Suchergebnisse

The demand for smart irrigation and water-saving practices in agriculture has triggered the development of different soil moisture sensing techniques that can operate under harsh field conditions. In this study, a soil moisture sensing technology appropriate for the field applications was comprehensively evaluated. From a qualitative and quantitative perspective, the Delphi and analytic hierarchy process methods were used to construct an index system involving technological advantage, economic benefit, risk analysis, policy support, four second-level indicators, and 23 fourth-level indicators. The results showed that economic benefits account for the largest weight. The practical evaluation resulted in 12 farms that showed that the selected soil water sensing methods performed reasonably and exhibited obvious water-saving irrigation benefits, which are usually used for scheduling irrigation. The overall score of M4 in different soil types was 0.2% lower than that of M5. Farms with reasonable economic conditions and a high awareness scored 5.3% higher on technology than those with modest economic conditions, which clearly affects the evaluation scores of the two technologies. The evaluation results help farmers and government decision-making bodies in technology selection, production decision-making, and risk control.

Enrollment in Medicaid facilitates access to needed services among transition-age youth on the autism spectrum and youth with intellectual disability (ID). There are long-standing programs to ensure that individuals with ID remain enrolled as they age; similar programs for autistic youth are newer, not as widespread, and may not be as effective. We compared Medicaid disenrollment and re-enrollment between transition-age youth on the autism spectrum, youth with ID, and youth with both diagnoses using a national claims-based prospective cohort study from 2008 through 2012. Autistic youth were most likely to disenroll and least likely to re-enroll. Disenrollment peaked for all three groups at ages 19 and 21. Transition-age youth on the autism spectrum experience more disruptions in access to Medicaid-reimbursed services than youth with ID. More equitable Medicaid enrollment options for autistic individuals are needed to ensure their access to critical health care as they age.

Rawal, LB orcid:0000-0003-1106-0108 ; Noncommunicable diseases (NCDs) have been increasing rapidly and are now the major cause of disease burden and deaths in the Asia Pacific region. This rising disease burden has challenged health systems in countries of the region and could hamper achievements of the Millennium Development Goals. This has raised concerns among policy-makers about the need to identify innovative approaches to control NCDs and meet the health needs of the public. Strengthening primary health care (PHC) services and the workforce to deliver such services has been considered as an option to address the growing need of services for NCDs. Community health workers (CHWs) have increasingly been recognized as a frontline health-care workforce to support government actions to combat NCDs. However, the role of CHWs within the PHC system is not well defined. To provide policy-makers with a package of options to engage CHWs in NCD care, this policy brief summarizes CHW-led programmes, describes challenges to integrating CHW-led NCD programmes and make recommendations. The development of this policy brief was based on experiences in four countries of the region – Bangladesh, China, Nepal and Viet Nam. However, it is worth emphasizing from the outset that our study is not designed to be representative of the four countries but exploratory in nature.