Sunday, August 25, 2019

Dance 234 Assignment Example | Topics and Well Written Essays - 500 words

Dance 234 - Assignment Example The dance is about the event that brought together various choreographers and performers who took part in the performance. The BoSoma2 created the choreography for the dance as created by the directors of the dance company. The leadership of the company consists of three members of the company. The company seeks to utilize the rigorous athleticism that exists within the entertainment industry. Judging by the movie, the dance was on 27th of February 2015. The show presented is the Third Life Choreographer that involves several performers including Rowan Salem, Bosama 2 Dance, Jennifer Farrell, Kelley Donovan, Bryce dance company, Olivia Coombs, Catherine Wagner and Kelly Engel. The program involves performances including the Real Rosie that involved several performers. Variations on the story were a performance choreographed by Kelly Engel. The performers included Kelly Engel, Malone Thermitus, Previlu, Lisa Lin and Erica Lin. The performers dance to music by Susie Suh and Koch Robert. The Hunt was the performance that followed and choreography of Shannon Luchs. The dancers in the performance include Grace Stauffer, Tessa Hamza, and Sahaiyai Khalili. The dancers performed music by Bjork, which was a remix of the song, Cover me. The Freedom Dances was an exceptional performance that presented sections of work in progress. The choreography was by Laliberte Nicole instructing several dancers including Stephanie Walsh, and Luciana Lyans. The performers danced to music by Antonio Vivaldi and Vann Teirsen. Madeline Douglas and Elizabeth Griffin appeared courtesy of the spindle city Ballet Jr.Co. The second section was an untitled dance by several performers such as Erin Gridea, Tara Gragg, and Lauren Difede. The appearances were courtesy of the Island moving company that presented a great performance. The dance tells a story that provides the audience with an

Saturday, August 24, 2019

Mexican Healthcare system Article Example | Topics and Well Written Essays - 1000 words

Mexican Healthcare system - Article Example The improvement in the healthcare system in Mexico continued throughout the 19th century registering a great status improvement in the 1990s, where the mortality patterns were found to match with those the most developed societies. The government of Mexico has established a three-tire health system that takes care of all its citizens at subsidized rates. The Mexican Social Security Institute (IMSS) was established in 1943 to cater for the welfare of all employees in the private sector and their dependants within the country, which works as a tripartite system involving the joint funding by the employer, the federal government and the employee. The Institute for Social Security and Services for State Workers (ISSSTE) on the other hand caters for the social welfare and the health needs of the government employees (Johnson & Stoskopf, 2010). The difference in the healthcare systems between the USA and Mexico lies in various fundamental concepts. First, there is a disparity in the covera ge of the healthcare system in the USA and Mexico, where all citizens in the country are covered through the three-tire healthcare system; while in the USA the healthcare system does not cover all citizens (Garman, Johnson & Royer 2011). Secondly, the cost aspect presents another disparity, where the cost of healthcare in Mexico is lower, compared to the USA. Another major difference is that in Mexico, most of the healthcare system falls under the public sector, while in the USA, most of the healthcare is provided by the private sector (Johnson & Stoskopf, 2010). Characteristics of the consumers, providers, payers, and regulation policies in Mexico, compared to USA The characteristics of the consumers in the Mexican healthcare system varies from those of the USA consumers in that, the Mexican consumers do not necessarily need to have a healthcare insurance to be able to access subsidized healthcare, while in the USA, the consumers need to be covered by a health insurance scheme to b e able to access subsidized health service (Garman, Johnson & Royer 2011). The characteristics of the providers on the other hand, varies greatly between Mexico and the USA, since public the healthcare providers in Mexico operates under government sponsorship, thus providing subsidized healthcare service to the citizenry. On the other hand, the providers in the USA comprises the private sector as the main player, thus the access to subsidized services are a preserve of a few, who can afford health insurance. Nevertheless, the USA government accounts for a larger share of healthcare provision and financing, accounting for 46% financing of the healthcare system, while the Mexican government accounts for a slightly lower share, financing 44% of the healthcare provision in the country (Johnson & Stoskopf, 2010). The regulation policies also differs, though to a smaller extent, with the USA providing an open and optional feeding system, where the patients are free to choose the menu, whi le at the same time being allowed outside food. On the country, the Mexican health system offers a single brand of food, while prohibiting outside food in the health facilities (Garman, Johnson & Royer 2011). The staffing, appointment and timeliness policies also differs in both country, with the USA applying an adequate staffing policy for its healthcare, as well as upholding a strict appointment and timeliness policy, as the fundamental aspects of healthcare pro

Friday, August 23, 2019

Only Hope comparison Essay Example | Topics and Well Written Essays - 1000 words

Only Hope comparison - Essay Example On the other hand, Condon authored a book describing his findings from an extensive study that sought to describe how the youth of the Inuit people of the Holman island of Canada Arctic coped with the rigorous changes of adolescence amidst many social, economic, and demographic transformations. Both of these books offer an anthropological description of the Inuit youth and Chinese singletons. This paper will offer a comparison of the research questions addressed, methodologies, roles of the research , the content described in the two books and the conclusions drawn. Fong’s as highlighted in the book ‘only hope’ research question centered on determining what type of attributes were exhibited by singletons. The research was probed by the fact that parents of singletons bestowed a lot of hope in these children. Moreover, the possibility that the parents accorded these children all their attention and offered them multiple material things would have had the potential of spoiling such children. On the other hand, Condon realized that the adolescence stage presented rigorous psychological, emotional, hormonal, and physical changes that define the transition from childhood to adulthood (Fong, 2006). This prompted him to analyze how the adolescents of the Inuit youth in the Holman Island in the Canadian Arctic region coped with the social, economic, and demographic factors. He reasoned that understanding how all these changes shaped the maturation process of the adolescents could offer an advanced understanding of functioning processes of humans. Fong carried a study in the Dalian region, a coastal city that was undergoing transformation from an industrial center to service-oriented town. For 27 months, in the years 1997-2002, Fong worked closely with different schools, students, and parents. Her survey was extensive and included 2273 students in different ranks of schools. She had the privilege of visiting about 107 homes in the region (Fong, 2006) . She identified 31 families as her sample after having an extensive interaction through tutorial classes offered within the home setting. The role of her research was to determine whether the one child policy had any impact on the children born. On the other hand, Condon carried out two extensive field studies of the Inuit youth on the Holman Island. Although his first study sought to address a different objective, it offered an introductory understanding of the community (Condon, 1988). He compiled his findings after seven years of an interactive field study. The role of his research was to analyze how the youth coped with the numerous changes that defined their lives. Condon selected sub-section of the Holman Island as his sample population. Fong’s research revealed that singletons faced a surging pressure to become exemplary children as her findings highlight. The different chapters in her book reveal that parents expected singletons to demonstrate a higher sense of focus in school compared to children who had siblings. This translated into different forms of pressure exerted on the children by the parents so that they would meet the defined expectations (Fong, 2006). It becomes evident from the findings described that parents had viewed singletons in terms of the future. The research

Thursday, August 22, 2019

Crowd Dynamics & Management in an Event Essay Example | Topics and Well Written Essays - 2000 words

Crowd Dynamics & Management in an Event - Essay Example As the discussion outlines, major events have happened in the world where issues such as stampedes lead to death and injuries, or people suffocate due to congestion and commotion. This study will elaborate on effective crowd dynamics and event management by evaluating the Hajj, an annual Muslim pilgrimage to Mecca which attracts millions of people. In 2006, a stampede led to the death of over 340 people. Since the first events were organized about 2,000 years ago, they have been increasing in number by the day owing to the effect they have on our lives. They affect our political, environmental, economic, social, and cultural aspects. An event can have negative and positive impacts on the stakeholders and host communities, and that has made understanding of crowd dynamics and event management an important part of events. Today, events are increasingly researched and well documented to optimize their benefits and enhance their outcomes. One of the biggest challenges to crowd management is that minor factors such as bad behavior, substance abuse or criminal behavior can alter the agenda of an event and lead to unintended consequences. An event manager should therefore be equipped with skills to predict and come up with measures to mediate in the event that an unintended occurrence emerged before, during, and after an event. To elaborate how effective crowd management should be structured, the following study text will highlight the causes of fatalities and injuries at the 2006 Hajj where 340 people died and 1,000 injured. Following these, crowd reactions to situations and environments at public events will be discussed with regards to crowd management and control. In January 2006, pilgrims at the Mecca Hajj pilgrimage event numbering millions went rushing through the city streets towards al-Jamarat, three large stone walls made of stone which represent the devil.  

The Tide Rises and the Tide Falls Essay Example for Free

The Tide Rises and the Tide Falls Essay The Tide Rises and The Tide Falls is a poem that is filled with symbolism. I think the tide represents the everyday life of people, which is continuously being repeated over and over. Also, the calling of sea in the darkness symbolizes the upcoming death. The authors tone in this poem is very clear and not emotional, although the overall atmosphere is very sad and lonely. This poem uses mood to show that death in inevitable and it comes to everyone. The author also wishes to show that death is just another part of life and nature. The poem talks about a traveler who walks down the beach towards town but he will never walk on the shore again and the tide washes away his footprints. When the author writes The day returns, but nevermore returns the traveler to the shore, and the tide rises and the tide falls he conveys that the traveler has died but the sun still rises and the tide still goes in and out. The mood of the poem is accepting and calm. Longfellow is accepting that he, along with everyone else, will die and that its just a part of nature. The theme of The Tide Rises and The Tide Falls is that life continues even though we go through many traumatic events. In the last stanza, the traveler does not come back like before, the tide is still rising and falling just like before. It is continuing the action just like yesterday, the day before yesterday, and it will repeat in the future. Although people feel like they are going to die or not able to live like before, but when time passes, they live like they never experienced those painful emotions. I think this poem and this theme is sad because erasing from the memory is sad, even if the erased memory is about a painful thing. In the poem, time passes by as the tide rises and falls. Eventually, the sky gets dark and a traveler goes to town. Darkness comes, the sea washes away the travelers footprints in the sand. The morning comes, and the traveler does not go back to the shore. The daily life of the sea continues even though the traveler will not be returning. The tide is probably showing that life continues as normal even though the traveler is not there; the tide is not going to stop just because someone isnt there. The traveler could possibly represent the life of a person. Although we may leave footprints, over time they are washed

Wednesday, August 21, 2019

Developing Teamwork in Project Management

Developing Teamwork in Project Management To achieve stated goals and objectives people in organizations work in teams. These teams go through various stages. The extent to which project leadership success or failure, relates to the stages of teams formation, in the pursuance of these goals and objectives are not clear cut as past researches have given divided opinion and bringing other factors in contention. This assignment will introduce the concept of team formation and project leadership and critically discuss the extent to which the stages of team formation relate to the success or failure of project leadership. Introduction To critically evaluate how the stages of team formation relate to the success or failure of project leadership, Tuckmans team building model which explain the five forming, storming, norming, performing and adjourning stages of the team formation (please see appendix 1) and Blanchards situational leadership model which explain the four leadership styles that a leader should adopt during the team development situations will be evaluated as the team behaviour and leadership style can be clearly seen in these two models. Tuckmans model emphasis that as the team develops, the leader changes leadership style. At the forming stage a successful leader follow a directing style which is similar to telling phase described in situational leadership model, at the storming stage leader coaches their team to come out from the conflict which is similar to the selling phase of the situational leadership style model, at the norming stage the leader facilitates its team to develop standards which is s imilar to the participating phase of the situational leadership model, at the performing stage leader delegate task to the members and almost detached which is similar to the delegating stage of the situational leadership model. Tuckmans team building model Blanchards situational leadership model Discussion The different stages of team building and their relation to the success or failure to the project leadership are explained as follow: Stage 1 Forming: At this stage the team initially formed, the team members meet each other; identify the purpose of the team, terms of reference and its composition. Team members endeavor to test each other, establish their personal identity and create an impression within the group with most consideration given to structure of the team, code of conduct, objectives, individual roles and responsibilities. If the team is more diverse, it is more difficult for the team to maneuver through as this stage takes longer. Therefore, in the formation of multicultural teams it is a particularly sensitive stage as it is characterized by commonality, courtesy, caution and confusion. To take the team to the performing stage leadership is crucial. Team members will not be comfortable if there is lack of clarity. If a leader could not direct the team members effectively, team would not able to reach the next stages of the team formation; therefore this stage does impact the success or failure of the project leadership. When team members truly consider that they are the part of a team, generally this stage is complete. Member competencies needed: Leadership competencies needed: Asking open-ended questions Maintaining equity and being fair Listening without making assumptions and judgments Helping the group to articulate its purpose and overriding goal Observing group patterns of communication Facilitating discussions Using inclusive communication patterns Intervening to include all Disclosing ones needs appropriately Stage 2 Storming: This phase of team development is typically marked by conflict between team members, criticism and tension. Conflict arises due to the competing approaches to obtain the groups goals, disagreements over responsibilities and appropriate task related behavior. Team members might disagree about who should be leading the team and how much power the team leader should have and can result in redefining of the teams overall goals and specific tasks. Team members are likely to individually decide their level of commitment to the group tasks and extent, to which they like the team tasks, therefore may resist the control imposed by the team. At storming stage the team members may begin to withdraw, therefore this stage relates to the success or failure of the project leadership. If leaders coach their teams effectively, teams can proceed to the next stage. Therefore this stage is a critical stage for the group survival and effectiveness as the conflict harms the team progress and negatively affects some interpersonal relationship. When teams control is no longer resisted by the team members and everyone in the team agree about who will lead the team, this storming stage is completed. Member competencies needed: Leadership competencies needed: Using inclusive language and behaviors Establishing an agreed-upon work plan Managing emotional expression Using mediation skills Giving and receiving feedback appropriately Using diverse methods of feedback and conflict transformation Stage 3 Norming: At this stage norms and expectations about what different members are responsible for doing are realize and develop as the team delineates task standards, develop intra group cohesiveness and establish standards, rules and regulations. Team members really start to feel their belongings to the team and the development of close ties with other team members. Therefore this phase of team development is characterized by: commitment, collaboration, cooperation and cohesion as team members attempts to mutually agree upon objectives and goals, accept different opinion and try to open exchange of information. Feeling of belongings and friendship to team, help to work towards team goals. At the norming stage the leader facilitates and enables their team to establish the standards and reach to the performing stage. By the end of this stage, standards to guide behavior in the group are agreed by the team members. This stage is similar to the participating stage of the situational leadership model. If the leader does not participate to establish standards, the team may develop their own standards and norms which may me contrary to the project overall objectives and lead to the project leadership failure. At this stage the major decisions are normally made by the team members jointly and the minor decisions may be delegate to the individuals. Member competencies needed: Leadership competencies needed: Demonstrating support on task and in relationships Reinforcing high standards for task Recognizing individual and cultural differences in how appreciation is shown Coaching where needed Stage 4 Performing: This is the stage at which real work is done, team members know their role and duties and performing their work according to the expectations. Team members concentrate on the achievement of common goals and objectives. Sometime it can take long to reach to the performing stage, in most cases when they are self-managed work teams. Team members make progress towards common goals and feel comfortable working within their roles. This phase is marked by consideration among members, creativity challenge and group consciousness. At this stage the team morale is high and team has a good ability to focus on the task as relationship issues have been resolved. At the performing stage the team may produce another successor leader. At this stage the team members does not need assistance and instructions, but they need delegated tasks from the leader. Therefore at this stage leader delegates, observes and almost detach, this stage is similar to the delegating stage of the situational leadership model. This is the main stage where actual work will take place; delegation of wrong tasks to wrong person may lead to project leadership failure. Member competencies needed: Leadership competencies needed: Adapting and changing Establishing a process for incorporating change and renewal Including new members Sharing leadership Stage 5 Reforming or Adjourning: At this stage a task force teams disbands after the fulfillment of its goals or due to poor performance. But some teams are permanent (ongoing work teams), therefore may not reach to the adjourning stage and often remain to the performing stage. This final stage can be characterized by communication, closure, compromise and consensus. The adjourning phase is not the main task of developing a team, but this stage is very relevant to the team members. Stage Leadership Activity Forming Direct the team and establish objectives clearly by negotiating ground rules. Storming Establish process and structure, and work to smooth conflict and build good relationships between team members. Generally provide support, especially to those team members who are less secure. Remain positive and firm in the face of challenges. Explain forming, storming, norming and performing idea for people to understand why conflicts occurring, and that things will get better in the future. Teaching assertiveness and conflict resolution skills. Norming Help the team take responsibility for progress towards the goal by arranging a social, or a team-building event. Performing Delegate as far as possible. Once the team has achieved high performance, the aim now is to have as light a touch as possible by focusing on other goals and areas of work. Adjourning When successfully achieved the objectives time should be taken to celebrate the achievements. The above table clearly depict the relation between the stages of team formation and successful project leadership, the reverse will mean failure. 4. Conclusion Teams are formed because they can achieve far more than their individual members can on their own, and while being part of a high-performing team can be fun, it can take patience and professionalism to get to that stage. Effective team leaders can accelerate that process and reduce the difficulties that team members experience by understanding what they need to do as their team moves through the stages from forming to storming, norming and, finally, performing. Successful project leadership should realize that not all teams and situations will behave in the way depicted by Tuckman. However, in using this approach, the leader should not attempt to force situations to fit it but make sure that people dont use knowledge of the storming stage as a license for boorish behavior. There are some drawback with Tuckmans team formation modal as it does not talk about the time teams do spend and should spend in different project and external environment does not take into account. Paper 2 Critically evaluate of the dynamic between Task, Team and Individual as related to managing a project successfully. Abstract People in organizations work in teams in achieving stated goals and objectives. The extent to which project success relates to the management of task, the individuals and the teams formation in the pursuance of these goals and objectives are not of equal proportion and need to be well judged and balanced by the leader. This assignment will use John Adairs Action Centre Leadership model to related the dynamic between task, individuals and team; critically discussing the extent to which these three needs are related to the management of a successful project. Introduction One person cannot handle whole project, he/she need other individuals an effective team to successfully complete the project. An effective team is a team who has high commitment, is highly appreciated by upper management, is always ready (adaptive) to change open to new ideas and always achieves its goals. Bailey and Cohen (1997: 4) considers a team as a collection of individuals who are interdependent in their tasks, share responsibility for outcomes, see themselves and are seen by others as an intact social entity, embedded in one or more larger social systems and who manage their relationships across organizational boundaries. Adairs Action Centred Action (ACT) model will be used to find the dynamic between task, team and individual as relate to managing projects successfully, as this model identifies three core interrelated functions, which explain the management and leaders core management responsibility. These three core function consist task: achieving the teams goal. team: developing and building your team, so that its ever more effective. individual: helping individuals develop their full potential in the workplace. Discussion Davis (2001) identified three factors, which can determine whether the team is effective or not, such as: The people (individual) within the team: Effective team determining factor for individual aspect include personal job satisfaction, low or no conflict and power struggles, having job security, appreciation by management and mutual trust of colleagues. The organizations rules and culture: includes the people do thinks and believes of the individuals. The tasks to be completed: including appropriate leadership, team involvement in decisions, appropriately skilled team members, challenging work, goals and objectives. According to Davis (2001) it is easy to appreciate the impact of organizational rules and job tasks on each other and on people (individual), but it is much more difficult to understand the impact of individual-related factors on other factors of successful teams of a successful project. Individual related factor such as trust is a major component in forming an effective working team that achieves results. Leaders/ managers are primarily responsible for creating trust. Adair (1997) describe the best leaders is who balance the task, team maintenance, and individual needs. Balancing task, team and individual Adair found that effective leaders pay attention to three areas of need for members of the team: those relating to the task, to the team itself and to individual team members with emphasis on variation with all three interdependent variables. Teams can be more effective for making decisions effectively and quickly than the traditional hierarchical structure according to the large body of research (Thompson 2008). As group members come and go, due to turnover, promotions, hiring and other reasons; therefore resulted over time change in teams, goals, group tasks etc (George et al. 2008). Teams can be classified on the basis of size, organizational level, composition, potential contribution to organizational performance, objectives, permanent versus temporary. According to Colloquia et al., there are 5 general types of teams such as work teams, management teams, parallel teams, project teams and virtual teams. Leadership is the ability to affect human behaviour to accomplish a mission, the act of influencing people to set and achieve goals (McGraw, 2009). Great leaders are visionary people who are able to achieve results using people. They exhibits authority in themselves and exhume confidence in their team members. Some leaders are democratic, allowing team members to express their opinions. Some are dictatorial, explaining what they want from their teams to the team members to execute. All styles have opportunity and challenges and may be used in certain circumstances. Team leaders must also realise that there are different types of human traits that can be exhibited among team members. These traits rarely have advantage over others as they are complementary. It is the duty of an effective team leader to identify the trait in individual members of his or her team and know how to use the qualities to advantage. All these traits have the qualities which effective team leaders can exploit and none is better than the other. Tasks are those activities that need to done in order to achieve the desired goals and outcome. Leader can help to facilitate these tasks by planning the work, allocating the resources, checking performance and reviewing progress. Team maintenance relates to maintaining good relation and building team spirit, training the group, maintaining discipline. Individual needs can be satisfied by attending to personal problems, training the individual, giving them status and praise, meeting their needs and reconciling conflicts between group needs. To achieve the task, management should make it clear who is going to do what, proper delegation of responsibilities, everyone is clear about the objectives, is adequate authority delegating to the team, are working conditions right for the group, have the time planned affectively, who will cover the absent person, is there adequate resources to complete the tasks. In building and maintaining the team, management should make it clear is the size of the team is correct, are the right people working together, are the rules seen to be reasonable, is the team motivated to achieve the tasks, is the conflict dealt properly, does the team accept the objectives do the team knows about the expected standards of performance. In developing the individual, management should make it clear that have the targets been agreed and quantified, does the individual know about their contribution to work, overall result, does the individual got sufficient authority to achieve the task delegate to them and has adequate provisions been made for retaining and training team members. According to the Hackman (1987), there are 3 primary definitions of team success, and these relate to the task, social relations, and individuals. A successful team completes its task. While completing the task, team members develop social relations that help them work together and maintain the team. Teamwork should help to improve an individuals social and interpersonal skills. Mullins (2010:369) suggests that the action taken by the leader in any one of these area of need will affect one or both of the other areas of need with the ideal position been the complete integration towards the achievement of all three. However, building the team and satisfying individual needs are considered to be part of leadership whilst achieving the common task involves the process of management. According to Robbins (1998) Individual behavior have key variables, which make up individual difference. Every individual has their own attitudes, personality, values, talent, ability to learn, motivation factors, perceptions. Different nature of these variables (attributes) make individual different. Attitude is the judgment an individual make about events and people. This judgement can be positive or negative. Basic values influenced attitude and attitude affect the individual behaviour. Sometime attitudes can change, while values are unlikely to change. Values: Values are the general belief about what is good and bad. Values affect the individual behavior and attitude and difficult to change. Personality: Individual act and behave in a particular way, which called personality. Personality can be learned and inherited. Talent: Talent means the intelligence and ability of the individual. Level of persons talent will depend on how those people perform their job. Ability to learn: This is related to the change in behavior based on experience and getting new ideas. Motivation: Motivation means willing to do something with inspiration, not by force. Different individual have different motivating factors, such as money, name and fame etc. According to Bowditch et al the motivation of team members of joining a team, strongly influence cohesiveness of the team and the members productivity. Perception: Different people give different meaning to what they see around them; therefore people perceive things in different ways. By Knowing about individual differences leaders can understand why individual respond differently. Leaders should appreciate that it is difficult to change values, therefore they may be try to change attitude. As attitude affect behavior, which affect job performance and motivation. The key learning point from these different factors is that if leader want to get best from their team he should appreciate that individuals need to be treated differently. There is also Myer-Briggs model (1956) which effective team leaders have to contend with. This model is about personality types. Myer-Briggs identified four ways people differ from each other. These are: the way they think; the way they view; the way they feel/perceive and the way they see things. Team diversity include language difference, cultural difference, background difference, qualification difference, class, age, sex and experience also have effects in a team which the leader must manage. Mckenna and Maister draw attention on the importance of group leader establishing trust among the group by helping them understand the behaviours that build trust (Cited in Mullins, 2010). Successful project management will require the following list of common tasks for each of the three management responsibilities so that leaders will balance their resources appropriately. Task:Â  Establish deadlines for project tasks, and explain the quality standards expected. Team:Â  Ensure that everyone in the team has the skills and training to accomplish the final goal Individual:Â  Help define each individuals role within the team and agree the tasks they are responsible for. Task:Â  Clearly state the final goal of the team. Team:Â  Monitor team relationships, and resolve conflicts where necessary. Individual:Â  Appropriately praise and reward individual team members for their contribution to the team. Task:Â  Ensure everyone understands the resources, people, and processes that they should be using Team:Â  If team will be working in smaller teams, appoint a leader for each team, and ensure that he/she is effective and properly trained. Individual:Â  Ensure that one on one time is spent with each member: identify their strengths and weaknesses, their needs, and any special skills they can bring to the team. Task:Â  Create a detailed plan for how the group is going to reach their final goal. Team:Â  Work on keeping the team motivated with high morale. Individual:Â  If any team members seem to be lagging behind, coach them until they are back on track. Task:Â  Identify the purpose of the team and communicate team members. Team:Â  Identify the style the team will be working in (very formal, relaxed, etc.) Individual:Â  Ensure each team member has the skills to perform his or her role successfully. Give regular feedback on the teams performance. 4. Conclusion Leaders have many responsibilities when it comes to managing their teams. And, its easy to get so focused on one area that the others slip by the wayside, leading to an unbalanced, poorly-functioning group. ACL model states that leaders must balance the actions they take across all three key areas if they want their project to succeed. The areas are interdependent; if a leader focuses too much on one area and neglects the other two, then the group will experience problems. The leaders do not necessarily have to divide their efforts equally across these but balance according to the situation and over time. Using a tool like Action Centered Leadership can help any leader stay on top of the most important responsibilities, and keep the group working efficiently, happily, and productively. John Adairs simple Action-Centered Leadership model provides a great blueprint for leadership and the management of any team, group or organisation. Good managers and leaders should have full command of the three main areas of the ACL model, and should be able to use each of the elements according to the situation. Leaders who are able to achieve the task; building the team and develop keeping the right balance, gets results, builds morale, improves quality, develops teams and productivity, and is the mark of a success. References and Bibliography: Adair, J (1997), cited in Management Extra Leading Teams; page 43 Bailey and Cohen (1997), cited in Halverson B. Claire; Trims S. Aleel: Effective Multicultural Teams-Theory and Practice, page 4 Belbin R. Meredith: Team Roles at work; 2nd Edition, page 122 Belbin, M. (2004) Management Teams Why They Succeed or Fail? 2nd Edition. Oxford: Elsevier Butterworth-Heinemann. ISBN 0 7506 910 6. Colquitt A., Jason; Lepine A., Jeffery; Wesson J., Michael: Organizational Behaviour (2nd Edition) Daniel Levi: Group Dynamics for Teams (2nd Edition) page 20 George M., Jennifer; Jones R., Gareth; Understanding and managing organizational Behaviour (5th Edition.); 2008 Harvard Davis (2001), cited in Management Extra Leading Teams; page 7 Hondon (2002), cited in Managing People in Organizations Contemporary Theory and Practice by Dr Jeremy Adams. Making the team: a guide for managers / Leigh L. Thompson. (3rd Edition) Mullins J., Laurie (2010): Managing and Organizational Behaviour (8th Edition), Marx, K. and Engels, F. (1947) The German Ideology. New York: International Publishers. Oyedele, O (2010) Team Management: Lessons from the Leadership Styles of Successful Team Managers, Glasgow Caledonian University, June 2010 Robbins (1998), cited in Management Extra Leading Teams; page 7 Thompson, L. (2008). Leading high impact teams. Team leadership survey from the Kellogg School of Management Executive Program. Evanston, IL: Northwestern University, cited in Making the team: a guide for managers/ Leigh L. Thompson. (3rd Edition)

Tuesday, August 20, 2019

Sex Education As Intervention Against Teenage Pregnancy Social Work Essay

Sex Education As Intervention Against Teenage Pregnancy Social Work Essay Promotion of sexual health, and all Adolescence, the second decade of life, is increasingly recognized as a critical phase in the life course, especially from the health and social perspectives. The most challenging aspect of adolescence is sexual and reproductive health, as it is aspect of adolescence is sexual and reproductive health, the area that poses the greatest difficulty in maintaining adolescents health and implementing appropriate and effective interventions. For a start, there is a paucity of information and, if there is information, it is often uncoordinated and fragmented and not very useful for policy-making and programme interventions (WHO, 2005) Understanding human sexuality is a prerequisite to the promotion of sexual health, and all over the world sexuality remains one of the most problematic and dangerous aspects of person-hood (Wilson and Mcandrew, S, 2000). Professor Catherine Ingram of the school of Nursing at the University of North Carolina at Chapel Hill has defined sexuality perhaps more succinctly than most authors in this field. She describes sexuality as an important dimension of the human personality and sees it as being inextricably woven into the fabric of human existence (Catherine Ingram, 1990) The belief prevalent in the early part of the twentieth century, that sexual education of the intelligent adolescent was best served by one short, sharp talk- in the fifth if the school was enlightened, in the sixth if it was felt to be an unpleasant but unavoidable duty-was perhaps typical of attitudes to education in many other disciplines. Facts were enough, and sex was put over in a way similar to that used when dealing with the maps of the coalfields. The only difference was the special atmosphere which surrounded the short, sharp talk. It must often convey to its victim that these matters were unspeakable and no well-bred pupil would either need or investigate them further. This method had at least one advantage- it did not attract unfavourable critic from parents or education committees large because all concerned were much too embarrassed to mention it.   Ã‚  Ã‚  Ã‚  Ã‚  After the first World- war, pragmatic objectives in sex education become more apparent and by early 1930s several of our national agencies with the prevention the prevention of illegitimacy, the spread of knowledge about contraceptives and marriages guidance had begun. There was a small but interesting upsurge of intellectuals who nobly hid their embarrassments they discussed sexual matters with their children and solemnly left the bathroom door unlocked so that nudity could be rationally displayed. There were, however, even in those days, teachers in schools effectively relieving adolescent anxiety and ignorance about sex often under the name of human biology, wit equivocally worded syllabuses, and without a word to the head. Such strategies are still in use today.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The ironic evidence from research on the effects of fear-arousing information in connection with types of preventive health behaviour is that people tend to reject the information rather than change their behaviour (Radelfinger, 1965; Young, 1967) In 1936, Wilhelm Reich commented that sex education of his time was a work of deception, focusing on biology while concealing excitement arousal, which is what a pubescent individual, is mostly interested in. Reich added that this emphasis obscures what he believed to be a basic psychological principle: that all worries and difficulties originate from unsatisfied sexual impulse (Reich W, 1936) The existence of Acquired Immunodeficiency Syndrome (AIDS) has given a new sense of urgency to the topic of sex education. In many African nations, where AIDS is at epidemic level, sex education is seen by most scientists as a vital public health strategy. Some international organizations such as Planned Parenthood consider that broad sex education has global benefits, such as controlling the risk of overpopulation and the advancement of womens rights. According to the Sexuality Information and Education Council of the United States (SIECUS), 93% of adults they surveyed support sexuality education in high school and 845 support it in junior high school (SIECUS,1984). In fact, 885 of parents of junior high school students and 80% of parents of high students believe that sex education in school makes it easier for them to talk to their adolescents about sex. Also, 92% of adolescents report that they want both to talk to their parents about sex and to have comprehensive in-school examination. When sex education is contentiously debated, the chief controversial points are whether covering child sexuality is valuable or detrimental: the use of birth control such as condoms and hormonal contraception: and the impact of such use on pregnancy outside marriage, teenage pregnancy and the transmission of sexually transmitted diseases (STIs.) Increasing support for abstinence-only sex education by conservative groups has been one of the primary causes of this controversy. Countries with conservative attitudes towards sex education (including the United Kingdom and the United states ) have a higher incidence of STIs and teenage pregnancy (Monbiot, 2004) The proportion of women aged 20-24, who had a child before age 20 is a useful summary indicator that reflects the differences in teenage birth rates by country. This proportion is lowest in Sweden (4%), slightly higher in France (6%), much greater in Canada and Great Britain (11% and 15%, respectively) and highest in the United States (22%). Differences in the proportion giving birth by age 15 and by age 18 are also much higher in the United States than in the other four countries (Jacqueline et al, 2001) Teenage pregnancy is times is a factor of early sexual exposure. Immaturity, inexperience or risky sexual experience often results in the unplanned pregnancy. In the study carried, between 1980 and 1998, among men and women to determine the age of first sexual experience, women were found to be exposed earlier than men (figure 1). Figure 1.  Proportion of participants younger than 16 years at first intercourse, by year of first intercourse. Teenage pregnancy in Europe : The incidence of teenage pregnancy across Europe varies considerably. The United Kingdom has the highest rate in Western Europe and is lower only than Bulgaria , Russia , and Ukraine in Europe as a whole. Throughout most of Western Europe, teenage birth rates fell during the 1970s, 80s, and 90s, but in the United Kingdom , rates have remained high-at or above the level of the early 80s. http://www.bmj.com/content/330/7491/590.full Figure 2: showing teenage pregnancy in 6 European countries over a 25 year period. The graph shows the trend over a twenty-five year period (1973-1995) There is a sharp decline in the United Kingdom figures and then a near steady value in the late 70s and early 80s, before gradually reaching a crescendo in 1991 and then a sharp drop towards the end of the survey. The Netherland has the least and was fairly constant throughout the study period. Germany , France , Ireland ad Italy had fluctuating values, but generally, there was a decline towards the end of the study.   UNITED KINGDOM: In England and Wales , sex education is not compulsory in schools as parents can refuse their children take parting the lessons. The curriculum focuses on the reproductive system, foetal development and the physical and emotional changes of adolescence, while information about contraception and safe sex is discretionary and discussion about relationships is often neglected. Britain has one of the highest teenage pregnancy rate s in Europe and sex education is a heated issues I government and media reports. In 2000 study by the University of Brighton , many 14 to 15 year olds reported disappointment with the content of sex education lessons and felt that confidentiality prevents teenagers from asking teachers about contraception. In a 2008 study conducted by YouGov for channel 4 it was revealed that almost three in ten teenagers said they need more sex and relationships education. In Scotland , the main sex education programme is Healthy respect, which focuses not only on the biological aspects of reproduction but also on relationships and emotions.  Ã‚  Education about contraception and sexually transmitted diseases are included in the programme as a way of encouraging good sexual health. In response to a refusal bythe catholic school to commit to the programme, however, a separate sex education programme has been developed for use in those schools. Funded by the Scottish Government, the programme Called to Love focuses on encourage children to delay sex until marriage and does not cover contraception and as such is a form of  Ã‚  Abstinence-only sex education. It is important to recognise that for some young women, particularly from certain ethnic or social groups, teenage pregnancy can be a positive life choice. Rates of teenage pregnancy within marriage are high, for example, in some South Asian ethnic groups in the United Kingdom . However, for many other young women, the costs of teenage pregnancy can be very high, particularly when linked with poverty. These risks include poorer outcomes for the children of teenage mothers as well as for the mothers themselves.   Ã‚  http://www.bmj.com/content/330/7491/590.full Figure 3: showing the rate of teenage pregnancy in 17 European countries. A sex survey by the World Health Organization concerning the habits of European teenagers in 2006 revealed that the birth rate among 15-19-year-olds in the UK was 27.8 births per 1,000 populations. The graph shows, the United States with the highest rate of teenage pregnancy and Switzerland with the least. The United Kingdom has the highest rate in Europe, which is clearly above the average value in Europe   FRANCE: In France , sex education has been part of school curricula since 1973. Schools are expected to provide 30 to 40 hours of sexual education and pass out condoms to students in grades eight and nine. In January,2000, the French government launched an information campaign on contraception with television and radio spots and the distribution of five million leaflets on contraception to high school students GERMANY: In Germany , sex education has been part of school curricula since 1970. Since 1992 sex education is by law a government duty. It normally covers all subjects concerning the growing-up process, body change during puberty, emotions the biological process of reproduction, sexual activity, partnership, homosexuality, unwanted pregnancies and complications of abortion, the dangers of sexual violence, child abuse and sex-transmitted diseases, but sometimes also things like sex positions. Most schools offer courses on the correct usage of contraception. A survey by the World Health Organization concerning the habits of European teenagers in 2006 revealed German teenagers about contraception. The birth rate among under 15- to 19-year-olds was very low- only 11.7 per 1000 population, compared to the UKs 27.8 births per 1,000 population and in first place -Bulgarias 39.0 per 1,000. FINLAND: Sexual education is usually incorporated into various obligatory courses, mainly as part of biology lessons (in lower grades) and later in a course related to general health issues. The Population and Family Welfare Federation provide all 15-year-olds on introductory sexual package that includes an information brochure, a condom and to be most effective when a multifaceted approach is used, as the problem is multiple determined and multidimensional. The interventions cartoon love story should not only focus on sexual factors and related on sequences, rather Interventions that are designed to reduce teen pregnancy appears they should include non sexual factors such as skills training, and personal development as well. Further, stakeholders including pregnant teens, parents, health sector, schools and churches should work together to devise programs that are practical, evidence based, culturally appropriated and acceptable to the target population. Boostma writing on Sex Education: Preparing Instead of Prevention, surmise that the teenage pregnancy rates has been (one of) the Netherlands for years now. Asking the question if Netherlands are hardly sexual active or if the Dutch promote abstinence from sexual intercourse? He asserts that in the Netherlands , there is not one specific governmental programme for teenage sex education or contraception. There is however, a lot of information about sexuality and contraception that is coming from all directions. Boostma believes that the Dutch approach attitude towards sexuality is one of tolerance, open mindedness and pragmatism and that studies from many countries that giving the message to young people not to have sex are having the opposite effects. The same account for countries where the subject sex is more or less a taboo to talk about. The Dutch concluded that many young people will have sex anyway, so they should be prepared for sexuality than to be prevented from it. This preparing attitude is coming from different levels of the society: The government through the National Health insurance pay for the contraception. Parents talk about sexuality and its consequence. The Mass-media (Television, newspaper, magazines, radio) addresses sexuality and sexual health. Schools give sexuality talk/sex education.  There many accessible services for sexuality and contraception. These and other factors result in a tolerant and pragmatic attitude  Ã‚  Ã‚  Ã‚  towards sex make information and contraception accessible and explains the low rate teenage abortion or pregnancy. Sexual heath in the Netherlands means preparation instead of prevention. This preparation means that young people are stimulated to become sexually autonomous and can make their own sensible discussions. Up till now, the Dutch method has proven its effectiveness over and over again.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ian Sutherland, who was director in the Health department of Britain in the early 80s co-authored a book, Health Education, perspective and Choices which dwells on the several choices available to people and the choices they make based on the information they have. The book analyses the different areas where choice is inevitable and the ideological basis for which certain choices should be made. Various authors contributed various topics on the theme Health education. The book first published in 1979 is invaluable as it coincide with the transition period of balancing health needs in Britain . The increased rate in teenage pregnancies and the consequence rise in abortion rates. It was also a period Britain was trying to establish formal curriculum on sex education. In an effort to include as much as possible, the authors referred extensively to a literature which begins with Plato. The authors tried to draw  Ã‚  the readers attention to as many authorities as possible, and so made attempt at bringing together in  Ã‚  one book the extensive libraries of health, education, and health education.  Ã‚  Ã‚  Ã‚  Ã‚   Crosby et al (2008) in a study titled, The Protective Value of Parental Sex Education: A clinical-based exploratory study of adolescent females compared the impact of sex education provided by parents to female adolescents against the same education provided by formal settings to female adolescent. They sampled females aged 16-24 years, attending an adolescent medical clinic in urban area of the south were recruited prior to examination. Each patient completed an anonymous self administered questionnaire. Data from 110 respondents were analysed to compare those who indicating they had learned about each of 4 topics from parents to those not indicating learning about all 4 topics from a parent. The same process was repeated relative to learning about all 4 topics in a formal education setting. The result showed that in controlled, multivariate analyses, adolescent not communicating with parent on all 4 topics were nearly 5 times more likely to report having sex partners in the past 3 months. Further, adolescents were 3.5 times more likely to have low self efficacy for condom use, 2.7 times more likely to ever using alcohol or drugs or sex and about 70% less likely to have ever talked about HIV prevention with a partner before engaging in sex. Differences relative to learning about all 4 topics in formal settings were not found out. Looking at works done recently in the United Kingdom, (SHARE: Sexual Health And Relationships; Safe, Happy and Responsible) included 8400 pupils aged 13-15years in 25 secondary schools in east of Scotland (Wight et al,2002) Questionnaires was completed at base line and follow up done 2 years later. The intervention was a new 5-day teacher training programme plus a 20-session pack: 10sessions were delivered in the third year (at 13-14 years) of secondary school and 10 in the fourth year (at 14-15years). The primary outcome for the study was use of condoms at first intercourse. Similar proportions of both intervention and control groups used condom at first intercourse with less than 105 of pupils reporting first intercourse without condom. For all other behavioural outcomes (condom use after first intercourse, oral contraceptive use and unplanned pregnancy) there were no differences with the groups. However, as with Martiniuks study in Belize, published in this issue of the internatio nal journal of epidemiology, pupils in the intervention group were more knowledgeable than those in the control group.(Martiniuk,2003). The Belize study was well designed in allowing for the clustered nature of samples both when calculating and the sample size and analyzing the data. Publishing the intra-cluster correlation will be good for planning future research. However, there are a number of weaknesses with the randomized procedures discussed by the authors in their paper. The imbalance between groups in the number of classrooms could have been overcome by a block method rather than the simple coin toss employed here. (Schulz and Grimmes, 2002)  Ã‚  There were considerable differences between groups at baseline in terms of gender and sexual experience. These data were not available to the researchers prior to the study starting. It may have been appropriate to allocate classes to intervention and control groups when the results from pre-test questionnaires were available. At this time an alternative randomization procedure such as stratification or minimization may have reduced the chances of imbalance between groups in the study (Pocock, 1984) Anna Graham noted that the factor with the strongest influence preventing teenage pregnancy is educational opportunity. It is well-educated women who tend to delay childbearing. For women aged 20-24 years the longer a woman remains in school the less likely she is to have a child before the age of 20. Adolescents with little schooling are often twice as likely as those with more education to have baby before their 20th  birthday. For example, 46% of young Columbian women with less than 7 years schooling have their first child by the age of 20, compared with 19% of those with more education. The contrast is even greater in Egyptian, where 51% of less educated women have their first birth before the age of 20 compared with 9% of better educated women. She noted that the link between lack of education and early childbearing is also strong among adolescents in the US . Some 58% of young American women who receive less than a high school education give birth by their 20th  birthday, c ompared with 13% of young women who complete at least 12 years of schooling. The report from the Alan Guttmacher Institute, from which these data came, suggested that low level of education is not necessary a direct cause of early child bearing, however, the two characteristic of living in impoverished and rural environments. She further argued that when school is the main source of information about sexual matters, like the cross-sectional surveys in the UK , early and unprotected sexual intercourse is less likely, compared with when other sources such as friends and the media dominate. She surmised that, the greatest impact to be made in reducing unwanted pregnancies and sexually transmitted infections is to increase the time spent in education by young women worldwide. She believes this form of intervention is likely to change the role of women in society empowering them to avoid the adverse consequences of sexual activity.  Ã‚  Ã‚  Ã‚  Ã‚     The author in her work tried to justify the need for a comprehensive education over and above the micro aspect of education-sex education. Believing that with increased time spent acquiring education, a women is more likely to avoid the bad aspect of sexual activity. She had looked into certain aspects of form of sex education and did not really weigh each on its own merit. She probably relied on her experience to draw a far reaching conclusion.   Boostma writing on Sex Education: Preparing Instead of Prevention, surmise that the teenage pregnancy rates has been (one of) the Netherlands for years now. Asking the question if Netherlands are hardly sexual active or if the Dutch promote abstinence from sexual intercourse? He asserts that in the Netherlands , there is not one specific governmental programme for teenage sex education or contraception. There is however, a lot of information about sexuality and contraception that is coming from all directions. He believes that the Dutch approach attitude towards sexuality is one of tolerance, open mindedness and pragmatism and that studies from many countries that giving the message to young people not to have sex are having the opposite effects. The same account for countries where the subject sex is more or less a taboo to talk about. The Dutch concluded that many young people will have sex anyway, so they should be prepared for sexuality than to be prevented from it. This preparing attitude is coming from different levels of the society. He noted that the government through the National Health insurance pay for the contraception. Also parents talk about sexuality and its consequence. The Mass-media (Television, newspaper, magazines, radio) addresses sexuality and sexual health. Schools give sexuality talk/sex education.There many accessible services for sexuality and contraception. These and other factors result in a tolerant and pragmatic attitude  Ã‚  Ã‚  Ã‚  towards sex make inform ation and contraception accessible and explain the low rate teenage abortion or pregnancy. Sexual heath in the Netherlands means preparation instead of prevention. This preparation means that young people are stimulated to become sexually autonomous and can make their own sensible discussions. Up till now, the Dutch method has proven its effectiveness over and over again.  Ã‚  Perspective and choices which dwells on the several choices available to people and the choices they make based on the information they have is important in tackling the issue of teenage pregnancy. The different areas where choice is inevitable and the ideological basis for which certain choices should be made should essentially be based on informed choices. Health authorities have proposed several methods of addressing Health education. This was very significant, particularly during the transition period of balancing health needs in Britain . The increased rate in teenage pregnancies and the consequence rise in abortion rates is significant, particularly going back to the period Britain was trying to establish formal curriculum on sex education. Abortion seems to be on the increase in the United Kingdom , according to the office of national statistics in the United Kingdom , the proportion of conceptions terminated by abortion among under 20-year-olds increased slightly from 36 per cent in 1990 to 39 per cent in 2000. Over half (51 per cent) of all conceptions among under 16-year-olds resulted in a termination in 1990 and this increased slightly to 54 per cent in 2000. Legal abortion rates were highest in London and the West Midlands in 2000 and 2001. Similarly, the data collected by the agency noted a corresponding decrease in conception rate, it noted that, In 2000, the conception rate among females under 20 years was 63 per 1,000 females aged 15 to 19 years. This marks a decrease in conception rates over the last decade that mirrors a general decrease among females of all ages. The exception however has been among females aged 13 to 15 years. Rates of conceptions in this group have remained consistent at between 8 to 10 p er 1,000 females from 1990 to 2000.  Ã‚  A likely consequence of abortion is decreased fertility and sexual infections, the agency equally noted a rise in sexual related infection within this time period, Genital infection with chlamydia trachomatis if untreated, is associated with pelvic inflammatory disease (PID) in women and infertility. The diagnostic rate of genital chlamydia infection in females aged under 20 years old has increased since the mid-1990s. In 2001, the highest rates of diagnosed chlamydia seen in GUM clinics, were among 16- to 19-year-olds (1,035 per 100,000 females). Genital warts are the most commonly diagnosed viral STI. In 2001, 29 per cent of females diagnosed with genital warts were under 20 years of age, compared with only 10 per cent of males in the same age group. Rates of diagnosis among females aged 16 to 19 years increased by more than 15 per cent during the last decade and reached 680 per 100,000 females in 2001. Intervention in teenage pregnancy, need to among other things focus on improving contraceptive use, and initiate attitudinal changes and life style  Ã‚  likely to prevent pregnancy and sexual transmission infection transmission. This should involve long-term services and interventions, which are tailored to addressing the major causes of teenage pregnancy. This should be spelt in information, which are clear and unambiguous and may involve ideas which the youths relate with. It should also be home grown, in that it should relate with the culture or practices inherent in the society. This will start with identifying the risk group. There are certain categories among this age, which appear to be vulnerable. Vulnerability may be by choice or imposed due to social economic reasons or accessibility to health care, such as contraception use. Interpersonal skills development is vital in achieving this objective. Programmes and other educational facilities, which allow interpersonal development, should be explored, this will allow productive engagement. Clinic service for education and information, will also serve a vital role in checkmating the trend. As teenage will not only benefit, but the society will be better for it as well. Information dissemination is vital and there is the possibility of teenagers accessing this on their own, if encouraged to talk to health personnel or attend clinics for advice and education. Education in this sense should be all encompassing and structured to the need at hand. Constructive engagement and participation of all and sundry are v ital. Periodic review of methods is important in our ever changing world. Therefore, interventions should not just be in theory, but clear goals which are practicable should be outlined to follow the strategies mapped out. Outcomes envisaged, need to be weighed in relation to the input. The delicate age, adolescence confers on teenage, makes it imperative, to address peer pressure and to make leaders of peer groups participatory in addressing the problems identified. All this need be done in an atmosphere of trust and confidentiality. It is often difficult to identify sexually active individuals, therefore, the scope of the intervention need be broad-based to cater for all and sundry. This can be achieved by recruiting experts or people trained in working with youths, who have enough experience to deal with the challenges teenage present. Catherine et al 2003, working on reviews which looked at teenage pregnancy and interventional means of check in the scourge, surmised the intervention on socio-demographics, which addressed the various health, education and psycho-social needs of teenagers and their environment in tackling the problem. They found out that, there is mixed evidence for the effectiveness of school-based and/or teacher-delivered sex education. They are of the opinion that, the best chance of interventions being successful in this setting is when they are multifactor and address a broad range of issues, including self esteem, vocational development, and access to services. In the area of Clinic/primary care as an interventional means, they equally believe that, there is mixed evidence for the effectiveness of interventions that take place in a clinic/primary care setting alone, and that it will be beat, based on the literature search, that they are linked widely to other community and school services, and evaluated as part of a broader programme. They are of the view that, confidentiality is of utmost importance considering the age group. They also surmised that in the UK context, particularly on UK-specific services and settings, such as doctors who may be the first to see these individuals. On Education and information dissemination, there is mixed evidence for the effectiveness of educational approaches. It was found out that, the more positive outcomes, have been found for education based approaches which link directly to services offered. This also includes a broad range of skills to help improve confidence and relationships among teenagers Vocational development may also be useful. It is said that, programmes should be long term, sustained across school years, and be in place before teenagers become sexually active. It is also suggested that, there is the need to support young parents to continue their education to enhance educational and employment opportunity for parents, mother/child interaction, and social outcomes for children. Early educational interventions for disadvantaged children can improve long-term. The family is foremost in checking the trend and this is dependent on teenagers getting support from parents and families. Neglect has always been attributed as a cause of teenage pregnancy. This could be deliberate or due to pressure from social responsibilities from parents to support the family, often leading to children not getting enough or desired attention from their parents. They further found out that, community interventions should be developed with regard to local needs and existing services. There is some evidence that multi-factor interventions involving a degree of community activity or service may be effective at improving contraceptive use. On  Ã‚  school-based clinics., it is noted that, although, more research is needed on these as the evidence covered by reviews here was methodologically weak, They may be effective as part of multi-factor programmes, but clinic-based healthcare programmes for teenage mothers and their children can improve their health outcomes, if taken as a priority at all stages.  The media and the Internet are often seen as social agents which are often not properly utilised, either as a child educator and form of entertainment, but also as a means of redeeming the problem. The study noted that much work has not been done in the United Kingdom , but again, further work is needed here for the UK . Skills, meant to give self-esteem are vital.  Ã‚  Ã‚  There is encouraging result for approaches that focus on these factors, particularly when they are part of a broad-ranging intervention. Peer education, is also important in addressing the core issues right from the onset. Abstinence, as an interventional means has actually, not been fully found to be effective, as there are little or no evidence for the e