships that the fishers' have developed with their children and with the laws surrounding the use of children in work. It gives an indication of how the fishers' violently and aggressively relate with their working children. It also highlights the fishers' rejection of the laws surrounding child labour as being foreign and an imposition which excludes customary laws. The study further examines the identities the fishers developed in relation to laws that regulate them and children's work. It suggests that others see the fishers as powerless subjects who don't matter. It also underscores my shame and worries as a researcher considered by the fishers as an ‘educated elite' who works for ‘white people'. It further highlights how I provided self-justifying explications to defend myself as a researcher. The findings imply that solutions to child labour need to be localised paying equal attention to both the psyche and the social life of the fishers. They speak to the imperative for critical review of social workers/NGOs practices taking into account the unconscious processes that go on between fishers as parents and social workers as service providers. This thesis introduces a psychosocial dimension and insight into debates on child labour in Ghana.

"The thesis of this study is that the flexibility within the exceptions to patent rights protecton under the TRIPS Agreement has not sufficiently been exploited at the national level. The study conceptualises the regimes for the protection of the right to health and IPRs not as mutually exclusive but as potentially reinforcing. The contention is therefore that the obligations in respect to the right to health limit the manner in which states can exercise the flexibilty within the patent regime of the TRIPS Agreement. Eventually the study seeks to answer the question: Where does the guarantee for the right to health lie in light of the TRIPS regime? ... The study is divided into three chapters preceded by an introduction. The introduction lays the background for te discussion. Chapter one deals with the definition of important concepts and provides the context in which the study is set. The chapter also discusses the background to the creation of the TRIPS Agreement, with an emphatic discussion on the involvement or lack thereof of Africn and other least developed and developing countries in this process. Chapter two discusses the patent rights exceptions clause under the TRIPS Agreement. Against this background, compuslory licensing, government use and parallel importing as means of making accessibility to drugs a reality under the TRIPS Agreement will be discussed. Chapter three identifies other means of making drugs more accessible and identifying places where they have worked well. In this chapter, generic substitution, establishemnt of a pricing committee, therapeutic value pricing, pooled procurement, negotiated procurement and planned donations will be discussed. Finally a conclusion will be drawn from the discussion and recommendations will be advanced." -- Chapter 1.
Prepared under the supervision of Riekie Wandrag at the Community Law Centre, University of Western Cape, South Africa
Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2002.
http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html
Centre for Human Rights
LLM

碩士
大葉大學
休閒事業管理學系碩士班
93
The festival celebration activity has already developed into important tour development projects, and the run-up of the festival celebration activity, participation of the local government,corporate sponsorship , push of nonprofit organization are an indispensable important factor too. And sympathetic response , love and will participated in and supported for a long time that a festival celebration activity of dealing in continuously forever must cause the participant , must meet the motive demand of the person who participates in activity , namely run benefit to the activity there must be close front cognitive, and understand why NPO member participates in the festival celebration activity , can help planners of the activity to meet its demand more effectively. So the purpose of this research lies in probing into the nonprofit organization member’s participating motivations and perceived benefits of special’s event－a case study of I-LAN International Children's Folklore and Folkgame Festival. This research using cluster sampling and censuses sampling, employed questionnaire method to survey NPO member from the end of January of 2005 to April , The total number of questionnaires distributed in 390 copies, with 280 copies recycled；among them, 248 copies are valid. Descriptive statistical, t-test, one-way ANOVA, and dependent-sample t test were utilized for data analysis. The results are summarized as follows: 1. participating motivations: (1) The strongest motivation was Social interaction motivation. The following were in order to organize motivation, knowledge motivation , and the weakest was achievement motivation. (2)career, participation frequency, participation role and participation time were related to participating motivations. 2. self- benefits: (1)The strongest benefit was Social interaction benefit. The following were in order to organize benefit, knowledge benefit, and the weakest was achievement benefit. (2)career, participation frequency, participation role and participation time were related to self- benefits. 3. structure benefits: (1)The strongest benefit was leisure benefit. The following were cultural benefit, economic benefit, and the weakest was community's benefit. (2)career, participation frequency and participation time were related to structure benefits. 4. It had no differences in egoism and self- benefits. 5. It had no differences in altruism and self- benefits. Finally discussion and suggestions based on the results were made.

Donor country initiatives for the prevention and mitigation of HIV/AIDS are not a matter of simple burden sharing. Instead, they have brought in their wake many of the complexities and unforeseen effects that have long been associated with more general overseas development assistance. In the case of funding directed toward HIV/AIDS, these effects are by no means either secondary or easily calculable. It is widely acknowledged that there is no consensus framework on how these impacts may be defined, no framework/toolkit for the evaluation of impacts and no longitudinally significant data that could provide the substance for those evaluations. The subject of this study focuses not on the health outcomes of funding but on how donor-recipient relations could be better deliberated, negotiated and coordinated. We argue that effective leadership and governance of developing country health systems for HIV/AIDS work requires a reconfiguration of how donor-recipient relations are conceived and contracted, and for this purpose, we propose an adaptation of the Organisation for Economic Co-operation and Development Paris Declaration principles of aid effectiveness.

The diploma thesis called The non-profit sector in the Czech Republic and its role in the implementation of activities for children and youth from children's homes deals with the activities of the non-profit sector in a particular children's home. The thesis is theoretical-empirical. The theoretical part is based on scientific literature and provides basic information about institutional care in the Czech Republic and specific facilities for institutional care. It also includes the basic characteristics of the selected children's home in which the subsequent investigation was conducted. It also deals with the issue of children who have been raised in children's homes for a long time. It deals with the social prognosis of such individuals and discusses the problems faced by children who are raised in these facilities for a long time. The thesis also deals with non-profit organizations in the Czech Republic and their division. It also includes the basic characteristics of non-profit organizations that cooperate with the children's home in which the investigation took place. The aim of the empirical part of the thesis is to find out whether some non-profit organizations cooperate with the selected children's home and, if so, which specifically and what activities or programs they offer for the target...

This article analyses the aid chain and north-south power relations with regard to INGO programming strategies. CARE USA's Household and Livelihood Security (HLS) programming framework is examined, as case study, from the headquarter level to country offices in South Africa and Lesotho as well as partner organizations. HLS is discussed in relation to participatory methodology, management tools, the project cycle, donors and direct versus partner implementation. The paper argues that using HLS to combine people centred development ideas with northern-based management techniques has led to inadequate success in the field. Furthermore, the unequal power relations between the north and the south ultimately sabotage development success. HLS is a promising programming framework for development pratictioners. However, many of the past programming failures continue to impede HLS. Additionally, new programming failures are being created through the dissemination and implementation of HLS programming as it currently exists.
Thesis (M.Dev.Studies)-University of Natal, Durban, 2002.

This theses is focused on the difference in the organization of free time within the children's home and the children's home with school. In the theoretical part of this theses there is described institutional and protective care. There are also specified types of institutional care and facilities by Czech ministries. There are also explained the most common reasons for placement of children to institutional care and further specification of legislation and statistics of placing children to foster care. There is also explained the concept and importance of leisure in sections function of free time and in the views of leisure. The theoretical part is also focused on the personality of the educator. There are also described leisure places for free time in children's homes and children's homes with school. The last important point in the theoretical part is the chapter of significant differences in the work of the children's home and the children's home with school. In the practical part, there are compared two children's homes and two children's homes with school using interviews and case studies. The purpose of this theses was to find out what is the difference in the organization of leisure activities and hinterland for leisure activities within the children's home and the children's home with school from the perspective of children and young people who live there and also from the perspective of educators.

Since parental authority in South African law is based on German customary law, and not on Roman law, it exists for the protection of the child. Various protective measures exist to ensure that this goal is reached, mainly in the form of judicial interference with parental authority. An example is the termination of parental authority, or some of its incidents, by means of a court order. This takes place either in terms of the common-law authority of the High Court, or in terms of certain statutory provisions. One of the statutory provisions in terms of which the children's court can terminate some of the incidents of parental authority, is the Child Care Act 74 of 1983. If the children's court is of the opinion that a child is in need of care, it can order that the child be returned to the custody of its parents, or that the child be placed in foster care, or in a children's home or school of industries. There is at present no mechanism in the Child Care Act for ensuring legal representation for children. The draft Children's Bill expands the possible orders that the children's court can make and further provides that a child is entitled to legal representation in children's court proceedings, if necessary at state expense. In New Zealand, families participate in decision-making regarding children in need of care by means of the family group conference. In Scotland, children in need of compulsory measures of supervision are dealt with by a lay tribunal known as the children's hearing. The global movement to recognise and protect both the welfare and autonomy rights of children formed the basis of international-law protection of children, and the children's clause contained in section 28 of the Constitution of the Republic of South Africa 108 of 1996. In order to ensure that the protective goal of child law is reached, I propose that a multidisciplinary lay tribunal be instituted in South Africa to deal with children in need of care, and that legal representation for children in children's court proceedings be made compulsory in certain circumstances.
Private Law
LL. D.

Gaining independence of clients in the system of the alternative education care is the cardinal topic of the work. Within the framework of the international comparison, the author analyses and makes a survey of the problems accompanying this process. The work does not contain only the conclusions the author came to based on the research in chosen countries (Czech Republic and Poland) but also presents suitable recommendations how the problem of gaining independence of clients of the alternative education care can be solved. The introductory part is applied to theoretical solutions, the international comparisons and examples of a good practice abroad. The author follows opinions of different experts in causalities of the problem from the influence of the biological family through socialization of the clients of the education care to the very problems of the institutional care. He presents these opinions subsequently in the context. In the methodological and research parts the author tries to answer the cardinal question: "What is way the clients of the alternative education care are prepared in order to gain independence?" Within the framework of the qualitative design of the research, the author is mediating the readers the real situation which the clients gaining independence and their carers are...

The scourge of HIV/AIDS is ravaging our communities; many children have lost their parents to this pandemic. The death of parents because of this pandemic has resulted in the emergence of a new phenomenon of child-headed households. This paper seeks to examine the rights of children in child-headed households as entrenched in section 28(1)(b) and (c) of the Constitution. Once the rights of children in child-headed households are ascertained, the state’s duty to give effect to these rights is investigated. In the analysis of the rights, the socio-economic rights jurisprudence of the Constitutional Court is considered. The paper further argues that the state gives effect to the rights of children in child-headed households through legislation and policy. As such, the paper takes a closer look at the legislation and policies that seek to give effect to the rights of children in child-headed households as enumerated in section 28(1)(b) and (c) and gaps in that legislation and policy are highlighted. In conclusion, proposals are made that will assist the state to give effect to the rights of children in child-headed households as set out in the Constitution.
Private Law
LL.M.

Afrikaans text
Suid-Afrika het ‘n ver pad gekom sedert die 16de eeu in die erkenning en ontwikkeling van kinderregte. Kinderregte word vandag ten volle erken in die Grondwet, wat die hoogste gesag in die land is. Hierdie studie het ten doel om die beskerming van kinderregte in die Suid-Afrikaanse Reg te ondersoek, met verwysing na die rol wat internasionale reg, soos die United Nations Convention on the Rights of the Child (“die Konvensie”) en die African Charter on the Rights and Welfare of the Child 1990 (“Afrika Handves”) in die ontwikkeling van kinderregte gespeel het. Spesifieke voorskrifte ingevolge waarvan die regte van kinders beskerm word is ondersoek,insluitend artikel 28 van die Grondwet en sekere bepalings van die Kinderwet. Weens die beperkte omvang van hierdie verhandeling, is sekere afgebakende voorbeelde uit die Kinderwet ondersoek met spesifieke verwysing na kinders se regte en tradisionele waardes soos manlike besnydenis, vroulike besnydenis en maagdelikheidstoetse. Daar is gekyk of die praktiese probleme op regeringsvlak, byvoorbeeld die voorsiening en befondsing van maatskaplike dienste, die implementering van die bepalings van die Kinderwet vertraag. Skrywer kom tot die slotsom dat die bepalings van die Kinderwet alleenlik nie voldoende is om effektiewe beskerming aan sekere groepe kinders te verleen nie en hierdie probleme lei daartoe dat kinderregte nie behoorlik gerealiseer en geïmplementeer word nie, en dat daar nie ‘n behoorlike balans tussen die regte en verantwoordelikhede van die kind, die ouers en die staat bereik word nie. Moontlike oplossings vir die probleem en tekortkominge in die uitvoering van die Kinderwet word voorgestel in die slot hoofstuk.
South Africa has come a long way since the 16th century in the recognition and development of children's rights. Children's rights are now fully recognized in the Constitution, the supreme authority in the country. This study aims to investigate the protection of children's rights in South African law, with reference to the role of international law, such as the United Nations Convention on the Rights of the Child and the African Charter on the rights and Welfare of the child 1990, in the development of children's rights. Specific provisions under which the rights of children protected is examined, including Section 28 of the Constitution and certain provisions of the Children’s Act. Due to the limited scope of this paper, some designated examples from the Children’s Act are examined with particular reference to children's rights and traditional values such as male circumcision, female circumcision and virginity testing. It is looked at if whether the practical problems experienced on government level, the provision and funding of social services delay the implementation of the provisions of the Children's Act .Author comes to the conclusion that the provisions of the Children alone is not sufficient to ensure effective protection of the rights of certain groups of children and that these problems led to children's rights not properly realized and implemented, and that a proper balance between the rights and responsibilities of the child, the parents and the state is not reached. In the concluding chapter possible solutions to the problems and shortcomings in the implementation of the Children’s Act is suggested.
Jurisprudence
LLM