Saturday, August 31, 2019

Marketing Channels on Tesco Thailand

Managing Distribution and Marketing Channel: TESCO Lotus This essay is to written in to express my opinion on group 4 presentation on Tesco Lotus marketing channel and further analyze the marketing channels in more details. Tesco Lotus has undoubtedly changed the way people in Thailand goes to supermarket since it entered Thailand in 1998 and now has over 380 Stores as part of a joint venture with CP Group. Consumer Marketing Channels Tesco Lotus in Thailand uses 1 level of consumer marketing channels as they themselves act as retailer.The suppliers would have to re? ll their inventory at Tesco Lotus Distribution centers which is placed across the country and Tesco will distribute the goods to each branch themselves. In order to serve the customers better by minimizing out of stock time and more Tesco Branches ef? cient and cost effective, Tesco Lotus divides the goods into 3 (Act as retailers) categories: Fast moving goods, Average moving goods, Slow moving goods.They categorize the ir products by dividing each of them into one of these categories and therefore, fast moving goods such as grocery, can be delivered fresh and never run out Consumers of stock everyday, whereas slow moving goods, such as furniture only needs to be re-stock every week, rather than everyday. Tesco Lotus distribution system is managed by themselves and therefore it is also their advantage over their rival, Big C, who uses DHL as their distributor. Tesco Lotus can control their own distribution system and the distribution cost.The example is presented during the presentation which is using Bio-diesel for all Tesco Lotus distribution trucks which can save a lot of transportation cost. Types of Store Tesco Lotus operates in various types and sizes of store. There? re 6 types of store sizes. 1. Hypermarket, 2. Tesco Lotus Valued, 3. Talard Lotus, 4. Tesco Lotus Express, 5. Plus shopping mall, 6. Community Mall. The hypermarket is the full size store with the most assortments and products, Tesco Lotus will place this store type mainly in the outskirt of the city to serve the people in the city.The Tesco Valued store is smaller than the hypermarket type and has less assortments and products, Tesco Lotus will mainly select the faster moving goods and leave out more expensive assortments or products as this type of store will be places mainly in more rural area. Talard Lotus shares a similar concept to the Tesco Valued but mostly focuses on fresh grocery. This concept came from the local market in Thailand. Tesco Lotus wants to create more local experience for the local in upcountry.Tesco Lotus Express, this is the smallest store size and it is more like a convenience store than a super market. This type of store was created to compete with 7eleven who is the market leader in this store size with the most branches throughout Thailand. This type of store is usually placed within a community area and mostly carry foods and drinks. Plus shopping malls is also a full sized h ypermarket but Tesco Lotus Wissut Prutisart, ID: 5249252 Tesco Distribution Center (Act as Tesco Mfg) ocuses more on the rental space within their mall. They want to create a shopping mall atmosphere with clothes shops, restaurants, cafe etc with a full sized supermarket. The last type of the store is the community mall, the concept is similar to villa market but the stores are placed closely to community household. The objectives for Tesco Lotus for having many types of store are to serve the right products at the right price and place for consumers in those demographic areas that the stores are in. This is more bene? ial to both customers and to Tesco Lotus, as Tesco Lotus only carry what their customers in those areas need from their stores and nothing else more than that. It is more ef? cient, less investment cost, lower operation cost for Tesco Lotus too and also providing the maximum coverage of their customers as much as possible. Customers also gain a lot of bene? ts from th is also as the stores nearest to their home would have the majority of their daily needs. Marketing Channels Tesco Lotus utilizes both below and above the line advertising.For below the line advertising, they have monthly promotion brochure which are distributed at every stores and also sending them to members? houses, Thairath newspaper ad to highlight their main promotion, their own website to show more information and download lea? et or brochure and lastly their Tesco Lotus Club Card to collect customers data and for doing promotion. For above the line, they advertise on the main TV channels focusing on lower price and the highlight promotion. With this strategy, Tesco Lotus has almost the whole coverage of their target customers already.Private Brand: Tesco Value Tesco Lotus themselves act as a distributor and retailer but they also use backward integration and became a producer to produce their own brand of products called ? Tesco Value?. The Tesco Value brand? s objective is to produce most daily needed products for customers with lower cost than other brands are offering but offer similar level of quality. Tesco will place their own product next to other popular brand products with a very similar packaging. The reason why they do this is so customers will think and compare the cost and bene? of the product they are about to buy, usually if it? s a products that customers use regularly but they do not concern with the brand or have a need for more premium product, customers will tend to buy Tesco value brand products instead. The reason why they produce their own brand is because they have buying power and the economy of sale to produce products at lower price point without having to do marketing campaign to promote their products, therefore even their price is lower than most brands, they still make pro? t from selling their own products.Recommendation My recommendation for Tesco Lotus is add one more distribution channel, that is the ? online channel? . Tesco already has successfully implemented this system in the UK already. The idea is to fully utilize their website to the maximum potential and provide more convenience for their customers. Customers should be able to look at all the products available from Tesco website and be able to order then Tesco Lotus can deliver their orders to their home. Even though this idea is already implemented in UK but no supermarket in Thailand has successfully executed this idea yet.With a strong coverage in term of branches around the country and strong distribution system, Tesco Lotus should be able to successfully implement this system in Thailand. Wissut Prutisart, ID: 5249252 (Example of the online ordering page from Tesco UK website) To conclude this essay, I believe that Tesco Lotus in Thailand is already doing well in term of distribution and marketing channels, it is up to them to control their cost and therefore this always keep them alert about their cost.Tesco Lotus also needs to do more CRM and Social responsibility to their local customers as they are expanding quickly into every cities in Thailand and therefore there will always be a concerned for a local supermarket and convenience stores business. There was some protest going on in some cities when Tesco was about to expand into, Tesco may need to focus more locally as to what they can give back more to the local society apart from selling OTOP roducts from those cities in Tesco and provide jobs for the local. Second, I believe that by implementing the online order and delivery service, this will create a totally new channel of distribution. Tesco may need to do some initial investment such as buying more Pick up trucks, re-design the website and set up the system but with the expertise Tesco has from the UK, they should be able to implement this idea in Thailand. Wissut Prutisart, ID: 5249252

Friday, August 30, 2019

Theoretical Background of Lending System

There Is a meticulous proverb about the bank's lending -â€Å"If you owe the bank take problem. † To be frank, lending to the businesses, governments, and Individuals Is one of the most Important services banks and their closest competitors provide, and It Is the riskier. The principal reason banks and many competitor lenders are issued charter of incorporation by government is to make loans to their customers.Banks, thrift institutions, and other chartered lenders are expected to support their local immunities with an adequate supply of credit for all legitimate business and consumer financial needs and to price that credit reasonably in line with competitively determined market interest rate. Indeed, making loans to fund consumptions and Investment spending Is the principal economic function of banks and their closest competitors. How well a lender performs In fulfilling the lending function has a great deal to do with the economic health of Its region, because loan support the growth of new business and Jobs wealth the lender's trade territory.Despite all the benefits of lending for both the institutions that makes loan and for their customer, the lending process bears careful internal and external monitoring at all the times. When a bank or other lender gets into serious financial trouble, its problems usually spring from loans that have become unconvertible due to mismanagement, illegal manipulation, misguided landing policies or an unexpected economic downturn. No wonder, then, that when examiners appear at a bank or other regulated lending Institution they conduct a thorough review of its loan portfolio.Usually this Involves detailed analysis of the documents and collateral for the largest loan, a review of a sample of small loans, and an evaluation of loan polices to ensure their sound and prudent In order to protect the public funds. 1. 2 Background of National Credit & Commerce Bank Ltd (UNCLE) National Credit and Commerce bank Limited bears a unique history of its own. The organization started its Journey in the financial sector of the country as an investment company back in 1985.The aim of the company was to mobile resources from within and invest them n such way so as to develop country's Industrial and Trade Sector and playing a catalyst role In the formation of capital market as well. Its membership with the bourse helped the company to a great extent In this regard. The company operated up to 1992 with 16 branches and thereafter with the permission of the Central Bank converted In to a full-fledged scheduled private commercial bank In May 1993 with paid up capital TX. 39. 00 core to serve the nation from a broader platform.During providing sincere personalized service to its customers in a technology-based environment. The Bank has set up a new standard in financing in the Industrial, Trade and Foreign Exchange business. Its various deposit and credit products have also attracted the clients-both corporate and indi viduals who feel comfort in doing business with the Bank. The initial authorized capital of the Bank was TX. 75. 00 core and, paid-up capital TX. 19. 50, core at the time of conversion, which is now raised, to TX. 9. 00 cores. The present authorized capital is TX. 250. 00 core and paid up capital is TX. 60. 78 core. The sponsors of the new bank consisted of 26 (Twenty six) Members, who comprised the iris Board of Directors. The share price of the bank is currently being quoted at both Dacha and Chitchatting Bourse at an average price of TX. 320/- against per value of TX. 100/-. NC Bank based upon its commendable business performance for the year ended 2004, has meanwhile declared stock dividend at the rate of 30%.The Bank which started with 16 branches in 1993, has at present 41 (forty one) branches and 03 (three) Booths located in prime commercial areas of Dacha, Chitchatting, Sylphs, Fine, Chula, Josser and Ranging District Headquarters, out of which as many as 17 seventeen) are A uthorized Dealer Branches, fully equipped for dealing in direct foreign exchange businesses. 1. 3 Scope of the Report This report has been prepared through extensive discussion with my colleagues and with the clients.While preparing this report, I had a great opportunity to have an in depth knowledge of all the banking activities practiced by the NC Bank limited. It also helped me to acquire a first-hand perspective of a leading private bank in Bangladesh. This report covers overall areas of UNCLE. It can be grouped into the allowing sections: Origin and historical background of UNCLE. Theoretical description about the products and services, general banking activities and departments of the bank.Analysis of the performance of UNCLE through some ratios. 1. 4 Objectives of the Report Primary Objectives The primary objectives of the report are to orient the real life nature of the bank and to measure the Job satisfaction of the staffs of the NC Bank Ltd, Mailbags branch, Dacha. Seconda ry Objectives To measure the level of Job satisfaction of employees with respect to the company. To understand the components that trigger Job satisfaction of the staffs.To know the reasons behind the Job dissatisfaction of the employees from the findings. To Judge the level of Job satisfaction of employees on various parameters: Working Conditions Rewards and other benefits Relationship with employees of company Job Security 1. 5 Methodology This report is made based on my theoretical and practical knowledge and as project report. National Credit Bank Limited is one of the well-known private commercial bank in Bangladesh. Its public reporting system is appreciable. Data are well managed.This arrangement is logical that helps easy application of analytical tool. Two sources are used to collecting data. These are: Primary Source Secondary Source Primary Source: Face to face conversation with the bank officers and staffs Study of different files of different section of the bank. Un-o fficial discussion with bank official. Secondary Sources: Annual report of NC Bank limited (2009-2013). Website. Literature summery. 1. 6 Limitations of the Study 1. Data Insufficiency 3. Lack of Updated Information.

Thursday, August 29, 2019

Internship Handbook

Master of Public Health Program Internship Handbook 2010-2011 University of Missouri Master of Public Health Program University of Missouri 802  Lewis  Hall Columbia,  MO  65211 PHONE  (573)  884? 6844 FAX  (573)  884? 4132 http://publichealth. missouri. edu To Whom It May Concern: The Master of Public Health Program at the University of Missouri trains practitioners, teachers, researchers, and administrators to plan, implement, and evaluate programs aimed at enhancing health in human populations through organized effort on the local, state, and national level.Internships for MPH students fulfill a critical need for their public health experience and help build our community, state, and nation’s public health workforce. The following information is designed to guide and provide accountability for preceptors and interns in the University of Missouri Master of Public Health Internship program. Thank you for agreeing to work with the Master of Public Health Progra m to help provide experience for our graduate students. We appreciate your input into planning experiences and your feedback about students’ progress. Sincerely, Kristofer J.Hagglund, PhD, ABPP Director, Master of Public Health Program Tel: (573) 884-7050 Fax: (573) 884-4132 Email: [email  protected] missouri. edu University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures University of Missouri Master of Public Health Program Internship Table of Contents Mission Statement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Policy for Pre-requisites†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Student Checklist†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Sample Schedule†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Preceptor Expectations†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Project Selection†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Student Expectations†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Faculty Advisor Expectations†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Internship Agreement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Internship Statement of Purpose†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Internship Progress Report†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Preceptor Final Internship Evaluation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Student Final Internship Evaluation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Guidelines for Final Paper†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1 2 3 5 6 6 7 7 8 9 11 12 13 14 Appendices Appendix Appendix Appendix Appendix Appendix Appendix 1: 2: 3: 4: 5: 6: Competencies to Be Used for Internship Learning Objectives Self-assessment of Experience/Competency†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Student Internship Interest Form†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Internship Description Form†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Field Practicum Agreement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Log of Hours†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 15 17 19 20 21 23 University of Missouri Master of Public Health Program 2010-2011 MPH Inter nship Procedures Mission Statement The mission of the Master of Public Health Program at the University of Missouri is to advance the well-being and quality of life of the citizens of Missouri and beyond through excellence in teaching, discovery, and service in public health.To harness the unique strengths of the University of Missouri in rural health, veterinary medicine, and policy analysis and development in addressing the needs of underserved populations and preparing public health leaders on the local, state, and national levels. Statement of Values The underlying values of the University of Missouri Master of Public Health Program include a strong commitment to creating a learning environment where evidence-based decision-making and bestpractices are focused on enhancing the common good.The core values of the University of Missouri (Respect, Responsibility, Discovery, Excellence) intersect with key public health values informing the program in several important ways: 1) Respec t for the diversity of our students and for the communities they will serve, including an understanding of issues involving equity and the special needs of vulnerable populations, 2) The Responsibility of the academy to bring rigor and excellence to the training of both future and currently practicing public health professionals and to make research findings accessible for use in the development of public policy, 3) The value of promoting and supporting the innovative interdisciplinary Discovery that is a unique strength of the discipline of public health, and 4) The necessity of holding leaders of population-based efforts to improve health to the highest standards of Excellence, including professionalism, solid grounding in international and national codes of ethics, and respect for individual dignity, social justice, and fairness. -1- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures Policy for Pre-requisites for the MPH Internship Before t he beginning of an internship, the MPH student must have completed 21 hours of coursework in the Master of Public Health Program, which should include following courses: P_HLTH 7150 Principles of Public Health P_HLTH 150 Human Health and the Environment P_HLTH 8920 Social and Behavioral Sciences in Public Health and either F_C_MD 8420 Principles of Epidemiology or NURSE 8100 Epidemiology for Public Health Practice and either STAT 7020 Statistical Methods in the Health Sciences or STAT 7410 Biostatistics Subtotal Credit Hours Other Elective Credit Hours TOTAL 3 3 3 3 3 3 3 15 6 21 Pre-requisite Waiver Policy: Waivers for students who would like to start their internships prior to completion of all pre-requisites will be considered on an individual basis by the student’s Faculty Advisor, Field Placement Coordinator, and the MPH Program Director. -2- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures Student Checklist Preparing for interns hip: (3 months before internship) ? 1.Revise Resume: Include information on education, previous work experience, and career goals. Keep length to no more than two pages. Contact your Faculty Advisor or the Field Placement Coordinator for assistance, if needed. 2. Complete Self-Assessment Form: This will help you to identify competency areas you want to emphasize during your internship. Turn in the self-assessment to the Field Placement Coordinator. See Appendix 2. The Student Internship Interest form is also helpful and available in Appendix 3. 3. Consider Potential Internship Sites: With the assistance of your Faculty Advisor and/or the Field Placement Coordinator, develop a listing of potential internship sites.Considerations include: geographical location, interest areas, career goals, and learning objectives. Review the opportunities posted on the MPH Program website. http://publichealth. missouri. edu/students/Internship%20Opportunities. php 4. Meet with Your Faculty Advisor: R eview potential internship opportunities, self-assessment, and interest areas with your Faculty Advisor and the Field Placement Coordinator as needed. (Special note: Your Faculty Advisor is identified in your https://myzou. missouri. edu account. ) 5. Contact Sites/Preceptors: Make contact with potential Preceptors to explore internship duties. Set up interviews (phone or in-person) and review information about the agency/organization.Treat contacts like job interviews; follow up with thank-you notes and inform the Preceptor promptly if you will be accepting the internship. 6. Finalize Internship Site and Preceptor: Contact your Faculty Advisor and the Field Placement Coordinator to finalize internship plans. ? ? ? ? ? Starting your internship: (within 2 weeks of starting internship) ? 7. Complete Statement of Purpose: Identify the MPH Program Competencies you plan to meet through your internship work, develop specific, time-sensitive, and measurable objectives, and estimate a timel ine for completion. The Statement of Purpose must be signed by the intern, Preceptor, and Faculty Advisor and returned to the Field Placement Coordinator at the start of the internship. 8.Complete Internship Agreement: Ask your Faculty Advisor and Preceptor to review your internship goals and objectives and complete the Internship Agreement. This document must be signed by the intern, Preceptor, and Faculty Advisor and returned to the Field Placement Coordinator at the start of the internship. 9. Complete Internship Log: Begin documenting hours and maintaining a record of activities on the Internship Log in Appendix 6. 10. Complete Field Practicum Agreement: Complete a Field Practicum Agreement if requested by the Field Placement Coordinator. These are needed for new and off-campus internship sites. See Appendix 4. ? ? ? Midterm: 11. Complete Internship Progress Report: Meet with your Preceptor about halfway through the internship to discuss progress. The intern and Preceptor must c omplete the Internship Progress Report and return it to the Field Placement Coordinator. -3- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures ? 12. Update Statement of Purpose: Update progress towards meeting objectives and timeline on the Statement of Purpose and return to the Field Placement Coordinator. Final: ? 13. Finalize Statement of Purpose: Complete the final column of the Statement of Purpose and address objectives that were met (or not met).This document must be signed by your Faculty Advisor, Preceptor, and the Field Placement Coordinator and turned into the Field Placement Coordinator. Complete all assigned internship activities within the internship period unless previous arrangements have been made. If it is clear that an internship-related student activity cannot be completed during the internship, discuss this with the Faculty Advisor as soon as possible. 14. Complete Student Evaluation of Internship: You must complete your Student Final Internship Evaluation within one week of completing the internship. Return the evaluation to the Field Placement Coordinator. A final grade will not be issued until the evaluation is received. 15. Request PreceptorEvaluation of Internship: Provide your Preceptor with a copy of the Preceptor Final Internship Evaluation and requests that it be completed and returned no later than one week following completion of the internship and turned in to the Field Placement Coordinator. 16. Finalize Internship Log: Finalize your log and turn in to the Field Placement Coordinator. 17. Complete Summary Report/Project: Submit a brief paper or report that summarizes your internship activities and accomplishments to your Faculty Advisor. See Guidelines for Final Paper. ? ? ? ? -4- University of Missouri Master of Public Health Program 2010-2011 MPH Internship ProceduresSample Schedule All documentation should be turned in to the Field Placement Coordinator in her MPH Program office. I. Required documentation schedule for 360 hours of internship in one semester For this option, register for 6 credits in one semester for P_HLTH 8980 Public Health Internship. Previous Semester ? Self-assessment ? Internship interest form (optional) Start of Semester ? Internship Agreement ? Statement of Purpose ? Field Practicum Agreement Midterm ? Internship Progress Report ? Updated Statement of Purpose Final ? Finalized Statement of Purpose ? Student Evaluation ? Preceptor Evaluation ? Final Paper ? Internship Log (if needed) *II.Required documentation schedule for 360 hours of internship spanning 2 semesters For this option, enroll in P_HLTH 8980 Public Health Internship for two semesters and divide 6 credits between these two semesters (e. g. combination of 2-4, 3-3 or 1-5). Previous Semester ? Self-assessment ? Internship interest form (optional) Start of First Semester ? Internship Agreement ? Statement of Purpose ? Field Practicum Agreement End of First Semester ? Internship Progress Report, ? Updated Statement of Purpose End of Second Semester ? Finalized Statement of Purpose ? Student Evaluation ? Preceptor Evaluation ? Final Paper ? Internship Log (if needed) Work closely with/contact Academic Advisor *This option is particularly helpful for summer interns that will not complete their internships by the grading deadline in early August.This avoids having to enter an â€Å"incomplete† grade for the summer semester. Students completing their internships in the summer should register for 3 credits for the summer semester and 3 credits for the fall semester. -5- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures Preceptor Expectations As you work with your student, please consider the following guidelines for the student experience: †¢ †¢ Provide an internship description well in advance for internship position advertisement. You may use our format for the advertisement (See Appendix 4). At the beg inning of the internship, complete agency-student contract with student and Faculty Advisor.Determine semester meeting dates and times for routine meetings with your student. (Other meetings can be scheduled as needed throughout the semester). Specify orientation activities you want your student to complete early in their experience. Clarify call-in procedure if student will miss or be late to the assigned daily experience. Provide a list of resources that you use (e. g. pamphlets/brochures), information from other agencies, other staff resources, etc. for students to use during the semester to help with project work and/or understanding the work of public health agencies. Review student’s progress on their project and notify Field Placement Coordinator if there are any concerns.Notify Field Placement Coordinator regarding any problems or concerns regarding student’s behavior. Discuss and plan with the student the type of final report you expect on the project(s). We e xpect that students will customize this report to the needs of your project. This report is flexible and may include written summaries, data disk, survey tool, teaching materials, etc. – whatever best serves your needs and the project(s) needs. Complete an evaluation of the student at the end of the internship experience and email Field Placement Coordinator. Share with student as you feel appropriate. Document your work and time as a Preceptor according to your agency’s evaluation protocol. †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ _____________________________________________________________________________________ Project Selection We ask that preceptors and their agencies choose projects that they would like students to work on. When making choices for students, please consider the complexity of the project, time demands for the Preceptor and the student, timeliness of project deliverables, and feasibility for student the student to complete t he work, e. g. working with outside collaborators, having adequate resources, and similar constraints. After selecting a project, list in detail the steps involved in project. The student is responsible for coordinating with the MPH Program Faculty Advisors about the project selection. -6-University of Missouri-Columbia Public Health Program 2010-2011 MPH Internship Procedures Student Expectations During this course, you will be gaining experience in a public health agency and working with a Preceptor on a specific project. The agency and the Preceptor are volunteering to assist you in meeting your educational goals. General student expectations for this experience are listed below: †¢ †¢ †¢ †¢ Contact the Preceptor/agency regularly to discuss progress on your project. Accomplish activities as stated in the Internship Statement of Purpose contract. Participate in activities offered by the Preceptor in addition to the work on your project.Inform the Preceptor/agen cy and clinical instructor about problems/issues related to population and/or project work. Any unresolved issues may be brought to your Faculty Advisor and the MPH Program Administrative Staff. Be responsive to Preceptor/agency requests. Demonstrate professional behaviors, including appropriate dress, language, punctuality, call-in procedure, and discussion with clients and health professionals. †¢ †¢ Preceptors will evaluate your performance based on these expectations. The internship is a pass/fail program. The work on your project must meet the needs of the agency/Preceptor for you to pass the internship. Faculty Advisor ExpectationsThe Faculty Advisor is a very important academic figure during the internship process. He/she serves along with the Field Placement Coordinator as a bridge between the student and the Preceptor as needed. The role of the Faculty Advisor becomes more important when the student faces problems during the internship. He/she must work in conjunc tion with the Field Placement Coordinator to sort out any problematic issues. Further, considering development of the student and current competitive environment, the Faculty Advisor should be prepared to discuss the following with prospective interns: 1. Will this project be at graduate student level? 2. Is this project going to meet MPH Program Competencies (see Appendix 1)? 3.Will it lend itself to a capstone project? (This is not required but desirable for students who are seeking publications or PhD. ) -7- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures INTERNSHIP AGREEMENT UNIVERSITY OF MISSOURI MASTER OF PUBLIC HEALTH PROGRAM STUDENT STATEMENT: I, ________________________________________ agree to perform my internship at the agency and with the Preceptor named below. I understand that in order to satisfy the internship requirement, my proposed project(s) must have the approval of the Preceptor and the Faculty Advisor. I have attached learning objectives and activities with this contract.I agree to complete all pre-internship requirements (readings, physical exams, background checks, etc. ) as requested by the sponsoring agency. I understand that I must complete approximately 360 clock hours to satisfy program requirements. This might be completed as a single full-time block (about 9 weeks at 40 hours per week) or part-time during the course of several months and up to one year. The current internship will be approximately _______ hours/week for _______ weeks. Compensation for this internship period will be $_________ per _________. I understand I may or may not receive compensation. I understand that if I do receive compensation, it will be from the agency and not from the University of Missouri.I understand that I may or may not be covered by the agency’s worker compensation benefit, and I agree to obtain health insurance in the event I will not be covered by the agency for worker’s compensation. I understand that the Preceptor and Faculty Advisor will evaluate my progress jointly. I will present all report materials in the format requested by the Preceptor and/or the Faculty Advisor. I understand that if my performance is not satisfactory, I may be re-assigned by the Faculty Advisor. I will complete all required evaluations and documentation as specified in the MPH Internship Procedures and submit them to the MPH Program Associate Director. I understand that a final grade will not be issued until the Faculty Advisor receives all paperwork.With respect to the agency, I agree to maintain privacy regarding any information with special confidentiality requirements (patient information, financial information, etc. ). Student Signature: _____________________________________________ Date: ___________________ Preceptor Signature: ____________________________________________________________________ (Title) Agency/Organization:________________________________________________Date:___ ___________ Major Program Advisor Signature: _____________________________________Date:_______________ (If Needed) Dual Degree Advisor Signature: __________________________________________ Date: ___________ -8- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures INTERNSHIP STATEMENT OF PURPOSEUNIVERSITY OF MISSOURI MASTER OF PUBLIC HEALTH PROGRAM (Attach more information if needed) Instructions: 1. Complete the first three columns of the table at the start of the internship. Competencies may be selected with the help of the Faculty Advisor and Field Placement Coordinator and can be found in Appendix 1. 2. Objectives should be measurable and specific to the internship project (e. g. develop a survey for assessing barriers to breast-feeding in low-income women). 3. Once completed, the Statement of Purpose must be signed by the Faculty Advisor, Preceptor, and intern and a copy turned in to the Field Placement Coordinator. 4. At Midterm and Final, the objectives should be re-evaluated and addressed in the appropriate column.The overall purpose of my internship is: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ COMPETENCIES OBJECTIVES ESTIMATED COMPLETION DATE MIDTERM PROGRESS FINAL EVALUATION -9- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures Page 2 – MPH PROGRAM INTERNSHIP STATEMENT OF PURPOSE COMPETENCIES OBJECTIVES ESTIMATED COMPLETION DATE MIDTERM PROGRESS FINAL EVALUATION Preceptor: _________________ Date: _______ Midterm: _________________ Date: _______ Final: ____________________ Date: _______ Advisor: _______________ Date: __________ (At the start of internship) Student: _______________Date: ______ Field Placement Coordinator________ ____ Date:_______ Midterm: ______________ Date: _______ Final: _________________ Date: _______Midterm: _____________________________Date:_________ Final: _________________________________Date:________ -10- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures INTERNSHIP PROGRESS REPORT Preceptor and Intern: Complete this form about halfway through the internship. Return this form to the MPH Program Administrative Associate, University of Missouri Master of Public Health Program, 802 Lewis Hall, Columbia, MO 65211. Student Name: ________________________________________________________________________ Internship Site: _______________________________________________________________________ Preceptor: ___________________________________________________________________________ (Title)Period Covered by Progress Report: _____________________________through ___________________ Total Hours Worked to Date: ___________________ _________________________________________ Activities observed and/or participated in during this period: ___________________________________ _____________________________________________________________________________ ________ _____________________________________________________________________________________ A. Student Intern Comments: 1. Brief description of Internship to date: 2. Self-assessment of progress/accomplishments: -11- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures PRECEPTOR FINAL INTERNSHIP EVALUATION Preceptor: Complete this evaluation within one week following the completion of the internship. Please return the evaluation to the MPH Program Administrative Associate, University of Missouri Master of Public Health Program, 802 Lewis Hall, Columbia, MO 65211.Student Name: ________________________________________________________________________ Internship Site: ________________________________________________________________ _______ Preceptor: ___________________________________________________________________________ Internship Dates: from _______________________________ through ___________________________ Please evaluate the intern’s performance and University of Missouri Master of Public Health Program faculty and staff participation during the internship period (please feel free to submit any additional attachments): 5 – Excellent 4 – Above Average 3 – Average 2 – Below Average 1- Needs Improvement NA – Not Applicable A. Internship Performance: Reliability (attendance, punctuality, etc. ) Initiative Organizational Skills Enthusiasm for Project(s) Time Management (completing projects, etc. ) Independence in Project(s) Team Skills Exercised Appropriate Judgment 5 5 5 5 5 5 5 5 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 NA NA NA NA NA NA NA NAStudent competency goals (from Statement of Purpose) achieved 1_______________________________ 2___ ____________________________ 3_______________________________ 4_______________________________ 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 NA NA NA NA Additional comments: __________________________________________________________________ ____________________________________________________________________________________ (Signature of Preceptor) (Date) -12- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures STUDENT FINAL INTERNSHIP EVALUATION Return this form to the MPH Program Administrative Associate, University of Missouri Master of Public Health Program, 802 Lewis Hall, Columbia, MO 65211 within one week of completing the internship.Student Name: ________________________________________________________________________ Internship Site: _______________________________________________________________________ Preceptor: ___________________________________________________________________________ Internship Dates: from ________________________ thro ugh _____________________________ Please answer the following questions including the comments section. SA: Strongly Agree SD: Strongly Disagree A: Agree D: Disagree NA: Not Applicable 1. My internship contributed to the development of my career interests. 2. My internship provided me with new information and skills. 3. My internship provided an opportunity to use theory and/or information obtained in the classroom. 4. My internship activities were relevant to my learning objectives. 5. My preceptor was accessible to me and provided adequate supervision. . My preceptor provided information regarding agency policies and standards of practice. 7. My preceptor was knowledgeable in his/her area of responsibility. SA SA SA A A A D D D SD SD SD NA NA NA SA SA SA SA A A A A D D D D SD SD SD SD NA NA NA NA Comment: _________________________________________________________________________ __________________________________________________________________________________ _____________________ _____________________________________________________________ (Signature of Student) (Date) -13- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures Guidelines for Final PaperThe student must submit to the Field Placement Coordinator a brief paper or report that summarizes internship activities and accomplishments. The format of the summary may vary, but it should sufficiently describe the scope of the intern’s activities and any special projects undertaken. Include views on the experience, achievement of learning objectives, strengths, and weaknesses. * †¢ †¢ †¢ †¢ 2-3 pages, not more than 1000 words. Use font of Times New Roman with size of 12. Double-spaced lines. Due one week after completion of internship. *In particular, please elaborate on one of the following cross-cutting competencies, stating how your internship experience has helped in achieving it.Use the basic concepts and skills involved in culturally ap propriate community engagement and empowerment with diverse communities. Cite examples of situations where consideration of culture-specific needs resulted in a more effective modification or adaptation of a health intervention. Describe the attributes of leadership in public health. Apply social justice and human rights principles when addressing community needs. Embrace a definition of public health that captures the unique characteristics of the field (e. g. , population-focused, community-oriented, prevention-motivated and rooted in social justice) and how these contribute to professional practice.Distinguish between population and individual ethical considerations in relation to the benefits, costs, and burdens of public health programs. In collaboration with others, prioritize individual, organizational, and community concerns and resources for public health programs. Explain how the contexts of gender, race, poverty, history, migration, and culture are important in the design of interventions within public health systems. Analyze the effects of political, social and economic policies on public health systems at the local, state, national and international levels. -14- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures APPENDIX 1Competencies to Be Used for Internship Learning Objectives Biostatistics 1. Propose preferred methodological alternatives to commonly used statistical methods when assumptions are not met. 2. Develop written and oral presentations based on statistical analyses for both public health professionals and educated lay audiences. 3. Partner with communities to attach meaning to collected data. Epidemiology 1. Evaluate the integrity and comparability of data and identify gaps in data sources. 2. Select and define variables relevant to defined public health problems. 3. Obtain and interpret information regarding risks and benefits to the community. 4.Design and evaluate surveillance systems for mic robiological hazards to human health of animal origin including new, emerging and re-emerging zoonotic diseases, foodborne diseases, and those due to antimicrobial resistant bacteria. 5. Communicate epidemiologic information to lay and professional audiences. Health Policy and Management 1. Differentiate and analyze the social determinants of health status. 2. Evaluate the effects of political, social, and economic policies on public health systems at the local, state, national, and international levels. 3. Use information technology to access, evaluate, and interpret data and influence public health policy. 4. Solicit and interpret input from individuals and organizations about public health issues and/or programs. 5.Design and adapt approaches to problems that take into account cultural differences. 6. Build and manage partnerships and work as an effective member of a diverse and/or interdisciplinary team. Social and Behavioral Science in Public Health 1. Analyze the causes of soc ial and behavioral factors that affect health of individuals and populations. 2. Compare and contrast the effectiveness of social and behavioral models in addressing public health problems. 3. Evaluate the impact of social and behavioral science interventions and policies on public health programs and outcomes. 4. Establish targets and formulate interventions for social and behavioral science programs and/or policies. 5.Design public health programs and strategies responsive to the diverse cultural values and traditions of the communities being served. Environmental Health 1. Develop a testable model of environmental insult. 2. Outline a health impact assessment of a public policy proposal or infrastructure development proposal. 3. Effectively communicate about and manage environmental risks. 4. Interpret and construct logical arguments concerning the balance of individual and community risks, rights, and benefits. -15- University of Missouri Master of Public Health Program 2010-201 1 MPH Internship Procedures 5. Identify, evaluate, and devise intervention strategies for the prevention and control of foodborne disease threats. 6.Provide health education and/or extension education services to a wide array of stakeholders including farmers, food processors, and the general public. 7. Conduct biomedical research and engage in production and control of biological products and medical devices. Communication 1. Collaborate with communication and informatics specialists in the process of design, implementation, and evaluation of public health information programs. 2. Use the media, advanced technologies, and community networks to communicate information. 3. Use informatics and communication methods to advocate clearly and effectively for community public health programs and policies. -16- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures APPENDIX 2SELF-ASSESSMENT OF EXPERIENCE/COMPETENCY Below you will find summarized versions of the competencies with which each MPH student, regardless of Emphasis Area, will be expected to graduate. The full, detailed list of competencies is available on the MPH Program website. The completion of this self-assessment will serve both as a guide for individuals in shaping their internship and capstone experiences and for the program as a whole, in evaluating and revising our curriculum. For each question, please record your answer on the attached answer sheet according to the following scale: 1. NO EXPERIENCE 2. AWARE 3. KNOWLEDGEABLE 4. PROFICIENT 5. N/A BIOSTATISTICS 1.Be able to identify data sources and apply descriptive and inferential methodologies for answering research questions, as well as describe preferred methodological alternatives to commonly used statistical methods when assumptions are not met. 2. Develop written and oral presentations based on statistical analyses for both public health professional and educated lay audiences while applying ethical principl es to the collection, maintenance, use, and dissemination of data and information. ENVIRONMENTAL HEALTH SCIENCES 3. Analyze the impact of environmental and occupational hazards on population health. 4. Describe prevention, control, risk management, and communication strategies in relation to the issues of environmental justice and equity at local, national, and global levels. 5.Explain the physiological, psychosocial, biological, molecular, and toxicological effects of environmental and occupational insults on population health. EPIDEMIOLOGY 6. Describe and quantify health problems in terms of magnitude, person, time, and place in the community and understand the application of community-based participatory research. 7. Calculate basic epidemiology measures and evaluate the integrity and comparability of data. 8. Understand basic survey design, its ethical and legal principles, and analysis with appropriate epidemiological and inferential methods. (Continued†¦. ) -17- Universit y of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures HEALTH POLICY AND MANAGEMENT 9. Describe the history, structure, and emerging advances in health care systems.Identify, differentiate, and describe the elements of the organization, financing, functioning, regulation, and delivery of health services and understand the consequences of changes to those systems, including unintended ones. 10. Understand the social determinants of health status and analyze the impact of political, social, legal, ethical, technological, cultural, and economic factors on public health policy and delivery systems at local, state, national, and international levels. 11. Articulate and analyze the principles of strategic planning, program development, budgeting, marketing, and evaluation through the use of quality and performance improvement tools and community and stakeholder participation. 12. Partner with communities to identify risks, enefits, and limitations of public heal th programs and recognize ethical, political, scientific, and economic issues arising from them. SOCIAL AND BEHAVIORAL SCIENCES 13. Understand the theories, concepts, and models of social and behavioral change and apply evidence-based quantitative and qualitative approaches for program planning, implementation, and evaluation of public health interventions at primary, secondary, and tertiary levels. 14. Differentiate between linguistic competence, cultural competency, and health literacy and understand the importance of cultural diversity in the development and implementation of community-based public health interventions. COMMUNICATION 15.Understand the role of public health communications in the dissemination of health information to diverse communities and demonstrate written, oral, and informatics skills that advocate clearly and effectively for public health programs and policies to both professional and lay audiences. 16. Collaborate with communication and informatics speciali sts in the process of design, implementation, and evaluation of public health programs. 17. Use the media, advanced technologies, and community networks to communicate information. Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ -18-University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures APPENDIX 3 Student Internship Interest Form Consider the following areas as a guide while preparing to select an internship. Write responses in the space provided if you wish to review this form with your Faculty Advisor or the Associate Director. SETTING/TYPE OF AGENCY: Types of agencies/organizations (e. g. hospital, health department, industry governmental agenc y, etc. ) that you believe would provide the kind of educational and professional experience you need: SKILLS: Any special skills you wish to use or develop during the internship: SUBJECT/CONTENT AREAS: Content areas (e. g. ealth promotion, infectious diseases, social issues, etc. ) in which you might like to work: LOCATION: List in order of preference the geographic location(s) you would prefer: SPECIAL POPULATIONS: Any special populations you would like to work with (e. g. , children, women, persons with disabilities, etc. ) PERSONAL NEEDS: Consider all personal needs that could constrain your placement at a particular site (e. g. accommodations needed as per ADA, religious considerations, etc. ) TIMING: Any preferences regarding timing, including work schedule requirements, time of year requirements, etc. FINANCIAL: Not all public health internships are paid. Do you need a paid internship? Yes/NoOUT-OF-TOWN: Have you considered out-of-town internship (e. g. CDC)? If you are inter ested in an out-of-town internship, are you able to take care of transportation and housing during that time: Yes/No OTHER COMMENTS: Please provide any other information that would assist the MPH faculty in finding an appropriate internship for you. -19- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures APPENDIX 4 INTERNSHIP DESCRIPTION FORM Agency: ______________________________________________________ Department name: _______________________________________________ Overview of the program: ________________________________________Overview of the internship: _______________________________________ †¢ When are these positions offered? o Time frame: Open fromo Hours required: Location: On-site Vs Off-site Pay/ Stipend: Accommodation: Yes/No to- †¢ †¢ †¢ Qualifications: ___________________________________________________ Application deadlines: ___________________________________________ Travel: _______________________________ ___________________________ Contact information: _____________________________________________ -20- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures APPENDIX 5 Field Practicum Placement Agreement Between The Curators of the University of Missouri AndThis agreement is made on the day of , , between the Curators of the University of Missouri, for the Master of Public Health (MPH) Program, University of Missouri, hereinafter referred to as â€Å"the University† and hereinafter referred to as â€Å"the Agency†. It is mutually agreed by the University and the Agency that the practicum experience for students, in the field of Public Health, will be provided at the agency. The number of students assigned at a given time shall be determined by the Agency. Representatives of the Agency and the University shall cooperate in developing methods of instruction, objectives and other details of the field experience. The faculty of the Univers ity will assume responsibility for the selection and assignment of students to the learning experience. The students shall follow the Agency’s rules, regulations and procedures.If problems arise, the Field Placement Coordinator for the University shall be notified and representatives from the University and Agency will mutually handle such problems. Students will receive a thorough orientation to the Agency setting. University faculty members and Agency staff supervisors will evaluate the students’ performances by mutual consultation. The Agency will retain full responsibility for the clients of the Agency and will maintain administrative and professional supervision of students insofar as their presence affects the operation of the Agency and/or the direct or indirect provision of services for clients of the agency.The Agency shall be responsible for arranging immediate care in case of accident or illness of students but is not responsible for the costs involved, foll ow-up care or hospitalization. It is understood that assigned students are not University employees and therefore are not covered by Social Security, Unemployment compensation or Worker’s Compensation through the University. The University and the Agency do not and will not discriminate against any applicant for the field experience because of race, color, religion, sex, handicap, national origin, age, or status as a Vietnam era veteran. -21- University of Missouri Master of Public Health Program 010-2011 MPH Internship Procedures This agreement shall begin on the date set forth above in the initial paragraph of the Agreement and shall terminate on the 31st day of August, , provided, however, that the Agreement shall continue thereafter automatically for successive one-year terms running from September 1 to August 31, subject, however, to the right of either party to terminate the agreement, without liability or cause, at the end of the initial term or at the end of any subse quent annual term by giving the other party prior written notice no later than August 1st immediately preceding the beginning of the next successive annual term on September 1st.IN WITNESS WHEREOF, the parties hereto have caused this instrument to be duly executed by their properly authorized representatives. THE CURATORS OF THE UNIVERSITY OF MISSOURI Agency Name Signature Title Date Agency’s Mailing Address & Phone Number _________________________________ __________________________________ __________________________________ ( ) __________________________ -22- University of Missouri Master of Public Health Program 2010-2011 MPH Internship Procedures APPENDIX 6 LOG OF HOURS (for University of Missouri Master of Public Health Program Internship) Intern: ________________________ Duration: ______________________ Preceptor:

Wednesday, August 28, 2019

International bussiness Assignment Example | Topics and Well Written Essays - 3000 words

International bussiness - Assignment Example Brazil has experienced massive socioeconomic transformation, and this can be dated back since the World War II. The country has seen growth from an economy that relied more on exportation of few primary products to the present day economy that is characterised by large and diversified industrial sector. The country has also transformed from a previously largely rural population to an increasingly urbanised state today. All these are clear illustrations that show the enormous strides that Brazil has taken towards its status among the fastest growing and emerging nations in the world. Brazil has an estimated population of about 200 million people which is a rapid growth from the 17.4 million in 1900. About 87 percent of the country’s population is urbanised compared to 30 percent in 1940. After going through several decades of industrialisation, Brazil presently produces more than 35 million tonnes of steel, 3 million vehicles, 66 million tonnes of corn and 60 million tonnes of cement among others annually. Other primary goods produced in the country include refrigerators and television sets. The country has a well-developed road network covering over 1.5 million kilometres well as a widespread supply of electricity (TWB 2014). The political system in Brazil involves the president being the supreme entity especially in matters concerning executing policies approved by the lower and upper houses. The Congress has a regulatory function towards decisions and actions taken by the executive. The two chambers (Chamber of Deputies and the Senate) have a role in creating legislation which are thereafter signed into law by the president. In matters of national economy, the Brazilian government has a pivotal role and influence in many aspects of the economy and its consequential growth. For example, the Government expenditures accounts for more than 40 percent of the country’s GDP. Technological advancements is an essential part in the economic

Global Study300 Movie Review Example | Topics and Well Written Essays - 250 words

Global Study300 - Movie Review Example The globalization can be considered as an outcome of discrediting communism and the excessive harnessing of fortunes by nations to the newly introduced global markets. Within the United States, Democratic as well as Republican administrations embrace unshackled globalization over the dissents of organized labor. The foremost real examination of globalization for America happened in 1993, with the execution of NAFTA. The NAFTA’s scope was the North American nations of Mexico, Canada and The United States. It was drafted and substantially afoot during the presidential term of George H.W. Bush, although it was completely enforced under the regime of Bill Clinton. This trade organization received substantial endorsement by Wall Street and business leaders but was excessively criticized by labor leaders of United States. It was Clinton plans that won during the election campaigns in 1992 which provided that NAFTA is needed to be implemented but it should force Mexico to increase pollution and labor standards in order to make them parallel to the U.S. standards. Therefore the basis of this unrestricted trade was set and the U.S policy makers can be attributed as its authors and directors (Heights Production

Tuesday, August 27, 2019

5 health indicators and analysis - Research Paper

5 health indicators and analysis - - Research Paper Example Five health indicators from three different countries will be analyzed to reveal three-income stratifications high, medium, and low income. The five health indicators are the following; death rate, Infant mortality rate, Life expectancy at birth years, literacy and HIV/AIDS adult prevalence rate. The countries are Switzerland, Mexico, and Somalia, which were selected to illustrate the disparity existing because of their income status. Death rate can be describe as the average number of deaths in a year per 1000 population and indicates the current mortality impact on population growth. Per Index Mundi, the death rate in Mexico is 4.9/1000 population at midyear, followed by Switzerland at 8.8, and Somalia at 14.55 (Index Mundi, 2011). The most probable causes of this 14.55 high incidence of death in Somalia can be attributed to lack of sanitation, poor access to medical services, and poor diet. On the other hand, the low death rate seen in Mexico can be associated with proper sanitation, easy access to advance medical care, and healthy feeding habits. The lowest infant mortality rate of the three countries stands at 4.03/1000 births followed by Mexico’s 16.77, and the highest being Somalias 103.72 (Central Intelligence Agency, n.d b). The comparison of the infancy mortality rate between the three countries raises concern, as the number of fatalities among infants in Somalia is alarming. This demonstrates the need for Mexico and Somalia to invest in more in infant and maternal health, and run programs such as vaccination to aid in reducing infant mortality. The average years lived by a group of individuals born in the same year describes the life expectancy at birth, in which Switzerland’s is relatively high. Since Switzerland is considered a higher income country, they can invest more preventive on health care and health education, which improves the life expectancy of the

Monday, August 26, 2019

Argos success in Oligopolistic market Essay Example | Topics and Well Written Essays - 1500 words

Argos success in Oligopolistic market - Essay Example Argos is the market leader in the home retail group and it is considered as the largest and the most popular market leader in the market and home merchandise market. Argos is regarded as the leader in the digital retail and it is offering more than 33000 products and it is one of the most famous and largest online retailers in the UK. Argos mainly considers the function of cost for considering the different forms in the economies of scale. In order to match in the market to gain competitive advantage and survive in the market the company faces or encounters competition in the services that are being provided by Argos which is generally of superior value. The oligopoly market comprises of the following factors such as interdependency, losses that are sustained, abnormal profit and reserves and the market power. In case of Argos, it reflects and focuses on the innovation, performance, and investment in the products and services that are mainly provided by Argos. Taking into considerati on the competitive prices of offering various products and services of Argos it can be observed that the regulatory agency is mainly responsible for maintaining and also controlling the price of the products and services that are offered by Argos. The regulation of price is considered as a very complex and critical issue and therefore it is required to supervise the operation and the services of Argos. Argos which is considered as the largest and the most well-known home retail group in the world mainly measures its performance.

Sunday, August 25, 2019

The Life and Works of William Faulkner Research Paper

The Life and Works of William Faulkner - Research Paper Example He had great taste for whiskey and by the age of seventeen he was a heavy drinker. He was some sort of a misfit all through his life due to his notorious nature, and the tendency of inventing his life stories. While still young, William became in contact with two particular individuals who he thought would be important in his life: E. Oldham (childhood sweetheart) and P. Stone (literary mentor) (Parini 3). Oldham was a famous, vivacious girl, with a social life full of energy, which enjoyed dancing and parting. Stone on the other side was a lawyer who had great interest in poetry. Both Stone and William had a mutual interest which was poetry and this was their binding factor. Stone realized William’s talent as he read some of his poems thus, started encouraging, motivating and advising him on the models of study (Weinstein 145). Following Oldham’s Marriage, Stone invited William to New Haven to live with him. While here, William was employed by the Winchester Company of Repeating Arms, where he experienced changes to his surname probably due to a typing error; Faulkner (Blotner 10). William though did not work in this company for long, since he was later invited to Canada for a cadet training as a Royal Air Force (RAF). Earlier on William had been disappointed when he tried to join the U.S Air Force, but he was put down by his height. Due to that, he made numerous lies when applying for the Canadian Royal Air Force, as he attempted to seem British. He later served in the RAF for some time, and then decided to return back to Oxford in 1918 (Gray 50). In Oxford, he engaged himself in a story telling life, where he shared exaggerated adventures he had encountered while in RAF (Oates 4). In fact, most of these stories were untrue as he told stories of the things he had done during his time as a military, which he never even did. His

Saturday, August 24, 2019

Evaluating the Efficient Market Hypothesis by Using the Forex Example Essay

Evaluating the Efficient Market Hypothesis by Using the Forex Example - Essay Example Also, Fama assumed that capital circulation has lower transaction cost. As such, every investor shares the same quality of information, under a perfectly efficient market, and so investors are unable to generate excessive returns. If the securities market was perfectly efficient then fundamental analyses and technical analyses would not be useful at all. Fundamentalists, who are centered on the ‘intrinsic value’, assert that the main failure of EMH is being too focused on long-term equilibrium while at the same time not paying any attention to the companies’ activities that generate those performances. Also, the important relationships between the financial market and businesses, or the success or failure of an investment, are really based on the factors that influence the good or bad performance of any business. For example, omitting central bank policy intervention may lead to the wrong understanding of a market being instability, thus resulting in a huge loss (Shostak 1997). Technicians who are against the hypothesis of the efficient market assert that the price moves in predictable (non-stationary) trend, which allows investors to make abnormal profits from the different psychologies and trading styles. The Wall Street Journal editor Charles Dow deemed the technical analysis to be a new approach to studying the moving trends affected by the attitudes of participants towards different economic, monetary, political and psychological factors. Since the technical approach deems the price to be an outward manifestation of mass psychology, the analysis will tend to predict the future price based on the large of the number of participants’ moods between panic, panic or confidence, greed, and optimism (Pring 1991; Neely and Weller 2011). Therefore, technicians disagree with the Efficient Market Hypothesis that all investors are rational.

Friday, August 23, 2019

MANAGERIAL TRAITS AND SKILLS Dissertation Example | Topics and Well Written Essays - 250 words

MANAGERIAL TRAITS AND SKILLS - Dissertation Example The trait of being self-confident and tolerant to stress plays a very important role to be creative and tactfully handle situation. Dominant nature of the individual helps to lead a team and organise managerial activities in his/her own way of working. The trait of being ambitious facilitates the process of achievement of certain task for the leader. As a researcher how would you establish if those traits are fundamental to the effectiveness of the leader? A leader should have the traits within to be successful in the implementation process. An informative leader has the capability to understand the methods and the processes to manage the technical aspects of the managerial activities for the different organisational units. The conceptual skill of the person grows the creativity and foresight involves in the process of judgment and manage critical situation in the organization. The interpersonal skill of an individual helps to understand the human behaviour or any processes and take decision according to the motives of the others and will be able to communicate with the surroundings. These are the traits required by a person to be a successful leader in the long run. Reference Changing Minds.org. (2011). Trait Theory.

Thursday, August 22, 2019

Surface Chemistry Essay Example for Free

Surface Chemistry Essay It is the phenomenon in which a substance is uniformly distributed all over the surface. Difference between adsorption and absorption: Absorption (i) It is the phenomenon in which a substance is uniformly distributed throughout the bulk of the solid. (ii) It is a bulk phenomenon. (iii) The concentration is uniform throughout the bulk of solid. Adsorption (i) The accumulation of molecular species at the surface rather than in the bulk of a solid or liquid is termed as adsorption. (ii) It is a surface phenomenon. (iii) The concentration of adsorbate increases only at the surface of the adsorbent. 7. 8. Sorption: When adsorption and absorption take place simultaneously, it is called sorption. Enthalpy or heat of adsorption: Adsorption generally occurs with release in energy, i. e. , it is exothermic in nature. The enthalpy change for the adsorption of one mole of an adsorbate on the surface of adsorbent is called enthalpy or heat of adsorption. 9. Types of adsorption: Get the Power of Visual Impact on your side Log on to www. topperlearning. com 2 a. Physical adsorption or physisorption: If the adsorbate is held on a surface of adsorbent by weak van der Waals’ forces, the adsorption is called physical adsorption or physisorption. . Chemical adsorption or chemisorption: If the forces holding the adsorbate are as strong as in chemical bonds, the adsorption process is known as chemical adsorption of chemisorption. It is highly specific (ii) It is irreversible (iii) The amount of gas adsorbed is not related to critical temperature of the gas. Physical adsorption (Physisorption) (i) It is non-specific (ii) It is reversible (iii) The amount of gas depends upon nature of gas, i. e. easily liquefiable gases like NH3, CO2, gas adsorbed to greater extent than H2 and He. Higher the critical temperature of gas, more will be the extent of adsorption. (iv) The extent of adsorption increases with increase in surface area, e. g. porous and finely divided metals are good adsorbents. (v) There are weak van der Waals’ forces of attraction between adsorbate and adsorbent. (vi) It has low enthalpy of adsorption (20 – 40 kJ mol-1) (vii) Low temperature is favourable. (viii) No appreciable activation energy is needed. (ix) It forms multimolecular layers. 11. (iv) It also increases with increase in surface area. v) There is strong force of attraction similar to chemical bond. (vi) It has enthalpy hea t of adsorption. High temperature is favourable. (viii) High activation energy is sometimes needed. (ix) It forms unimolecuar layers. Factors affecting adsorption of gases on solids: a. Nature of adsorbate: Physical adsorption is non-specific in nature and therefore every gas gets adsorbed on the surface of any solid to a lesser or greater extent. However, easily liquefiable gases like NH3. HCl, CO2, etc. which have higher critical temperatures are absorbed to greater extent whereas H 2, O2, N2 etc. re adsorbed to lesser extent. The chemical adsorption being highly specific, therefore, a gas gets adsorbed Get the Power of Visual Impact on your side Log on to www. topperlearning. com 3 on specific solid only if it enters into chemical combination with it. b. Nature of adsorbent: Activated carbon, metal oxides like aluminum oxide, silica gel and clay are commonly used adsorbents. They have their specific adsorption properties depending upon pores. c. Specific area of the adsorbent: The greater the spec ific area, more will be the extent of adsorption. That is why porous or finely divided forms of adsorbents adsorb larger quantities of adsorbate. The pores should be large enough to allow the gas molecules to enter. d. Pressure of the gas: Physical adsorption increases with increase in pressure. 12. Adsorption isotherm: The variation in the amount of gas adsorbed by the adsorbent with pressure at constant temperature can be expressed by means of a curve is termed as adsorption isotherm. 13. Freundlich Adsorption isotherm: The relationship between x and m pressure of the gas at constant temperature is called adsorption isotherm and is given by ? k P 1 /n (n ? 1) m Where x- mass of the gas adsorbed on mass m of the adsorbent and the gas at a particular temperature k and n depends upon the nature of gas and the solid x first increases with increase in pressure at low pressure but becomes m independent of pressure at high pressure. Get the Power of Visual Impact on your side Log on to www. topperlearning.

Wednesday, August 21, 2019

The following information outlines Brilliant Decisions Associations tender Essay Example for Free

The following information outlines Brilliant Decisions Associations tender Essay Introduction Within this tender for contract, Brilliant Decisions Association has outlined its aims, objectives, and aspirations for providing the City of Leeds with a modern, flexible, and state of the art health facility. The facility which our consortium will be replacing, Leeds General Infirmary, has suffered from under investment for many years. The resulting consequences have produced a health facility which fell short of the communities needs and expectations, and will continue to do so for many years unless investment is acquired. The following information outlines Brilliant Decisions Associations tender for contract for the development of a new health facility for the City of Leeds. Objectives Brilliant Decisions Association is a consortium of national and international businesses with a strategic interest in the strength and success of the Citys economy, financial sector and employment. Our consortium will provide a high quality, privately financed hospital to provide the community with a modern, flexible, state of the art hospital. We believe by providing a new health facility, the community will not only experience sufficiently increased level of care, but increased employment prospects, and improved services. These services, such as the improved transport links a new health facility will provide to the community, will provide increased access to the city and the local community, increase custom to retail outlets which will improve the strength of the communitys finances. Brilliant Decisions Association has many aspirations for the new health facility which it will deliver to the City of Leeds and the local community surrounding the hospital upon completion of the project. We believe the new health facility will be the most modern and state of the art in the country, providing flexible services to meet the needs and demands of the local community and providing the community with a wide range of employment opportunities in which they can progress through into management. We understand that no matter how efficient the new health facility is, we need the support of the local community for it to be a centre of excellence. Brilliant Decisions Association has very strong ethical views on the impact that a new health facility will have on the local community and because of this, we have a number of key areas which we will endeavour to meet with the development of the new hospital. The new health facility is going to be developed in a green field site located in the local community area. We recognise that building on this land will be difficult to accept for the local residents but we are going to develop the hospital to encompass many of the natural aspects of the green field site. We will have many open areas and gardens around the hospital for patient and visitors to walk around. We will develop any land which is not developed into the main infrastructure of the hospital by planting many trees, plants and shrubs to make the hospital less of an eyesore and to encourage the natural wild life to inhabit these areas. The new health facility will be of the highest standards in terms of quality of buildings and the internal infrastructure. The quality of buildings and dà ¯Ã‚ ¿Ã‚ ½cor which will be used will be professionally constructed so as to provide a safe environment for our staff, patients and visitors. A stringent fire safety procedure will be in place to protect the safety of our staff and patients. Our staff will be heavily trained with regular re-training exercises in the health and safety laws and regulations which govern the safety of the hospital, patients and themselves. There will be clearly visible fire and health and safety notices to inform staff and patients of emergency exits and their responsibilities. Brilliant Decision Association will endeavour to employ only quality trained staff to provide our patients with the highest quality of care available to enable the health facility to match our aims and aspirations. * To secure the most advantageous deal for ourselves, building a new hospital, we believe the cost of these advisors will be in the region of à ¯Ã‚ ¿Ã‚ ½14.000.000 on the à ¯Ã‚ ¿Ã‚ ½164.000.000 contract. The consultancy cost figures are in the higher percentage range, around 8-9% so that we do not go under budget for this expenditure. * Based on two future PFI scheme hospitals, they will have a throughput of patients per bed of 88 and 100 per year. We will aim to have a throughput of 90 in line with these future hospitals. * We feel that we can best achieve our objectives by offering a new hospital with buildings of high quality. With a new hospital there are a minimum of limitations as to what can be done, and this will hopefully appeal to the NHS trust. This is of course the option that would satisfy the shareholders in our member companies as well as it will increase their return. * Ancillary staff will be contracted to out to work with existing employees. Because we are pushing for a re-development, TUPE rules wont apply to current staff and all employees can be paid the same and the same conditions can apply to all staff. * We could introduce charges for parking; this could be an area which could provide our shareholders with a large increase in profits. Clamping could also be considered with the release fee waived if we believed it was under exceptional circumstances. Charging for televisions, radio usage and the use of bedside phones should be considered to further increase profits. Vending machines around the hospital could also be used for profit maximisation. We could aim to receive 50% return on the items purchased. * To change this public opinion/perception, we will implement an advertising campaign identifying the opportunities for the population and the district i.e. job creation and investment. We will also identify and reaffirm that it is the only and best option so that we can obtain public support for the hospital. Exhibition portfolio Issue no. 1 Use of consultants, lawyers and accountants We will utilise the expertise of the most qualified consultants, lawyers and accountants to secure the contract and provide us with the maximum profit. The cost of advisors in PFI schemes in the past has been between 2.8% and 8.7%. To secure the most advantageous deal for ourselves we estimate that the cost of these advisors will be in the region of à ¯Ã‚ ¿Ã‚ ½14.000.000 on the à ¯Ã‚ ¿Ã‚ ½164.000.000 contract. As a company we believe this expenditure is justified if we secure the contract. The consultancy cost figures are in the higher percentage range, around 8-9% so that we do not go under budget for this expenditure. As with previous PFI schemes there have been varying public opinions on the financing of their local hospitals under the PFI initiative. We could use these consultants to put to rest the public concerns. This will be discussed later in issue six. Pros and Cons for developing a new Hospital: Pros larger contract = more profits employ own staff (ancillary staff) = cheaper wages Cons Time needed to build and develop = long wait for return on investment Greenfield site No road or rail links = these would have to be constructed taking up valuable time Pros and Cons for the Refurbishment of a previous hospital: Pros Shorter development time Cons Less profit Limitations on employing own staff Poor transport links Poor emergency access as in built up area Issue no.2 Number and throughput of beds The population in the area is expected to significantly increase over the next 15 years. The area of growth that will be the largest will be that of the elderly population. If we were to aim to provide a bed for each elderly member of the public, our profit margins will decrease significantly to satisfy the increased demand. To accommodate for these future demands, we will aim to improve the throughput of beds as in other PFI financed hospitals, above the NHS average of 56-57 patients per year per bed. With these other PFI schemes, they have experienced a 20-40% bed loss when building a new hospital after the reconfiguration of services, an area in which we could investigate in order to save money and increase our profits. Based on two future PFI scheme hospitals, they will have a throughput of patients per bed of 88 and 100 per year. We will aim to have a throughput of 90 in line with these future hospitals. Pros and Cons for reducing the number of beds: PROs * Less cost * More profit CONs * Not able to cope with patients demand * Could affect success for the contract Issue no. 3 Quality of the buildings Alternatives to be considered When considering the quality of the buildings, there are several issues that need to be reviewed. First of all, we need to decide between (a) rebuilding and refurbishing the City General Infirmary (b) building a new hospital We also need to decide whether the hospital, existing or new, should be of (I) poor quality (II) average quality (III) high quality Evaluation of strengths and weaknesses Rebuilding and refurbishing the City General Infirmary: Strengths As the buildings already exist, the costs will be lower compared to building a new hospital. With less construction work needed, the chance of overdue work will be smaller resulting in less chance of being penalized. The lower costs of construction work means that the 20% profit expected by builders will be a lower amount. Weaknesses The existing buildings may cause limitations as to what can be done and likely problems with issues like size can be impossible to overcome. Building a new hospital: Strengths There are no limitations as to what can be done in terms of size, technology etc., enabling us to accommodate all the needs the NHS trust may have. Weaknesses A new hospital involves extensive construction work which will affect the cost. Because of the amount of work required, the risk of penalties due to overdue completion is high. Extensive construction work also means payment to builders will be a large figure. Poor Quality Strengths The costs will be low. Less work needs to be done. Less work means that there is a smaller chance of overdue construction work and penalties. As the cost for poor quality construction work will be low, so will the profits paid out to the builders. Weaknesses As lease agreements for PFI hospitals have a typical duration of 25 years, maintenance of the hospital will be the consortiums responsibility for a long period of time. Any savings we might make now for not investing in quality might become costly in future as shoddy construction work normally doesnt have high durability. Low quality buildings might put the health and safety of future employees, patients and visitors at risk. The chance of winning the contract may be smaller if we only offer a hospital of poor quality. Conclusion After evaluating the range of alternatives, we feel that we can best achieve our objectives by offering a new hospital with buildings of high quality. With a new hospital there are a minimum of limitations as to what can be done, and this will hopefully appeal to the NHS trust. This is of course the option that would satisfy the shareholders in our member companies as well as it will increase their return. Although going with a new hospital and the high quality option will be more costly then the other alternatives, we believe it will increase our chances of winning the contract, and future maintenance expenses will be kept to a minimum. Making a high quality hospital can also be good publicity for the consortium. Issue no. 4 Ancillary services The problem has been defined and recognised. This is concerned with the decision on whether to contract out ancillary services or to provide the service within the scheme. These are the two feasible alternatives. To complete the decision making process, the alternatives will be evaluated and the best alternative will be selected. The consortium has the opportunity to make a maximising choice. This is defined as the decision making the best choice of various alternatives. The decision making condition is that of Uncertainty. The decision maker is not able to predict the outcome of the decision, a range of possible outcomes may be identified and evaluated but there is in-sufficient information to derive outcome probabilities. The problem raises some financial issues. Contracting out the ancillary services is the most profitable course of action for the consortium. Using self-provided employees is less profitable because there pay and working conditions are protected by the TUPE (Transfer of Undertakings) rules. If external ancillary staff were employed, they wouldnt be protected by the TUPE so the consortium could cut costs by paying staff at a lower level. There is also the possibility of a hospital development rather than a refurbishment which would mean that TUPE would not apply to the staff. This would mean that the pay level could be reduced to cut costs and produce a larger level of annual profit. The financial decision raises some ethical issues also. Previous consortia have encountered problems when ancillary staff have been hired and are working with self-provided employees. The ancillary staff are paid at a lower rate then the self-provided staff because self-provided staff are protected by TUPE rules. There will be two sets of staff performing the same operations within the hospital but being paid at two different rates. This could lead to poor team-work between the two different sets of staff. This could lead to in-efficiency and poor performance of staff. Strikes could be encountered and this has been experienced by previous consortia. A strike could increase the workload of self-provided staff who may not be able to cope. The question has to be asked on whether it is ethically right and fair to set the level of pay to two different levels for the same job. The two main issues to contend with before a decision is made the financial and ethical factors. The advantages of hiring ancillary staff are that it is more profitable and are not protected by the TUPE rules so the conditions provided dont have to meet certain standards. However, the hiring of ancillary staff may disrupt the running of the hospital. Strikes could be encountered and the relationship between the ancillary staff and the self-provided staff would not be ideal leading to poor performance of staff. There is also the possibility of a development in contrast to a refurbishment which would mean that self-provided staff wouldnt be protected by TUPE rules. After evaluation of the possible alternatives, it has been decided that the best course of action is to provide staff ourselves. The hiring of ancillary staff would be too much of a disruption for the running of the hospital. With the possibility of a development, self-provided staff wouldnt be protected by TUPE rules. This would mean that self-provided staff would be just as profitable as hiring ancillary staff. Business Decision Analysis model: An analytical decision model can be used to help evaluate and interpret which decision will provide the best outcome. As decision makers, we are operating under the conditions of Uncertainty. The Stochastic model can be used because it incorporates the estimates of probability. A model can be created to help determine which decision will produce the best outcome. The problems encountered with a stochastic model are that it can be difficult to create estimates of the probabilities. The probabilities will be derived using the Subjective method. Under this method, the decision maker uses opinion, intuition, judgement and past experience. The probability tree below conveys the estimates associated with the alternatives concerned with the financial possibilities; ANCILLARY (1High profit) REFURBISHMENT CONSORTIUM SELF PROVIDED (2Lower profit) DEVELOPMENT ANCILLARY (3High profit) SELF PROVIDED (4High profit) Outcome number Probability 1 (0.6 x 0.5) = 30% 2 (0.6 x 0.5) = 30% 3 (0.4 x 0.5) = 20% 4 (0.4 x 0.5) = 20% The decision tree above shows four possible outcomes from the alternatives. The two types of outcome is high and low profit. There is a higher chance of refurbishment rather than development because that is the original proposition. But the development does have its advantages to the government so this should have a reasonable amount of probability associated with it. From these two original options, the consortium can contract out staff or self-provide staff. There is a 50% chance of the consortium choosing each option. These two options will produce a financial outcome. The table above shows these financial outcomes and the probability associated with them. The table shows that choosing ancillary services provides a 50% of profit. This is a 30% probability from the refurbishment and a 20% probability from the development. The development also provides an extra 20% probability of profit from the development because there is no TUPE protection for self-provided staff. This shows that there is a 70% chance of profit from the alternative of choosing ancillary staff, which is the reason why this alternative has been chosen. However, it has been taken into account that these probabilities are estimates and there is room for marginal error. Issue no. 5 Charges for parking and television There are a number of options that could be considered so as maximise shareholder profits, many already employed in other PFI hospitals. We could introduce charges for parking; this could be an area which could provide our shareholders with a large increase in profits. Clamping could also be considered with the release fee waived if we believed it was under exceptional circumstances. Charging for televisions, radio usage and the use of bedside phones should be considered to further increase profits. Vending machines around the hospital could also be used for profit maximisation. We could aim to receive 50% return on the items purchased. Issue no. 6 Opposition to PFI financed hospital Within the local population, there is an 81% objection rate to a PFI financed hospital. They will however accept this proposal when they realise it is the only real option for development of their health services. To change this public opinion/perception, we could implement an advertising campaign identifying the opportunities for the population and the district i.e. job creation and investment. We could also identify and reaffirm that it is the only and best option so that we can obtain public support for the hospital. We could use the services of the consultants/advisors to either carry out this advertising campaign or advise the company how we should do it and get another company in to do it. The second option would cost more money and would reduce our profits. Refinancing We intend to refinance the deal as soon as the risky phase of the construction is complete. We are doing so in order to increase the return on profits for our shareholders. Theoretical decisions During the decision making process we aimed to use the rational model of decision-making. This process had the potential to be successful because: * Goals were known the goal or aim is to win the contract to build and run a new hospital under the PFI Initiative * Information/resources were available through the Department of Health website and other available information it was possible to research previous PFI schemes and what they offer * Prediction is feasible the outcome of the decision will hopefully mean that we will win the contract and this is a feasible prediction as we have as much chance as any other group to win the contract The Rational Model: 1 Identify and design the problem 2 Gather and sort the information 3 Generate the broadest possible range of alternatives 4 Evaluate the strengths and weaknesses of alternatives 5 Select the optimal alternative 6 Implement and monitor the effectiveness The Rational Model applied to our decision-making: 1 Create and submit a promising tender for contract to build and run a Hospital under the PFI Scheme by exceeding present expectations of similar schemes in order to win the contract. 2 Researched previous PFI schemes in order to improve the performance and meet expectations 3 Choose whether the best option would be to build a new hospital or refurbish a previous hospital 4 Identify the six issues in terms of which decision to take pros and cons of each alternative 5 To build a new Hospital in order to increase the chances of providing a better service, whilst benefiting the community, the NHS and our needs, in order to win the contract 6 Submit the tender for contract and wait to see if the contract has been won by ourselves The constraints of the decision making process meant that as a group we may have satisficed rather than maximised due to constraints such as limited availability of resources and time limitations (deadline needing to be met). After attempting to take the Rational approach it can be seen that the decision making process ended up being Bounded Rational as we ended up satisficing the end result. Despite attempting to be rational during the decision making process the actual processes was much more chaotic and Cohen et als (1972) Garbage Can Model is more appropriate to the way in which our decisions were made. The Garbage Can Model: Cohen et al identify that there are 4 independent processes affecting decision-making. These four processes all coincide with each other randomly until the decision is made. Our decision-making was chaotic but eventually as the 4 processes merged the decision was made. * Problems create a proposal that appeals to the local community and the requirements of the NHS to win the contract. * Solutions win the contract * Participants we are a group of business men and women leading a consortium of companies * Choice Opportunities To build a new hospital or refurbish the existing hospital. Factors affecting the decision-making Process: Risk and Uncertainty * Risk the contract will be won by another group choices have to be made about the hospital i.e. new or refurbishment in order to attract the interest and win the contract. * Uncertainty the results of the decision are uncertain as we do not know what the competitors proposals contain. Ethics: When building something as important a hospital the needs of the patients are top priority and the requirements of the staff to provide a safe and workable environment. Societal ethics, professional ethics and individual ethics are important factors in the decision-making process. During the decision-making process the group was not affected by Groupthink or risky-shift. Bibliography Whittaker. L, BDA Lecture notes. www.dh.gov.uk

What Are The Effects Of Child Labour Young People Essay

What Are The Effects Of Child Labour Young People Essay Child labour is the working of children of ages under 18 years old for number of hours that contrast their body growth and affects their health badly. This research is studying the affects of child labour on development of countries and trying to prove that the child labour is cause of delaying of some countries due to its effects on education. To prove that an interviews with labour childrens and their families have been made. More over a lot of statistics have been gathered by me of child labour in several countries from uniceff and international labour organization in addition to world health organization .the results which have been indicated is that most of the child labour found around the world is in the developing countries because children leave schools to work so in the future they become untrained adult can work. i-Introduction Child labour is the working of young children under the age of 18 years old for large number of hours and in unsuitable jobs .It was noted that The Child labour it is the work of children in un suitable ages for unsuitable work hours or under unhealthy conditions and under certain circumstances that contrast with their body growth and their education and also their ability for creations (February 2, 1992, The Child Labour Situation) . also it was conducted that child labour is breaking of human rights which obstacle there psychological life and their physical activities (international labour organization ). Further more the child labour is mainly found in the developing countries and in Africa and Asia . some statistics The high percentage of child labor occurs mainly in mali with percentage of 54.5 Burkina Fasowith 51 percent, Niger and Uganda with 45 percent and Kenya with 4L3 percent, the report said.Bangladesh had 30.1 percent, Nigeria 25.8 Haiti 25, Turkey 24, Ivory Coast 20.5, Pakistan 17.7 percent, Brazil 16.1 , India 14.4. China U.6, and Egypt 11.2 percent. (INTERNATIONAL JOURNAL OF HUMANITIES AND PEACE. 1997). After all of that the aim of my study is to show the bad effects of child labour .moreover if the child labour has effects on developing countries in delay in development. ii-Literature review a-The meaning of child labour It was noted that The Child labour is the work of children at unsuitable ages for unsuitable work hours or under unhealthy conditions and under certain circumstances that contrast with their body growth and their education .also their ability for creations (February 2, 1992, The Child Labour Situation) . moreover it was conducted that child labour is the breaking of human rights which obstacle there psychological life and their physical activities (international labour organization ).in addition to that there is a positive meaning of child labour i.e. the children can work with their parents in home ,help in family work or get their pocket money from working in the weekends and in the summer vacations (international labour organization ). b-Causes of child labour : there are many causes of child labour the main cause for it is poverty of the families . The international labour organization noted that the poverty of the families is the main cause of child labour because the children have tow work to get money which help in keeping their life and the life of their families . in addition to that the families are not capable to pays funds of the schools . also the children who are living in slums and villages which dont have any educational facilities so they work .more over the work market are demanding more children to worm because they take low salaries and they are less trouble maker than adults for the employer . furthermore it was noted that The children works due to the poverty of their families so they need income to overcome the challenges of the life as a result they need to send their children to the work to get them money. In the other hand they cant send them to the working fields that give high wages as exportation because of restrict ing laws so they must send them to works of low wages as agriculture or servings fields. They have to work more hours to increase their income even if some of their brothers or sisters in school their parents get them out and send them to work field( number cruncher Putting children to work,By Stephen Nickell,september 2009  · prospect  · 15). In the other hand not all the causes are economic causes some of the are from family where children work with their families in farms , shops and different hand made industries said international labour organization . c-The causes of expansion of child labour The child labour spreads due to the increase in the number of the part time job with low wages and due to the simplicity of this jobs the child labour market increases . cited in (INTERNATIONAL JOURNAL OF HUMANITIES AND PEACE, 1997,GLOBAL CHILD LABOUR , Robert Evans, Reuters) . Also the large percent of divorce increases the child labour because children have to work to provides their life needs . d-Bad effects of child labour on children 1-Effects of child labour on children health The world health organization noted that the working of children in some fields are very dangerous to childrens health such as agriculture . The working of the children in the fields are very harmful because they maybe exposed to insecticides .More over they use very dangerous tools such as knives and machines . Further more they are to snakes bites , bilharithia and carrying heavy loads . The children working dont have information about how to use these machines or these tools so they can easily get hurt . Also girls are more exposed to injuries and health affections where they work at younger ages and for more hours as they work outside home and they have to work in homes too so they work for more hours . INTERNATIONAL JOURNAL OF HUMANITIES AND PEACE noted that the number of boys in the age between 10-14 is 41 million which is more than the number of girls who worked but the survey said that the girls were left at home for taking care of home and cooking and those of them who work then return and make house work so they are considered to be working more boys 2-Effects of child labour on children future and education It was noted that lately the child labour has been paid more attention specially in developing countries in which most of child labour occurs specially in countryside . further more they have noticed that child labour has many bad effects on children like reducing attendance in school . The result of child labour is that it reduces the presence in school by 46 percent and 21 percent in learning and understanding the Sciences and increasing the ability of children twice to work and moreover it affects the child health later cited in Case study integrated that In an investigation in Ghana they have discovered that due to child labour the attendance in school decreases and there is a direct proportion between child labour and the attendance in school also the ability of children to read decreases as the hours of work increases therefore there is negative proportion between child labour and education(Why Should We Care About Child Labour ?The Education, Labor Market, and Health,Consequences of Child Labor,Kathleen Beegle,Rajeev Dehejia,Roberta Gatti) The child who works today will be tomorrow un responsible adult who is un educated and not trained said ILO Director-General Michel e-Statistics of child labour in different countries International organization labour noted that 73milion children around the world from the age of 14 to 13 works two thirds of the 73 million were in Asia and 24 million were in Africa The child labour also occurs in the developed countries as united states and Britain as well as countries in south Europe It was indicated that The high percentage of child labour occurs mainly in mali with percentage of 54.5 Burkina Faso with 51 percent, Niger and Uganda with 45 percent and Kenya with 4L3 percent, the report said. Bangladesh had 30.1 percent, Nigeria 25.8, Haiti 25, Turkey 24, Ivory Coast 20.5, Pakistan 17.7 percent, Brazil 16.1 , India 14.4. China U.6, and Egypt 11.2 percent. Asia had the greatest number in the age group, with 44. 6 million or 13 percent of the total, hut Africa had the highest proportion with 26.3 percent or 23.6 million children working. Latin America lagged well behind, with 5.1 million or 9.8 percent of the group. Cited in (INTERNATIONAL JOURNAL OF HUMANITIES AND PEACE. 1997,GLOBAL CHILD LABOuR,Robert Evans, Reuters)   Ã‚  One in six children in developing countries are engaged in child labour    Children aged 5-14 engaged in child labour (%), by region (1999-2008) Boys are more likely to engage in child labour Children aged 5-14 engaged in child labour (%), by gender (1999-2008)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Child labour is most prevalent in Africa    Percentage of children aged 5-14 years engaged in child labour (2003-2008) Graphs and statistics are cited in child info with sponsored by uniceff iii-Methodology An example of the child labour I choose Ahmed who is 14 years old working at a small shop ironing and dry cleaning, in the midst of hard work already. After making interview with Ahmed i know that his family consist of 5 brothers and sisters he is the middle one. his father make him work to help him overcoming the life needs . Ahmed said that i wake every day at 7:00 oclock and ran to the shop to help my boss in ironing the customers clothes and when it is after noon i went to the customers delivering to the clothes and getting others to start ironing them and give back to the customer at night . more over i make an interview with the cause his father and with owner of the shop who permits this work . by interviewing Mr Kmal who Told me that Ahmed who works for 12 hours a day in this small age is that he now can turn on dry cleaning machine at his own without the help of know one . moreover he can iron alot of clothing in short time . by asking Ahmeds father he said that i think tha t the working of children is more greater benefit than education and Ahmed can get his own pocket money without education. more over he said that even his older brother who has been educated till thanwya ama did not working while Ahmed did. further more after getting statistics from uniceff and international labour organization I realized that that there were some 2.7 million working children aged between six and fourteen (noted in international labour organization) . i use all of this interviews and statistics to prove that the child labour is 1 of the cause of not developing our countries . iv-Reference page Goodyear, Rosemary .(2006) overworked children? , New Zealand Journal of History ,Vol. 40 Issue 1, p75-90, 16p, 1http://web.ebscohost.com/ehost/detail?vid=4hid=12sid=57000ce9-d687-48e9-84ca-10dc8fe7db23%40sessionmgr11bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=hlhAN=21083652 Nickell, Stephen.(sep2009) Putting  children  to  work, Economist and the Warden of Nuffield College, Oxford ,  Issue 162, p15-15, 1/3p http://web.ebscohost.com/ehost/detail?vid=6hid=119sid=57000ce9-d687-48e9-84ca-10dc8fe7db23%40sessionmgr11bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=hlhAN=44959548 Evans, Robert.( 1997), International Journal of Humanities Peace , GLOBAL  CHILD  LABOR ,Vol. 13 Issue 1, p86-86, 1p http://web.ebscohost.com/ehost/detail?vid=9hid=9sid=57000ce9-d687-48e9-84ca-10dc8fe7db23%40sessionmgr11bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=hlhAN=18773100 International labour organization About child labour http://www.ilo.org/ipec/facts/langen/ http://www.ilo.org/global/What_we_do/InternationalLabourStandards/Subjects/Childlabour/langen/index.htm Child Labour and IPEC: An overview,international labour organization http://www.ilo.org/public/english/region/asro/manila/ipec/about/overview.hth World health organization,hazardous child labour http://www.who.int/occupational_health/topics/childlabour/en/ http://www.childinfo.org/labour.html