Development Partner Group-Health Retreat

Following the publication of the draft Tanzanian Joint Assistance Strategy (JAS) in July 2005 which outlined a medium-term framework for enhancing aid effectiveness through the rationalisation and alignment of development partner approaches, a series of consultations on this draft strategy took place both within government agencies and among Development Partners. The Development Partner Group in Health (DPG-H) took this opportunity to hold a two-day workshop in late September with the first day devoted to discussing the implications of the JAS for Development Partners, Ministry of Health and President's Office Regional Administration and Local Government. The second day was used as a time to internally reflect on the present functioning of the DPG-H Group, identifying ways of enhancing the work of the group in response to the changing environment. Discussions on the first day of the Retreat were structured around the five key elements of the JAS, i.e., Sector Dialogue, Aid Modalities, TA and Capacity Building, Division of Labour and Monitoring & Evaluation. Presentations were made by Development Partners with input/comments and clarification given by the Ministry of Health, President's Office Regional Administration and Local Government; and Ministry of Finance. Group work was undertaken in the afternoon to further address pertinent issues that were raised from the plenary discussions in the morning session. This resulted in a number of recommendations that included the following: supporting an effective division of labour; harmonising support with government plans and priorities irrespective of the funding modality; complementarity and coordination enhanced between the various aid modalities; basket funding to continue as a transition towards General Budget Support (GBS); demand driven technical assistance; and over time developing an agreed competency/profile skills mix of health development partners. The second day was an opportunity for members of the DPG-H to come together and reflect on the work of the group - where it had come from, the current functioning of the group (strengths/challenges) and looking forward. A number of presentations were made that covered the background of the group; the history of the Sector Wide Approach (SWAp) and the role of development partners; the sector dialogue structures, the expectations and challenges with respect to communication; strengthening the ways of working as a group and the development of an activity plan for prioritising activities. During the plenary sessions a number of recommendations were agreed that included better structuring of the DPG-H meetings; regularity of meetings (once month but more frequently when required); enhancing the coherency and linkages with the overall Development Partner Group; developing and agreeing a work plan and communication strategy; re-visiting the division of labour in terms of roles and responsibilities; putting in place a fully staffed DPG-H Secretariat and organising a troika chairing structure for the group. Moreover, a number of critical suggestions and recommendations were made for further strengthening sector dialogue that centred around revising the structure of the SWAp. As they had implications beyond the mandate of the DPG-H, it was concluded that this would require further discussions, elaboration and agreement by the Ministry of Health/PORALG.\u

New options for placement provision

Diagnostic Radiography is facing many challenges due to the current economic climate. According to NHS choices (2013) the National Health Service (NHS) has been undergoing major changes since April 2013 which has impacted on all vital services. There is an emphasis to become cost-efficient, more effective and more streamlined. The imaging department is one such service, the College of Radiographers (COR) (2007:17) state that there is a “pressure on clinical departments” and provide authoritative guidance, placing educators with the responsibility of design and development of practice based learning with an “increasing emphasis…placed on work-based learning” (COR, 2007:16).This is having an impact, not just on service delivery but on the quality of the learning experience for student radiographers

Playing through the pain: Self-reported shoulder function of uninjured rugby players.

Introduction: The shoulder is the most commonly injured joint in rugby league and among the top 3 in rugby union. Contact injuries make up the majority of shoulder injuries in rugby, but many shoulder pathologies are of insidious onset or linked to training loads. Given that previous injury is the greatest risk factor for future injury in many sports, it is pertinent to develop methods which detect early stage pathology. At present, it is not yet known what the prevalence of players playing with an existing sub-clinical shoulder dysfunction are. The Rugby Shoulder Score (RSS), a uni-dimensional 120-point scale (20 – 140), was developed to monitor shoulder function in players undergoing rehabilitation from shoulder injury. The aim of this study was to use the RSS to estimate the prevalence of sub-clinical shoulder dysfunction in a sample of professional and amateur rugby players. Methods: Following ethical approval from the Leeds Beckett University research ethics committee, 86 uninjured players provided written informed consent. RSS assessments were administered, via paper questionnaire, at the mid-point of the season. All players were participating in training and match play at the time of assessment. The sample consisted of 34 professional and 52 amateur players respectively. A RSS of 20 represents a perfect score. An increasing RSS indicates increasing shoulder dysfunction. Results: The mean RSS score for the entire sample was 35. Professional players demonstrated greater shoulder dysfunction than amateur players (RSS 42 vs. 30; P20) was more than half of the sample. Professionals tended to have greater shoulder dysfunction than amateurs. A threshold for minimal clinical importance of the RSS does not exist. However, for a sub group of players (n=17) an RSS range has been identified which appears to indicate a level of dysfunction which may affect match play and training

Reviews

Technology‐based Learning Environments: Psychological and Educational Foundations edited by S. Vosniadou, E. De Corte and H. Mandl, volume 137 in NATO ASI Series F (Computer and Systems Sciences), Berlin, Springer‐Verlag, ISBN: 0–387–58253–3, 1994