How to stay healthy and active outdoors this summer

first_img 300 days of sunshine combined with high altitudes make Colorado a great spot to catch a sunburn. Minimize the risks while still enjoying our especially great outdoors with these tips:Apply sunscreen (SPF 30+) 30 minutes before heading outside. Remember to reapply every couple of hours to avoid burns.Wear protective clothing like sunglasses, a hat and long-sleeved shirt if you’re out in the sun for a while.Know the signs of dehydration, and always bring and drink plenty of water. If you’re taking a pet out on the trails with you, be sure you’re carrying enough water for them, too!Invest in mosquito and other bug repellants if you’ll be hiking, biking, camping or spending time in wooded areas.If you’ll be exercising outdoors, try to stay in the shade, or go in the early mornings and evenings when temperatures are lower and the sun isn’t directly above you.If you’re planning to adventure on your own, be sure to let someone know where you’re going and how long you expect to be gone. Have a plan in place in case someone needs to call for help on your behalf.  Biking Rocky Mountain National Park is right in our backyard, and there’s no better way to explore it than with a camping trip. Whether you’re staying local or heading out of town, here’s what we recommend:Check the rules and regulations of Rocky Mountain National Park before heading out. Remember that some campsites may require a reservation or have limited occupancy.Avoid food poisoning by packing food in tight, waterproof containers and keeping your cooler insulated. Be sure to sanitize your hands often. Separate raw foods from cooked foods, and cook meats to the appropriate temperature (bring along a meat thermometer to be sure).Only drink potable water. Bring along your own bottled water, invest in a portable water purification system or research other water treatment methods to find one that works for you. You can find more information on water treatment methods from the CDC.Keep a first-aid kit stocked and ready to go. Review your basic health skills before leaving, like how to identify poison ivy, what to do if you see a wild animal, how to disinfect a cut and how to perform CPR.Use the buddy system. Have someone looking out in case of an emergency and do the same for them, whether you’re hiking, kayaking, swimming or climbing. If you’re out alone, let someone know where you’re going and have a plan in place in case they need to call for help on your behalf. Have all the gear you need ready to go. If you’re not ready to make the full investment, the Outdoor Program Equipment Center rents out all kinds of gear to CU Boulder students, staff and faculty.As many areas experience drought and dry weather, fire restrictions may be in place to prevent wildfires. Check for fire restrictions in your area and use extreme caution when enjoying the outdoors.If you have any questions about summer health, schedule an appointment with CU Boulder Medical Services.Looking for summer activities?Summer at the Rec Center: Join free classes, activities and more during Maymester! Spring student memberships are good through the end of May. Summer memberships are available starting in June.Trip planning: Not sure where to go? Stop by the Aventure Planning Center or the Outdoor Program front desk to get help planning summer trips and outdoor activities.Outdoor Fitness Court: Open to everyone year-round, no membership required.Bolder Boulder: Saturday, May 29 to Monday, May 31 (virtual and in-person)More Health & Wellness Articles Outdoor exposure With plenty of designated lanes and trails, Boulder is the perfect place to log some miles on your bike. Whether you’re taking a ride around town or mountain biking, keep these tips in mind:You already know that helmets greatly reduce the risk of brain injury—so wear yours with pride!If you’ll be riding at night, make sure you have front and rear lights that are turned on. You’ll also want to invest in reflectors for your bike and clothes.Know the laws and follow them. Ride with the flow of traffic, stay in your lane and use hand signals. It’s illegal to ride with headphones in, so unplug before you pedal.Biking is subject to the same DUI laws as driving in Colorado. So, if you’ve been drinking, it’s better to stay off the bike and call for alternative transportation. Summer is just around the corner. That means we’ll have more opportunities to get outside, soak up some vitamin D and stay active. Follow these tips to stay safe, healthy and make the most of your Colorado summer. COVID-19 Update Starting May 16, Boulder County moved to Level Clear. Restrictions may differ from county to county, so be sure to review COVID-19 restrictions for wherever you plan to go before heading out. Campinglast_img read more

Fianna Fáil call for ceiling to be applied to CAP

first_imgAudioHomepage BannerNews WhatsApp Twitter Google+ Twitter Journey home will be easier – Paul Hegarty DL Debate – 24/05/21 WhatsApp Google+ Pinterest By News Highland – March 9, 2019 The Fianna Fáil Spokesperson on Agriculture, Food and the Marine has called for a Basic Payment Scheme ceiling of €60,000 euro to be adopted in the next Common Agricultural Policy by Ireland in order to protect family farms.Over 99% of eligible farmers received a basic payment of under 60,000 last year.Deputy Charlie McConalogue says the policy shift would ensure that future CAP funds safeguard small and medium sized farms and provide a €74 million euro pot annually to target vulnerable sectors and young farmers:Audio Player Up/Down Arrow keys to increase or decrease volume.center_img Facebook Pinterest Previous articleFinn Harps 19s kick-off against St. Pat’sNext articleDerry and Bohs draw 1-1 in Dublin – Reaction News Highland Fianna Fáil call for ceiling to be applied to CAP Derry draw with Pats: Higgins & Thomson Reaction RELATED ARTICLESMORE FROM AUTHOR Facebook Harps come back to win in Waterford News, Sport and Obituaries on Monday May 24th FT Report: Derry City 2 St Pats 2 last_img read more

Newline One-Ups (No, Blows Away) DTEN ME With New At-Home UCC Appliance Called FLEX

first_imgNewline Interactive entered a new market category today with its first desktop collaboration solution called FLEX. The Newline FLEX is an all-in-one 27-inch touch monitor designed for desktop UCC for small office, home office and school office settings.The 27” desktop monitor is literally an all-in-one collaboration (UCC) appliance with capacitive touch, full device touchback capability (with palm rejection), USB Type C connectivity (with power) and an active stylus. End users will be able to use Newline FLEX in conjunction with their current devices via USB Type C but it also has its own built-in echo-canceling mic, 2.1-channel speaker and a 4K pan-and-tilt-based camera, too. As with all Newline products, the Newline FLEX will be non-proprietary, working with all UC software clients and is easily customizable. In fact, it works with Microsoft Teams, Zoom, BlueJeans, Google Meet and nearly every other UCC software platform.Newline FLEX is expected to be in stock and ready to ship early 2021.last_img read more

Port of Hastings Authority Studies Western Port’s Weather and Wave Patterns

first_imgThe Port of Hastings Development Authority has begun detailed environmental studies of Western Port’s weather and wave patterns.“We are focusing on finding out as much as we can about Western Port and its environs to better inform planning and design decisions about the proposed container port at Hastings,” said Port of Hastings Development Authority’s CEO Mike Lean.“Understanding the many variables ranging from wind speeds and tidal patterns to water levels and wave actions, will greatly inform and direct the ongoing detailed scientific studies that we need to undertake to develop the design of the expanded port.“Findings from these studies, many of which will be recording data 24/7 for the next 12 months or more, will give us much greater insight and understanding of the natural forces that affect the outer heads and the channel waters.”Authority engineers involved in the project said it would be in the many gigabytes of targeted meteorological and oceanographic information.The instruments deployed in and around Western Port include:Waves•    Purpose: To collect data concerning the wave patterns offshore of Western Port,•    Instrument: Acoustic sensor placed on the seabed, lowered from a marine survey vessel,•    Location: Offshore of Western Port within Bass Strait in 70m of water.Weather•    Purpose: To collect meteorological data including wind speed and direction, humidity and temperature,•    Instrument: Compact meteorological station mounted directly to a wharf,•    Location: BlueScope Steel facility, Western Port.Currents•    Purpose: Improve the knowledge of currents within Western Port,•    Instrument: Acoustic sensor placed on the seabed. The instrument is initially lowered from a marine survey vessel and secured to the seabed by divers,•    Location: Western Port.Water Levels•    Purpose: Collect data on water levels within Western Port and supplement water level data already collected at Stony Point,•    Instrument(s): Tide gauge mounted to a wharf,•    Location: BlueScope Steel facility and Stony Point. Western Port.“It’s all about ensuring we have the necessary information to inform the design processes for the Port of Hastings development,” Mr Lean said.“This information will also eventually feature on the Authority’s website giving surfers, fishermen and recreational boaters up-to-the-minute details on wave size, wind direction, air and water temperatures and times for the next high and low tides.”Press Release, July 23, 2014last_img read more

NFL odds, picks, predictions for Week 9: Expert betting tips & pick ’em, survivor pools, DFS game advice

first_img49ers vs. Cardinals DFS advice: The 49ers and Cardinals open Week 9 on Thursday Night Football. If you’re putting together a DraftKings Showdown lineup, we’ve got the picks, advice and sleepers to help in your NFL DFS tournaments.YahooLineup advice for cash games: A high-floor, affordable QB is the key to our Week 9 Yahoo daily fantasy football cash lineup strategy. See the rest of our NFL DFS picks for Sunday’s main slate.Lineup advice for GPP tournaments: Derek Carr, Robby Anderson, and Mark Walton headline our Yahoo GPP lineup picks. I know, Week 9’s NFL DFS slate doesn’t sound fun. It gets better when you get to plug in a few studs, though. All the essentials are in one place, from updated odds and spreads, our experts’ picks (straight up and against the spread), and a game-by-game guide to trends and injury reports every bettor should know before placing their wager. There are tips for making your survivor and pick ’em pool picks this week. And if daily games are more your speed, you’ll find advice on building the ideal lineups for the most popular games on DraftKings, FanDuel and Yahoo.Contents:NFL odds for Week 9Expert NFL picks, predictionsTips for pick ’em, survivor poolsNFL betting guidesDFS strategy guidesNFL odds, spreads for Week 9 gamesHere are the latest odds and point spreads for every Week 9 NFL game, via Sportsbook Review (last updated: Nov. 3).GameSpreadOver/underSan Francisco 49ers at Arizona CardinalsSF -944Houston Texans at Jacksonville JaguarsHOU -147Washington Redskins at Buffalo BillsBUF -11.536.5Tennessee Titans at Carolina PanthersCAR -3.541Chicago Bears at Philadelphia EaglesPHI -4.541.5Minnesota Vikings at Kansas City ChiefsMIN -3.546.5New York Jets at Miami DolphinsNYJ -4.541.5Indianapolis Colts at Pittsburgh SteelersPK43Detroit Lions at Oakland RaidersOAK -150.5Tampa Bay Buccaneers at Seattle SeahawksSEA -653Cleveland Browns at Denver BroncosCLE -143Green Bay Packers at Los Angeles ChargersGB -345.5New England Patriots at Baltimore RavensNE -4.545Dallas Cowboys at New York GiantsDAL -948WEEK 9 FANTASY RANKINGSQuarterback | Running back | Wide receiver | Tight end | D/ST | KickerExpert NFL picks, predictions for Week 9Straight up: In our picks and predictions for Week 9 of the 2019 NFL season, Philadelphia buries Chicago. Plus, Minnesota handles its business in Kansas City, and Dallas completes its season sweep of division-rival New York.Against the spread: In our NFL picks against the spread for Week 8, Green Bay takes advantaged of a shorthanded Kansas City team. Plus, San Francisco takes care of Carolina, and New England buries Cleveland.Upset picks: The Jaguars, Titans and Redskins are getting overlooked by bettors in their Week 9 matchups, making them smart picks to cover or even win outright this weekend.Tips, advice for pick ’em, survivor poolsWeek 9 survivor pool tips: For the second straight week, a lot of people in NFL survivor pools will know their fate after Thursday night, but if you’re waiting until the weekend, you still have some good choices. The experts at TeamRankings highlight the most popular knockout pool picks for Week 9.Week 9 picks for confidence, pick ’em pools: Your Week 9 picks for NFL pick ’em pools aren’t complete until you check TeamRankings’ advice. From underdogs (Chargers) worth taking a chance on to favorites (Steelers) that shouldn’t be faded, get tips for five key games.FREE TRIAL OFFER: Sporting News readers can get a free three-day premium trial to TeamRankings, including game predictions, betting picks, and customized picks for pick ’em and survivor pools. Claim your free trial now.NFL Week 9 betting guidesGame-by-game betting guide: Sportsbook Review has everything you need to know before betting on the NFL’s Week 9 games contained within this handy cheat sheet, including updated odds, point spreads, injury reports and more for every game.Thursday Night Football (still to come)Sunday Night Football (still to come)Monday Night Football (still to come)NFL DFS picks & strategy for Week 9 gamesFanDuelCore plays for cash games: We start our Week 9 FanDuel cash lineups with four core picks, including Christian McCaffrey and Dalvin Cook. See how we fill in around them and get more strategy advice for your NFL DFS contests.Lineup advice for GPP tournaments: Daily fantasy football expert Bennett Bedford breaks down his Week 9 FanDuel core plays, which include Brandon Allen and Marvin Jones. See the rest of his example lineup picks for NFL DFS tournaments.DraftKingsBest lineup stacks: Your Week 9 NFL DFS stacks could include Philip Rivers and Mike Williams in cash games, or Matthew Stafford and Marvin Jones in GPP tournaments. Get more daily fantasy football stacking advice for DraftKings contests.Lineup advice for cash games: Our Week 9 DraftKings cash lineup picks can help you finish in the money in your NFL DFS contests. We start with a Jameis Winston-Mike Evans stack while paying up for Dalvin Cook.Lineup advice for GPP tournaments: Our Week 9 DraftKings GPP lineup centers around a game stack. See the rest of our NFL DFS picks ahead of locking in your lineup. Whether you’re trying to outsmart your co-workers in the office survivor pool, placing a bet with a sportsbook, or looking for an edge creating your DFS lineups, our weekly guide to gambling on the NFL has everything you need to win big during Week 9.MORE: Get the latest NFL odds & betting advice at Sportsbook Reviewlast_img read more

Security industry can now measure vulnerabilities consistently

first_img“Measure what is measurable and make measurable what is not” – Galileo GalileiIndustry Consortium for Advancement of Security on the Internet (ICASI) has released a framework for the standardization of computer security vulnerabilities.  Although thousands of vulnerabilities are discovered every year, they lack the necessary consistency necessary for automatic processing, prioritization, and cataloging.  Vendors, researchers, and security firms use different or proprietary formats when describing vulnerabilities.  This new framework converts the data into XML which is easily read and manipulated by computers.  If widely adopted, it will aid in processing and give the industry a better picture of the threat landscape.  ICASI is a consortium with some of the big players, including Cisco, IBM, Juniper Networks, Microsoft, Nokia, Oracle, Red Hat, and Intel.   The Common Vulnerability Reporting Framework (CVRF) is free so let’s get our industry aligned!last_img read more

PGTI event to be held in Sri Lanka

first_imgAfter conducting successful events in Bangladesh and Nepal over the years, the Professional Golf Tour of India (PGTI) has found another international venue as Sri Lanka, where a Rs 27 lakh tournament will be played at the Royal Colombo Golf Club from August 20-26.On Tuesday, PGTI announced its calendar for the second half of the year and introduced two new events. Other than the Colombo tournament, the PGTI will also hold the highest prize money (Rs 1.25 crore) tournament in its history – the McLeod Russel. It will be the year-end event and will be held at the Royal Calcutta Golf Club between November19-25.So far, the Crompton Greaves Open, BILT Open and DLF Masters are the other big-ticket events on the tour as each of them offer Rs 1 crore as prize money. While a Rs 1.25 crore Louis Philippe Cup is a higher prize money event, it doesn’t count in the PGTI Order of Merit.In the second half of the season, a total of 15 tournaments will be played with a total prize purse of Rs 7 crore, and a couple of new venues have been added. Other than Colombo, the Prestige Golfshire Club in Bangalore will be the latest venue where the PGTI Players Championship is scheduled to be held from August 7-10.The second half will also witness six qualifiers and the national final of the Volvo World Golf Challenge, one of the world’s premier corporate golf tournaments.At the halfway stage of the tour, Anirban Lahiri leads the Order of Merit with the earnings of Rs 13.65 lakh.advertisementlast_img read more

6 Quick Behavioral Economics Lessons for Fundraisers

first_imgLast month I had the chance to listen to Professor Judd Kessler of the Wharton School during the Ruffalo Noel Levitz Annual Fundraising Conference in Minneapolis. He shared insight on how behavioral economics can affect nonprofit fundraising. Wait, what the heck is “behavioral economics”? Think about it as simply understanding the factors and situations that influence behavior and motivate people to take action. Wait, what the heck is “behavioral economics”? Think about it as simply understanding the factors and situations that influence behavior and motivate people to take action. Many researchers have tested which scenarios prompt more charitable donations, many of which are illustrated in The Science of Giving.But behavioral economics isn’t only the territory of PhDs. Professor Kessler encourages all nonprofit marketers to consider themselves to be scientists and to use simple A/B tests as experiments in their fundraising laboratory to sort out what will drive their donors to give more.So, what are the principles that can affect fundraising for both small and large nonprofits? Here’s a quick overview of six common concepts and how you can use them in your fundraising strategy.1. Accountability & RecognitionWhat it is: This is the idea that if someone cares what other people think of them, they may give to appear more generous, responsible, or important.The research: Gerber, Green & Larimer (2008) showed that voter turnout in Michigan was affected when registered voters received a message that indicated other voters would be notified of their neighbors’ voting habits. In a different study, donors were found to give more when they were recognized as consistent donors to a fund.How to do it: Accountability and recognition are two sides of the same coin, with recognition being usually perceived as the more positive of the two. Offering public recognition for donors can inspire donors to give to achieve and maintain the recognition, and this same attention can influence others to give to gain the same status. Give donors a special status when you feature giving opportunities on your website, in your newsletter, and in upcoming appeals.2. Peer PressureWhat it is: In this case, the peer pressure comes from the simple power of the personal ask. If someone personally asks you to do something (especially in person or on the phone), you’re more likely to go along with the request to avoid embarrassment and disappointment, or to win praise.The research: Meer and Rosen (2009) showed that those who were called in addition to receiving a mailed solicitation were more likely to give.How to do it: In addition to your direct mail and email appeals, make sure you are calling or meeting with key supporters to make that personal connection and encourage them to complete their gift. Bonus: you’ll likely learn more information that will help you nurture the relationship or fix issues that may have prevented future giving.3. Social Information/Social ProofWhat it is: This is really peer pressure of a different kind. We take our cues on what to do to fit in (and avoid guilt) by looking to social norms–what other people are doing in the same situation.The research: Frey and Meier (2004) studied the decision to give to student funds at the University of Zurich. When students were told that historically more than half of students gave to the fund, they were more likely to also contribute. Shang and Croson (2009) also showed that when donors were told what others had contributed, it affected the size of their gift.How to do it: In all of your fundraising materials, make it clear that others support and value your work. Some of the easiest ways to show this social proof include: donation tickers and thermometers, testimonials and quotes from current donors, and charity ratings badges based on positive reviews of your work.4. Gift Exchange/ReciprocityWhat it is: A gift exchange happens when people feel obligated to repay gifts or return a favor, even if they know the gifts are intended to get them to take action.The research: Falk (2005) found that illustrated cards from street children in Bangladesh increased the relative frequency of donations.How to do it: Although address labels and totebags come to mind, get more creative when it comes to using the idea of reciprocity in your fundraising. Think about how your incentives or tokens of appreciation tie back to your mission and connect your donors with the end result of their gift. This could mean an exclusive tour of your facilities, a personalized note from a beneficiary, or a custom video from your volunteers. A gift exchange doesn’t need to be expensive, it just needs to be sincere.5. Identifiable VictimWhat it is: When our minds turn to statistics or large numbers, we tend to think about problems in abstract, and feel less connection to them. To be inspired to give, donors need to be able to connect with your ask on a personal and emotional level.The research: Small, Loewenstein and Slovic (2007) discovered that highlighting an “identifiable victim” made donors give twice as much as when donors were presented with an abstract story or “statistical victim.”How to do it: We’ve written a lot about this phenomenon on this blog, but essentially it all boils down to focusing on one person to illustrate the human impact of your issue. Tell a compelling story that donors can comprehend, and they’ll be moved to give.6. Donor IdentityWhat it is: We tend to think of ourselves in a certain way or with certain ties to our social groups, community, or experiences. Therefore, when we are reminded about the identity, we are compelled to act in ways that feel consistent with it.The research: Kessler and Milkman (2015) showed that when donors were reminded of their identity as previous donors, they were more likely to give again.How to do it: In your fundraising appeals, invoke the idea of your donors’ identity to make your ask feel more relevant and personal. This might mean underscoring their connection to a certain neighborhood in your community, a specific alumni group, or a special factor that binds them to your cause.Want more ideas on how to implement these concepts into your fundraising communications? Check out our guide onHow to Make the Case for Giving or enroll in The Ultimate Donation Page Course.last_img read more

Declare Independence from Boring Away Messages

first_imgYou’re excited – and so am I. Sometime over the next few days we get to invest five glorious minutes to configure our inbox and voicemail so anyone who tries to email or call our office is kindly informed that we are unplugging for Independence Day. Effectively raising money for a nonprofit organization is hard work and we need, and deserve, some dedicated downtime. However, so does everyone else, even if they aren’t working at your nonprofit.Too often, the Out-of-Office notification, be it email or voicemail, is a missed opportunity to creatively promote your nonprofit, build or enhance a relationship or advance the donation process through meaningful engagement. Let’s face it, nobody really cares that you will be out of the office, why, or for how long. They care even less that you’ll have “limited access to email,” or that your office “will reopen on July 5, 2016.” The person trying to contact you probably has a question – and the call may even be related to making a gift to your organization. They need, and deserve, an answer – holiday or not.After all, generosity doesn’t take vacations. Existing and would-be donors may want to provide a credit card number,   ask where they can make an online gift, get your mailing address to send their check, or ask a question about donor benefits or tax-deductibility.With that in mind, consider a proactive, donor-centric approach when creating our OOO messages. Here are three simple ways to make your OOO notification meaningful, memorable and possibly even profitable:Connect your greeting directly to your Mission and programs.Think impact. Explain that you may be out of the office yet your nonprofit continues to make a major impact even when the office isn’t open. For your email OOO message, graphics and tag lines should instantly showcase the impact and value of your nonprofit. Use positive action verbs in your voicemail OOO notification to confirm that a closed office does not mean your nonprofit is taking time off from its vital Mission.Think about all of the time and energy you invest in trying to thoughtfully engage your donor. When they contact you via phone or email, the opportunity is there even if you’re not. To make it a worthwhile engagement for both the person reaching out to your organization and your nonprofit, use the technology available to share valuable information about your programs and donation process. Convey a similar but abbreviated message as you would in an appeal email or letter. Anticipate why an existing or prospective donor needs to connect.Think FAQ, then efficiently direct them to the information they need to make or fulfill a gift online or via direct mail. Your email OOO message is an opportunity to brand your organization and demonstrate value without writing volumes of irrelevant details. Use relevant or seasonal graphics and links to anticipate the person’s immediate needs while showcasing the impact and value of your nonprofit. Remember donor-centric puts the focus on the OOO notification reader, not on you. And most definitely not on the wonderful details of where you are spending your vacation or with whom or for how long.For voicemail OOO messages, leverage voice tone and energy to convey attentiveness even in your absence. Yes, smiles do transfer over phone lines. The caller is far more concerned with a resolution to their question than with your official title, 3 alternate contacts, and a litany of phone numbers or extensions. Keep it donor-centric, sincere and high energy while providing actual directions to aid the caller—not send them on a wild goose chase. Be sure to provide details about your nonprofit’s Mission, donation process, and available resources to answer their question without sounding like a directory. After all, your recorded voicemail message is still a dialogue between two people. Recognize everyone over weekend “will have limited access…”If your OOO notification or message can make them smile, laugh or be memorable, you have initiated or enhanced a relationship. If it drones on with meaningless or perfunctory information, you can expect their eyes to roll but you probably can’t rely on their immediate donation. If you love the good your nonprofit does throughout the year, express it in your OOO notifications. Guide them through the online or direct mail giving process and give them access to other vital information they may be looking for. Make certain your website and social media anticipate their needs as well as simplify the donation process. And invite them to share their philanthropy with their social networks.Everyone on the planet knows that if they’ve reached a voicemail the person they’re calling is unavailable. Don’t state the obvious. Use that valuable time to inspire them with humor related to your nonprofit or the time of year while demonstrating with sincerity that they, and not just their potential gift, are important to you and your organization every single day.last_img read more

Innovative Methods of Delivering Antenatal Care: A Policy Dialogue

first_img ShareEmailPrint To learn more, read: Posted on July 21, 2014November 2, 2016By: Katie Millar, Technical Writer, Women and Health Initiative, Harvard T.H. Chan School of Public HealthClick to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)Antenatal care has long been viewed as a critical component of comprehensive maternal and newborn health care, together with care at the time of delivery and during the postnatal period. Yet, in low-income countries, only 38% of pregnant women attended the recommended four or more ANC visits during 2006-2013. Since numerous life-saving interventions can be delivered in the weeks and months leading up to birth, what is holding the global maternal health community back from successfully delivering high quality ANC to all pregnant women around the world? Further, what does high quality ANC actually entail? What innovative models for delivering ANC exist, and might be scaled up to reach more women in more settings?To begin to answer these questions—and their policy implications—the MHTF recently worked together with the Wilson Center, as part of the Advancing dialogue on maternal health, series to facilitate the policy dialogue, “Delivering Quality Antenatal Care in Low Resource Settings: Examining Innovative Models and Planning For Scale up.”The panel for this policy dialogue consisted of Dr. A. Metin Gülmezolgu of the World Health Organization (WHO), Carrie Klima, PhD of the University of Illinois at Chicago, and Faith Muigai of Jacaranda Health. The three experts on this panel offered insight into both gaps and solutions to the current ANC environment. Their expertise focused around three main topics: continued rigorous research, creating more effective and efficient models of care, and delivering quality care through investing in the health workforce.ResearchGlobal standards for ANC have experienced numerous iterations, and the World Health Organization (WHO) continues to examine the best schedule and content for ANC. The second iteration of WHO’s ANC model, Focused Antenatal Care (FANC), was released in 2001 and outlines key interventions to be delivered in four visits that are critically timed. But a WHO trial in Zimbabwe showed an increase in perinatal death, specifically fetal deaths, in those who had only four ANC visits.This model is currently under reevaluation by the WHO and we can look forward to new guidelines in the coming year.Dr. Gülmezolgu emphasized the continual need of rigorous research like randomized control trials (RCTs) to evaluate two questions—what should be delivered and how. This is being accomplished partially through the joint WHO and MHTF project, Adding Content to Contact, which systematically assesses the obstacles that prevent and the factors that enable the adoption and implementation of cost-effective interventions for antenatal and postnatal care along the care continuum. Research and interventions for ensuring a healthy pregnancy and delivery should occur on several levels: individual interventions, barriers and facilitators to access to and provision of care, large-scale program evaluation to address policy issues, and health systems interventions. The outcomes of these interventions and research are not only maternal, but should also be evaluated on the fetal and neonatal level and women-centered—creating a space where women can learn about pregnancy and not just preventing complications.Innovative Models of CarePublic facilities in low-income countries are often overcrowded with poor provider-to-patient ratios, straining health workers and providing a barrier to sufficient ANC. Carrie Klima offers insight to a model of care that could improve the efficiency and effectiveness of health workers in low-resource settings. CenteringPregnancy is a group care model that has been implemented in the Unites States since the 1990s. In CenteringPregnancy, eight to 12 pregnant women with similar due dates receive their prenatal care, education, and support in a group setting. This model has shown an increase in weight and gestational age for mothers who deliver prematurely. But could this model, primarily used in a developed country, also work in the developing world?Recently Klima traveled to Tanzania and Malawi to conduct a feasibility and acceptability study of this model of care. The current CenteringPregnancy model of ten visits and was pared down to four to reflect the FANC guidelines for this study. What did the results show? Both health workers and expecting mothers were accepting of this model and qualitatively reported an increase in the quality of ANC. Midwives reported that they finally felt like they were able to practice their profession as they were taught to do in midwifery school. Women were also taught how to perform self-assessments and reported feeling more empowered by better understanding the metrics of their care and options for treatment.Invest in the Health WorkforceJacaranda Health in Kenya provides a novel model of care not often seen in low-resource settings—quality over quantity, a valued health workforce versus one that is overworked. This health model has six areas of focus: patient-centered design, human resources, quality improvement, technology, measuring impact, and business innovation. Faith Muigai, Director of Clinical Operations, stressed the importance of supply-side incentives for ANC as she highlighted patient-centered interventions. During their stay at the facility women receive three meals, two snacks, medications, maternity pads, and other goods that the woman or her family normally must supply. At Jacaranda facilities, patients keep coming back because the quality is much better. Jacaranda also works with women to create a savings plan for delivery fees. Since some women can’t afford these fees, Jacaranda is working with the Government of Kenya to subsidize care and lower prices.Jacaranda not only creates a quality place to receive care, but also a quality place to provide care. Jacaranda is passionate about their health workforce and has developed a career ladder for their staff to help create a sustainable health system. This allows task-shifting, which maximizes time with clients so education can be provided. Muigai concluded by emphasizing that the model of care Jacaranda implements is “a means of proving concepts that impact the delivery of cost-effective, patient-centered, quality care in low-resource settings.”Interested in learning more about what our speakers had to say? Follow the links below:New Security Beat: Antenatal Care as an Instrument of Change: Innovative Models for Low-Resource SettingsDr. A. Metin Gülmezoglu’s PresentationCarrie Klima’s PresentationFaith Muigai’s PresentationFriday Podcast With Faith MuigaiPhoto GalleryVideoInterested in learning more about the MHTF’s ongoing work relating to antenatal care? Contact Annie Kearns, project manager of Adding Content to Contact (ACC).Share this:last_img read more