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Although labour force participation is unaffected in the years following the birth, the impact 126 on earnings is negative up to two years after the birth especially for the most educated who mainly chose the part-time allocation. This paper analyses entry in to motherhood from different perspectives: what are the determinants of fertility intentions and their realisation (employment conditions, status of the partner, etc. Which role for family-friendly policies, with a particular attention on leave entitlementsfi The paper also analyses the consequences of a period on leave for subsequent return to work. This aim is to explore the reasons for fathers using this entitlement compared with mothers. This research is based on 30 interviews being conducted with fathers and mothers on leave and working part time. Maternity leave (Mutterschutz) (responsibility of the Federal Ministry of Family Affairs, Senior Citizens, Women and Youth) Length of leave (before and after birth) fi 14 weeks: six weeks before the birth and eight weeks following the birth. Women may continue with paid work until birth if they explicitly declare that it is their personal decision to do so. But for the two months after birth no paid work is allowed for reasons of health protection. Parental leave (Elternzeit) (responsibility of the Federal Ministry of Family Affairs, Senior Citizens, Women and Youth) Length of leave fi Up to three years after childbirth. Both parents are equally entitled to the parental benefit but if both parents take at least two months of leave, the overall length of benefit payment is extended to 14 months, i. The benefits paid during the two months of obliga to ry Maternity leave following childbirth are included in the 12 (+2) parental benefit period, effectively reducing the actual benefit period available to both parents to 10 (+2) months. There is a ceiling of 1,800 per month on the benefit payment and the minimum payment, which is also available for parents without prior income, is 300. Since 2011, the long-term unemployed are no longer eligible for parental benefits, as it is now credited against social assistance payments. For parents with high incomes, on the other hand, the income replacement rate is reduced: for every 2 their monthly earnings exceed 1,200, their parental benefit decreases by 0. Flexibility in use fi Instead of 12 (+2) months the parental benefit may be spread over 24 (+4) months. Then the monthly benefit level is halved, while the overall payment remains the same. Then, however, they only receive parental benefit for the lost income: That is, if a parent worked 40 hours weekly before taking parental leave, and continues working 30 hours thereafter, he or she only receives 67 per cent of the margin between the present and the former income.

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Moni to ring and Evaluating Social Programs in Developing Countries: A Handbook for Policy Makers, Managers and Researchers. Annex 578 I the Johns Hopkins and the International Federation of Red Cross and Red Crescent Societies 2 Earthquake in Yogyakarta, Indonesia May 2006. Little girl building her own little shelter (Phil Vine/International Federation of Red Cross and Red Crescent Societies Public health guide for emergencies I 579 Annex 2 Glossary A Term Definition Access the proportion of the population that can use the service or facility. Acute diarrhoea Acute diarrhoea (passage of 3 or more loose s to ols in the past 24 hours) with or without dehydration. Acute jaundice Illness with acute onset of jaundice and absence of any known syndrome precipitating fac to rs and/or fever. Acute lower cough or difficulty breathing and respira to ry tract fi Breathing 50 or more times per minute for infants aged 2 months to infections/ 1 year. Note: severe pneumonia = cough or difficulty breathing + one or more of the following (inability to drink or breast feed, severe vomiting, convulsions, lethargy or unconsciousness) or chest indrawing or stridor in a otherwise calm child. Accountability the responsibility of demonstrating to stakeholders, including the beneficiaries, that humanitarian assistance meets with agreed standards. Activity An action within a project that is done to achieve an objective; actual 580 I the Johns Hopkins and the International Federation of Red Cross and Red Crescent Societies tasks that are required to produce desired outputs; activities transform inputs to outputs. Adherence Refers to how closely instructions or recommendations are followed regarding appropriate health behaviour or treatment from a health care provider. Adjustment Changing the plan according to new information gathered through moni to ring. The alteration may be minor or dramatic, depending on the unforeseen event or change of circumstance. Age-specific rate A rate in which the information in the numera to r and denomina to r is limited to persons within a particular age group. Alternative Part of the health system and may include the following: providers fi Spiritual Healers, fi Community health volunteers, fi Traditional Healers, fi Traditional Birth Attendants, fi Elders Anaemia Defined by low haemoglobin concentration which reduces the transport of oxygen to the cells of the body. Severe anaemia is a haemoglobin concentration of < 7 g/dl or hema to crit of < 20 %. Anxiety Intense and prolonged fear or worry that can lead to mental distress or panic.

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Suspected rabid animals should be euthanized in a manner that preserves brain tissue for appropriate labora to ry diagnosis. Virus can be isolated in suckling mice or in tissue culture from saliva, brain, and other specimens and can be detected by identifcation of viral antigens or nucleotides in affected tissues. Diagnosis in suspected human cases can be made postmortem by either immunofuores cent or immunohis to chemical examination of brain tissue. Labora to ry personnel should be consulted before submission of specimens to the Centers for Disease Control and Prevention so that appropriate collection and transport of materials can be arranged. Very few patients with human rabies have survived, even with intensive supportive care. Since 2004, 2 adolescent females and an 8-year-old girl, all of whom had not received rabies postexposure prophylaxis, survived rabies after receipt of a combination of sedation and intensive medical intervention. Education of children to avoid contact with stray or wild animals is of primary importance. Inadvertent contact of family members and pets with potentially rabid animals, such as raccoons, foxes, coyotes, and skunks, may be decreased by securing garbage and pet food outdoors to decrease attraction of domestic and wild animals. Similarly, chimneys and other poten tial entrances for wildlife, including bats, should be identifed and covered. International travelers to areas with endemic canine rabies should be warned to avoid exposure to stray dogs, and if traveling to an area with enzootic infection where immediate access to medical care and biologic agents is limited, preexposure prophylaxis is indicated. Exposure to rabies results from a break in the skin caused by the teeth of a rabid animal or by contamination of scratches, abra sions, or mucous membranes with saliva or other potentially infectious material, such as neural tissue, from a rabid animal. The decision to immunize a potentially exposed person should be made in consultation with the local health department, which can provide information on risk of rabies in a particular area for each species of animal and in accordance with the guidelines in Table 3. In the United States, all mammals are believed to be susceptible, but bats, raccoons, skunks, and foxes are more likely to be infected than are other animals. Coyotes, cattle, dogs, cats, ferrets, and other animals occasionally are infected. Bites of rodents (such as squirrels, mice, and rats) or lagomorphs (rabbits, hares, and pikas) rarely require prophylaxis. Additional fac to rs must be consid ered when deciding whether immunoprophylaxis is indicated. An unprovoked attack may be more suggestive of a rabid animal than a bite that occurs during attempts to feed or handle an animal. Properly immunized dogs, cats, and ferrets have only a minimal chance of developing rabies. Postexposure prophylaxis for rabies is recommended for all people bitten by wild mammalian carnivores or bats or by high-risk domestic animals that may be infected.

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Then, interview a sample of people at their household or water collecting point to estimate the average amount of water used by each individual: If 200,000 litres of water are consumed in one day and individual water usage is 226 I the Johns Hopkins and the International Federation of Red Cross and Red Crescent Societies 6 estimated as 20 L/person/day, the to tal population in the dispersed population/camps should be 200,000/20 = 10,000 people. Note: the to tal food distributed and individual food baskets may be used to estimate the to tal population in the same way as water usage. However, these estimates should be interpreted carefully since food rations may be collected for sale or families may collect more than one ration. If birth records are not available, use the cut-off height for all children aged less than five years as 110 cm. Assuming that the under-five children make up about 20% of the to tal population, multiply the estimated fraction of under-fives by five to estimate the fraction of the to tal population for the to tal population estimate. Note: Mass immunisation campaigns can be used to estimate the population size in a similar manner assuming that the immunisation coverage is 90% or more. A map can be used for sampling people from various ethnic and socio-economic groups for interviews or for sampling households for rapid surveys and for planning and evaluating programmes. If no maps exist, one can either take a pho to graph of the settlements while flying or manually sketch maps to locate the affected population. The population might either be settled in its own camps or integrated within the host population. Begin with a to ur around the boundary of the location(s) to define its approximate shape and the maximum and minimum length and width. If possible, the varying population density within the location(s) should be shown. Make a rough estimate of the population size using this information or continue to step 4. Figure 6-1: Map of catchment area Note: the legends (symbols and colours representing structures and boundaries) should be consistent and recognisable for all maps. Maps of sub-catchment areas might also be drawn to show varying target groups for different primary health care services. To estimate the number of households in the entire location, count the number of households (shelters or cooking fires) in a typical section and multiply this by the to tal number of sections. Record the number of persons living in each household including their age and sex breakdown. Calculate the average number of persons per household and multiply this by the to tal number of households. The age sex pyramid can be plotted to show the estimated population structure (see data analysis section for an example an of age-sex pyramid). Note: the above-mentioned convenience (or non-probability) sampling is useful for making crude estimates of the population size/composition and possibly for identifying the immediate health needs during the rapid assessment. Results from convenience sampling are biased and not representative of the entire population. Where possible, probability sampling surveys should be organised as soon as possible to obtain more reliable results. See the section on population surveys for details about probability sampling methods.