This book provides a collection of current and historical data on some of the most pressing health challenges facing women, their families, and their communities. It is intended to be a concise reference for policymakers and program managers at the federal, state, and local levels. The book brings together the latest available data from various…

This paper analyzes efficiency and equity issues in public expenditures on education and health in Ghana during the 1990s. Data were drawn from reports of the ministries of education and health and from household surveys conducted 1988-98. In the late 1990s, Ghana's public expenditures on education decreased. Basic education enrollment was…

Schools desiring to set, enforce, and realize high academic standards must join with allies who set high expectations for preventing and addressing health impediments to learning. Health and learning outcomes (and inequities) are driven by powerful, remediable social environments, not by individual "lifestyle" choices. "Access"…

Women have a higher prevalence of depressive disorders compared to men. The current system of care for women with depressive disorders provides significant financial barriers for patients with lower incomes to access mental health services. Primary care systems are used extensively by women and have the potential to diagnose patients at early…

As the economic integration of Mexico and the United States intensifies, so does the cross-migration of labor forces. Subsequently, when migrant workers or their families become ill, health care is often disjointed and suboptimal. Binational health data exchange among providers of health care becomes essential. GUAPA (incorporating the first three…

This guide was developed for health care providers, policy makers, and advocates to foster awareness of circumstances that affect migrant health. Specifically, the social, demographic, and health-related environments of migrant farmworkers and their families are outlined as a basis for designing health care services and interventions that are…

Responding to the need for a universal and comprehensive approach for supporting all families with children from birth through age 5, the Early Childhood Initiative (ECI) was launched by a broad-based coalition of public and private partners brought together by the Cuyahoga County government in Ohio. This report describes the history of ECI,…

This book documents the history, successes, and failures of Save the Children's farmworker program in Zimbabwe, 1981-98. The report explores workers' past and present living and working conditions on commercial farms and describes how the program promoted a progression from workers with a migrant mentality to the building of functional…

The purpose of this study was to identify factors associated with 4 clusters of obstacles (self-reliance, privacy issues, quality of care, and communication and trust) to mental health and substance abuse treatment in 3 treatment sectors for residents of 3 reservations in the United States. Participants (N = 3,084) disclosed whether they had…

During the past decade there has been increased interest in help-seeking behavior among adolescents. This reflects the recognition that while many psychiatric problems increase markedly during adolescence, the majority of disturbed teenagers do not receive mental health services. Nearly half of all adolescents have reported using the Internet to…

This report examines the living and working conditions of adolescent migrant farmworkers. Interviews were conducted with 216 youth working during peak harvest time in six states, as well as with adult farmworkers, family members of working youth, and farm labor contractors. Most of the youth were 14-17 years old, although a few had begun work as…

This report examines focus-group recommendations addressing the issues in California's Hispanic health education. It reveals a perceived need to increase the political clout and organization of Hispanics, expand public education campaigns, and increase the access of Hispanics to affordable health care through legislative reform. In addition, the…

"Data Trends" reports present summaries of research on mental health services for children and adolescents and their families. The article summarized in this "Data Trends" discusses the role of culture in children's development and mental health, disparities, and cultural competence in children's mental health services. Access…

This report examines differences in measures of health status and health services utilization among 386 migrant children (ages 6 months through 5 years) from 253 households. Data were collected from Delmarva Rural Ministries (a migrant health center than maintains three satellite sites serving a 10-county area in Virginia, Delaware, and Maryland),…

Physician migration from the developing to developed region of a country or the world occurs for reasons of financial, social, and job satisfaction. It is an old phenomenon that produces many disadvantages for the donor region or nation. The difficulties include inequities with the provision of health services, financial loss, loss of educated…