21 results on '"La Forgia, G."'
Search Results
2. Breaking of internal solitary waves generated by intrusions
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La Forgia, G., primary, Ottolenghi, L., additional, and Adduce, C., additional
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- 2020
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3. Laboratory investigation on internal solitary waves interacting with a uniform slope
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La Forgia, G., Adduce, C., and Falcini, F.
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- 2018
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4. Large eddy simulations of solitons colliding with intrusions
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Ottolenghi, L, Adduce, C, Roman, F, la Forgia, G, Ottolenghi, L., Adduce, C., Roman, F., La Forgia, G., Ottolenghi, L, Adduce, C, Roman, F, and la Forgia, G
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Internal Solitary Wave ,Internal Solitary Waves ,Intrusive Gravity Current ,Intrusive Gravity Currents ,Large Eddy Simulations ,Astrophysics::Cosmology and Extragalactic Astrophysics - Abstract
The dynamics of lock-release Intrusive Gravity Currents (IGCs) generating Internal Solitary Waves (ISWs) are investigated by three-dimensional large eddy simulations. We set the numerical, laboratory-scale domain in order to release a uniform fluid in multi-layer, stratified ambient, exciting pycnocline displacements. By adopting different initial settings, we analyzed the influence of the ambient stratification on both IGCs and ISWs features. We present the main flow dynamics and the time evolution of IGC and ISW front and trough positions, respectively. During the simulations, the ISW is allowed to reach the vertical wall at the end of the domain, and it undergoes reflection. We then analyzed the interaction between the IGC and the reflected ISW: the wave is observed to accelerate as it is pushed upwards by the intrusion, which, in turns, flows below the ISW, decelerating. By analyzing instantaneous velocity fields and flow rates, we found that during this interaction, the ISW increases its celerity in response of the reduced area available for its propagation, partially occupied by the intrusion, and because the velocity field in the IGC interface surroundings acts to facilitate the ISW passage.
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- 2020
5. Free-surface effects induced by internal solitons forced by shearing currents
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la Forgia, G., Sciortino, G., la Forgia, G., and Sciortino, G.
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Solitons, Free surface effects, multi humped,background shear current - Abstract
Free-surface effects induced by internal solitary waves (ISWs) propagating through a background shear current are theoretically investigated in a shallow water framework. Following the Hamiltonian approach, we implement a mathematical formulation valid for a free surface, two-layer stratified system in the presence of mobile layers. Associated to the undisturbed condition characterized by the background fluid at rest, solitons with both positive and negative polarities are considered. To reproduce the typical oceanic conditions, we focus on theoretical predictions for a density ratio set to 0.99. Although under Boussinesq conditions a rigid-lid at the top of the theoretical domain is considered a good approximation, our analysis shows that main ISWs features may change when the fluid system, forced by shear currents, is modeled with a free surface. Signs assumed by three dimensionless quantities, i.e., the deformation parameter, the background velocity, and the undisturbed amplitude, allowed us to uniquely predict how the undisturbed solitons modify their interfacial profiles and change their celerity, in response to the background forcing. Our results show that waves celerity predicted by the rigid-lid model can be lower than the one resulting from the Hamiltonian formulation, although this never occurs in the absence of mobile layers. Theoretical predictions reveal that shearing current can induce deviations from the standard ISWs free-surface profile. We discuss the role of nonhydrostatic pressures in inducing free-surface short disturbances, in the form of undulated or multihumped profiles. The typical phase-opposition between interfacial and surface displacements can be lost as the free-surface displacements assume multihumped configurations.
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- 2021
6. Interfacial solitons propagating through a background shear current
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La Forgia, G., Sciortino, G., La Forgia, G., and Sciortino, G.
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Interfacial solitons, shear background current, rigid lid - Abstract
Nonlinear internal solitary waves (ISWs) propagating through a two-layer stratified system, in the presence of a shear background current, are theoretically investigated. We implement a new version of the Miyata-Choi-Camassa model with mobile layers (MCC-ML), by considering an asymptotic, uniform velocity distribution for each layer. To investigate the typical geophysical flow conditions observed in the coastal oceans, we focused on theoretical predictions for a density ratio between the two layers set to 0.99. A rigid-lid at the top of the theoretical domain is considered since it represents a good approximation under the Boussinesq condition. By varying the ratio of the undisturbed layer thickness from 0.1 to 10, we considered ISWs with both positive and negative polarities, when the background fluid is at rest. For increasing velocity differences between the two layers, ISWs tend to broaden (steepen) when the background velocities assume the same (opposite) direction of those induced by the wave. We show that the polarity conversion can be easily predicted since it directly depends on both stratification features and ambient velocities. The shear current affects also the wave celerity: for increasing background shear, upstream-propagating solitons reach a critical condition for which the wave celerity is equal to zero. We found that this occurrence is associated with a well-defined value of the wave amplitude. For even larger background shears, the waves are observed to change their direction of propagation. By linear analysis, we finally obtained the limiting background shear current for which the MCC-ML model does not provide any solution.
- Published
- 2020
7. The role of the free surface on interfacial solitary waves
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la Forgia, G., primary and Sciortino, G., additional
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- 2019
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8. Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil
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La Forgia, G. M. and Harding, A.
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Benchmarking ,Public Hospitals ,Health Care Reform ,Hospital Economics ,Public-Private Sector Partnerships ,Brazil ,Capital Financing - Abstract
Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PPPs)--a promising but so far unevaluated approach. We present results of a successful reform in Sao Paulo, Brazil. The PPP model gave facility managers latitude to manage human resources--a factor critical to success. Given the prevalence of direct management of public hospitals in developing countries, the Sao Paulo experience has implications for policymakers seeking to improve hospital performance.
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- 2009
9. O741 VALIDATION OF MATERNAL RECALL DURING LABOR AND DELIVERY IN INDIA
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Worjoloh, A.G., primary, Mohanan, M., additional, Donato, K., additional, Kohli, M., additional, La Forgia, G., additional, Singh, K., additional, and Miller, G., additional
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- 2012
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10. Fend for yourself Systemic failure in the Dominican health system
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La Forgia, G, primary
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- 2004
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11. Migrating Bedforms Generated by Solitary Waves
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Claudia Adduce, Giovanni la Forgia, Chris Paola, Federico Falcini, La Forgia, G., Adduce, C., Falcini, F., and Paola, C.
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Paleontology ,Geophysics ,Bedform ,bedform ,bedforms ,flume experiment ,solitary waves ,Sand waves ,General Earth and Planetary Sciences ,Geology - Abstract
We present experimental results on the formation of streamwise asymmetric, migrating bedforms resulting from the transition of successive surface solitary waves (SSW) interacting with an initially flat sandy bottom. We analyze seven cases, with differing ratios between SSW height and water depth. For each experiment, we generated 400 SSWs having the same features, investigating their effects on the bed, in terms of near-bed velocity and erosional patterns. Our work proves that SSWs can generate asymmetric bedforms, similar in shape to dunes. The triggering process occurs in the region where the reverse flow induced by bottom boundary layer separation produces local erosion. The action of successive SSWs over the newly formed discontinuities gives rise to bedforms. Differently from steady flows, dune load decreases for larger wave-induced bottom shear stress.
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- 2019
12. Breaking Location of Internal Solitary Waves Over a Sloping Seabed
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Werner Alpers, Giovanni la Forgia, Eleonora Martorelli, Claudia Adduce, Davide Cavaliere, Federico Falcini, Cavaliere, D., la Forgia, G., Adduce, C., Alpers, W., Martorelli, E., and Falcini, F.
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wave breaking ,Breaking wave ,Astrophysics::Cosmology and Extragalactic Astrophysics ,Oceanography ,internal solitary waves ,Messina Strait ,seafloor reshaping ,Geophysics ,internal solitary wave ,Space and Planetary Science ,Geochemistry and Petrology ,Earth and Planetary Sciences (miscellaneous) ,Seismology ,Geology ,Seabed - Abstract
We present a semi-analytical model for predicting the breaking location of internal solitary waves (ISWs) over a sloping seabed. Our conceptual model is based on laboratory experiments, performed in a wave tank, that reproduce the ISW breaking mechanisms and show how the steepening of the trailing edge leads to verticalization of the wave profile during the shoaling phase. We derive the location of ISWs breaking, that is, the wave verticalization point, through two-layer, interfacial theoretical models and conservation of wave mass. We apply our model to the case of tidally forced ISWs that are generated in the Strait of Messina (Central Mediterranean Sea), where northward traveling ISWs are expected to refract and break over the frontal slope of Capo Vaticano. Our application is then assessed through numerical investigations, which allow to consider realistic field conditions in terms of water column stratification and geometrical setting. Our results, and the expected ISW-induced bed shear stress, suggest a link between the predicted breaking locations and the occurrence of sediment resuspension over that specific portion of the slope.
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- 2021
13. Bed shear stress and sediment entrainment potential for breaking of internal solitary waves
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Giovanni la Forgia, George Constantinescu, Claudia Adduce, Talia Tokyay, la Forgia, G., Tokyay, T., Adduce, C., and Constantinescu, G.
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010504 meteorology & atmospheric sciences ,0208 environmental biotechnology ,Laboratory experiments ,02 engineering and technology ,Numerical simulation ,01 natural sciences ,Breaking solitary wave ,Flow separation ,Sediment entrainment potential ,Numerical simulations ,Shear stress ,Bed shear stre ,Breaking solitary waves ,0105 earth and related environmental sciences ,Water Science and Technology ,Sediment ,Shoaling and schooling ,Mechanics ,Bed shear stress ,Laboratory experiment ,020801 environmental engineering ,Fresh water ,Shear (geology) ,Entrainment (chronobiology) ,Geology - Abstract
We investigate the interaction of strongly non linear internal solitary waves (ISWs) with boundaries having different slopes by means of high-resolution 3D large Eddy Simulations (LES). Releasing a volume of fresh water into a stratified ambient fluid, three different breaking mechanisms are produced: plunging, collapsing and surging breakers. The different shoaling dynamics affect the ISW evolution over the sloping boundary, inducing different effects on the bottom. In order to investigate the effects of the ISW breaking on the inclined surface, we calculate the bed shear stress and estimate the local flux of sediments entrained from the bed. We analyze the relationship between the breaking criteria and the related effects on the sloping surface. Although plunging breakers are expected to induce significant effects within the fluid, causing larger amount of mixing and fluid entrainment, the effects on the bottom are totally opposite. The collapsing breaker mechanism, indeed, generates boundary layer separation, which in turn induces whirling instabilities. Results show that the ISW interaction with the inclined surface occurs in its close proximity for collapsing breaker mechanism, which explains why the largest bed shear stresses and sediment re-suspension are predicted in the simulation where a collapsing breaker mechanism is observed.
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- 2020
14. Breaking of internal solitary waves generated by intrusions
- Author
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Claudia Adduce, Luisa Ottolenghi, G. La Forgia, Uijttewaal W., Franca M.J., Valero D., Chavarrias V., Arbos C.Y., Schielen R., Schielen R., Crosato A., la Forgia, G., Ottolenghi, L., and Adduce, C.
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Astrophysics::Cosmology and Extragalactic Astrophysics ,Geology - Abstract
We experimentally investigate the generation of internal solitary waves (ISWs or waves) by intrusions (IGCs), and their interaction. We estimate the induced mixing in terms of increase of the initial pycnocline thickness. The release of a uniform fluid of intermediate density into a two-layer stratified ambient fluid leads to the formation of an IGC, which propagates downstream. The intrusion squeezes the stratified fluid it interacts with, generating a train of ISWs of decreasing size and celerity. The intrusion, dissipating, slows down, allowing the waves to gradually separate from it. The uniform sloping boundary placed downstream induce ISWs partial breaking and upstream reflection. We vary the boundary slope and its position, to induce different waves breaking mechanisms for different intrusion dissipation state. Interacting with the reflected ISWs, the IGC deepens following the pycnocline displacement, while the waves increase their celerity, since they propagate trough a narrower vertical cross section.
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- 2020
15. The role of the free surface on interfacial solitary waves
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G. La Forgia, Giampiero Sciortino, La Forgia, G., and Sciortino, G.
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Fluid Flow and Transfer Processes ,Physics ,Mechanical Engineering ,Computational Mechanics ,Mechanics ,Internal wave ,Condensed Matter Physics ,01 natural sciences ,DISPERSIVE NONLINEAR-WAVES ,INTERNAL WAVES ,2-LAYER FLOWS ,AMPLITUDE ,GENERATION ,BREAKING ,SOLITONS ,BAY ,010305 fluids & plasmas ,Nonlinear system ,Amplitude ,Interfacial waves, free surface, solitary waves ,Mechanics of Materials ,Free surface ,0103 physical sciences ,Boundary value problem ,Soliton ,010306 general physics ,Korteweg–de Vries equation ,Displacement (fluid) - Abstract
We investigated theoretically and experimentally internal solitary waves (ISWs) in a two-layer fluid system with a top free surface. Laboratory experiments are performed by lock-release, under Boussinesq and non-Boussinesq conditions. Experimental results are compared with those obtained by the analytical solution of the Korteweg–de Vries (KdV) weakly nonlinear equation and by the strongly nonlinear Miyata-Choi-Camassa (MCC) model. We analyze the initial conditions which allow to find soliton solutions for both rigid-lid (-RL) and free-surface (-FS) boundary conditions. For the MCC-FS model, we employ a new mathematical procedure to derive the ISW-induced free surface displacement. The density structure strongly affects the elevation of the free surface predicted by the MCC-FS model. The free surface maximum displacement increases mostly with the density difference, assuming non-negligible values also for smaller interfacial amplitudes. Larger displacements occur for thinner upper layer thickness. The MCC-FS model gives the best prediction in terms of both internal waves geometric/kinematic features and surface displacements. The existence of a free surface allows the ISW to transfer part of its energy to the free surface: the wave celerity assumes lower values with respect to ISW speed resulting from the MCC-RL model. For ISWs with a very large amplitude, this behavior tends to fade, and the MCC-RL and the MCC-FS model predict approximately the same celerity and interfacial geometric features. For small-amplitude waves also, the predictions of the KdV-RL equation are consistent with experimental results. Thus, ISWs with an intermediate amplitude should be modeled taking into account a free top surface as the boundary condition.
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- 2019
16. Laboratory investigation on internal solitary waves interacting with a uniform slope
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Claudia Adduce, G. La Forgia, Federico Falcini, La Forgia, G., Adduce, C., and Falcini, F.
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Pycnocline ,010504 meteorology & atmospheric sciences ,Phase (waves) ,Laboratory experiments ,Kinematics ,Breaking mechanism ,01 natural sciences ,010305 fluids & plasmas ,Breaking mechanisms ,0103 physical sciences ,Geotechnical engineering ,Mixing process ,Internal solitary waves ,Mixing (physics) ,0105 earth and related environmental sciences ,Water Science and Technology ,Iribarren number ,Shoaling and schooling ,Mechanics ,Internal wave ,Laboratory experiment ,Amplitude ,Breaking waves ,Mixing proce ,Internal solitary wave ,Geology - Abstract
Internal solitary waves (ISWs) propagating in a two layer stratified fluid system are studied by laboratory experiments through the standard lock-release method. We investigated the generation, propagation, and breaking phases of large amplitude internal solitary waves of depression, propagating horizontally in a wave tank. ISWs main features depend on the geometrical parameters that define the initial experimental setting. Relations between ISWs geometric and kinematic features and the initial setting parameters are analyzed and empirical relations are developed. The approach of the ISWs towards a uniform slope is investigated. Depending on both wave properties and slopes values, different physical processes characterize the shoaling phase, causing different breaker type. Following a qualitatively analysis of the different breaking mechanisms, collapsing-plunging breakers show the larger contribution in terms of mixing. The characteristics of the breaking events affecting internal wave packets propagating towards the North of the Messina Strait (Mediterranean Sea) are discussed. Additional laboratory experiments are performed to investigate how the pycnocline thickness is affected by the breaking of plunging ISWs. The consequent increase of the pycnocline thickness results to be nonlinearly related with the Iribarren number.
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- 2018
17. Sediment resuspension due to internal solitary waves of elevation in the Messina Strait (Mediterranean Sea).
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La Forgia G, Droghei R, Pierdomenico M, Falco P, Martorelli E, Bergamasco A, Bergamasco A, and Falcini F
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By combining real-field observations and theoretical predictions, we describe role and relationships among north-propagating internal solitary waves (ISWs) generated by tidal currents in the Messina Strait (Mediterranean Sea), buoyancy deformation, sediment resuspension, and mixing effects. In particular, our results show that the presence of ISWs traveling along the Gioia Basin (north of the Strait) is not strictly related to seasonality. During winter, when the remote observation of ISWs from satellite is particularly rare due to the weak water column stratification, we observe elevation-type ISWs from hydrographic data. This finding reveals a different scenario with respect to the summer one, when the high stratified water column gives rise to depression-type north-propagating ISWs and the subsequent sea surface manifestations, detectable from satellite imagery. Moreover, our beam transmission observations and theoretical predictions of the induced near-bottom horizontal velocity suggest that these elevation-type ISWs induce sediment resuspension over the seafloor, as well as mixing effects as they break on the frontal slope nearby Capo Vaticano., (© 2023. The Author(s).)
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- 2023
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18. TRINITY heart valve prosthesis: a novel repositionable and retrievable transapical transcatheter aortic valve system.
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Hengstenberg C, Condado J, Garcia D, Martinez MM, La Forgia G, Ebner A, Gallo S, Silva E, Holzamer A, Husser O, and Hilker M
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- Aged, Female, Humans, Transcatheter Aortic Valve Replacement methods, Treatment Outcome, Aortic Valve Stenosis surgery, Heart Valve Prosthesis, Transcatheter Aortic Valve Replacement instrumentation
- Abstract
Aims: Transcatheter aortic valve implantation (TAVI) has become a viable option for selected high-risk patients with severe and symptomatic aortic stenosis. First- and second-generation TAVI devices are either self- or balloon-expandable, and are often not repositionable or not fully retrievable, leading to suboptimal positioning in some cases. This may result in paravalvular regurgitation, AV conduction delay, or compromise of coronary perfusion. A broader application of TAVI requires advances in both valve and delivery systems. Therefore, in order to facilitate accurate positioning, to minimise paravalvular leakage, possibly to reduce the risk of AV conduction delay, and possibly to be able to abort the procedure, a "next-generation" TAVI system has been developed which is repositionable and retrievable, the TRINITY heart valve system., Methods and Results: The TRINITY heart valve system was implanted in a first-in-human study using the transapical approach to demonstrate feasibility and procedural success. All endpoints were adjudicated according to VARC definitions at seven and 30 days. The TRINITY heart valve system was implanted in a 74-year-old patient with severe symptomatic aortic valve stenosis. In this case, repositioning of the TRINITY resulted in optimal position without paravalvular leakage and with perfect function., Conclusions: The TRINITY heart valve is a repositionable and retrievable TAVI system. Both the implantation result and short-term clinical and haemodynamic outcome were excellent.
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- 2015
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19. Effect of Chiranjeevi Yojana on institutional deliveries and neonatal and maternal outcomes in Gujarat, India: a difference-in-differences analysis.
- Author
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Mohanan M, Bauhoff S, La Forgia G, Babiarz KS, Singh K, and Miller G
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- Adolescent, Adult, Female, Health Services Accessibility economics, Humans, India, Poverty, Pregnancy, Pregnancy Complications, Pregnancy Outcome economics, Public-Private Sector Partnerships statistics & numerical data, Regression Analysis, Retrospective Studies, Young Adult, Delivery, Obstetric economics, Delivery, Obstetric statistics & numerical data, Maternal Health Services economics, Public-Private Sector Partnerships economics
- Abstract
Objective: To evaluate the effect of the Chiranjeevi Yojana programme, a public-private partnership to improve maternal and neonatal health in Gujarat, India., Methods: A household survey (n = 5597 households) was conducted in Gujarat to collect retrospective data on births within the preceding 5 years. In an observational study using a difference-in-differences design, the relationship between the Chiranjeevi Yojana programme and the probability of delivery in health-care institutions, the probability of obstetric complications and mean household expenditure for deliveries was subsequently examined. In multivariate regressions, individual and household characteristics as well as district and year fixed effects were controlled for. Data from the most recent District Level Household and Facility Survey (DLHS-3) wave conducted in Gujarat (n = 6484 households) were used in parallel analyses., Findings: Between 2005 and 2010, the Chiranjeevi Yojana programme was not associated with a statistically significant change in the probability of institutional delivery (2.42 percentage points; 95% confidence interval, CI: -5.90 to 10.74) or of birth-related complications (6.16 percentage points; 95% CI: -2.63 to 14.95). Estimates using DLHS-3 data were similar. Analyses of household expenditures indicated that mean household expenditure for private-sector deliveries had either not fallen or had fallen very little under the Chiranjeevi Yojana programme., Conclusion: The Chiranjeevi Yojana programme appears to have had no significant impact on institutional delivery rates or maternal health outcomes. The absence of estimated reductions in household spending for private-sector deliveries deserves further study.
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- 2014
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20. Measuring public hospital costs: empirical evidence from the Dominican Republic.
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Lewis MA, La Forgia GM, and Sulvetta MB
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- Ambulatory Care economics, Budgets, Cost Allocation, Dominican Republic, Female, Health Expenditures, Health Services economics, Hospitals, Teaching economics, Humans, Length of Stay economics, Male, Personnel, Hospital economics, Quality Assurance, Health Care, Social Responsibility, Surgical Procedures, Operative economics, Women's Health Services economics, Hospital Costs, Hospitals, Public economics
- Abstract
Effective analysis of hospital performance requires the existence of accurate cost and output data. However, these are missing ingredients in most developing countries due to lack of information systems or other sources of data. Typically, expenditures are substituted for actual costs in analyzing hospital finance. This paper presents a methodology and analysis of the actual costs of inpatient, emergency, and outpatient services in a Dominican hospital. Through applying a set of survey instruments to a large sample of patients, the study measures and costs all hospital staff time, in-kind goods (drugs, medical supplies, reagents, etc.), overhead, and the depreciated value of plant and equipment related to the treatment of each patient. The results are striking. The budget is over 50% higher than the actual costs of services, reflecting the high cost of waste, down time, and low productivity. For example, high fixed costs translate into immunizations that on the average cost over 20% more than outpatient surgical interventions. The most disturbing finding is that although physicians represent the bulk of personnel spending, the surveys could account for only 12% of the contracted time of staff physicians, including time dedicated to treatment, supervision, administration, and teaching. As a proportion of the hospital total budget, personnel spending represents a high 84%. Yet staff costs for patient treatment never exceed 12%. These results suggest gross inefficiency, chaotic medical care organization, and poor hospital management.
- Published
- 1996
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21. Fifteen years of community organization for health in Panama: an assessment of current progress and problems.
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La Forgia GM
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- Community Participation organization & administration, Health Planning Councils organization & administration, Humans, Panama, Politics, Rural Health trends, Community Health Services organization & administration, National Health Programs organization & administration, Public Health trends
- Abstract
Since the late 1970s the WHO and other international agencies have placed much emphasis on strategies of community organization in order to improve preventive health services and facilities in rural areas. Many countries have recently set out to reform their rural health systems by means of a community-based approach. Panama's 15 years of experience in 'community health' provide insight into the constraints to program continuity at the national level and to maintenance of participatory mechanisms (health committees) at the village level. This paper focuses on the present status of the Community Health Program and level of activity of the health committees. This study is based on in-depth interviewing of key program participants at three contexts: central ministry, district/regional health institutions and rural communities. It sought to discover how interactions among and within these contexts affected program services and community participation. Inconsistent outcomes are evident. In some areas the Community Health Program thrives and the health committees are active, while in most areas the program functions at a minimal level and most health committees are inactive. Several factors are identified which affect a 'successful' or 'unsuccessful' program environment. These include: degree of support from medical directors of district and regional health centers, existence of 'federations of health committees', the extent of political interference, the presence of a functional 'technical health team' and degree of community confidence in health committee officers.
- Published
- 1985
- Full Text
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