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Artykuły w czasopismach na temat „Positive deviance/hearth”

Autor: Grafiati

Data publikacji: 3 czerwca 2025

Data aktualizacji: 31 lipca 2025

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Minani, Gaston, Michael Habtu, and Erigene Rutayisire. "Effect of Positive Deviance Hearth Intervention on Acute Malnutrition Persistence among Children under Five in Burera District, Rwanda." Rwanda Journal of Medicine and Health Sciences 5, no. 2 (2022): 180–88. http://dx.doi.org/10.4314/rjmhs.v5i2.7.

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BackgroundPositive Deviance Hearth is considered as a good approach to use existing and available resources to address malnutrition at the community level.ObjectiveThe present study aimed to determine the effect of Positive Deviance Hearth on persistent acute malnutrition management among children under five in Burera District.MethodsA comparative quasi-experimental study was conducted in Burera district. One hundred ninety six (196) participants were selected purposively. Nutrition status of children who attended Positive Deviance Hearth sessions for 12 consecutive days were measured and comp

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Wardhani, Leonika Pramudya, and Nuzulul Kusuma Putri. "Implementasi Positive Deviance/Hearth sebagai Intervensi Gizi Guna Menurunkan Kekurangan Gizi pada Anak : Literature Review." Media Publikasi Promosi Kesehatan Indonesia (MPPKI) 6, no. 9 (2023): 1760–67. http://dx.doi.org/10.56338/mppki.v6i9.3797.

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Latar belakang: Kekurangan gizi pada anak menjadi masalah yang tak kunjung usai. Berbagai upaya inovatif telah dilakukan untuk menurunkan angka kekurangan gizi, salah satunya adalah penerapan intervensi program Positive Deviance/Hearth (PD/hearth). Tujuan: Penelitian ini dilakukan untuk mengetahui implementasi program Positive Deviance/Hearth sebagai upaya menurunkan kekurangan gizi pada anak. Metode: Penelitian ini menggunakan metode literature review dengan metode Preferred Reporting Items for Systematic Reviews and Meta-Analytic (PRISMA) dengan rentang penerbitan tahun 2017 hing

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Anino, OC, GM Were, and JW Khamasi. "Impact evaluation of positive deviance hearth in Migori county, Kenya." African Journal of Food, Agriculture, Nutrition and Development 15, no. 72 (2015): 10578–96. http://dx.doi.org/10.18697/ajfand.72.15395.

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A Positive Deviance (PD) Hearth intervention is a home and neighborhood-based nutrition program for children who are at risk for protein-energy malnutrition in a low resource community. The intervention uses the ‘Positive Deviance’ approach to identify those behaviors practiced by the mothers or caretakers of well-nourished children from poor families and transfers such positive practices to other mothers who are equally disadvantaged economically. Positive Deviance Hearth intervention is designed to treat malnourished children, enable the families to sustain their rehabilitation at home on th

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Lapping, Karin, David R. Marsh, Julia Rosenbaum, et al. "The Positive Deviance Approach: Challenges and Opportunities for the Future." Food and Nutrition Bulletin 23, no. 4_suppl2 (2002): 128–35. http://dx.doi.org/10.1177/15648265020234s217.

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The positive deviance (PD) approach offers an alternative to needs-based approaches for development. The “traditional” application of the PD approach for childhood malnutrition involves studying children who grow well despite adversity, identifying uncommon, model practices among PD families, and designing an intervention to transfer these behaviors to the mothers of malnourished children. A common intervention for child malnutrition, the so-called “hearth,” brings mothers together to practice new feeding and caring behaviors under the encouragement of a village volunteer. Hearths probably wor

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Bolles, Kathryn, Catherine Speraw, Gretchen Berggren, and Jack Guy Lafontant. "Ti Foyer (Hearth) Community-Based Nutrition Activities Informed by the Positive Deviance Approach in Leogane, Haiti: A Programmatic Description." Food and Nutrition Bulletin 23, no. 4_suppl2 (2002): 9–15. http://dx.doi.org/10.1177/15648265020234s203.

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This paper details the steps to design and implement a positive deviance-informed, “Hearth” approach for the nutritional rehabilitation of malnourished children in the district of Leogane, Haiti. Groups of four to five children met daily for two weeks at the home of a local volunteer mother for nutritional and health messages and a well-balanced meal. Health messages and meal components were determined using information gathered from interviews with the mothers of positive deviant children in the community who are well nourished despite their family's limited economic resources. Hearth partici

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Bisits Bullen, Piroska A. "The positive deviance/hearth approach to reducing child malnutrition: systematic review." Tropical Medicine & International Health 16, no. 11 (2011): 1354–66. http://dx.doi.org/10.1111/j.1365-3156.2011.02839.x.

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Schooley, Janine, and Linda Morales. "Learning From the Community to Improve Maternal—Child Health and Nutrition: The Positive Deviance/Hearth Approach." Journal of Midwifery & Women's Health 52, no. 4 (2007): 376–83. http://dx.doi.org/10.1016/j.jmwh.2007.03.001.

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Mariette, Inès G. Zevounou, Amoussa Hounkpatin Waliou, Josiane Chadare Flora, H. F. Lokonon Jaurès, Soumanou Mohamed, and Mongbo Roch. "Weight Loss and Nutritional Status of 6-59 Months Children after Positive Deviance/Hearth Approach in Southern Benin Rural Area: Associated Factors to Later Underweight." International Journal of TROPICAL DISEASE & Health 23, no. 3 (2017): 1–10. https://doi.org/10.9734/IJTDH/2017/33539.

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<strong>Aims: </strong>To appreciate the evolution of weight gain by malnourished children and factors associated to children underweight after the Positive Deviance/Hearth sessions. <strong>Study Design:</strong> Longitudinal study. <strong>Place and Duration of Study:</strong> Districts Ze and Lalo (Southern Benin), from May to August 2014 <strong>Methodology:</strong> This study was conducted on 98 children aged of 6-59 months who fully participated in Positive Deviance/Hearth (PD/H). During one month, four measurements of weight have been taken on the 77<sup>th</sup>, 84<sup>th</sup>, 91th

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Sari, Nur Mufida Wulan, Martina Puspa Wangi, Hasanah Ayuningtyas, et al. "Efektifitas Positive Deviance Hearth (Pos Gizi) untuk Perbaikan Anak Kurang Gizi di Perkotaan Surabaya, Indonesia." Amerta Nutrition 7, no. 3 (2023): 449–58. http://dx.doi.org/10.20473/amnt.v7i3.2023.449-458.

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Latar Belakang: Positive Deviance Heart (PDH) berfokus pada proses yang mengidentifikasi praktik-praktik yang terjangkau, dapat diterima, dan berkelanjutan yang digunakan di masyarakat oleh sumber daya yang terbatas tersebut. Salah satu tujuan PDH adalah mencegah malnutrisi pada anak dengan mengubah norma masyarakat mengenai perilaku pengasuhan, praktik pemberian makan, dan perilaku upaya kesehatan. Tujuan: Penelitian ini bertujuan untuk mengetahui efektifitas implementasi PD Hearth di wilayah perkotaan dengan menilai perubahan status gizi dan perubahan praktik pemberian makan anak. Metode: Pe

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Sugiarti, Sugiarti, Sunarsih Sunarsih, Dedek Saiful Kohir, El Rahmayati, and Purwati Purwati. "Efektivitas program positive deviance terhadap peningkatan status gizi balita melalui kegiatan pos gizi: Literature review." JOURNAL OF Mother and Child Health Concerns 3, no. 1 (2023): 9–20. http://dx.doi.org/10.56922/mchc.v3i1.336.

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Background: Toddlers are a risk population. Toddlers are a group that is at risk of experiencing malnutrition due to age and their dependence on parents in fulfilling their nutrition, including the lack of control from parents and society against all forms of health threats to toddlers. Positive deviance/Hearth is a community-based intervention that identifies the main challenges contributing to malnutrition in the community and finds local solutions to address them by observing positive behaviors practiced in “positive deviance”, children from poor households with better nutritional outcomes

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Sambriong, Maria, Amin Kuncoro, and Daniel Manek. "Effect of the Hearth Program on Stunting Prevention Behavior." Journal of Economics and Public Health 1, no. 3 (2022): 119–26. http://dx.doi.org/10.37287/jeph.v1i3.1452.

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The research aims to analyze the effecttof the hearthhprogrammon maternal behaviorrin preventing stunting. Ethics clearance has been received from the Ethics Committee in Kupang. This study used a pre-experimental method with a one-group pretest-posttest design. The sample consisted of thirty people who were randomly selected. They are toddlers who live with their parents in Kuanheun Village. Stunting prevention behavior was obtained through interviews using a questionnaire. The children's weight and height were measured before and after the hearth program. This activity is carried out twice f

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Seetha, Anitha, Takuji W. Tsusaka, Timalizge W. Munthali, et al. "How immediate and significant is the outcome of training on diversified diets, hygiene and food safety? An effort to mitigate child undernutrition in rural Malawi." Public Health Nutrition 21, no. 6 (2018): 1156–66. http://dx.doi.org/10.1017/s1368980017003652.

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AbstractObjectiveThe present study examined the impacts of training on nutrition, hygiene and food safety designed by the Nutrition Working Group, Child Survival Collaborations and Resources Group (CORE).DesignAdapted from the 21d Positive Deviance/Hearth model, mothers were trained on the subjects of appropriate complementary feeding, water, sanitation and hygiene (WASH) practices, and aflatoxin contamination in food. To assess the impacts on child undernutrition, a randomised controlled trial was implemented on a sample of 179 mothers and their children (<2 years old) in two districts of

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Roche, Marion L., Grace S. Marquis, Theresa W. Gyorkos, Brittany Blouin, Julieta Sarsoza, and Harriet V. Kuhnlein. "A Community-Based Positive Deviance/Hearth Infant and Young Child Nutrition Intervention in Ecuador Improved Diet and Reduced Underweight." Journal of Nutrition Education and Behavior 49, no. 3 (2017): 196–203. http://dx.doi.org/10.1016/j.jneb.2016.10.007.

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Bolles, Kathryn, Catherine Speraw, Gretchen Berggren, and Jack Guy Lafontant. "Ti Foyer (Hearth) Community-Based Nutrition Activities Informed by the Positive Deviance Approach in Leogane, Haiti: A Programmatic Description." Food and Nutrition Bulletin 23, no. 4_suppl_1 (2002): 9–15. http://dx.doi.org/10.1177/15648265020234s103.

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Rai, Sarju Sing, Elena V. Syurina, Ruth M. H. Peters, Annisa Ika Putri, Irwanto Irwanto, and Marjolein B. M. Zweekhorst. "How do Positive Deviants Overcome Health-Related Stigma? An Exploration of Development of Positive Deviance Among People With Stigmatized Health Conditions in Indonesia." Qualitative Health Research 32, no. 4 (2021): 622–34. http://dx.doi.org/10.1177/10497323211058164.

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A constructivist grounded theory approach was used to understand how some people living with stigmatized health conditions develop positive deviance to overcome stigma. We examined interviews from 13 identified positive deviants living with four different stigmatized health conditions (HIV, leprosy, schizophrenia, and diabetes) in Indonesia. Positive deviance develops in the form of psychological empowerment through improvement of self-belief and perception (intrapersonal component), development of understanding and skill to exert control in life (interactional component), and self-discovery o

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Inamahoro, Chantal, Juliet Kiguli, Fredrick Edward Makumbi, Gakenia Wamuyu-Maina, and Henry Wamani. "Nutritional Recovery Outcome among Moderately Malnourished Under-five Children in Communities Implementing Positive Deviance - Hearth or Community Health Workers’ Nutrition Promotion Approaches in Karusi and Kirundo Provinces, Burundi." Journal of Science and Sustainable Development 6, no. 1 (2017): 5. http://dx.doi.org/10.4314/jssd.v6i1.1.

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Zevounou, Mariette, Waliou Hounkpatin, Flora Chadare, Jaurès Lokonon, Mohamed Soumanou, and Roch Mongbo. "Weight Loss and Nutritional Status of 6-59 Months Children after Positive Deviance/Hearth Approach in Southern Benin Rural Area: Associated Factors to Later Underweight." International Journal of TROPICAL DISEASE & Health 23, no. 3 (2017): 1–10. http://dx.doi.org/10.9734/ijtdh/2017/33539.

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Nishat, Novera, and Iram Batool. "Effect of “Positive Hearth Deviance” on feeding practices and underweight prevalence among children aged 6-24 months in Quetta district, Pakistan: A comparative cross sectional study." Sri Lanka Journal of Child Health 40, no. 2 (2011): 57. http://dx.doi.org/10.4038/sljch.v40i2.3093.

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Sarnkhaowkhom, Chawapon, Payao Phonsuk, Siriporn Santre, and Wanich Suksatan. "Applying of Positive Deviance Approach to Promote Young Adults’ and Adolescents’ Health: A Literature Review." Sustainability 14, no. 17 (2022): 10669. http://dx.doi.org/10.3390/su141710669.

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The positive deviance approach assumes that a community’s problems have already been solved. ‘Positive deviants’ succeed despite sharing many of the same constraints as others. Positive deviance, which has its roots in international public health, is increasingly being applied to healthcare, with a various-stage process proposed depending on the setting. However, the quality of current healthcare applications varies, and at each stage of the process, different study designs and methods are used. This paper aims to identify the definition and process of the positive deviance approach and summar

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Sethi, Vani, Monique Sternin, Deepika Sharma, Arti Bhanot, and Saba Mebrahtu. "Applying Positive Deviance for Improving Compliance to Adolescent Anemia Control Program in Tribal Communities of India." Food and Nutrition Bulletin 38, no. 3 (2017): 447–52. http://dx.doi.org/10.1177/0379572117712791.

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Background: Positive deviance (PD) is an asset-based social and behavior change communication strategy, utilizing successful outliers within a specific context. It has been applied to tackling major public health problems but not adolescent anemia. Objective: The study, first of its kind, used PD to improve compliance to adolescent anemia control program in Jharkhand, India, where anemia prevalence in adolescent girls is 70%, and program compliance is low. Methods: With leadership of state government, the study was designed and implemented by a multidisciplinary 42 member PD team, in Khunti di

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Saaka, Mahama, and Sofo Mutaru. "Factors Contributing to Positive Deviance in the Growth of Children in Rural Northern Ghana." International Journal of Child Health and Nutrition 3, no. 3 (2014): 114–23. https://doi.org/10.6000/1929-4247.2014.03.03.1.

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<em>Objective: The main aim of the study was to identify factors contributing to positive deviance in growth of</em> <em>children in rural communities of Northern Ghana.</em> <em>Methods: We assessed factors contributing to nutritional positive deviance among rural poor households by comparing</em> <em>household feeding care practices and health seeking behaviour in families with normal children (that is, neither stunted</em> <em>nor wasted) with children having at least one form of under nutrition.</em> <em>Results: The prevalence of stunting and wasting was 28.0 % (CI: 25.3 - 30.9), and 10.5

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Batek, Lindsay M., Natalie M. Leblanc, Amina P. Alio, and James M. McMahon. "Study protocol: Examining sexual and reproductive health literacy in Mexican American young women using a positive deviance approach." PLOS ONE 19, no. 5 (2024): e0303974. http://dx.doi.org/10.1371/journal.pone.0303974.

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Health literacy is generally low in marginalized groups, leading to delays in accessing care, poor health outcomes, and health disparities. Yet, some individuals in these groups demonstrate higher health literacy and better health outcomes. These exceptional cases exemplify ‘positive deviance’ because they have found ways to be successful where others have not. Identifying the methods, practices, and resources that these individuals have used to gain health literacy and healthcare access may have generalized application to improve health literacy, access to care, and health outcomes. Using the

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Fetene, Samrawit Mihret, Melaku Birhanu Alemu, Elsa Awoke Fentie, and Tsegaye G. Haile. "Continuum of maternal health care utilisation in Sub-Saharan African countries: A positive deviance approach." PLOS One 20, no. 6 (2025): e0314779. https://doi.org/10.1371/journal.pone.0314779.

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Introduction Maternal health is a global priority for achieving Sustainable Development Goal 3.1. However, many mothers in Africa still lack access to the full continuum of care for maternal health (continuum of care). The lowest coverage is often observed among underserved mothers, particularly those who are uneducated and from poor households. Despite these disadvantages, some mothers in every community find effective ways to access a better continuum of care – these are known as positive deviants. However, there is limited evidence to support this concept. Therefore, this study examined the

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Chavez, Jorge M., and Gregory C. Rocheleau. "Formal Labeling, Deviant Peers, and Race/Ethnicity: An Examination of Racial and Ethnic Differences in the Process of Secondary Deviance." Race and Justice 10, no. 1 (2017): 62–86. http://dx.doi.org/10.1177/2153368717727122.

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The present study examines racial and ethnic variation in the intervening effects of deviant peers on the relationship between receiving a formal label and subsequent deviance. We build on earlier research by distinguishing between violent and nonviolent deviance, drawing on peer network data to directly measure peer deviant behavior, and stratifying analyses for White, Black, and Hispanic adolescents. Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), we find that overall, receiving a formal label, in the form of school sanctions, is associated only wi

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Dr. Yasir Aftab Farooqi, Aamir Mehmood, Shaher Bano, Saba Haider, and Ahmad Hassan. "The Consequences Of Cynicism: Workplace Deviance And Burnout : Evidence From Health Industry Pakistan." Journal of Management & Social Science 2, no. 2 (2025): 127–42. https://doi.org/10.63075/bkref514.

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The main purpose of this study is to explore that cynicism is an important predictor of employee’s job burnout and workplace deviance, we also examined the moderation of tenure on the relationship between cynicism and job burnout and also between relationship of cynicism and workplace deviance. Results with the sample size of 363, suggest that cynicism has a positive relationship with job burnout and workplace deviance, tenure does not moderate the relationship between cynicism and job burnout and also between the relationship of cynicism and workplace deviance. If employees believe that organ

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Nasution, Ramadhani Syafitri, Khairi Che Mat, and Marhazlina Mohamad. "Comparison of Positive Deviance between Normal Nutrition and Undernutrition in Children Under Five Years Old from Low-Income Families at Community Health Centres in Medan." International Journal of Public Health Excellence (IJPHE) 4, no. 1 (2024): 332–39. https://doi.org/10.55299/ijphe.v4i1.1129.

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Positive deviance in low-income families is a mechanism by which individuals or groups continue to thrive or meet standards despite facing challenging conditions. One of the goals of positive deviance is to prevent child malnutrition by changing community habits about feeding, caring, hygiene, and health seeking practices. Malnutrition early in life will affect the growth and development of children and the quality of life thereafter. The study aims to compare the positive deviances between children with normal nutrition and undernutrition. This cross-sectional study was conducted in 39 public

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Mattosinho, S. "Letter. Positive deviance." Journal of Tropical Pediatrics 42, no. 4 (1996): 247–48. http://dx.doi.org/10.1093/tropej/42.4.247.

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Foster, Byron A., Christian A. Aquino, Sharol Mejia, Barbara J. Turner, and Arvind Singhal. "Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study." Journal of Obesity 2018 (June 19, 2018): 1–11. http://dx.doi.org/10.1155/2018/9285164.

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Background. Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions. Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail. This study is aimed at identifying and defining positive deviants for early childhood obesity. Methods. This case-control study used medical record data to identify Latino children aged 2–5 and classify them using their longitudinal weight change. Parents of children with trajectories toward a healthy weight from an obe

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Dr. Yasir Aftab Farooqi, Aamir Mehmood, and Shaher Bano. "<b>The Consequences Of Cynicism: Workplace Deviance And Burnout </b><b>(Evidence From Health Industry Pakistan)</b>." Journal of Management & Social Science 2, no. 1 (2025): 587–602. https://doi.org/10.63075/dqyjyk88.

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The main purpose of this study is to explore that cynicism is an important predictor of employee’s job burnout and workplace deviance, we also examined the moderation of tenure on the relationship between cynicism and job burnout and also between relationship of cynicism and workplace deviance. Results with the sample size of 363, suggest that cynicism has a positive relationship with job burnout and workplace deviance, tenure does not moderate the relationship between cynicism and job burnout and also between the relationship of cynicism and workplace deviance. If employees believe that organ

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Wahyuningsih, Wahyuningsih, Agussalim Bukhari, Aidah Juliaty, et al. "Stunting Prevention and Control Program to Reduce the Prevalence of Stunting: Systematic Review Study." Open Access Macedonian Journal of Medical Sciences 10, F (2022): 190–200. http://dx.doi.org/10.3889/oamjms.2022.8562.

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BACKGROUND: Stunting is a condition in which the occurrence of failure to thrive in children as a result of chronic malnutrition so that the child is too short for his age. The prevalence of stunting in children under five in Indonesia is higher than the prevalence of stunting in the world. One of the impacts of stunting is the occurrence of developmental barriers, where if this is not prevented it will have an impact on the less than optimal performance of children in school and the long-term impact can be a decrease in the quality of human resources. AIM: This study aims to systematically id

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Hendryx, Michael, Lucia Guerra-Reyes, Benjamin D. Holland, et al. "A county-level cross-sectional analysis of positive deviance to assess multiple population health outcomes in Indiana." BMJ Open 7, no. 10 (2017): e017370. http://dx.doi.org/10.1136/bmjopen-2017-017370.

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ObjectiveTo test a positive deviance method to identify counties that are performing better than statistical expectations on a set of population health indicators.DesignQuantitative, cross-sectional county-level secondary analysis of risk variables and outcomes in Indiana. Data are analysed using multiple linear regression to identify counties performing better or worse than expected given traditional risk indicators, with a focus on ‘positive deviants’ or counties performing better than expected.ParticipantsCounties in Indiana (n=92) constitute the unit of analysis.Main outcome measuresPer ce

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Newman, Lucile F. "Positive Deviance in Child Nutrition." Journal of Nervous and Mental Disease 181, no. 7 (1993): 464. http://dx.doi.org/10.1097/00005053-199307000-00023.

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Driesen, Joshua, Ziad El-Khatib, Niklas Wulkow, et al. "Data-Powered Positive Deviance during the SARS-CoV-2 Pandemic—An Ecological Pilot Study of German Districts." International Journal of Environmental Research and Public Health 18, no. 18 (2021): 9765. http://dx.doi.org/10.3390/ijerph18189765.

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We introduced the mixed-methods Data-Powered Positive Deviance (DPPD) framework as a potential addition to the set of tools used to search for effective response strategies against the SARS-CoV-2 pandemic. For this purpose, we conducted a DPPD study in the context of the early stages of the German SARS-CoV-2 pandemic. We used a framework of scalable quantitative methods to identify positively deviant German districts that is novel in the scientific literature on DPPD, and subsequently employed qualitative methods to identify factors that might have contributed to their comparatively successful

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Shija, Dismas Said, Okeyo A. Mwai, Perminus K. Migwi, Raphael Mrode, and Bockline Omedo Bebe. "Characterizing Management Practices in High- and Average-Performing Smallholder Dairy Farms under Contrasting Environmental Stresses in Tanzania." World 3, no. 4 (2022): 821–39. http://dx.doi.org/10.3390/world3040046.

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This study characterized breeding, housing, feeding and health management practices in positive deviants and typical average performing smallholder dairy farms in Tanzania. The objective was to distinguish management practices that positive deviant farms deploy differently from typical farms to ameliorate local prevalent environmental stresses. In a sample of 794 farms, positive deviants were classified on criteria of consistently outperforming typical farms (p < 0.05) in five production performance indicators: energy balance ≥ 0.35 Mcal NEL/d; disease-incidence density ≤ 12.75 per 100 anim

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Southwood, Katherine. "The resistance to mainstream assumptions about retribution in Job and Tobit as theologically positive deviance." Avar: An Interdisciplinary Journal of Life and Society in the Ancient Near East 1, no. 1 (2022): 89–112. http://dx.doi.org/10.33182/aijls.v1i1.1717.

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This article uses material from organizational studies and medical anthropology and sociology to address the value of the idea that bodily dysfunction or illness depart from a norm of health. It argues that examples of positive deviance can be found in the books of Tobit and in Job. Positive deviance describes behavior that notably departs from expected norms, albeit in a direction that a referent group finds positive. In much of the Hebrew Bible, there is a tight connection between the ideas of wrongdoing, bodily suffering, and retribution. However, the books of Tobit and Job are examples of

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DeRocher, MaryBeth, Sam Davie, and Tara Kiran. "Using positive deviance to improve timely access in primary care." BMJ Open Quality 10, no. 4 (2021): e001228. http://dx.doi.org/10.1136/bmjoq-2020-001228.

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BackgroundImproving timely access in primary care is a continued challenge in many countries. We used positive deviance to try and identify best practices for achieving timely access in our primary care organisation in Toronto, Canada.MethodsSemistructured interviews were used to identify practice strategies used by physicians who successfully maintained a low third next available appointment (TNA) (positive deviants, n=6). We then conducted a cross-sectional survey to understand the prevalence of identified promising practices among all physicians (n=70) in the practice. We used χ2 testing to

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DeRocher, MaryBeth, Sam Davie, and Tara Kiran. "Using positive deviance to improve timely access in primary care." BMJ Open Quality 10, no. 4 (2021): e001228. http://dx.doi.org/10.1136/bmjoq-2020-001228.

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BackgroundImproving timely access in primary care is a continued challenge in many countries. We used positive deviance to try and identify best practices for achieving timely access in our primary care organisation in Toronto, Canada.MethodsSemistructured interviews were used to identify practice strategies used by physicians who successfully maintained a low third next available appointment (TNA) (positive deviants, n=6). We then conducted a cross-sectional survey to understand the prevalence of identified promising practices among all physicians (n=70) in the practice. We used χ2 testing to

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Natukunda, Julian, Keith Baleeta, Junko Kiriya, et al. "Long-term retention and positive deviant practices in Uganda’s community client-led antiretroviral distribution groups (CCLADs): a mixed-methods study." BMJ Global Health 9, no. 8 (2024): e015236. http://dx.doi.org/10.1136/bmjgh-2024-015236.

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BackgroundHIV testing and starting antiretroviral therapy (ART) are pivotal in treating people living with HIV (PLHIV) but sustaining PLHIV on treatment remains challenging. We assessed retention and attrition in community client-led antiretroviral distribution groups (CCLADs) in Uganda and identified positive deviant practices that foster long-term retention.MethodsUsing explanatory mixed methods, we collected longitudinal medical data from 65 health facilities across 12 districts in East Central Uganda. Quantitative phase, from 18 April 2021 to 30 May 2021, employed survival analysis and Cox

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Issel, L. Michele. "Appreciative inquiry, positive deviance, and civility." Health Care Management Review 42, no. 1 (2017): 1. http://dx.doi.org/10.1097/hmr.0000000000000142.

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Dovey, Susan. "From the Editor: Kindness and positive deviance." Journal of Primary Health Care 9, no. 2 (2017): 95. http://dx.doi.org/10.1071/hcv9n2_ed1.

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Ousman, Seman K., Jeanette H. Magnus, Johanne Sundby, and Mekdes K. Gebremariam. "Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach." International Journal of Environmental Research and Public Health 17, no. 5 (2020): 1712. http://dx.doi.org/10.3390/ijerph17051712.

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Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant (PD) mothers for the uptake of skilled maternal services and to explore their characteristics. Data for the study came from two waves of the Ethiopian Demographic and Health Surveys conducted in 2011 and in 2016. PD mothers were defined as those reporting no formal education but with adequate use of

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Neill, Rachel, Michael A. Peters, Segun Bello, et al. "What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria." BMJ Global Health 8, no. 11 (2023): e012700. http://dx.doi.org/10.1136/bmjgh-2023-012700.

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IntroductionThe SARS-CoV-2 (COVID-19) pandemic overwhelmed some primary health care (PHC) systems, while others adapted and recovered. In Nigeria, large, within-state variations existed in the ability to maintain PHC service volumes. Identifying characteristics of high-performing local government areas (LGAs) can improve understanding of subnational health systems resilience.MethodsEmploying a sequential explanatory mixed-methods design, we quantitatively identified ‘positive deviant’ LGAs based on their speed of recovery of outpatient and antenatal care services to prepandemic levels using se

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Beley, Vinit. "Addressing climate change-driven health crisis with positive deviance approach." Mass Communicator: International Journal of Communication Studies 13, no. 4 (2019): 33. http://dx.doi.org/10.5958/0973-967x.2019.00026.7.

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Arsunan, A. A., Indra Dwinata, Januar Ariyanto, Muhammad Akbar Nurdin, and Aisyah. "Positive Deviance Against Malaria Events in Majene District." Indian Journal of Public Health Research & Development 10, no. 10 (2019): 1342. http://dx.doi.org/10.5958/0976-5506.2019.03021.3.

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Allen, Joseph P., Rachel K. Narr, Emily L. Loeb, and Alida A. Davis. "Beyond deviancy-training: Deviant adolescent friendships and long-term social development." Development and Psychopathology 31, no. 5 (2019): 1609–18. http://dx.doi.org/10.1017/s095457941900083x.

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AbstractAdolescent association with deviant and delinquent friends was examined for its roots in coercive parent–teen interactions and its links to functional difficulties extending beyond delinquent behavior and into adulthood. A community sample of 184 adolescents was followed from age 13 to age 27, with collateral data obtained from close friends, classmates, and parents. Even after accounting for adolescent levels of delinquent and deviant behavior, association with deviant friends was predicted by coercive parent–teen interactions and then linked to declining functioning with peers during

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Okia, David, Judith Kimiywe, Peter Olupot- Olupot, and Isaac Mwanzo. "Acceptability of Positive Deviance Mentorship for Diabetes Management among HIV Clients Living with Diabetes in Eastern Uganda a Cross-Sectional Study." International Journal of TROPICAL DISEASE & Health 46, no. 1 (2025): 32–42. https://doi.org/10.9734/ijtdh/2025/v46i11619.

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Introduction: The high risk of PLHIV on ART to become diabetes clients and to develop metabolic disorders is well investigated. Regular monitoring and health care is an essential requirement. A majority of HIV clients living with diabetes have poor diabetes knowledge and poor treatment outcomes. Positive deviance mentorship may be a better option for improving diabetes knowledge and treatment outcomes among registered HIV clients living with diabetes. Assessing the acceptability of public health interventions is key to understanding their potential for long-term success and feasibility. Limite

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Malik, Pooja, and Usha Lenka. "Exploring interventions to curb workplace deviance: lessons from Air India." Tourism Review 74, no. 3 (2019): 563–85. http://dx.doi.org/10.1108/tr-04-2018-0048.

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Purpose In a world of fast-changing markets, corporate brand is the heart and soul of a company. A company’s employees are crucial in nourishing a successful corporate image. Eventually, organizations require committed employees who orient their energy and drive the company toward a shared vision. However, employees’ deviant behavior can cripple the organization’s brand image. Given this fact, the purpose of this study is to offer strategies that can play a vital role in overcoming destructive deviance and in turn fostering the pavement for building a strong corporate brand image. Design/metho

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Singhal, Arvind. "Communicating What Works! Applying the Positive Deviance Approach in Health Communication." Health Communication 25, no. 6-7 (2010): 605–6. http://dx.doi.org/10.1080/10410236.2010.496835.

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Stuckey, Heather L., Jarol Boan, Jennifer L. Kraschnewski, Michelle Miller-Day, Erik B. Lehman, and Christopher N. Sciamanna. "Using Positive Deviance for Determining Successful Weight-Control Practices." Qualitative Health Research 21, no. 4 (2010): 563–79. http://dx.doi.org/10.1177/1049732310386623.

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Banerjee, Elaine Seaton, Sharon J. Herring, Katelyn E. Hurley, Katherine Puskarz, Kyle Yebernetsky, and Marianna LaNoue. "Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight." American Journal of Health Promotion 32, no. 2 (2017): 374–80. http://dx.doi.org/10.1177/0890117117690853.

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Purpose: Low-income, African American women are disproportionately impacted by obesity. Little is known about the interactions between low-income, African American women who successfully lost weight and their primary care physicians (PCPs). Design: Mixed methods, positive deviance study. Setting: Urban university-based family medicine practice. Participants: The positive deviance group comprised low-income, African American women who were obese, lost 10% body weight, and maintained this loss for 6 months. Measures: The PCP- and patient-reported weight-related variables collected through the el

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