Performance Improvement 1999. Centers for Disease Control and Prevention



TITLE: Evaluation of the WomanKind Program: Support Systems for Battered Women

ABSTRACT: Recent efforts to address intimate partner violence have focused on developing an integrated system of health care and social service providers that offer the full complement of requisite responses-early detection, referral and treatment on a more holistic level. The purpose of this evaluation was to assess one such integrated program, WomanKind, in Minneapolis, Minnesota. Specifically, the purpose of the evaluation was to determine: (1) the extent to which the WomanKind program increased health care providers' capacity and motivation to identify cases of intimate partner violence and initiate a course of positive change through referral to WomanKind in-house services; and (2) the extent to which the WomanKind program provides assistance to the women referred. Results indicate the Woman Kind program has a positive effect on the knowledge, attitudes, beliefs, and behaviors of hospital staff, both in terms of their awareness of domestic abuse and their understanding of the role of the health care provide in addressing it. Statistics also show that WomanKind does provide more than crisis intervention services to clients. Records also show that WomanKind consistently used a range of community services as referral sources for clients, reinforcing a basic tenet of the program which is to link with the community and not to create duplicate services. Finally the study concluded the lessons learned from the WomanKind program can be extracted and adapted for other settings

AGENCY SPONSOR: National Center for Injury Prevention and Control


PHONE NUMBER: 770-488-4285

PIC ID: 6587

PERFORMER ORGANIZATION: Macro International, Inc., Silver Spring MD


TITLE: The Effect of Condition Sequencing Order on Cause-of-Death Statistics

ABSTRACT: Cause-of-death statistics from death certificates, produced by State vital registration offices and National Center for Health Statistics (NCHS), constitute perhaps the most widely used national, state, and local data for identifying the nations's health problems and our progress in dealing with them. However, a persistent concern in using mortality statistics has been the quality and completeness of the reported information on cause of death, as reported by the certifying physician. The purpose of this study was to evaluate one possible variable of quality, specifically the effect of the format of the medical certification form on death statistics. More specifically the study evaluated whether the direction of the order in which causes of death are sequenced on the death certificate form influences either the underlying cause of death selected by the physician or the number of causes of death recorded by the physician. An experimental approach was used where the standard format was reversed and physicians were asked to complete either a standard or experimental medical certification for a number of death cases. The results were that the format of the death certificate did not have a significant effect on the underlying cause of death selected. However, the results did suggest that reversing the order in which causes of death are sequenced increases the tendency to report more conditions, but the size of the effect appears small.

AGENCY SPONSOR: National Center for Health Statistics


PHONE NUMBER: 301-436-8951

PIC ID: 7098

PERFORMER ORGANIZATION: Research Foundation of the State University of New York at Binghamton, Binghamton, NY


TITLE: Evaluation of the Field Epidemiology Training Program (FETP)

ABSTRACT: CDC assessed the effectiveness of the Field Epidemiology Training Program (FETP) in achieving its objective of building capacity in applied epidemiology in developing countries. Data was collected through correspondence with and site visits to four FETP countries--Mexico, the Philippines, Spain, and Thailand--and the Rockefeller Public Health Schools Without Walls (PHSWOW) program in Uganda. The evaluation found that: (1) FETP trainees are acquiring skills that enable them to assist with outbreak investigations; (2) the decentralization of the health systems has led the FETP to a more facilitative role in linking local field investigations with the knowledge and resources available nationally; (3) the efforts of FETP staff have led to reductions in morbidity and mortality in host countries; (4) the FETP supports the creation of professional linkages among epidemiologists at a national level, but opportunities for FETP graduates to interact with public health officials from other countries have been limited; and (5) FETPs need the flexibility to expand to assure their sustainability in the rapidly changing political environments that surround public health in many host countries.

AGENCY SPONSOR: Epidemiology Program Office

FEDERAL CONTACT: Daniel B. Fishbein, M.D.

PHONE NUMBER: 404-639-2228

PIC ID: 5923.1

PERFORMER ORGANIZATION: Battelle Corporation, Arlington VA