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FASHION Iris van Herpen’s fashion awakening began in her grandmother’s attic — a little girl, running wide-eyed through a matriarch’s expansive collection of garments. One piece especially stood out. “It was lace and velvet, handmade, from the 1700s. I’ll never forget it,” says the Dutch designer. “Her attic was my dream place, where I explored dress from different periods and silhouettes.” It’s ironic that Van Herpen’s creative origins lie in fashion history, considering she is widely hailed as fashion’s leading futurist. A pioneer in sartorial 3D printing, she’s famous for her otherworldly couture pieces. “My grandmother’s collection helped me realise how influential time is on who we are, and how we express ourselves,” she says. The concept of time lies at the heart of Van Herpen’s work, which merges old techniques such as hand sewing and embroidery with cutting-edge technology. “By delving into the old craft, I developed a love of innovation,” she says. “They balance each other. I couldn’t make the garments I do now if I didn’t have the craft side of history. At the same time, it’s important to know new implementation. It feels natural for me to combine the two.” This philosophy translates into work that pushes the concept of couture forward. In 2012, Van Herpen became one of the youngest designers to be inducted into the Chambre Syndicale de Haute Couture. Unsurprisingly, her fanbase is composed of women with kindred spirits, such as Bjork, Lady Gaga, Solange Knowles, Tilda Swinton and Daphne Guinness. A Van Herpen gown isn’t just a decorative form of personal display. It’s a work of art in flowing handcrafted silk plissé, as in her voluminous, free-floating dresses for spring 2019, or hand-painted, hand-casted transparent polyurethane, as in her cocktaillength exoskeleton-like frocks for spring 2017. Throughout all of the technical feats, there is an unmistakable human touch. She explains her sew-it-yourself ethos: “My mum made clothes when I was young. I started doing this myself at the age of 14. At the art academy, I learned to do even more by hand, and hardly used the sewing machine. I was about craft, but I wanted to learn to do new things in a different way.” So she began to experiment with 3D printing in an effort to leave her comfort zone. It took her seven months to create her first piece. “The computer screen looks two-dimensional. I was so used to draping on a model with “MY PROCESS IS ALWAYS ABOUT MOVEMENT, TRANSFORMATION AND CHANGE” my hands, it felt strange,” she recalls. “But, after seeing the incredible amount of detail, I realised I could create structures that I could not possibly make by hand.” Part of the reason Van Herpen is hailed as a progressive is because 3D printing bears the promise of a more sustainable way of working in an industry notorious for its enormous footprint. 3D printing reduces waste by creating a custom garment that only uses the exact material needed. This is a completely different way of working from traditional garment-making, in which fabric is rolled out by the metre and then cut and sewn, leaving extra scraps to be thrown away. 3D printing also uses biodegradable plastic, whereas cotton farming consumes water at an unsustainable rate. “Awareness about how we start to reduce waste is growing. 3D printing is a good tool to help fashion become more sustainable. But in the end it’s about a big industry that needs to change,” she says. Van Herpen believes radical changes come from the ground up, rather than from conglomerates. “The younger labels are more flexible,” she says. “I hope the smaller voices become a bigger part of the industry. The last 50 years have been a wave toward globalisation and groups becoming bigger. For the variety of vision, it’s important to make space for new ways of looking at and creating fashion. That means more designer labels that are independent and able to survive.” In terms of her own future, Van Herpen is most excited by the opportunity that new printing techniques present – to manipulate time. She has her eyes set on 4D printing, a technique currently being developed at the likes of Harvard University and MIT. It allows advanced customisation of a complex garment to meet the specific measurements of the wearer’s body, and the look and shape of the dress can shift and change in certain circumstances. “4D printing is the next step in that you not only design your structure, but how it will transform its shape over time. It opens up a new world in which I can design colour and pattern but also design what it will do in time and what will trigger that change, whether it’s heat or water or anything you can imagine,” says Van Herpen. “I’m quite fixated by that, because my process is always about transformation, movement and change.” The little girl transfixed by her grandmother’s centuriesold velvet jacket would surely approve. PHOTOGRAPHY: PREVIOUS PAGE: ART+COMMERCE/SØLVE SUNDSBØ, THIS PAGE: PORTRAIT BY JEAN-BAPTISTE MONDINO 58 THEJAGUAR
Iris van Herpen (above) is a pioneer in sartorial 3D printing. Her otherwordly creations push the boundaries of couture and have won her many famous fans
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- Research article
- Open Access
Implementing the WHO integrated tool to assess quality of care for mothers, newborns and children: results and lessons learnt from five districts in Malawi
BMC Pregnancy and Childbirth volume 17, Article number: 271 (2017)
In 2014 the World Health Organization (WHO) developed a new tool to be used to assess the quality of care for mothers, newborns and children provided at healthcare facility level. This paper reports on the feasibility of using the tool, its limitations and strengths.
Across 5 districts in Malawi, 35 healthcare facilities were assessed. The WHO tool includes checklists, interviews and observation of case management by which care is assessed against agreed standards using a Likert scale (1 lowest: not meeting standard, 5 highest: compliant with standard). Descriptive statistics were used to provide summary scores for each standard. A ‘dashboard’ system was developed to display the results.
For maternal care three areas met standards; 1) supportive care for admitted patients (71% of healthcare facilities scored 4 or 5); 2) prevention and management of infections during pregnancy (71% scored 4 or 5); and 3) management of unsatisfactory progress of labour (84% scored 4 or 5). Availability of essential equipment and supplies was noted to be a critical barrier to achieving satisfactory standards of paediatric care (mean score; standard deviation: 2.9; SD 0.95) and child care (2.7; SD 1.1). Infection control is inadequate across all districts for maternal, newborn and paediatric care. Quality of care varies across districts with a mean (SD) score for all standards combined of 3 (SD 0.19) for the worst performing district and 4 (SD 0.27) for the best. The best performing district has an average score of 4 (SD 0.27). Hospitals had good scores for overall infrastructure, essential drugs, organisation of care and management of preterm labour. However, health centres were better at case management of HIV/AIDS patients and follow-up of sick children.
There is a need to develop an expanded framework of standards which is inclusive of all areas of care. In addition, it is important to ensure structure, process and outcomes of health care are reflected.
It is important that care for mothers, newborns and children is both available and of good quality. This is reflected in the latest global initiatives such as the strategies towards ending preventable maternal mortality (EPMM), the Every Newborn Action Plan (ENAP), and the new Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) for the post-2015 Sustainable Development Goal era [1,2,3]. Leaders of global health agencies have agreed an agenda for better measurement of the quality of healthcare and aim to align the various efforts, reduce the burden of data collection and reporting for countries and improve linkage of results with decision-making. New tools for the assessment of quality have been developed and international consensus reached on indicators for quality of care in maternal, newborn and child health [4, 5].
In 2014 the World Health Organization (WHO) developed a new integrated tool to assess the quality of care, designed to help the Ministry of Health (MoH), key stakeholders and partners in maternal, newborn and child health (MNCH) to carry out comprehensive assessments at facility level. The objectives, structure and methods differ from other global facility assessment tools currently in use in that it allows for an assessment of the quality of care provided, not just the quantity or availability. For example, the World Bank Service Delivery Indicators (SDI) initiative collects evidence on the quantity of health services to help decision makers track progress and to benchmark countries , and the WHO Service Availability and Readiness Assessment (SARA) monitors tracer indicators of service availability and readiness, with a focus on provision of interventions across the continuum of care, in order to support health system strengthening . However, despite their related focus, neither of these tools assess the quality of care. The new WHO integrated tool in principle, enables an assessment of the quality of care provided against national standards (accepted and established in context) to produce an overall diagnosis of and to identify obstacles to quality of care. It is designed to be both a management and an evaluation tool. It is proposed that this tool is used country-wide as a component of a quality improvement strategy, or in a representative sample of healthcare facilities. It can potentially also be used in a single health facility to track progress in quality of care and inform quality improvement activities.
The new WHO tool for assessment of Quality of Care incorporates existing survey modules and instruments, namely the Health Facility Survey to evaluate quality of care for sick children , and the quality assessment and improvement tool for hospital care for mothers and newborn babies . The new fully integrated tool was used for the first time in Malawi in 2015.This study reports on the practical feasibility of using the tool, its limitations and strengths. We present the key findings of the assessment as well as recommendations for adaptation and implementation of the tool at scale.
Adaptation and familiarization with the tool
In Malawi, WHO and MoH staff reviewed and adapted the WHO tool for assessment of quality of care to the epidemiology and health system context of the country. A team of national and international assessors comprising senior clinicians, nurses, representatives from medical and nursing training institutions, professional associations, committees in charge of national treatment guidelines and practicing doctors and nurses reviewed the tool and agreed the standards to be included. Standards were derived from the Malawi Standard Treatment Guidelines , the National Integrated Maternal and Newborn Health Management guidelines and the WHO Pocket Book of Hospital Care for Children . The tool was then pilot-tested in two hospitals (not included in the assessment) for the assessors to become familiar with the instrument and assess time needed to collect data.
Structure of the tool
The WHO tool for assessment of quality of care comprises four modules related to A) infrastructure, B) maternal, C) newborn and D) paediatric care. In Malawi two versions of the tool were used; one for district hospitals or tertiary care centres designated to provide Comprehensive Emergency Obstetric and Neonatal Care (CEmOC) and one for use at health centre level or health facilities designated to provide Basic Emergency Obstetric and Neonatal Care (BEmOC). The only difference between the two tools is that the CEmOC tool has three additional areas that are assessed: i) case management of Caesarean section, ii) paediatric inpatient care and iii) paediatric surgery and rehabilitation. Data was collected via: pre-formatted questionnaires; checklists for availability of services, equipment, drugs and supplies; structured forms for scoring of case management observations against standards of care; and exit interviews for health service providers, caretakers or mothers. All assessors were trained and familiarised with national standards of care across the four modules (three days). Practical sessions were held at a health facility to practice the use of the tool and scoring method.
Module A gathers basic information about infrastructure, ward layout and organisation of care including staffing. Modules B, C and D assess quality of maternal, neonatal and child health care respectively and each includes sections on: emergency care, in patient care, infection control and supportive care, essential drugs, equipment and supplies, case management, and monitoring and follow up. In total the CEmOC tool assesses 45 variables (10 variables relating to infrastructure, 14 for maternal care, 9 for neonatal and 13 for paediatric care) and the BEmOC tool assesses 43 variables (10 infrastructure, 13 maternal care, 9 neonatal care, and 11 paediatric care).
Scoring of each component of care
Across all four modules each aspect of care is observed and then scored 1–5 (5: good practice complying with standard of care; 4: little need for improvement to reach standard of care; 3: some need for improvement to reach standard of care; 2: considerable need for improvement; and 1: services are not provided, there is totally inadequate care or potentially life-threatening practice). For each area of care assessed, several standards and components of care are scored. For example, for emergency obstetric care standards relating to patient flow and layout and structure of emergency care are individually scored. The section ends with a summary table which includes a summary score (an average of all the standards assessed) in that section and space to document main strengths and weaknesses (in writing).
The selection of the five districts for inclusion in this assessment was opportunistic; they are districts where the Centre for Maternal and Newborn Health (CMNH) has an ongoing programme of work to improve availability and quality of Emergency Obstetric Care and early Newborn Care. Nevertheless, they were considered representative of the 28 districts and three regions of Malawi; two target districts are in Central region, two in Southern region, and one in Northern region. Within each district each healthcare facility providing CEmOC (i.e. the district hospital) and the five largest (according to number of births per year) healthcare facilities providing BEmOC were included. Thirty-three healthcare facilities are under the direct control of the Malawi MoH, and two healthcare facilities in district 5 are members of the Christian Health Association of Malawi. Healthcare facilities were assessed using either the CEmOC or BEmOC assessment tool depending on the level of care provided; in each district, at least one CEmOC and five BEmOC facilities were assessed. In total six CEmOC and 29 BEmOC assessments were carried out.
The assessment process
Assessments took between one to three days depending on the type and size of healthcare facility. WHO and the MoH trained district level teams to carry out facility visits; teams were multidisciplinary and included district health officers, midwives, nurses, obstetricians, paediatricians and general physicians with enough experience to make valid observations of the care provided. Most healthcare facilities were assessed by a wholly ‘external’ team, except for district hospitals where teams included one ‘internal’ staff member; typically, teams included three or four people. All facility assessments were conducted between July–August 2015.
The MoH and WHO developed a preliminary analysis plan, which CMNH adapted and used for aggregating data and reporting across the five districts. A Likert scale (1–5) was used to assess degree of compliance with standards of care. Basic descriptive statistics were used to analyse summary scores for each standard (proportion of healthcare facilities where standards were met or not) and measures of central tendency (mean scores, standard deviation (SD)). Data were entered manually and analysis was done using Excel 2013. To help districts and healthcare facilities readily identify areas in need of improvement, we developed a ‘dashboard’ to display summary scores for each standard, by facility (Fig. 1). The figure displays summary scores only; these represent the average score across all components assessed for each area of care.
Data was obtained from 31 of a total of 35 healthcare facilities assessed; two facility assessments in districts 4 and 5 were not received by CMNH and paper files were reported as missing. Data for each module are summarised in Table 1 as proportion of healthcare facilities where standards are met in each district. The mean score and standard deviation for each standard assessed are presented across all five districts, as well as for the different levels of care (CEmOC and BEmOC).
Across all five districts, referral is the only aspect of facility infrastructure/organisation of care where more than half of all healthcare facilities (51.6%) meet the standard or require little improvement (mean score: 3.7; SD 1.13) Other aspects of infrastructure and organisation that scored well across the five districts were infrastructure (3.8; SD 0.83), availability of essential drugs and blood products (3.8; SD 0.73), and health information systems (3.8; SD 0.79). Healthcare facilities scored less well in relation to standards for laboratory systems (3.3 SD 1.06) and standards relating to availability of guidelines and conducting audit or review (2.6; SD 1.11).
Three areas of maternal care met standards or required little improvement: supportive care (71% of healthcare facilities scored 4 or 5); prevention and management of infections during pregnancy (71% of healthcare facilities scored 4 or 5); and management of unsatisfactory progress of labour (84% of healthcare facilities scored 4 or 5). Average scores were lowest for infection control (3; SD 0.74), maternity wards (3.2; SD 0.77) and prevention and management of preterm labour (3; SD 1.33).
Fewer than half of all healthcare facilities comply with standards or require little improvement for neonatal care. Fifteen healthcare facilities (48% of the total) score 4 or 5 for routine neonatal care. For all other standards assessed the average score was 3.5 or less with problems highlighted for essential equipment and supplies (2.9; SD 0.95), nursery facilities (3.2; SD 1.19), and management of the sick newborn (3.2; SD 0.93).
Across the five districts, healthcare facilities generally scored well in relation to supportive care for sick children (4.2; SD 0.66); management of HIV/AIDS cases (4.3; SD 0.66) and management of malnutrition (4; SD 0.59). However, availability of essential paediatric equipment and supplies (2.7; SD 1.1), emergency paediatric care (3.2; SD 0.69), and infection control (3.2; SD 0.60) are areas in need of improvement.
Results by level of care
Table 1 presents mean scores for the standards disaggregated by level of care (CEmOC and BEmOC). Overall mean scores for all aspects of facility infrastructure and organisation of care are higher for CEmOC facilities. CEmOC and BEmOC facilities have similar average scores for most aspects of maternal care, although for availability of essential drugs, and management of preterm labour, the mean score is higher at CEmOC facilities. For neonatal care average scores are similar across the levels of care for most standards, except availability of essential drugs, equipment and supplies where CEmOC facilities have a higher mean score. For the paediatric care standards, there are no differences in average scores between CEmOC and BEmOC facilities, except for case management of HIV/AIDS patients and monitoring and follow-up of admitted children where BEmOC facilities have higher average scores.
Key emerging issues
Healthcare facilities in district 1 presented the most gaps and challenges, with an average score of all assessed standards of 3 (SD 0.19) across all healthcare facilities in the district. The healthcare facilities assessed in district 2 emerged as the best performing with an average score of all assessed standards of 4 (SD 0.27) across all healthcare facilities. The availability of essential equipment and supplies remains a critical barrier to achieve satisfactory standards of care. In particular, the availability of equipment and supplies for both neonatal care (2.9; SD 0.95) and child care (2.7; SD 1.1) was deemed to be insufficient. Infection control was also a cross-cutting area in all districts that emerged as a barrier to quality of care provided along the continuum of care, with an average score of 3 (SD 0.74) for maternal care, 3.3 (SD 0.93) for newborn care and 3.2 (SD 0.60) for paediatric care.
Case management along the continuum of care was generally scored above 3.5 across all districts and healthcare facilities, however, there were some critical emerging areas. For maternal care, standards for maternity wards (3.2; SD 0.77) and prevention and management of preterm labour (3; SD 1.33) required improvement. For newborn care, management of the sick newborn (3.2; SD 0.93); nursery facilities (3.2; SD 1.19) and emergency paediatric care (3.2; SD 0.69) require further improvement.
This is the first time the WHO integrated tool has been used to assess quality of maternal newborn and child health care at country level. Application of the tool is feasible and has provided valuable information highlighting areas of good quality care as well as where there are deficiencies in the quality of care at healthcare facility and district levels in Malawi. Using a “dashboard” to display the assessment findings makes it possible to easily identify priority areas of care that require immediate action. This study also highlights the need for modification and further standardisation of the new WHO Quality of Care tool. In particular, we recommend a reduction in the overall number of standards assessed, revision of the current set of standards such that all aspects of the continuum of care are included and revision of the formulation of standards such that these are specifically reflective of all aspects of quality (i.e. both with regard to inputs, process and outcome), measurable and adaptable to context (healthcare facility level).
Strengths and limitations of the new WHO tool
While the integrated tool is designed to assess quality across the continuum of care, the standards currently included in the tool are not fully representative of all the areas of care that need to be assessed. Antenatal care is not assessed at all and postnatal care in a very limited way. These are typically neglected areas of care which are often not included in quality improvement activities. This is in part because national standards for antenatal and postnatal care are often not in place. Developing such standards and including them in comprehensive quality of care assessments is a priority. In addition, the tool would be enhanced by including indicators for routine intrapartum care practices, for example the choice of a companion at the time of birth, freedom in position and movement throughout labour, non-supine position in labour and careful monitoring of progress with the partograph . These aspects of care, together with others relating to women’s experience of care (e.g. effective communication, care with respect and dignity), are essential and inter-linked dimensions of quality yet are difficult to assess and monitor well. Methods such as structured observation and properly conducted exit interviews with women would be appropriate to measure these aspects of care and could easily be incorporated into a revised version of the tool.
There are some important points to highlight in relation to how well the tool was able to provide complete and accurate data. It proved difficult to report on the size and capacity of the healthcare facilities assessed as the data on basic hospital statistics and outcome measures were often not available and were not collected consistently. In addition, for neonatal and paediatric module, data collection was frequently incomplete. In its current format, the tool is very long and detailed.
Some standards are easier to assess (e.g. for ward infrastructure) than others (e.g. for satisfactory progress in labour), some are better defined (e.g. criteria for the standard on referral) than others (e.g. availability of essential drugs, equipment and supplies). This does make it more likely that some aspects of care are scored more highly than others simply because the relevant “standard” is easier to measure and more accurately defined. For example, it would be more accurate and informative to collect data on stock-outs or non-availability of specific essential drugs.
Completion of exit interviews with women, caretakers and providers is a mandatory component and while some healthcare facilities did complete these, we did not have access to the complete data set and so have not reported these findings. Where case observation is used, it is not clear how many cases assessors should observe before judging whether standards are met or not. There are also challenges to relying on observation; especially the potential for assessor bias and the likely impact on provider behaviour of having an external assessor present . Peer or self-assessment at healthcare facilities are alternative approaches. In addition, if there are no cases available to observe at the time of the assessment this part of the assessment cannot be completed. In these circumstances, assessors are advised to use staff interviews and data from registers to gather relevant information where possible.
Data collection could be made more efficient via use of technology including tablets or machine readable forms, and this is something to consider for future iterations of the tool. Table 2 summarises our key recommendations for improvement of the integrated tool.
We have not reported on the resource requirements for implementing the WHO integrated quality of care assessment tool at national or sub-national level. These data could be generated reliably in future through careful implementation research conducted alongside country level assessments. The burden of collecting a large number of (additional) data on quality of care and performance at scale is a factor that other pilot assessments have encountered  and for this reason we would recommend that the tool is shortened whenever possible and/or that selected components or modules are used as needed.
The debriefing and action plan provided in the assessment tool annex was not completed for any healthcare facility, and the reasons for non-completion of this critical step in the process need to be understood, perhaps through dialogue with assessors.
Implications for policy and practice
Until recently, the emphasis has been on coverage and availability of care rather than quality . A new tool to measure quality is, in principle, useful to provide baseline information and highlights specific areas for quality improvement. The new WHO tool has this potential. A key bottleneck in quality improvement efforts at healthcare facility level in Malawi and other low- and middle-income countries is translation of assessment data to action. The dashboard approach highlights in a very visual and accessible way where the key quality of care problems exist at both healthcare facility and district level. The findings were presented at a national workshop to share lessons learnt on maternal, newborn and child health quality of care in Lilongwe, where the Minister for Health in Malawi recommended that a dashboard similar to the one developed for this analysis be adopted to help map quality of care at district level. Subsequently, the assessment data were disseminated at district level and action plans were developed. A similar standards-based action-oriented healthcare facility assessment approach has been implemented in other lower-middle income countries [16, 17], and is the core component of clinical or standards-based audit .
At a global level, the shift towards improving quality of maternal and newborn health services demands a coordinated approach. Yet measurements of quality of care are often not done consistently and there are many different tools, indicators and methods, making it difficult to compare between and within countries. There is a need to clarify where and how the new integrated WHO tool fits with other facility-based assessment tools, such as SARA and the World Bank Service Delivery Indicators (SDI) survey. The new WHO Quality of Care tool is unique in its ability to judge quality not just quantity of services, but it assesses relatively more structure and process characteristics; ideally a healthcare facility assessment tool should assess quality in relation to structure, process and outcome . There are plans to extend the SARA assessment to include structured observations of consultations between providers and women for, as well as vignettes to determine providers’ usual case management practices . It is essential that partners prioritise alignment of quality of care assessment tools. The recent development and testing by WHO and partners of a core set of harmonized maternal newborn and child health indicators is a step in the right direction, but the final indicators need to be rapidly integrated into existing tools . In addition, as with any new tool developed by international agencies, it is imperative that the standards on which the tools are based are accepted by healthcare workers and established in the local context as realistic. A recent assessment of quality of care in a low resource referral hospital in Zanzibar used a participatory approach with skilled birth attendants and midwifery and obstetrics specialists to agree realistic criteria for quality of care that reflected local realities . In this ‘bottom-up’ approach fetal heart rate assessment every 30 min was maintained as ‘optimal’ practice, but team agreed that assessments within intervals of 90 min were an acceptable audit criterion.
Facility-based assessment methods are often time consuming and expensive to use at scale. The new WHO integrated quality of care assessment tool in its current format contains a number of separate modules even though not all areas of care are represented yet. The data produced requires interpretation and discussion to distil practical advice on improvements to care. This assessment identified important lessons for future development of the tool, including shortening it and/or using specific modules at a time, streamlining data collection methods and data sources and revision of standards to ensure the three components (inputs, process and outcomes) of quality are included. With modification, the tool could be used in other countries for baseline and subsequent periodic assessments of the quality of care.
Basic Emergency Obstetric and Neonatal Care
Comprehensive Emergency Obstetric and Neonatal Care
Centre for Maternal and Newborn Health
Every Newborn Action Plan
Ending preventable maternal mortality
Maternal, newborn and child health
Ministry of Health
Service Availability and Readiness Assessment
Service Delivery Indicators
World Health Organization
World Health Organization. Every newborn: an action plan to end preventable deaths. Geneva: World Health Organization; 2014. https://www.everynewborn.org/every-newborn-action-plan/
World Health Organization. The global strategy for women’s, children’s and adolescents’ health (2016–2030). Geneva: World Health Organization; 2015. http://globalstrategy.everywomaneverychild.org/
United Nations. Every woman, every child. New York: United Nations; 2016. http://www.everywomaneverychild.org/
Madaj B, Smith H, Mathai M, et al. Developing global indicators for quality of maternal and newborn care: a feasibility assessment using health facility data from ten countries. Bull World Health Organ. 2017;95(6):445–52.
World Health Organization and Partnership for Maternal, Newborn and Child Health. Consultation on improving the measurement of the quality of maternal, newborn and child care in facilities. Geneva: World Health Organization; 2014. http://apps.who.int/iris/bitstream/10665/128206/1/9789241507417_eng.pdf
World Bank. Service delivery indicators: methodology. Washington D.C.: World Bank; 2013. http://www.sdindicators.org/methodology
World Health Organization. Service Availability and Readiness Assessment (SARA): an annual monitoring system for service delivery: Reference manual. Geneva: World Health Organization; 2015.
World Health Organization. Health Facility Survey: tool to evaluate the quality of care delivered to sick children attending outpatients facilities. Geneva: World Health Organization; 2003.
World Health Organization Regional Office for Europe. Hospital care for mothers and newborn babies: quality assessment and improvement tool (second edition). Denmark: WHO Regional Office for Europe; 2014.
Ministry of Health. Malawi Standard Treatment Guidelines. 5th ed. Lilongwe: Government of Malawi; 2015.
World Health Organization. Pocket book of hospital care for children: Guidelines for the management of common illnesses with limited resources. Geneva: World Health Organization; 2005. http://www.who.int/maternal_child_adolescent/documents/9241546700/en/
Hulton L, Matthews Z, Stones RW. A framework for the evaluation of quality of care in maternity services. Southampton: University of Southampton; 2000.
Simmons R, Elias C. The study of client-provider interactions: a review of methodological issues. Stud Fam Plan. 1999;25:1–17.
Souza JP, Gulmezoglu AM, Vogel J, et al. Moving beyond essential interventions for reduction of maternal mortality (the WHO Multi-country Survey on Maternal and Newborn Health): a cross-sectional study. Lancet. 2013;381:747–55.
van den Broek N. Content and quality – integrated, holistic, one-stop antenatal care is needed for all. BJOG. 2016;123:558.
Tamburlini G, Yadgarova K, Kamilov A, et al. The maternal and neonatal care quality improvement working group. Improving the quality of maternal and neonatal care: the role of standard based participatory assessments. PLoS ONE. 2013;8:e78282. 10.1371/journal.pone.0078282.
Duke T, Keshishiyan E, Kuttumuratova A, et al. Quality of hospital care for children in Kazakhstan, Republic of Moldova, and Russia: systematic observational assessment. Lancet. 2006;367:919–25. 10.1016/S0140-6736(06)68382-7.
Raven J, Hofman J, Adegoke A, van den Broek N. Methodology and tools for quality improvement in maternal and newborn health care. Int J Gynecol Obstet. 2011;114:4–9.
Donabedian A. The quality of care: how can it be assessed? JAMA. 1988;260:1743–8.
STAR-E, USAID, MSH, and John Snow Inc. Uganda Health Facility Assessment report. 2013; http://www.starelqas.ug/wp-content/uploads/Bugiri-District-HFA-.pdf
Maaloe N, Housseine N, Bygbjerg C, Meguid T, Khamis RS, Mohamed AG, et al. Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case control study. BMC Pregnancy Childbirth. 2016;16:351.
We would like to thank the national and international Assessors who conducted the facility visits and all staff at the participating healthcare facilities who contributed time and data to this assessment.
We gratefully acknowledge UNICEF Malawi and the World Health Organization for funding the assessment; neither were involved in the design of the study or the analysis of data. Two authors (AGA and KMA) are employees of UNICEF and provided technical oversight of data collection and contributed to writing the manuscript. The content represents the authors’ views and not the official views of UNICEF or WHO.
Availability of data and materials
The data generated and/or analysed for this study are available from the corresponding author on reasonable request.
Ethics approval and consent to participate
These finding are the results of a Ministry of Health-led assessment of government healthcare facilities in Malawi; all relevant permissions were granted at national and subnational level to conduct facility assessments using Ministry of Health-trained district level teams. No ethical approval was sought for the work.
Consent for publication
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Smith, H., Asfaw, A.G., Aung, K.M. et al. Implementing the WHO integrated tool to assess quality of care for mothers, newborns and children: results and lessons learnt from five districts in Malawi. BMC Pregnancy Childbirth 17, 271 (2017). https://doi.org/10.1186/s12884-017-1461-y
- Quality of care
- Facility assessment
- Maternal and Newborn Health

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Indian Navy’s P-8I Poseidon arrived in Reunion on 8 November as part of coordinated operations with the French Navy to provide surveillance in the Reunion exclusive economic zone (EEZ).
The Boeing P-8 Poseidon is a United States maritime patrol and reconnaissance aircraft developed and produced by Boeing Defense, Space & Security, and derived from the civilian Boeing 737-800. It was developed for the United States Navy (USN).
Joint surveillance and mapping took place from 9 to 11 November with the P-8I and French Navy Falcon 50 maritime surveillance aircraft.
“This deployment will further enhance maritime domain awareness, security and safety in the Southern Indian Ocean Region (IOR),” the Indian Navy said.
Réunion is an island in the Indian Ocean that is an overseas department and region of France. It is located approximately 950 km (590 mi) east of the island of Madagascar and 175 km (109 mi) southwest of the island of Mauritius.
In addition to joint surveillance and ocean bed mapping, France and India will combat piracy, drug trafficking, arms smuggling and the presence of ‘extraneous powers’ on the eastern seaboard of Africa.
The joint surveillance mission comes after a similar mission in May 2022, which involved a P-8I deploying to Reunion along with French frigates Floreal and Nivose, and a P-8I deployment to Reunion in March 2020.
The joint mission also follows weeks after a maiden naval exercise between India, Mozambique and Tanzania that was held from 27 to 29 October.
The Indian Navy was represented by the guided missile frigate INS Tarkash. The exercise aimed at capability development to address common threats through training and sharing of best practices.
As part of the harbour phase, capability building activities such as vessel boarding, search and seizure (VBSS), small arms training, joint diving operations, damage control and fire fighting drills and cross deck visits were scheduled. The sea phase covered boat operations, fleet manoeuvres, VBSS, helicopter operations, formation anchoring and patrols.
Indian Naval vessel INS Tarkash in October in South Africa for Exercise Ibsamar VII, which ran from 10-12 October off the Eastern Cape between the South African and Indian navies.

domain: geography


Analog Technologies, Inc is a company specialized in laser and TEC technology. Therefore, there are various kinds of laser drivers for customers to choose. Based on the power input type, ATI’s laser drivers are divided into AC input modules and DC input modules. For the DC input modules, we have both linear type and switch type. Today, I will introduce one high voltage constant current laser driver, whose part No. is ATLS8A216, which is the most popular among customers.
Now, please take a look at its physical photo below:
For its main parameters, it can be concluded as the following: Power Supply Voltage VPS Range is from 5.5V to 15V; Full Swing Output Voltage is from 0.8V to 0.8VPS (input voltage); Maximum Output Current is 8A; its High Efficiency can achieve ≥90%; Both DIP and SMT Packages are available; Compact Size is 27.4×21×5.7 (mm).
This high voltage laser driver has two current set ports digitally controlled to switch between them for setting the output current. This feature allows modulating the laser digitally with 2 preset current values. The laser driver has 3 states: Operation, Standby and Shutdown. Under Standby mode, all the laser driver components works except the output stage.


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Just to pat myself on the shoulder, but I really love the way I drew this comic. Ben is way less complex and I had way more fun drawing him (and the whole comic).
Just draw and less thinking. Loved it. And also gives me a little more space / rest to experiment with different ways of drawing. So they'll probably keep on evolving and changing :D

domain: hobby


text:
Asheville Black Bear Sticker
- In stock, ready to ship
Created by local Asheville artist Travis Clement, the Asheville Black Bear Sticker is perfect for bringing a bit of mountain flavor to bumpers, laptops, windows and more. Sticker is printed on durable and water-resistant vinyl in a matte finish.
Black bear in a dark navy hue with light blue Asheville NC lettering.
3.5" wide sticker.

domain: design


Hum, Khuda Gawah cinematographer W B Rao passes away
Cinematographer W B Rao, who worked on films like Hum, Khuda Gawah and Rangeela passed away yesterday
W B Rao
Cinematographer W B Rao, who worked on films like Hum (1991), Khuda Gawah (1992) and Rangeela (1995) passed away yesterday. He had been ailing for a while and was admitted to a Juhu hospital. Filmmaker Sangeeth Sivan wrote on Twitter, "WB Rao, the much respected cinematographer is no more. Hum, Khuda Gawah and Rangeela were my personal favourites (sic)."
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text:
Fiscal decentralization and institutional quality on the business environment
Monica Escaleras and
Eric Chiang ()
Economics Letters, 2017, vol. 159, issue C, 161-163
Using country panel data from 2004 to 2012, we empirically analyze the effect of fiscal decentralization on the likelihood of business-friendly environments. Our results show that fiscal decentralization improves the business environment and the effect is strongest among lower-income countries.
Keywords: Decentralization; Entrepreneurship; Business environment (search for similar items in EconPapers)
JEL-codes: H70 L26 P48 (search for similar items in EconPapers)
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed
Downloads: (external link)
Full text for ScienceDirect subscribers only
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
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Persistent link: https://EconPapers.repec.org/RePEc:eee:ecolet:v:159:y:2017:i:c:p:161-163
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Economics Letters is currently edited by Economics Letters Editorial Office
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domain: finance


Posted on 2003-03-06
I have created a customised Windows 2000 CD-ROM with drivers etc and a floppy disk with the unattended config file on it. Everything works perfectly bar one thing.
Windows installs New Zealand English under language settings, but it doesn't remove US English, it also places the langage settings icon in the system tray. I don't want my users to be able to switch between languages. New Zealand English is set as default.
Is there any way that I can tell unattended setup to remove US English? If not, are their any registry settings that I can alter to remove it, or even remove the icon from the system tray?


EMSONI founder Adekanmi Abayomi named Sport NI Volunteer of the Year
A Belfast-based volunteer has been honoured for his contribution and commitment to creating good relations through multi-sports opportunities at the 2019 Sport NI #SportMaker Awards.
Adekanmi Abayomi, founder of Ethnic Minority Sports Organisations Northern Ireland (EMSONI) volunteers his time across Belfast and Northern Ireland promoting sport within ethnic minority groups and diverse communities. This organisation acts a vehicle for driving sport participation to all ethnic minorites across Northern Ireland.
Sport NI’s SportMaker Awards recognise outstanding achievements by Northern Ireland’s sporting workforce. The 'Volunteer of the Year' title is awarded to individuals who demonstrate outstanding contribution to the development of sport. It was presented to Adekanmi by David Smyth, Coaching Consultant at Sport NI, at a walking football event at Lagan Valley LeisurePlex.
Kanmi, as he's known, recently initiated the Northern Ireland Confederation Cup at both Olympia and Midgley Park in Belfast. Participants from 12 communities engaged in an 11-a-side football tournament across nine weeks, encouraging good relations, community cohesion, and tackling isolation through sport. Groups involved were Zimbabwean, Polish, Suffolk (West Belfast), Somali, Sudanese, Algerian, Blackstaff (South Belfast), North African, Asian, Timorese, International, and the Ghanaian community.
Adekanmi also volunteers some of his time into the development of the Northern Ireland Walking Football Federation. His passion and work has already been recognised by the Federation Steering Committee by selecting him to serve on the Board and support the development of their strategy, which has been extremely successful.
Their sustained participation has now increased to 14 teams resulting in more improved integration and inclusion within areas such as Castleregh, Lisburn City, and Belfast.
Adekanmi says one of the major barriers into community-based sport is the lack of sports kit, especially for ethnic minority groups. This was a challenge but through raising much-needed finance and some sponsorship he was able to purchase 18 jerseys for 11 communities so that they could join and feel part of a team.
Awuah Doreen, a fellow volunteer who nominated Adekanmi for his award, said: “Adekanmi is a doer, a great visionary and a passionate lover of sport - everyone looks up to him for direction as he believes that everything is possible to achieve if you are ready for it.”
Congratulating Adekanmi on his award, Sport NI Chief Executive Antoinette McKeown added: “Sport NI is delighted to be presenting this award to Adekanmi and to celebrate his contribution to Northern Ireland Sport.
"Volunteering is certainly at the heart of making sport happen, and Adekanmi demonstrates this by breaking down barriers and providing opportunities for all people no matter what their age or background to enjoy, compete, and to stay engaged in sport.
"Adekanmi has displayed a tremendous commitment to society here in Northern Ireland, underpinning and creating social, health and wellbeing benefits.
“The role that volunteers play in making sport happen in Northern Ireland cannot be overstated. Every day, these individuals dedicate their time and energy to helping others enjoy, engage and excel in sport.
"All too often this can go unnoticed, and that’s why, through the SportMaker Awards, Sport NI wants to shine a spotlight on the impact people like Adekanmi are having in sports clubs and organisations throughout Northern Ireland.
"Adekanmi also plays a vital role in supporting other members of the sporting workforce within his Volunteer Now membership. His passion for sport is infectious and inspiring, and we are delighted to be presenting him with the award for Volunteer of the Year.”
"On behalf of Sport Northern Ireland, I would like to congratulate Adekanmi on his richly deserved award and hope he continues to play such a positive and important role as a SportMaker.”


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Anchorage, Alaska , United States
|| October 25, 1949
Apr 08, 2009 12:27am
|Info||Sheila Selkregg grew up in East Anchorage and she has raised her children, Julia, Anthony, and Joseph O’Malley with in a mile and a half of her Eastside childhood home. Today, Sheila is a full time faculty member in the Public Administration Masters Program at the University of Alaska Anchorage. She is also the owner of Sheila Selkregg and Associates, an Anchorage-based, statewide planning and community development firm. |
As past Planning Director for the Municipality of Anchorage, Sheila designed the Anchorage Bowl Comprehensive Plan process, which received the 2001 First Place National American Planning Association Award for Public Education. She served as the Alaska Director of USDA Rural Development where, with an agency annual budget of $240,000,000, she oversaw community many development projects throughout Alaska. Her work at USDA has been recognized through numerous national awards. She has done extensive organizational development worked in the public and private sectors, and has completed a menu of projects for tribal and non-profit entities, large and small communities, and State and regional governments. She has a PhD in Urban Studies from Portland State University and Masters in Urban Regional Planning University of Oregon where she also did graduate studies in Architecture.
Sheila designed and initiated the Giving From the Heart campaign, an Anchorage collaborative Christmas effort sponsored by United Way. She has served on many public service boards including Catholic Social Services Board of Directors, Clare House Advisory Board, Anchorage Homeless Coalition, Board of Governors Alaska Bar Association, Alaska Affordable Housing Partnership, Anchorage Urban Design Commission, and Commonwealth North-Program Committee.


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Former White House spokesman Bill Burton, co-founder of the Priorities USA Action super-political action committee that is devoted to helping re-elect President Barack Obama, said in an interview with Bloomberg Television’s “Political Capital with Al Hunt,” airing this weekend, that the group raised more than $6 million in June, its best month yet.
A super-political action committee devoted to helping re-elect President Barack Obama raised more than $6 million in June, its best month yet, said Bill Burton, Priorities USA Action co-founder and former White House spokesman.
Mike Toomey, Bill Burton and Edward Conard: Each of these men is a close ally of one of the would-be next presidents of the United States. All three insist they have no involvement in their close associates’ campaigns.
President Barack Obama likely will name a new chief to oversee federal management of offshore oil and gas exploration tomorrow after returning from a two-day visit to the region hit by the BP Plc oil spill, an administration official said.
A political organization with ties to President Barack Obama is releasing its first ad of the 2012 presidential race with an assault on Mitt Romney , one of the Republican Party’s leading potential candidates.
Democrats with ties to President Barack Obama are starting two fundraising efforts outside of his official 2012 re-election campaign designed to counter similar Republican groups that have raised millions of dollars.
President Barack Obama has signaled to his senior advisers that Denis McDonough, currently a deputy national security adviser, is his leading candidate to succeed Jack Lew as White House chief of staff, according to two people familiar with the matter.

domain: politics


How Free Market Environmentalism is Transforming Parks
NCPA August 7, 2015
The U.S. Army managed Yellowstone and other national parks until the National Park Service was established in 1916. Despite the infusion of free market ideas to park management, the United States drew the line between the public and private interest back in the 1880s when Congress kept the Northern Pacific railroad from taking control of Yellowstone's most prized features. Inherently, our national park tradition provides a political barrier to sweeping corporate influence over our crown jewels.
A group of free market economists began examining alternative ideas for addressing public land management and other environmental issues 30 years ago. They studied the ways in which property rights and markets could improve the environment, but recognized many public lands were likely to remain in public ownership, partly because of their unique history.
Instead they provided a path to improve national park management by harnessing the forces of private enterprise within the public land system, using fees, incentives, and other market tools.
By retaining most of the fees they collected, parks become more self-sufficient, less reliant on Congress and politics, and more nimble to steward and care for park resources. Today, national parks keep at least 80 percent of the fees they collect, giving each park the incentive to develop a fee program that meets its needs.
National parks face an $11.5 billion maintenance backlog, but Yellowstone has found a market approach to addressing some of its backlog by writing into its contracts with concessionaires to pay for capital maintenance. The park's superintendent has welcomed corporation donations and growth in the park's charitable foundation to offset cuts by Congress. He is also pushing for higher, more effective entrance fees. His renegotiated contract with the park's concessionaire aims to direct funds to capital investment, long underfunded by Congress.
Source: Rocky Barker, "How Free Market Environmentalism is Transforming Parks," Property and Environment Research Center, July 29, 2015.


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LONDON – KPMG will phase out advisory work for its British accounting clients, marking a first for the “Big Four” firms trying to head off a possible break-up.
The Competition and Markets Authority (CMA) is under pressure to consider separating out the audit and non-audit operations of KPMG, EY, PwC and Deloitte to make it easier for smaller rivals to expand and increase customer choice.
The Big Four check the books of nearly all of Britain's top 350 listed companies, while at the same time earning millions of pounds in fees for non-audit work. Legislators say this raises potential conflicts of interest because they are less likely to challenge audit customers for fear of losing lucrative business.
Bill Michael, head of KPMG in Britain, told partners in a note on Thursday that it would phase out non-audit work for top audit customers, a step that would cut fees over time. “We will be discussing this point with the CMA in due course.”
Non-audit work that affects audits would continue.
KPMG audits 91 of the top 350 firms, earning £198 million (R3.7 billion) in audit fees and £79m in non-audit fees, figures from the Financial Reporting Council show.
PwC said there were already measures in place to control non-audit services to an audit client and that it looks forward to seeing the CMA's analysis on how well they have worked.
“We appreciate that further commitments to limit non-audit services to audit clients could be necessary to promote confidence in the independence of audit firms, particularly for those companies in the listed market,” PwC said in a statement.
Legislators want auditors to spell out more clearly a company's prospects as a going concern.
Michael said that KPMG would seek to have all FTSE 350 companies adopt “graduated findings”, allowing the auditor to add more comments about a company's performance beyond the required minimum.
EY declined to comment and Deloitte had no immediate comment on whether they would mirror KPMG's decision on UK non-audit work.Reuters


Vote in Framingham today; check Twitter for results
The polls are open 7 a.m. to 8 p.m. for today's town election.
Voters will decide races for Planning Board, School Committee and library trustee.
School Committee hopefuls Heather Connolly and Donald Taggart are squaring off for an open one-year seat that Rick Finlay gave up in December.
Three candidates are jockeying for two seats on the Planning Board. Incumbent Tom Mahoney, who is seeking a fifth term, is the only one on the ballot. Two others, Stephanie Mercandetti and Ned Price, are campaigning for write-in votes.
Five candidates — incumbents Maria Barry, Janet Harrington, Nancy Coville Wallace and challengers George Brown and Eric Doherty are facing off for four seats on the library board.
Follow reporter Danielle Ameden on Twitter @DanielleAmeden for the election results.
Voters can find their polling place at wheredoivotema.com.


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Internet Services in Valley Hospitals Yet to Resume
A communication blockade was imposed across J&K after the revocation of Article 370 on 5 August.
The Broadband internet services for hospitals in the Valley were yet to resume on Wednesday, 1 January, despite the Jammu and Kashmir government having promised restoration of the same a day ago.
On 10 December, some short message service (SMS) were enabled on mobile phones in order to facilitate communication for students, scholarship applicants, traders and others.
Government's official spokesperson Rohit Kansal had on 31 December 2019 said that the broadband services in hospitals and SMS services on post-paid mobile phones would be restored at midnight.
A communication blockade was imposed across J&K after the revocation of Article 370 on 5 August 2019. The curbs were lifted gradually with landlines being restored first, followed by the opening up of post-paid mobile phone services.
While broadband internet has been restored in Jammu, it still remains suspended in Kashmir, according to IANS.
The Valley's premier government-run SMHS Hospital here is without internet facilities for the nearly five months.
An official of the SMHS hospital administration said the internet services at the medical institution were not restored on 1 January. “The internet is not working. The services have not yet been restored," he said.
The only hospital in the Valley where the internet was working was Sher-e-Kashmir Institute of Medical Sciences (SKIMS), Soura, but the service was restored there in the month of October last year.
Mobile internet service continues to remain blocked both in Jammu and Srinagar. The service was restored last week in Kargil area of the newly formed Union Territory of Ladakh.
Prepaid mobile phone services continue to remain suspended in Kashmir, the IANS report said.
(With inputs from PTI and IANS.)
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domain: news


text:
Inner courtyard's sun terrace!
Our beautiful inner courtyard's sun terrace is situated on the first floor of the hotel.
It is the best place to enjoy summer cocktails or a glass of wine. We also serve light salads and appetisers.
During sunny weather, temperatures on the terrace can rise up to +30 degrees!

domain: travel


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Do Pisces and Libra Get Along?
Find out if Libra traits are the best match for Pisces.
Dating and love, Pisces and Libra style
Hi Pisces! Those born under your sun sign are among the most empathetic people in the world. They care deeply for the world around them—especially their loved ones. While they don’t open up to strangers easily, nothing means more to them than those who make it into their inner circle. Can Pisces and Libra form a deep connection for relationship compatibility?
“Out of all sun signs, Pisces are the most forgiving. This stems from the inherent wisdom that comes with being the last sign in the zodiac cycle. Additionally, their connection to the Twelfth House of the Unconscious Mind boosts their intuition.”
The Fish are able to understand people and are rarely judgemental. However, Pisces may be perceived as being a self-appointed martyr. Like other water signs, Pisces are hopeless romantics. You love to be in love. Fortunately, love is high on Libra’s list of priorities, too. Their ruling planet Venus encourages them to seek out love, pleasure, and harmonious relationships. Like you, this air sign is dedicated to the ones they love. It makes sense that Libra is from the Seventh House of Relationships. Their astrological house lends them their social and cooperative nature. Libra is also well represented by the scales. They’re always in search of balance within their lives. Libras will often play the peacemaker in their social groups as they strive for their ideals.
Looking for the perfect match? Get a personalized love reading.
New Everclear clients get their first 3 minutes free to use on calls or chats.
Are Pisces and Libra a Good Match?
This pair understands each other really well and will make for fast friends. The best part of a Pisces and Libra friendship is that they have a joint mission to help their loved ones. This friendship emphasizes the importance of doing good within their daily lives. Naturally, you both also actively seek out peace in your relationships. While the Fish and Scales may travel down different paths in life, these friends rarely argue.
“However, your different approaches to life may throw a wrench into love compatibility. In a romantic relationship, it’s likely that Libra will try and change their partner.”
While Libra loves Pisces, they want to help them grow. The FIsh are more inclined to observe before acting, but the Scales may try to force movement before you’re ready. Although Libra is well-meaning, this pressure can be harmful to the relationship. Meanwhile, Pisces’ mysterious aura and introverted tendencies may feel incomprehensible to the Scales. You enjoy having alone time and swimming through the deep waters of your own mind. Your popular and extroverted partner may feel neglected as you take time to recharge. Libra may demand more attention than Pisces is willing to give them.
As a water and air sign couple, the differences between you will always be apparent. Luckily, these differences can be bridged through compromise. If these signs share their core values, your respective abilities to understand others should help you overcome any resentments.
Pisces and Libra Compatibility: The key to a successful relationship
Communication is essential in a Pisces-Libra relationship. It may be a relationship cliché, but it’s especially true for this pair of sun signs. Each partner must recognize and respect the boundaries of their partner. Regardless of the Fish and Scales’ different personalities, respect must always be maintained.
“Indeed, a Pisces-Libra couple have the tendency to try and change the other. Despite your love, it’s natural for these signs to want their partner to be a bit more like themselves.”
Be mindful of this urge and try to allow your partner to meet you in the middle. Forcing things will only drive your love away. Additionally, your horoscopes may struggle to form an emotional connection in a romantic relationship. Pisces is more emotionally in tune with themselves, while Libra prefers to frame things with logic. However, if you each flex your intuitive and diplomatic traits, you can build a bond that lasts. As you navigate this astrological match up, some outside help may be useful. One of Everclear’s astrological advisors can provide perspective. A love compatibility reading can give you the tailored insights, look at your birth chart, and provide personalized advice to thrive in your unique relationship or marriage.

domain: psychology


A leading Oracle cloud migration and managed services provider, Apps Associates recently announced acquisition of Strafford Technology, a leading New Hampshire-based provider of technology consulting services for senior financial teams using Oracle EPM (Enterprise Performance Management) and BI (Business Intelligence) solutions.
For the record, Strafford Technology is focused upon addressing a myriad of dynamic performance management challenges, facilitating organizations to optimize budgeting, planning, tax, and forecasting procedures.
Apps Associates is a leading company for migrating and managing oracle to cloud processes. With the help of thousands of engagements, the company aids consumer-focused companies to move to the cloud and solve their most complex business challenges.
After completion of the acquisition, Apps Associates is expected to address the steadily growing demand for support migrating, Oracle Enterprise Performance Management and maximizing cloud computing Return on investment (ROI) across the enterprise.
As per sources close to the matter, this strategic acquisition will strengthen the position of Apps Associates as one of the biggest Oracle-focused cloud migration & managed services firms in the United States.
Adrian King, Chief Executive Officer of Apps Associates was reportedly quoted saying that Strafford Technology has decades of experience in facilitating finance organizations to drive significant improvements in agility, efficiency, profitability, and accuracy. Addition of the company is a natural enhancement to Apps Associates’ existing portfolio of services and solutions. The combined companies will be committed to remaining as the go-to resource for Oracle customers, regardless of where they are in their cloud journey.
Adib Khartabil, Managing Partner at Strafford Technology reportedly stated that Apps Associates has an excellent history of delivering long-term value for Oracle customers.
Khartabil added saying that both the companies share a mindset that prioritizes customers first and by merging with the Apps Associates team, Strafford will be better positioned to aid customers navigate the cloud, maximize efficiency, performance and ROI.


text:
Eximiousfiction Hellbound With You – Chapter 506 Realization* swing heap share-p3
Novel–Hellbound With You–Hellbound With You
Chapter 506 Realization* unite fuzzy
A completely new sort of anxiety instantly gripped her heart and soul. Even when she would make it through this fight, what might eventually them subsequent? The very thought of Alex enjoying her growing old and less strong every day as he stayed younger offered her the type of fright she never believed would be more serious compared to what saw in their wish. She didn’t desire to perish, but right then, she observed like she’d rather expire very early than owning Alex watch her get old and grey until she eventually pass away.
That imagined made Abi shudder, and her cardiovascular throbbed in dread all over again. She could already anticipate Alex really going there to battle whilst abandoning her on this palace to keep her harmless, and that was why she couldn’t make themselves tell him. She had not been going to allow him to fight without her!
“Hmm… it’s a mystery, my lovely wife. But it’s the place where none of us could bother us. We might even reside there forever if you prefer. But… you may get uninterested once we remain in one location for days on end, so possibly we’ll proceed someplace else everybody 100 years? How’s that?” Alex’s vision ended up shiny and stuffed with happiness when he spoke concerning their long term.
Vedanta Philosophy Five Lectures on Reincarnation
Abi shook her head.
“Hmm… it’s a key, my wife. But it’s a place where no-one could hassle us. We may even reside there forever if you desire. But… you may get fed up as we be in a single for days on end, so maybe we’ll move in other places every one century? How’s that?” Alex’s view had been bright and stuffed with enjoyment while he spoke concerning their potential.
To her pain relief, Alex dragged her once again and hidden her facial area in their chest area. A deep sigh escaped his mouth area when he caressed her rear. “Don’t be concerned Abigail, have you neglect I am immortal?”
“Inform me, Abigail. What would you see?” Alex requested her. His eyeballs were light but utterly nervous.
the orphan brigade to the edge of the world
The appearance in the sight weakened Abi’s fix. But she just didn’t contain the coronary heart to view him suffer from any further. She was aware that in case she tells him, he certainly will reduce his target and might even postponement this conflict. Which was some thing Abi couldn’t simply let transpire. She grasped why Ezekiel obtained delivered them a transmission. Possibly this acquired something connected with Zeres’ modification. Could be Ezekiel hastened these to assault now and help save Zeres prior to it’s too late. Regardless if panic was gripping her heart and soul, she also believed like they shouldn’t hold up nowadays. This had to finish now, if not one thing much more bad might take place in the foreseeable future. This is why she couldn’t manage to screw up Alex’s aim now. She recognized that Alex wouldn’t manage to battle with everything else he experienced if he was sidetracked and worried to loss about her. Worse yet was that could steer him to lose and end up receiving taken.
“And where is faraway spot you’re discussing?”
“Wife… Abigail, will you be listening?” Alex drawn her interest back to him. His eyeballs narrowed since he questioned her expression. “You’re not happy as to what I–”
That thought built Abi shudder, and her center throbbed in anxiety yet again. She could already predict Alex moving there to combat although departing her in this palace to hold her safe and sound, and therefore was why she couldn’t make themselves convey to him. She had not been going to allow him to beat without her!
“T-that’s not it.” She dragged clear of him. She stood and started off pacing backwards and forwards right before him. She pressed her mouth so that you can continue to keep her mouth from trembling. “Alex. You are aware how a lot I enjoy you.” She experienced him. “I enjoy you a lot more than anything—more than my life. Being together with you and supportive you forever happens to be my like ever since the moment I declined deeply in love with you. But…” her sight welled. “But Alex, I’m a man. Some day I… I am going to grow old and kick the bucket.”
A fresh sort of panic instantly gripped her center. Even when she would endure this battle, what would occur to them up coming? The very thought of Alex looking at her developing older and less strong on a daily basis when he continued to be little gave her the kind of fright she never knew could be worse than what saw in their own wish. She didn’t would like to expire, but right then, she felt like she’d rather pass away ahead of time than owning Alex check out her grow old and grey until she eventually pass away.
Alex was an immortal, and she was our. Compared with him, she wasn’t resistant to death or ailments, and the other time, she would… she would get old like all the mortals on earth.
Abi didn’t know very well what to express. How could she show him? This could definitely engulf Alex’s heart with merely fear. And In Case Alex would come to learn, he will never permit her to pick him to participate in the conflict. It might be the very best strategy to always keep her risk-free, but if she can’t go and beat with him, this will likely never end. Even though Alex was sturdy, he couldn’t destroy Dinah, and Dinah got Zeres up her sleeve. Imagine if Dinah catches Alex and does to him the exact same thing that she does to Zeres?
For a short period, Alex’s just stared deeply into her eye. Does he already see through her fabricated lie?
Versatile Teeny Girl
Cupping her encounter with both of his fingers and caressing her cheeks in reference to his thumbs, Alex’s gaze turned grave and pleading. “Please, don’t cover anything from me. Tell me, Abigail. Please.” His tone of voice was enticing, it absolutely was extremely hard for Abi to face up to.
Abi felt like she was choking. It turned out obtaining harder for her to breathe in. She couldn’t think that the last might transpire again. Why? Was she destined to pass away this period on top of that? She shook her head in concern, cannot agree to nor think it. This couldn’t be occurring. She can’t make Alex all all alone yet again! She can’t get him through that suffering once again!
“I… I saw you…” she pressured themselves to communicate, doing her best not to ever avert her view away from him. “You received injured so badly, Alex. I had been weeping aiming to wake you up, but you’re not reacting.”
“I… I observed you…” she forced themselves to communicate, doing her very best to not avert her eyeballs from the him. “You have injure so seriously, Alex. I became sobbing attempting to wake you up, but you’re not responding.”
“And where is usually that faraway location you’re dealing with?”
Favourite Welsh Hymns
Abi realized how nuts Dinah was. She acquired observed how satanic she obtained grow to be so she could get Alex to themselves, now how could she allow Alex go by yourself?
The style on his eyes fragile Abi’s handle. But she just didn’t possess the center to view him go through any more. She believed that whenever she informs him, he will certainly eliminate his concentrate and may even wait this combat. And that was a little something Abi couldn’t permit transpire. She realized why Ezekiel possessed directed them a transmission. Potentially this obtained something to do with Zeres’ improvement. Probably Ezekiel hastened these to infiltration now and save Zeres ahead of it’s already happened. Even when panic was gripping her coronary heart, she also sensed like they shouldn’t hold off any further. This needed to finish now, or maybe anything a great deal more horrible might arise sooner or later. This was why she couldn’t manage to ruin Alex’s emphasis now. She recognized that Alex wouldn’t be capable of overcome with everything else he obtained if he was distracted and worried to death about her. Worse was could possibly steer him to reduce and end up getting taken.
Alex was an immortal, and she was our. Compared with him, she wasn’t safe from death or health issues, and one day, she would… she would grow old like most the mortals in this world.
Abi’s heart couldn’t help but enlarge, she momentrily just forget about her concerns. However, as she considered his terms along with the potential he experienced just imagined, the laugh on Abi’s confront slowly washed out. She never once thought about this prior to, however when Alex described they could transfer in other places every one century, a conclusion suddenly hit her.
“But can you imagine if Dinah observed a means to do you have murdered?” she reasoned. She just stated this to create her lie believable, but her own terms anxious her at the same time as it will not be something that was impossible. They continue to don’t really know what else Dinah was hiding, so Alex nonetheless should be cautious.
A new variety of worry instantly gripped her coronary heart. Even though she would endure this fight, what would happen to them upcoming? The idea of Alex enjoying her escalating more mature and weaker each day while he continued to be youthful gave her the kind of fright she never realized could well be more serious than saw in the desire. She didn’t desire to perish, but at that moment, she sensed like she’d rather expire ahead of time than having Alex watch her grow old and grey until she eventually die.
What Abi discovered in the aspiration obtained her heart trembled in worry. In her own wish, she observed themselves in Alex’s biceps and triceps in which he was holding her when he cried. The scenario was only too well known to her that she compelled themselves to think which it was that very same ability to remember she discovered from the thoughts of her past personal. But it surely clearly wasn’t. What she found wasn’t the same remembrance of her survive self. This time, what she discovered was the longer term.
Cupping her deal with with both his hands and fingers and caressing her cheeks in reference to his thumbs, Alex’s gaze changed grave and pleading. “You need to, don’t cover up anything from me. Let me know, Abigail. Make sure you.” His speech was so convincing, it was almost impossible for Abi to resist.
“Wife… Abigail, are you being attentive?” Alex dragged her focus straight back to him. His vision narrowed because he interviewed her manifestation. “You’re not happy with what I–”
Gripping Alex’s more complicated, Abi’s system quivered. But as Alex embrace her together with his comforting biceps and triceps, she somehow had been able to calm down slowly.
“Wife… Abigail, have you been listening?” Alex dragged her attention back to him. His eyes narrowed because he interviewed her manifestation. “You’re unhappy as to what I–”
“But what happens if Dinah discovered a means to perhaps you have wiped out?” she reasoned. She just mentioned this to create her lay credible, but her own ideas worried her on top of that given it might not be an item that was difficult. They continue to don’t figure out what else Dinah was camouflaging, so Alex nevertheless should be very careful.
“I… I noticed you…” she compelled themselves to talk, performing her best to never avert her sight from the him. “You bought injured so badly, Alex. I found myself weeping attempting to wake you up, but you’re not reacting.”
Section 506 Awareness*
For a short while, Alex’s just stared deeply into her sight. Have he already see through her fabricated lay?

domain: literature


text:
A new posthumous album from the late Leonard Cohen has been announced. You can listen to ‘The Goal’ now.
The legendary Canadian crooner died in November 2016 after suffering injuries that stemmed from a fall in the middle of the night.
After it was confirmed in 2018 that a posthumous album is in the works, ‘Thanks For The Memories’ will now arrive on November 22.
The record was developed by Cohen’s son Adam and saw him fulfilling his father’s wish to complete the “bare musical sketches” that he left behind from his final album ‘You Want It Darker’.
In doing so, Adam recruited the likes of Spanish guitarist Javier Mas – who accompanied Leonard on stage for the last eight years of touring.
While attending Berlin’s People Festival, Adam also invited a cast of all-star friends to lend their talents to the record. Damien Rice and Leslie Feist provide vocals on the record, while Richard Reed Parry of Arcade Fire plays bass and Bryce Dessner of The National plays guitar.
Other notable additions on the record include composer Dustin O’Halloran, as well as Berlin choir Cantus Domus and the s t a r g a z e orchestra.
Check out the tracklisting and artwork in full below.
- Happens to the Heart
- Moving On
- The Night of Santiago
- Thanks for the Dance
- It’s Torn
- The Goal
- The Hills
- Listen to the Hummingbird
The first track from the record comes in ‘The Goal’ – which clocks in at barely 60 seconds long. It begins as a spoken-word effort accompanied by a sole piano, before Cohen’s vocals are eventually backed up by a stirring Spanish guitar.
Adam Cohen said of the album: “In composing and arranging the music for his words, we chose his most characteristic musical signatures, in this way keeping him with us,” said Adam Cohen. “What moves me most about the album is the startled response of those who have heard it. ‘Leonard lives’! they say, one after the other.”

domain: artistic


text:
Vejle Kunstforening (Vejle Art Society)
Vejle Kunstforening (Vejle Art Society) is housed in Vejle Windmill, where different art forms are exhibited all year round. The society primarily seeks to convey and promote an interest in art.
Vejle Kunstforening was founded on 11 March 1932 on the initiative of ophthalmologist Henry Fabricius Jensen (1896-1984), himself an artist. The purpose was to exhibit art by artists from some of the nation’s most remote locations, including Copenhagen and Bornholm. This has changed somewhat since.
Hans Agersnap, Ole Olsen, Victor Jensen, Robert Dueholm Jessen, Olaf Markussen, Egon Mathiesen, Ejnar Iversen and Albert Bertelsen are some of the Vejle citizens who featured prominently in the society’s early history.
The society has been housed at many different locations. From 1988-2016 the premises were located in Præstegyde where the gallery in the old Møhls Gaard was called KUNSTBRÆNDERIET (i.e. ‘The Art Distillery’). Søndergade was in the early 1900s home to several merchant houses that produced all sorts of items, including brandy, hence the name. In April 2016, the society relocated to Vejle Windmill, high above the rooftops of the city. The new facility held its first opening on 2 April with an exhibition by Vibeke Nørgaard Rønsbo, an event that received 150 visitors.
Every year in March, the society holds its General Assembly. Here, 200 of the society’s approximately 500 members traditionally turn up where lots are drawn with a chance of winning 40 works of art. Always an enjoyable evening.
Vejle Kunstforening is only open when there are exhibitions – visit the website for information: www.vejlekunstforening.dk


text:
Celebrity photographer Annie Leibovitz came to Louisa May Alcott’s Orchard House in Concord, NH, last week, to film and narrate for a Kickstarter campaign for the historic homestead, according to the Boston Globe.
Will you offer us a hand? Every gift, regardless of size, fuels our future.
Your critical contribution enables us to maintain our independence from shareholders or wealthy owners, allowing us to keep up reporting without bias. It means we can continue to make Jewish Business News available to everyone.
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Money raised by the campaign will finance a documentary about the house.
Leibovitz, famous for her photographs of celebrities, is a major supporter of Orchard House.
The Alcott home is featured, along with the Emily Dickinson house in Amherst, Henry David Thoreau’s cabin at Walden Pond, and Ralph Waldo Emerson’s place in Concord, in Leibovitz’s book, “Pilgrimage.”
Also participating in the Kickstarter campaign, which officially launches Sept. 17: Doris Kearns Goodwin, and Gloria Steinem.


text:
This is Jack. He’s a life-size doll that my mother made for me. At least, he is life-size to a six-year-old. He’s a good 4.5 feet tall.
Lily painting in the living room, reflecting the lamp and me.
A metal vase on our living room coffee table.
One of my favorite greens: Spring Green.
And this is Color Week, five-year-old style. Eamonn found these greens and snapped them with his own camera.


text:
The Cool Mikado (1963)
1h 21min · Musical · 1 January 1963
Hank, the son of American judge Herbert Mikado, refuses to marry Katie Shaw, whom his father wishes him to marry, and so joins the army. He is stationed in Japan where he falls in love with a Tokyo art student, Yum-Yum.
Director(s): Michael Winner
Cast: Frankie Howerd, Stubby Kaye, Mike Winters
as Judge Herbert Mikado / Charlie Hotfleisch
No torrents available at the moment...


text:
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text:
Charges were filed Tuesday in Washington County district court against a Bartlesville man for one count of child abuse after a former conviction of a felony.
It was reported to the Department of Human Services that Jason Hadley, 30, was abusing his girlfriend’s child at a residence in the 1100 block of South Maple, according to a court document. DHS workers made contact with a relative where the child was staying and were told the child was afraid to go home because of a hard spanking followed by aggressive hitting by Hadley that left significant bruising.
Hadley has a previous conviction for domestic abuse-assault and battery, and he also served prison time on drug charges.
His bond was set at $10,000 on Tuesday.

domain: sociology


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