The World Trade Organization

The courage and dedication that was displayed by the protestors in the video was what I took to heart. It was something else to see a group of people come together to protest something that they believed so strongly despite being pepper sprayed, shot at with rubber bullets, and thrown into jail†¦.. But why would anyone go to these lengths to protest against an organization? The World Trade Organization was created in Jan. 1 1995 and has 140 member countries. According to their official website www. wto. org the organizations main purpose is to, â€Å"help trade flow as freely as possible-so long as there are no undesirable side-effects. This partly means removing obstacles. † However the organization isn’t a democratic organization. Instead the WTO rules are written by and for corporations with inside access to the negotiations. Citizen input by consumer, environmental, human rights and labor organizations is consistently ignored as WTO meetings are held in secret. According to the video, out of the 100 largest economies in the world, 51 are corporations and only 49 are countries. As a result it is no wonder why so many came to protest this secret meeting held in Seattle, WA. According to the video many protestors argued that the WTO and its motto of free world trade is stomping over labor and human rights in countries throughout the world as the use of cheap labor and child labor are continually ignored by the WTO. The magazine Global Exchange states that the WTO is blocking human rights abuses since they have ruled that, â€Å"1) It is illegal for a government to ban a product base on the way it is produced and 2) Governments cannot take into account the behavior of companies that do business with vicious dictatorships such as Burma. The protestors in the video also felt that the WTO was destroying the environment. Evidence of this, dates back to 1993 when according to the Global Exchange, â€Å"The very first WTO panel ruled that a regulation of the US Clean Air Act, which required both domestic and foreign producers alike to produce cleaner gasoline, was illegal. Recently, the WTO declared illegal a provision of the Endangered Species Act that requires shrimp in the US to be caught with an inexpensive device that allows endangered sea turtles to escape, and the WTO is currently negotiating an agreement that would eliminate tariffs on wood products, which would increase the demand for timber and escalate deforestation. As a result I believe that these corporations should not be allowed to continue to get away with such actions. The people in Seattle honored their legal right to assemble. The actions taken by the city of Seattle against these protestors were too extreme and I’m still unclear for what reason they took such extreme measures against the protestors. These were peaceful protests and the city freaked out over a few broken windows at corporations such as Starbucks and Nike. In my point of view the steps taken by the city of Seattle was way over the line and its disgusts me that peaceful protestors were thrown into jail for demonstrating a legal right in the constitution.

Kandos Choco

Market Chocolates – like ice cream, toothpaste and milk powder – have universal appeal across all demographics and cultures. But unlike toothpaste and milk powder, chocolate is not considered an absolute necessity; nor is it endorsed by opinion leaders. In fact, dentists and nutritionists often ‘De-market' the product – especially since it is perceived as being a product that is generally not suitable for children. Despite these constraints, the Western influence of chocolate as a snack, reward or gift has gained universal acceptance.The habit of housecoat being given as a gift between loved ones, friends and relatives is widespread – and in this respect, chocolate often triumphs over flowers as the gift of choice. The best evidence of this is on Valentine's Day, seasonal and religious events such as Christmas and New Year, and birthdays and anniversaries. Chocolate is also a popular impulse item, where purchasing is influenced by visibility in store s and by packaging. The Sir Lankan chocolate market has been dominated by many local players. But Kansas is the undisputed market leader, enjoying a 56% market share.The total imported brand share is sees than 5% in Sir Lankan, which is unusual considering the fact that India as well as other markets in the region are being dominated by foreign brands, which account for more than 90% of their chocolate brands. Kansas, however, has a strong base. It was the premier chocolate long before foreign competitors and local imitators arrived on the scene. The local consumer has been exposed to the unique taste of Kansas for the past 44 years, thereby ensuring brand loyalty. The market is now quite sophisticated, with many pack designs, display configurations,

Client Understanding Paper

University of Phoenix ACC/541 Client Understanding Paper As per your request of an analysis of the following topics: Adjusting lower of cost or market inventory on valuation, Capitalizing interest on building construction, Recording gain or loss on asset disposal, and Adjusting goodwill for impairment. The Financial Accounting Standards Board (FASB) established clear guidelines addressing the items mentioned above. I will outline that FASB generally accepted accounting standards (GAAP) affect each area, and how these improvements to the company will benefit the company’s financial health (FASB, 2010). The methods of inventory valuation are different according to companies, but at the end of the day the chosen method should be consistent each year according to the general accepted accounting principles. A manufacturing company will generate inventories for finished product, raw materials and work in progress, so lowering the cost of market inventory can be very intimidating and consuming. Inventories and prepaid expenses present some additional valuation issues. With the emphasis on net income reporting, the inventory valuation process has become secondary to the matching of expired inventory costs to sales. The use of any of the acceptable inventory flow assumption techniques prescribes the amount that remains on the balance sheet, and it is likely that each of these flow assumptions will result in different inventory valuations in fluctuating market conditions. In addition, the accounting convention of conservatism requires that a lower of cost or market valuation be used for inventories (Schroeder, Clark, & Cathey, 2005). Using the first-in-first out (FIFO) or the last-in-first-out (LIFO) method is the perfect way to identify the cost of each inventory item. â€Å"A valuation method (e. g. LIFO, FIFO, average cost and specific identification) is used to compute the cost of the inventory dollar amounts and then it is compared to the market dollar amount. † LIFO is not commonly used because the last goods purchased are the first to be sold. The inventory at the beginning of the year will have the earliest goods purchased acquiring a valuation of an early price. FIFO is better used for lowering cost especially during periods of increase prices. It is also important to identify a method for valuing the items in the inventory and calculating the cost of goods sold. This can be done through the cost method, the lower of cost or market and the retail method. â€Å"A valuation method is used to compute the cost of the inventory dollar amounts and then it is compared to the market dollar amount. The lower of the two amounts must be used when recording inventory. † The cost method involves all direct and indirect costs to acquire the inventory. The cost of the products purchased consists of the invoiced purchase price minus discounts or trade with and addition of transportation, shipping additional cost incurred for attaining the product. Lower of cost or market method â€Å"determine the market value of each item on hand as of the inventory date, compare the market value with the cost of each item, and use the lower of the two as the inventory value of that item† (Hagen, 2005). The American Institute of Certified Public Accountants (AIPCA) in conjunction with the Financial Standards Accounting Board (FASB) issued ARB No. 3 that lower of    cost or market rule apply to all inventories. Lower of cost or market aspect (LCM) is also supported and defined by SFAC No. two and SFAC No. 6. The LCM rule considers the market that purchases and sells the inventory. In general, the conservatism principle applies to LCM method of accounting. Conservatism principle directs a company to choose the more â€Å"conservative† dollar amount when considering two amounts that represent inventories. This helps a Company to report accurate losses on their income statement. To determine LCM, one must also consider net realizable value (NRV). This value represents the selling price of inventories minus the fees associated with completion of sales. The NVR is key to determining true LCM. Conclusion of market value also refers to an items current replacement cost. This cost falls between the NRV (ceiling value) and the floor value (NRV- normal profit). Inventory cost adjustments are required by accounting standards. Incorrectly reporting inventory values at higher levels is a fraudulent act (with harsher penalties under Sarbanes Ox). Inventory valued at $10 with a true value of $5 is a punishable event (FASB, 2010). When a building asset is developed, a vast amount of time is required between the start and completion of the project. Normally the cost of should include all cost to prepare the asset for its useful life of the asset or for sale. The capitalization of interest cost on a building give a guideline on the amount of interest to be capitalized and for the financial statement disclosure. The expenditures must be qualified ahead of time, activities must be in progress and the company must be paying interest. Capitalization ends when the building fully constructed and is in use. Interest is not capitalized on inventories manufactured on a repeated basis or if the building is acquired using gifts or grants under restriction by the donor or grantor. â€Å"When additional financing is incurred after construction expenditures have begun, a firm may capitalize interest on construction expenditures either using an end-of-period average interest rate that includes all financing outstanding at the end of the period (general or specific, as appropriate) or using only the finance outstanding when the construction expenditure was made. Scofield, 2004) The average capitalized rate can be computed using the weighted-average or the specific method. If you were to purchase a building after it was completed, the sales price would include all costs (plus a profit to the seller). Part of the costs in building something is the interim borrowing costs†¦ in this case, the construction loan. Adding the loan to the other costs (brick, mortar, labor) is called â€Å"capitali zing† the interest expense. This creates a higher cost basis for the building and can be â€Å"recovered† through the depreciation expense deduction (over the life of the building). The three main events in the life of an asset are the acquisition, useful life, and disposal or retirement. At the end of an asset’s life, gain or loss of its disposal is recorded. A gain or loss will take place at the disposal of any assets and should be logged as journal entry along with any related incidental cost. The unrealized gains and losses are noticed according to its earnings. All changes whether upward or downward that involves investment shares are shown as income or losses with a change in market value that requires an adjustment to its carry value. At the time disposal there can either be a gain or loss or no gain or loss. Schroeder, Clark and Cathey states that all unrealized gains and unrealized losses will be valued the same for asset valuation purposes. For trading securities, the gains and losses are noticed in those periods in which they occur; for these assets the method is consistent with other accrual accounting requirements. A consistency with the SFAC No. six definition of comprehensive income is determined because comprehensive income is determined by the changes in net assets and would include changes in the market values of assets. For trading securities, no further masking of gains against losses that occurred under the aggregate valuation approach of SFAS No. twelve is needed. Goodwill for impairment must be assessed by companies at least once per year. If an impairment of goodwill the carried amount will be lessened and there will be recognition of impairment loss. Goodwill for impairment test must be recorded as reporting units. These could be the company’s operating segments identified under SFAS 131, or a â€Å"component† of a reportable operating segment as defined in paragraph 30 of SFAS 142. (Huefner and Largay III, 2008). Goodwill is comparing each unit’s estimated fair value of the reporting unit with the unit’s fair values of its identifiable net assets. This process and the process of allocating purchase price differentials of asset acquired, goodwill and liabilities assumed is very similar. The total of the tentative assignments of goodwill to reporting units can surpass the total goodwill recorded by the total entity but when this occurs, the tentative unit assignments are reduced in some reasonable fashion to make the sum equal to the total recorded goodwill (Huefner and Largay III, 2008). Losses on impairment cannot be changed but according to Schroeder, Clark and Cathey, an impairment loss for goodwill should be reversed only if the specific external event that caused the recognition of the impairment loss reverses. A reversal of an impairment loss should be recognized as income in the income statement for assets carried at cost and treated as a revaluation increase for assets carried at revalued amount. At the end of the developing period, the annual impairment test is done on an aggregate basis, which means an increase in goodwill on some books annot offset impairments found in other units. Huefner and Largay III also states that given the potential significance of the change in the accounting treatment of a major asset, the authors expected to observe numerous large impairment write-offs due to implementing the new standard, and large increases in net income because of eliminating goodwill amortization as an expense. In conclusion assets involving current assets, long-term investments, fixed assets, and intangible assets at some point can be changed into cash. Intangible assets except goodwill can either be determinable or indeterminable useful lives. Schroeder, Clark and Cathey explain that those with determinable useful lives are written off over the period of benefit. The cost of acquiring goodwill as well as intangible assets with indeterminate useful lives, is not amortized. References Schroeder, Richard G. , Clark, Myrtle W. , and Cathey, Jack M. (2005). Financial Accounting Theory and Analysis, The Development of Accounting Theory. Financial Accounting Standards Board. 2010). Financial Accounting Standards Board home. Retrieved April 5, 2010 from, http://www. fasb. org/. Scofield, B. (1994) Full disclosure of interest capitalization decisions. The National Public Accountant. Retrieved on April 5, 2010 from http://www. allbusiness. com/accounting. Huefner, R. J. , Largay J. A. (2008). The CPA Journal. The Effect of the New Goodwill Accounting Rules on Financial Statements. Retrieved on April 5, 2010 from http://www. nysscpa. org/cpaj ournal/2004/1004/essentials/p30. htm Client Understanding Paper University of Phoenix ACC/541 Client Understanding Paper As per your request of an analysis of the following topics: Adjusting lower of cost or market inventory on valuation, Capitalizing interest on building construction, Recording gain or loss on asset disposal, and Adjusting goodwill for impairment. The Financial Accounting Standards Board (FASB) established clear guidelines addressing the items mentioned above. I will outline that FASB generally accepted accounting standards (GAAP) affect each area, and how these improvements to the company will benefit the company’s financial health (FASB, 2010). The methods of inventory valuation are different according to companies, but at the end of the day the chosen method should be consistent each year according to the general accepted accounting principles. A manufacturing company will generate inventories for finished product, raw materials and work in progress, so lowering the cost of market inventory can be very intimidating and consuming. Inventories and prepaid expenses present some additional valuation issues. With the emphasis on net income reporting, the inventory valuation process has become secondary to the matching of expired inventory costs to sales. The use of any of the acceptable inventory flow assumption techniques prescribes the amount that remains on the balance sheet, and it is likely that each of these flow assumptions will result in different inventory valuations in fluctuating market conditions. In addition, the accounting convention of conservatism requires that a lower of cost or market valuation be used for inventories (Schroeder, Clark, & Cathey, 2005). Using the first-in-first out (FIFO) or the last-in-first-out (LIFO) method is the perfect way to identify the cost of each inventory item. â€Å"A valuation method (e. g. LIFO, FIFO, average cost and specific identification) is used to compute the cost of the inventory dollar amounts and then it is compared to the market dollar amount. † LIFO is not commonly used because the last goods purchased are the first to be sold. The inventory at the beginning of the year will have the earliest goods purchased acquiring a valuation of an early price. FIFO is better used for lowering cost especially during periods of increase prices. It is also important to identify a method for valuing the items in the inventory and calculating the cost of goods sold. This can be done through the cost method, the lower of cost or market and the retail method. â€Å"A valuation method is used to compute the cost of the inventory dollar amounts and then it is compared to the market dollar amount. The lower of the two amounts must be used when recording inventory. † The cost method involves all direct and indirect costs to acquire the inventory. The cost of the products purchased consists of the invoiced purchase price minus discounts or trade with and addition of transportation, shipping additional cost incurred for attaining the product. Lower of cost or market method â€Å"determine the market value of each item on hand as of the inventory date, compare the market value with the cost of each item, and use the lower of the two as the inventory value of that item† (Hagen, 2005). The American Institute of Certified Public Accountants (AIPCA) in conjunction with the Financial Standards Accounting Board (FASB) issued ARB No. 3 that lower of    cost or market rule apply to all inventories. Lower of cost or market aspect (LCM) is also supported and defined by SFAC No. two and SFAC No. 6. The LCM rule considers the market that purchases and sells the inventory. In general, the conservatism principle applies to LCM method of accounting. Conservatism principle directs a company to choose the more â€Å"conservative† dollar amount when considering two amounts that represent inventories. This helps a Company to report accurate losses on their income statement. To determine LCM, one must also consider net realizable value (NRV). This value represents the selling price of inventories minus the fees associated with completion of sales. The NVR is key to determining true LCM. Conclusion of market value also refers to an items current replacement cost. This cost falls between the NRV (ceiling value) and the floor value (NRV- normal profit). Inventory cost adjustments are required by accounting standards. Incorrectly reporting inventory values at higher levels is a fraudulent act (with harsher penalties under Sarbanes Ox). Inventory valued at $10 with a true value of $5 is a punishable event (FASB, 2010). When a building asset is developed, a vast amount of time is required between the start and completion of the project. Normally the cost of should include all cost to prepare the asset for its useful life of the asset or for sale. The capitalization of interest cost on a building give a guideline on the amount of interest to be capitalized and for the financial statement disclosure. The expenditures must be qualified ahead of time, activities must be in progress and the company must be paying interest. Capitalization ends when the building fully constructed and is in use. Interest is not capitalized on inventories manufactured on a repeated basis or if the building is acquired using gifts or grants under restriction by the donor or grantor. â€Å"When additional financing is incurred after construction expenditures have begun, a firm may capitalize interest on construction expenditures either using an end-of-period average interest rate that includes all financing outstanding at the end of the period (general or specific, as appropriate) or using only the finance outstanding when the construction expenditure was made. Scofield, 2004) The average capitalized rate can be computed using the weighted-average or the specific method. If you were to purchase a building after it was completed, the sales price would include all costs (plus a profit to the seller). Part of the costs in building something is the interim borrowing costs†¦ in this case, the construction loan. Adding the loan to the other costs (brick, mortar, labor) is called â€Å"capitali zing† the interest expense. This creates a higher cost basis for the building and can be â€Å"recovered† through the depreciation expense deduction (over the life of the building). The three main events in the life of an asset are the acquisition, useful life, and disposal or retirement. At the end of an asset’s life, gain or loss of its disposal is recorded. A gain or loss will take place at the disposal of any assets and should be logged as journal entry along with any related incidental cost. The unrealized gains and losses are noticed according to its earnings. All changes whether upward or downward that involves investment shares are shown as income or losses with a change in market value that requires an adjustment to its carry value. At the time disposal there can either be a gain or loss or no gain or loss. Schroeder, Clark and Cathey states that all unrealized gains and unrealized losses will be valued the same for asset valuation purposes. For trading securities, the gains and losses are noticed in those periods in which they occur; for these assets the method is consistent with other accrual accounting requirements. A consistency with the SFAC No. six definition of comprehensive income is determined because comprehensive income is determined by the changes in net assets and would include changes in the market values of assets. For trading securities, no further masking of gains against losses that occurred under the aggregate valuation approach of SFAS No. twelve is needed. Goodwill for impairment must be assessed by companies at least once per year. If an impairment of goodwill the carried amount will be lessened and there will be recognition of impairment loss. Goodwill for impairment test must be recorded as reporting units. These could be the company’s operating segments identified under SFAS 131, or a â€Å"component† of a reportable operating segment as defined in paragraph 30 of SFAS 142. (Huefner and Largay III, 2008). Goodwill is comparing each unit’s estimated fair value of the reporting unit with the unit’s fair values of its identifiable net assets. This process and the process of allocating purchase price differentials of asset acquired, goodwill and liabilities assumed is very similar. The total of the tentative assignments of goodwill to reporting units can surpass the total goodwill recorded by the total entity but when this occurs, the tentative unit assignments are reduced in some reasonable fashion to make the sum equal to the total recorded goodwill (Huefner and Largay III, 2008). Losses on impairment cannot be changed but according to Schroeder, Clark and Cathey, an impairment loss for goodwill should be reversed only if the specific external event that caused the recognition of the impairment loss reverses. A reversal of an impairment loss should be recognized as income in the income statement for assets carried at cost and treated as a revaluation increase for assets carried at revalued amount. At the end of the developing period, the annual impairment test is done on an aggregate basis, which means an increase in goodwill on some books annot offset impairments found in other units. Huefner and Largay III also states that given the potential significance of the change in the accounting treatment of a major asset, the authors expected to observe numerous large impairment write-offs due to implementing the new standard, and large increases in net income because of eliminating goodwill amortization as an expense. In conclusion assets involving current assets, long-term investments, fixed assets, and intangible assets at some point can be changed into cash. Intangible assets except goodwill can either be determinable or indeterminable useful lives. Schroeder, Clark and Cathey explain that those with determinable useful lives are written off over the period of benefit. The cost of acquiring goodwill as well as intangible assets with indeterminate useful lives, is not amortized. References Schroeder, Richard G. , Clark, Myrtle W. , and Cathey, Jack M. (2005). Financial Accounting Theory and Analysis, The Development of Accounting Theory. Financial Accounting Standards Board. 2010). Financial Accounting Standards Board home. Retrieved April 5, 2010 from, http://www. fasb. org/. Scofield, B. (1994) Full disclosure of interest capitalization decisions. The National Public Accountant. Retrieved on April 5, 2010 from http://www. allbusiness. com/accounting. Huefner, R. J. , Largay J. A. (2008). The CPA Journal. The Effect of the New Goodwill Accounting Rules on Financial Statements. Retrieved on April 5, 2010 from http://www. nysscpa. org/cpaj ournal/2004/1004/essentials/p30. htm

Download music should or shouldn't Essay Example | Topics and Well Written Essays - 1000 words

Download music should or shouldn't - Essay Example This in-turn gives an alarming notice to the music industry, since the government's plan of busting illegal down loaders’ can seriously harm the industry. Even the stars have different views about illegal downloading. Lily Allen and James Blunt are supporting the bust out of the illegal music downloads, on the other hand, the pop star Shakira believes that illegal downloading or file sharing actually takes her closer to her fans (Shields). WHY IS ILLEGAL DOWNLOAD OF MUSIC ETHICALLLY NOT RIGHT There are laws in every country to protect individuals from all professions. It is their right of course. Similarly, there are defined laws for protecting people in the music industry. Illegal music downloads have not only affected the stars themselves but also retail owners all over the world because they have lost some serious business. This, in turn, means that just because individuals are downloading music illegally a number of people might be getting unemployed in this time of econom ic crisis. In other words, every instance a song is downloaded illegally; an individual snatches something from another individual somewhere around the world for themselves. If anyone wants to download music, he should do it legally. There are multiple sources available to download legal music. There are cheap options available, as well. There are a certain programs that have been declared as legal as mentioned earlier. Now these are all legal because licensing agreements have been signed. Flouting copyright law is a serious offense (Downloading Music). PROs AND CONs OF DOWNLOADING MUSIC Pros Downloading music can get to the masses in minutes, which is not only handy and easily accessible to them, but also a potent treat for the... This "Download music should or shouldn't" essay outlines why it is not an easy issue. On one hand, the music download is facilitating the consumers and increasing its demand but, on the other hand, it’s not only reducing the sales figures of the music industry but also making it an inexpensive and common commodity. Pros †¢ Downloading music can get to the masses in minutes, which is not only handy and easily accessible to them, but also a potent treat for the music fans all over the world since they can get their hands on the music almost instantly. †¢ Downloading music is free. This saves the music fans a handsome amount of money since the legal copies cost a little too much for a normal man. †¢ The individuals who support music downloads say that it not only helps increase the popularity of the artist/singer, but it has also contributed a substantial chunk in the current success of the music industry worldwide. Cons †¢ It is rightly said that things that we get easily without putting in an extra effort are not that precious to any individual as would be a product which requires an extra effort from the consumer. †¢ The music downloads lead to a fall in sales of the retailers of music stores, in turn of the music companies and ultimately the stars themselves too. This can have a disturbing effect on the music industry because of the loss of funds. †¢ At times, downloading music is not even totally free. Downloading from websites may charge a subscription fee which might be equal to purchasing an actual copy (Oak).

Direct and Relationship Marketing Case Study Example | Topics and Well Written Essays - 1500 words

Direct and Relationship Marketing - Case Study Example In the light of the preceding nuances this report presents an explanation and exploration of the principles and application of relationship marketing and retention planning in relation to the case scenario presented on the Dwyers Bathrooms Company. The relationship marketing model holds that service providers can capitalise on offering a broad ranging list of services and products. The model can be well applied when there are alternatives for clients to choose from. Dwyers Bathrooms have created a feasible range of services and products that provide a working foundation for the more intensive implementation and enhancements of the relationship marketing stratagem. Upon providing the core services comprising the supplying and installing of mid-range bathroom suites, Dwyers have also developed a new make-over service which focuses on repairs on bathroom fixtures, tiles, seals and grouting. Dwyers can cash in on this development by enlightening their clients on the new services and products that they are now offering. The application of relationship marketing in various services and product provision domains has been characterised by the development and use of various customer relationship management schemes that allow the observation and assessment of each customer's preferences and dislikes. Dwyers still has a long way to go in tapping the merits of this relationship marketing dynamics. The only element of this kind that Dwyers have implemented has been the customer satisfaction surveys carried out after an installation. The company has to develop and broaden the satisfaction assessment scope of the satisfaction assessment instrument. Also the company has to find means of soliciting information from clients their specific needs that Dwyers can supply upon the range of the products and services they are already offering. The company may consider applying a company tracking service schedules and contacting customers directly on product or service recalls. Dwyers has also not tapped the merits of the other effective element of relationship marketing, personalized marketing. In personalized marketing the main preference is given to the customer. This dimension entails building customer shopping or service purchasing profiles. Information obtained and compiled on customer shopping trends preferences and dislikes, etc, is used to compute and deduce the likelihood of the customer interest and/or preferences in other product/service categories. The likely preferences are conveyed to the clients through various communication channels that a company has in lace for contacting its clients. Although this is typically an internet tailored relationship marketing model, Dwyers is well suited to customize this model and cash in on the huge customer listings they already have. Dwyers must adopt means of conveying computed likely customer references through a way of making recommendations to the clients in via customers email listings, mail postages and any feasible communicative avenues that the company may devise. "Personalized market

Supply chain management Essay Example | Topics and Well Written Essays - 250 words - 4

Supply chain management - Essay Example The supply chain is defined as the activities linked with the movement and alteration of commodities from the lowest stage to the consumer’s stage. Supply chain does not have much difference hence this made the organizations start the tendency of depending fully on suppliers to enable them execute their duties efficiently. However, any organization can fit to be part of supply chain. Supply chain management needs a clear management hard work by the involved organizations in supply chain. For supply chain management to be successful, the companies involved must implement on the enterprise-to-enterprise perception (Mentzer, 2001). Top management is the most significant constituents when one or many companies is attempting to inject a new idea in the market, for example, a new product or a program. Because top management are essential in SCM and they have the ability to identify crucial resources that fit supply chain ventures, due to these, the company has the power to restructure and create policies to help both organizational objectives. Recent research specified that top management often acknowledge the existence of SCM, and the commitment features only once in three organizations. Hesitation to SCM commitment may arise when the top management uncomfortable with its client’s strength in the supply chain, these factors lead to their success in the market. What creates these difficulties are the challenges in global supply chain which include economic differences, technological differences, cultural, logistical and spatial differences, these factors have their different impacts hence globalization supply facing difficulties. For instance, global supply chain expounds into longer and are more unpredictable, there might be delays during shipment, which creates increment of the client’s demand, for example, what

Is American dream dead If so should we do anything about it Essay

Is American dream dead If so should we do anything about it - Essay Example However, there are those people who believe that the American dream is dead, while others argue that the American dream is very much alive. Although none is said to be true or false, certain issues happening in the American society contradicts each other. This is the main reason for the divergent views in this motion. Initially, the American dream was concerned about creating opportunities for all Americans, opportunities that did not take into accounts either the race or nationality of people. According to the virtues of the American dream, all Americans deserve equal opportunities before the law. The idea criminalized any form of discrimination against any person due to his colour, race, religion, language, social class or nationality. Every person is entitled to equal opportunities such as job opportunities, enjoyment of rights and enjoyment of people’s freedom. The rate of unemployment in America stands at 7.60 per cent as at June of 2013 while the underemployed rate is at 14.3%. This shows that some of the Americans miss job opportunities due to different reasons. Additionally, people should have an opportunity to share in the national resources and enjoy their privileges. However, this is not the reality on the ground. Most people miss out opportunities due to their colour, race, ethnicity, language and physical looks. Since many people do not have equal opportunities, this has killed the American dream. A number of factors contributing to inequality among the American people are the main reason why the American dream is dead. Inequality, cited as the main pillar of the American dream is highly disregarded. While all Americans are supposed to pay taxes, some enjoy the rare privilege of not paying taxes. Others receive tax deductions that exempt them from paying heavy taxes. Bending of the law through various amendments now allows some people to enjoy more tax reliefs than others. Some even device crooked means of avoiding taxes. Approximately, 46.6 % of Americans do not pay income tax. Moreover, there is a huge wage gap between the rich and the poor people in the society. Approximately16 per cent of the Americans live in poverty, while 20% of the children live in abject poverty. While the rich are entitled to high salaries, the poor are poorly paid. This results in a class difference between the Americans, the rich get richer and the poor remains poorer. Payment of wages need be equal, holding all other factors constant such as level of education, experience, the type of job and the hardships encountered in the work place. Sex should not determine the amount of income that a person should receive. However, in many instances men when compared to women earn higher wages despite the fact that they hold similar positions at work. On the other hand, the American dream is still alive. Despite the cited cases of inequality, the dream is still alive among the Americans. With the high hopes and faith that we have in this dream, various people point out on the need to amend the law to make all people equal. Human rights groups and welfare organizations point out on the need to subject all Americans to a similar tax level. Other humanitarian groups such as the feminists point out that man and women require a similar pay package for similar kinds of tasks handled. Little can however be done about this problem. Despite these cases however, the dream is

Supply Side Model of Economics Research Paper Example | Topics and Well Written Essays - 500 words

Supply Side Model of Economics - Research Paper Example This paper discusses the assumptions of the supply side model of economics, highlighting on its features, assumed benefits and the role the government plays in it. It further highlights the reasons and when the model was introduced, whether it is a viable model in current economics and its downfalls. Supporting the idea that supply (or production) of goods and services is significant for economic growth, supply side economics attempts to explain macroeconomic phenomena as well as offer policies for steady growth Through a period of time, the improved growth in the economy will create a larger tax base that will compensate revenue that was lost through the tax cut. Also referred to as trickle-down economics, it is based on the theory that income tax cuts mean workers get higher pay that they can spend and provides entrepreneurs and investors an incentive to invest and save Supply side economics argues for three key policies which are tax, regulatory and monetary. The supply curve of the model bends backwards, with the assumption that tax cuts can unlock significant growth in the supplied quantity of productive resources to the economy, in terms of capital and labor and increasing Gross Domestic Product The supply side theory believes that producers, as well as their enthusiasm to produce services and goods, are the ones that determine the rate of economic growth. The supply side model assumes that less regulation will allow greater supply levels services and goods for the benefit of consumers at lower prices.

Can obesity explain personality Research Paper Example | Topics and Well Written Essays - 750 words

Can obesity explain personality - Research Paper Example This essay will discuss obesity as one of the health disorders and its relation to personality. Stress is a sense of depression that a majority of individuals encounter on a daily basis based on disappointment or pressure. Stress can neither be avoided nor prevented; instead it can be controlled. On the other hand, health refers to a state of physiological well-being. Therefore, unhealthiness is caused by weak immune systems triggered by poor body maintenance (Mayer, 2004). Stress is experienced by everyone, from children to adults. It can either be helpful or harmful depending on its management. It is also beneficial in the sense that it can enable an individual to develop skills needed to cope with in dangerous situations. However, when stress goes beyond these limits, it becomes a tragedy, and its consequences are unpredictably hazardous. Getting medical care and support can significantly assist in minimizing the effects of the stress, which is a significant cause of obesity in the society (Stellmann, 2002). According to research, majority of the obese individuals react strongly by exhibiting strong emotions such as anger, sadness, misery, disappointment and hopelessness. When the symptoms of stress are prolonged, it can lead to pervasion and inability to cope with obesity. As stipulated above, health refers to a state of social, mental and physical well-being. Mental health refers to being in the right spiritual mood, which is extremely vital for survival. Mental health is tricky to manage since it cannot be diagnosed physically. It also plays a crucial role in the fitness and well-being of an individual. On the other hand, obesity affects the mental health of a person. Mental health is extremely significant as it can be felt by the entire body of a human. People have to maintain mental health in order to survive. Such a case applies to obese individuals as a poor personality will reduce their survival chances. The personality of

Research and DNP Programs Essay Example | Topics and Well Written Essays - 3000 words

Research and DNP Programs - Essay Example Nursing has evolved with time right from the days of Florence Nightingale, the founder of modern nursing who saw the role of nursing as having "change of somebody's health" based on the knowledge of "how to put the body in such a state to be free of disease or to recover from disease". The early twentieth century saw the affiliation of nursing education with Universities and formation of nursing organizations. The early twenty first century saw nursing as a profession with population changes, increased life span, new diseases like cancer and life style changes throwing new challenges on the profession. Thus, today nursing is a profession rather than a vocation (Patricia A Potter, 2005). The profession has extended education avenues, a body of knowledge leading to defined skills, an ability to provide specific service, professional autonomy to make decisions governed by a code of ethics. Autonomy is an element of nursing profession today. Autonomy means that a nurse is independent reasonably and self-governing in making decisions in practice. There are independent measures a nurse can initiate without medical orders. The nurse is a 'client advocate'. She protects the human and legal rights of the patient under her care, based on his/her cultural and religious affil iations. The nurse is a 'Care Giver' helping the patient regain health through the process of healing. Healing is not just curing of the illness, but a process that addresses the holistic health care needs of the patient including emotional, spiritual and social well being. The nurse is the pivot of all communications in the health care delivery system. Communication includes documentary communication for legal safe guards and also communication with patients and their families. The process of communication is vital to give effective care, take decisions, co-ordinate manage patient care, assist in rehabilitation and offer comfort. A nurse explains to her patients the concepts and facts of health, demonstrates health care and self care activities so that the patient understands the importance of these aspects of health care. She informally reinforces client behavior by simple conversations. She also instructs formally about medications and the action plan for recovery. As a clinical decision maker, a nurse coordinates the activities of other members of the Health Care team like physiotherapists or nutrionists. The nurse takes these decisions alone or in collaboration with the patient or patient family on care aspects, evaluation of care results and the best approach for the desired result (Patricia A Potter, 2005). Thus, there is a need for introduction of a research-based curriculum in DNP programs to cater to the neo needs of a professional nurse. Nurses who take their nursing education to the PhD level are nurse Scientists. Roper Logan and Tierney model of nursing (1980) recognizes 12 activities in patient care. This includes, maintaining a safe environment, communication, breathing, eating/drinking, elimination, washing/dressing, thermoregulation, mobility, work/play,

Beer Company Segmentation Essay Example for Free

Beer Company Segmentation Essay Demographic: From the market analysis portion of the paper we already established that internationally, Anheuser is expanding both into the Asian and Latin American markets. But typically what segment of the market do they target specifically? Well currently, the company is making an attempt to target the female population. Michelob Ultra is being marketed in womens magazines like cosmopolitan and other AB brands are placed on woman-focused channels such as Oxygen and Lifetime. Women however arent the only focus. With the recent focus being on FMBs, the most consistent and continuous market has been the 21-27-age bracket, mostly college students. Its Bacardi line of flavored malt beverages and the latest additions, Tilt and B-to-the-E agree with the lifestyle of the contemporary adult looking for innovative drinks that is suitable for a variety of occasions and is an alternative to beer. For the more traditional and patriotic consumer, Anheuser markets towards its US customers by boasting on the fact that it is the only American made beer. Geographic: Currently, Anheuser is a global enterprise with distribution centers in the U. K, Japan, Canada, and Spain. It holds a 50% market share in the U. S beer market and a 50% market share in Grupo Modelo, Mexicos leading brewer. Anheuser Busch owns 27% stake in Chinas number one brewer Tsingato and is pursuing Harbin brewery Group in China. Psychographics: The trend today is for people to lead healthier lifestyles and be more conscientious in the activities and interests that they partake in. This is ever so visible in the diet plans and low-carb phase that has emerged and has become dominant. To capitalize off of this Anheuser promotes its low-calorie beer to these individuals. Anheuser also places more emphasis on it flavored malt beers to appeal to its wine and spirit consumers and to compete in a changing environment where people lead highly social lifestyles by going to bars/clubs, shows, sporting events, etc. Sponsorships of the 2006 Fifa world cup, MLB and its 26 domestic teams and the Mexican national soccer team are an attempt to capture this segment of the market. Behavioral: 18-34 year old Hispanics are consuming Spanish and English broadcast media at nearly equal rates with Spanish-language television and radio outpacing English-language television and radio; * A greater percentage of young Hispanics shop at more store types than do young non-Hispanic adults; * Young Hispanics are more likely to be impulsive shoppers. They like to keep up with styles and will spend what they have to look younger more so than non-Hispanics young adults; * Young Hispanic adults are heavy readers of magazines with lifestyle, entertainment, automotive and sports-focused titles taking the lead; * 18-34 year old Hispanic consumers are more persuaded by advertising in Spanish and are more loyal to companies with ads in Spanish. (Hispanic business) The trend is for Hispanics to be trendsetters and innovators instead of followers/laggards so the pattern has been to market on a personal portfolio basis instead of brand-loyalty aspect. The younger generations tend not to be brand loyal but adoptive of the newest and trendiest innovations. The behavior marketing of Anheuser Busch is tailored to the Hispanic with events, in magazines, television stations and sporting events. It sponsors the 2006 Fifa World Cup, MLB and its 26 domestic teams and the Mexican national soccer team. Not only is the behavior of Hispanics evaluated but all of diverse nations. Anheuser promotes diversity in the workforce at distribution centers across the world to be familiar with the consumer behavior of all groups. Positioning strategies: Beer is always associated with negative stereotypes of death, drunken behavior, a male activity and many other bad connotations. The fun image of Anheuser Busch (more commonly known as Busch Gardens) land looks to change the appearance as a fun image for the family. Children at a young age will be familiar with the product and see it as user friendly because it is positioned as healthy and acceptable for everyone. The addition of the low carb line of beer also helps to suggest that the beer is also healthy and socially suitable. Product strategies: Anheuser Busch product strategy includes the eye catching 7ounce shrink-wrap bottle that comes in six colorful festive designs. Bud Light, one of the brands of AB, is including the addition of flavorful beer with Bud light Oranguatang and Bud light berry. It also introduced two new one of kind brews, Celebrate by Michelob and Brews Masters Private Reserve by Budweiser. Pricing strategies: To better target the Hispanic market, AB increase the Latino budget to more than 60 million dollars, which is 66% more than last year. The increase of national media spending will also increase by three times more than last year topping 3 million dollars. While the domestic beer company has increased tactical price promotions this year on a specific market, brand and package basis to reduce price premiums versus competition, company executives confirmed that the companys long-term pricing strategy continues to target increases at or slightly below the consumer price index. (Forbes) Promotion strategies: As stated before the company is promoting its product to attract woman through woman-focused channels like Oxygen and Lifetime. In addition to becoming familiar through sponsorships of major sporting events, it promotes its products through marketing messages as the only American brewery that is still American owned with profits staying in the states. Miller Brewing Company Demographic: Many breweries realize the potential of the growing Hispanic market and Miller is no different. Especially important, 75% of the Hispanic population is under 45 years old- a prime age group for beer consumption. Hispanics are the most brand-loyal demographic among beer consumers. However this is not the only segment that it targets. Miller is tailored to the contemporary drinker minimum age 24. Commercials for products such as Miller Light show the masculine image of men in masculine environments. Most of Miller products are marketed in a way where they will attract the high-end buyer that will pay a little more and conscientious of high quality. While Anheuser Buschs Bud Light targets the younger generation, Miller Lights targets the older demographic with the minimum age being 24. A segment that has been omitted in the marketing strategies of many products not just the beer industry has been the homosexual population. Miller hopes to capitalize off this market to regain its position as No. 1 in the industry by targeting all areas of the market. Geographic: In July 2002 Miller Brewing Company merged with South African Breweries plc, making Miller a subsidiary of the #2 brewer in the world. It became the first international brewery to establish a presence in Central America. As its top competitor, Anheuser Busch, it is expanding into the Latin and Asian markets. Unlike most breweries, it doesnt concede to a particular geographic segment of the market but intends to account for every beer drinker in every market. Psychographics: To further appeal to their No. 1 consumer the Hispanic market, Miller Brewing Company, promotes most of their products through Hispanic events such as sponsorship of Cinco de Mayo and sponsorships of World Cups. The Hispanic market is seen as the most brand-loyal and therefore is targeted so aggressively. The advertising has an effect on the psychology of consumer behavior through the emphasis of stating that their products are of higher quality. Males are attracted to the idea of a beer that places emphasis on the bravado of a product and their behavior is altered through male marketing. Behavioral: In a male-marketed item such as the high life products, you must target the behavior and activities of the typical man. Miller is the official sponsor of the National Football League. Most of the products are marketed on a brand loyalty basis so it sponsors everyday products to gain the familiarity with consumers (ex: Kraft, Frito-Lay, Gillette, etc). Positioning strategies: Miller positions its products for the loyal consumer to the more rebellious and daring drinker. The homosexual segment is seen as a daring segment because they do not adhere to the norm of todays society. Miller Genuine Draft Light is seen targeted on the gay and lesbian network LOGO. Miller is big on letting its great taste speak for itself, as seen with its No. 1 product Great taste-less filling ads, and has been successful. Miller with Food: Taste for yourself summer campaign was used and was instrumental in increasing sales. Product strategies: As a company, you want to be seen as one of the top in your industry. Miller guarantees this by strategically placing Genuine Draft Light next to the number one competitive low-calorie brand. The confidence of the taste and quality of its products are so high that it implements the technique of sampling to capture new beer drinkers and convert them into loyal consumers. Another technique used for their products is space management which achieves more cooler and shelf space through long-neck N-Rs in 6-pack baskets and loose case, 6 and 12 pack cans, and 6-pack N-Rs represents the package mix consumers demand. The selling of recyclable plastic bottles which made Miller the first making it the first brewer to offer widespread distribution in plastic in the United States. The plastic bottles allow for a more transportable product that remains cold for the same length as aluminum. The only downside may come from recycling officials that argue that the brown plastic bottles do not recycle well with regular soda and water bottles and the cost for accommodation of these brown bottles would be unfeasible. Pricing strategies: To further place emphasis on the higher quality of products, it does not discount its products. It believes in a motto of No Compromise, to get a superior product you must be prepared to pay for it. Most of its pricing strategies are given towards the advertising efforts. Last year alone it spent 40. 1 million on Hispanic-targeted print and television advertising, more than any other advertiser in the alcoholic-beverage category. Promotion strategies: Promotion of Miller products is heavily dependent upon the ever-growing population. SAB Miller signed a 100 million deal with Univision Communications, the largest Spanish language broadcaster in the U. S. It includes sponsorship of programs, product placement and commercial time on Univisions radio, cable and broadcast networking properties. Miller realizes that all marketing efforts can be targeted at the older segment so it looks to work with major record labels and will sponsor preview parties for new album releases for popular artists. Comical commercial advertisements for Miller Lights (Good Call) also attract the younger market. Promotion also comes from its virtual online game Miller beer runner. The introduction of the Miller game came within days of Anheuser-Busch, the colossal corporation who brought the famous slogan king of all beers to Budweiser and its Bud family, pulling their funding for a game called Bud pong. After discovering that many people, especially young adults, were using beer during the game instead of water, as directions specified, they axed the marketing ads and funding for the game. (FordhamObserver) In no way is the company promoting under-age drinking/misconduct and stands by its slogan Live Responsibly to promote drinking in moderation. Molson Coors Brewing Company. Demographic: Coors Brewing company has 40 different brands which appeal to consumers all over the world, specifically in United States, Canada, United Kingdom, and Brazil. In the U. S Coors light is its number one brand which is targeted more towards the young adult drinkers. Molson Dry is a substitute for Coors light in Quebec, the company is spending more money in advertising this product in order to make it as appealing as Coors Light is in United States. In the United Kingdom lager holds most of the market share with beer brands such as Carlin and the introduction of the new Coors fine lite beer. As most beer companies recognize the potential in the Hispanic community, Coors thrives to gain market share within the community by offering donations and scholarships to the Hispanic Association of Colleges and University. Molson Coors objective is to get the Hispanic Community to adopt the brand, not just try it. Geographic: On February 9th, 2005 Coors joined forces with Canadas leading brewery Molson making them the 5th largest brewery by volume. This merge has presence in seven of the top either beer markets which include U. S, U. K, China, Mexico, Russia, Brazil, and Japan. Molson Coors holds 18. 5% market share in the United States and 21% market share in the United Kingdom. Currently its continuing to grow Coors light in China and other Asian markets. Psychographic: Molson Coors is always looking for new ways to attract consumers, and one of the most efficient markets is to attract people who watch their carbohydrates. In the U. S and other markets Molson Coors has No. 2 low carb beer to attract these consumers. As the craze for lite beer and low-carb beer increases, Molson Coors will keep bringing out new products for their consumers. Molson Coors also targets consumer through activities such as sports. In the U. S Coors light has the biggest sponsorship with NFL in order to promote their product. Also in the U. K whenever a consumer thinks about soccer they associate it with Carling, United Kingdoms No. 1 lager. Behavioral: In order to make consumers familiar with their products, Molson Coors targets them through their everyday habits for example Coors light portrays the image to young adults that drinking Coors light is cool and socially acceptable. Because of this Coors light has a dominant market share amongst college students rather than Miller and Budweiser. In order to gain customer brand loyalty from most consumers Coors light always promotes or sponsors programs which are liked by consumers with different taste. Place (Distribution) Strategy: Molson Coors is always looking for new ways to communicate with its distribution channel. Recently in an attempt to increase sales Molson Coors has added more staff and applied more resources across the three largest channels Grocery Stores, Liquor Stores, and Convenience stores. Molson Coors also created a channel marketing team to develop customized promotions aimed at addressing each customers unique needs. Product Strategy: Molson Coors strategy as a whole is to provide high quality products using high-quality ingredients. In order to compete in the market a company has to always keep coming out with new products to evolve with the taste of the consumer. Molson Coors not only does that but also promises its consumers that the product is kept cold from packaging to delivery to retail. In the U. K the company introduced two new products called the Kasteel Cru, which is a fine imported lager brewed in Alsace France and C2 which is Carlings new 2 percent alcohol by volume lager. In the U. S Molson Coors introduced its new low-carb beer called Aspen Edge and to make Coors light more attractive now consumers can buy it in new 8 oz cans. Pricing Strategy: Molson Coors is trying to cut cost and provide more value to its share holders by planning on cutting down the advertising budget. Last year alone Molson Coors spend 300 million dollars on advertising. Another method which Molson Coors used to cut costs is by reducing the number of suppliers, and building more strategic value added relationship with their vendor-partners. Promotion Strategy: In order for a company to come out on top it has to attract its consumers through promotions and discounts. Molson Coors promotes its products by being involved in many charities as well as Non-Profitable programs such as the Deaf Awareness program, Alcohol program and policies such as 21 means 21. In Canada the company was involved in promoting an event called the Coors Light Trauma Tour which included music and action sports. In Puerto Rico the company is trying promote its product by being more involved in community programs. Pabst Blue Ribbon Beer Demographic: Pabst is one of the very few brewing companies that does not own a brewery. Instead it negotiates deals with other breweries such as Miller to brew its products while maintaining ownership and marketing rights of its brands. Pabst has a 3. 6% of the market share. Pabst Blue Ribbon is mostly popular amongst urban hipsters and this brand is being adopted by older generation X, and younger generation Y in Portland. In the U. S Pabst is starting to become more popular amongst professional and semi-professional snowboarders. Pabst is also being used by people who do gallery shows in order to portray and image that its time to get back to the basics. Overall Pabst uses a strategy which doesnt involve cash but it involves customer use of the product. Geographic: Pabst has about 3. 6% market share in the U. S and about 2. 5% market share in Portland. Amongst many brands Pabst Rainier beer is more successful in the northwest. Overall in the Unites States Pabst grew 25% more in 20 different states. Psychographic: Pabst which has history associated with its name is beer for older people. The beer is acquired more with taste and consumers who use to drink Pabst in the old days have started to drink it again making them bran-loyal. Behavioral: Pabst is also considered a blue-collared beer and is targeted towards blue-collared workers. Since Pabst is the oldest brand there is customer loyalty from the older baby boomers that drank it. Place (Distribution) Strategy: Now that Pabst is trying to increase its sales in the United States as well other countries it has created highly customized retailer specific programs. Pabst Blue Ribbon has also convinced a lot of important chain grocery stores to carry their product.. Product Strategy: Pabst lets its customer decide how they want their beer served. They havent done a package redesign in the last 10 years. The only change they have made in their product strategy is that they serve Pabst in bottles now. Pricing Strategy: Pabst was always known as the low cost beer. They keep their prices low by not spending money on advertisement; instead they let word of mouth do the job. Promotion Strategy: Pabst does very little promotions in order to cut cost and save money. Among the few promotions which they do have, they offer cash payments to rowdy bike messengers to drink their beer. Pabst is also trying to come out with new promotions in Portland because they see a substantial growth market there. Another way Pabst promotes is by giving away their beer free to those who use it as a advertising for their own retail shops. References http://www. usatoday. com/money/industries/food/2005-08-08-bud-tilt_x. htm http://www. hispanicbusiness. com/news/newsbyid. asp? id=12515 http://www. forbes. com/execpicks/prnewswire/feeds/prnewswire/2005/05/25/prnewswire200505250915. PR_NEWS_B_MWT_CG_CGW010. html http://www. anheuser-busch. com http://www. rocketink. com/Miller%20speech. pdf http://www. themorningsun.com/stories/041005/bus_beer. shtml http://www. duluthsuperior. com/mld/duluthsuperior/12213156. htm http://www. realbeer. com/news/articles/news-000738. php http://www. fordhamobserver.com/media/paper827/news/2005/11/10/Features/Weighing. In. On. eer. Games. Marketing. Strategies. And. Their. Effects-1051629. shtml? page=2 http://www. coors. com/2004_AnnRpt/uklager. asp http://www. adamsbevgroup. com/bd/2005/0510_bd/0510ber. asp http://www. molsoncoors. com/webcast/documents/Q1_2005_Webcast_Transcript. pdf http://sixmile. clemson. edu/pbr. htm http://www. fastcompany. com/fast50_04/winners/stewart. html.

Jefferson Essay Essay Example for Free

Jefferson Essay Essay Thomas Jefferson played a very important role in the history of the United States. Jefferson is most famously known for writing the Declaration of Independence. Thomas Jefferson talked many times about African-Americans in America. Where they equal to white people? How were whites and blacks different? What about slavery? Thomas Jefferson had an opinion on all of these subjects, but much of what Thomas Jefferson said was later contradicted with his own words. What did Thomas Jefferson mean when he said that all men were equal? Well, many people would agree with what it means today in modern times. Today the statement, all men are created equal means; all men and women whether black, white, tall, short, fat, or skinny were all created equal. That is not necessarily what it meant in the 1700s. Blacks were enslaved and worked hard while wealthy white men did nothing of the sort. Justice Thurgood Marshall said, â€Å"The blacks were so far inferior, that they had no rights which the white man was bound to respect†¦ and that the Negro might justly and lawfully be reduced to slavery for his benefit. This excerpt shows that in that time blacks were not treated the same as whites and clearly did not have the same rights. Conor Cruise O’Brien’s book confirms this belief as he takes a quote from Thomas Jefferson himself: â€Å"It is accepted that the words ‘all men are created equal’ do not, in their literal meaning, apply to women, and were not intended by the Founding Fathers to apply to slaves. † This shows that when Thomas Jefferson talks abo ut all men being created equally he means to say white men. The meaning of the word expatriation is as follows; to leave one’s native country to live elsewhere (Merriam-Webster). Jefferson wanted to send the blacks that were descendent of the original slaves back to Africa. The deal here was Africa was no longer their native country. This act was known as expatriation. The southern courts believed that slavery violated the natural rights of blacks and although slavery was allowed and legal it was immoral and unjust. Thomas Jefferson made it known that he supported the abolishment of slave trading. He said the following to Congress; â€Å"withdraw the citizens of the United States from all further participation in those violations of human rights which have been so long continued on the unoffending inhabitants of Africa. † By this Jefferson means that the people of the United States should stop the enslavement of blacks so that they no longer violate the human rights and stop offending the people of Africa. In this way Jefferson’s reasons for promoting expatriation and understanding for the natural rights of blacks were consistent. He wanted to send the blacks back because he wanted to stop offending the people of Africa. Jefferson believed that blacks and whites were very different. He said that he believed that blacks were originally their own race and became distinct by time and certain circumstances. According to Jefferson blacks came from their own species but were from the same general genus that is the human race. He said that blacks were inferior to whites in mind and body. This can be said to mean that whites were possibly better looking people or that they were more fit. It could have been said to mean that whites were smarter than blacks because they had an education that the blacks did not have. Jefferson did not believe blacks were men. â€Å"Men,† was said to be referred to as only white men. Samuel Eliot Morison says in his book; â€Å"In his views (Jefferson) blacks were not men. † The possession of individual rights was mainly determined by one’s race or skin color. Blacks had no rights early on in the 1700s but began to become free in the early 1800s. A wealthy white male had all rights; he was allowed to do what he wanted so long as it was just. A black man was free and eventually gained simple rights due to the belief that the United States was violating human rights. I do not believe that expatriation could have been a helpful solution to the problem of slavery in America. I believe this because if the slaves would have gone to Africa they would be gone, but there is no saying that the lazy southern farmers would not have brought in slaves from other places. They would have gotten so used to not having to work that they would not be able to start working again. I think that they would possibly keep indentured servants as permanent slaves or enslave poor people. I’m sure that expatriation would not solve the problem of slavery, at least not immediately. As I stated in the beginning, Jefferson’s view changed greatly throughout the course of his lifetime. Later in his life he began to appreciate black people more because of all their hard work. Also, he realized that blacks were the same as whites in that they were to be given human rights and that the people of the United States had been violating their rights from the very beginning. Jefferson also saw that blacks were men, and that really God created all men equal, black and white. Thomas Jefferson certainly lived an intriguing life. He lived during a time where slavery was legal. He lived during a time when slavery began to die out. Jefferson was part of the reason why blacks are free today. Although his beliefs shifted throughout the duration of his life he ended on the good side, the side that was just. He began to believe that all men are created equal with a literal meaning.

Womens Health Education On Anemia And Its Dangers

Womens Health Education On Anemia And Its Dangers Anemia is a common global public health problem (GPHP) affecting both developing and developed countries with major consequences for human health as well as social and economic development. It occurs at all stages of the life cycle, but is more prevalent in pregnant women and young children in both rich and poor countries. In 2002, iron deficiency anemia (IDA) was considered to be among the most important contributing factors to the global burden of disease (1). Anemia is one of the most common factors complicating pregnancy worldwide specially in the development countries, and Palestine is one among of those countries .In Gaza strip ,an overall prevalence of anemia is more than 35% among pregnant women .most studies have demonstrated adverse effects of anemia to both pregnant women and their offsprings mainly in developing countries due to several factors. The more etiologic factor for anemia among pregnancy being iron and folic acid deficiency(2-4) Anemia is the result of a wide variety of causes that can be isolated, but more often coexist. Globally, the most significant contributor to the onset of anemia is iron deficiency so that IDA and anemia are often used synonymously, and the prevalence of anemia has often been used as a proxy for IDA. It is generally assumed that 50% of the cases of anemia are due to iron deficiency (5), but the proportion may vary among population groups and in different areas according to the local conditions. The main risk factors for IDA include a low intake of iron, poor absorption of iron from diets high in phytate or phenolic compounds, and period of life when iron requirements are especially high (i.e. growth and pregnancy). Among the other causes of anemia, heavy blood loss as a result of menstruation, or parasite infections such as hookworms and ascaris can decrease blood haemoglobin (Hb) concentrations level. Acute and chronic infections, including malaria, HIV, tuberculosis, and cancer can also lower blood Hb concentrations level. The existence of other micronutrient deficiencies, including vitamins A and B12, folate, riboflavin, and copper can increase the risk of anemia. Furthermore, the impact of haemoglobinopathies on anemia prevalence needs to be within some population. Anemia is an indicator of both poor nutrition and poor health. The most dramatic health effects of anemia, i.e., increased risk of maternal and child mortality due to severe anemia (6-8). To tackle the problem of iron deficiency and anemia, WHO recommended the adoption of a multidisciplinary approach tailored to specific circumstances including increased iron intake, public health measures and food versification. Consistent with this strategy, UNRWA implemented a programme for prevention and treatment of iron deficiency anemia. comprising medicinal iron supplementation, fortification of wheat flour distributed to the target groups benefiting from the Agencys regular and emergency food aid programmes, and expanding the use of modern contraceptive methods (3,4). In addition, the negative consequences of IDA on cognitive and physical development of children, and on physical performance particularly work productivity in adults are of major concern (5). Previous studies have shown a very high prevalence of anemia among Palestinian refugees specially among antenatal mothers(3). Hence , it is essential that in Palestine, especially in Gaza strip the women should be aware of anemia to reduce the complication during pregnancy. Objectives of the study 1-To assess the level of awareness and public knowledge of anemia among the Palestinian refugee pregnant women in Gaza strip. 2-To assess if there is a difference between women with and without health education session. 3-To develop a baseline data regarding awareness of anemia among pregnant women for further studies. Scope of the study The study aims to assess the level of public knowledge and awareness of anemia among pregnant women who attended UNRWA health care centers(HCCs) for antenatal care in the middle district of Gaza strip by collecting the information from 164 women from four UNRWA health care centers in Gaza. Hypothesis 1-The Palestinian refugee pregnant women were awareness and had a knowledge of anemia at a medium level . 2-There is a difference between women with and without health education session regarding anemia . Benefits of the study 1-To know the knowledge and awareness regarding anemia among pregnant women living in Gaza strip and who are attending UNRWA health care centers (HCCs) for antenatal care and follow-up. 2-To know if attending health education sessions about anemia affects the knowledge and awareness of women by assessing the women with and without health education sessions about anemia in Gaza strip. Literature review studies To conduct the study, the researcher has reviewed related studies and reports about anemia status among pregnant women attending UNRWA health care centers for antenatal care in Gaza strip. Nutritional survey conducted by UNRWA in (1961,1978 and 1984) Nutrition surveys conducted among the Palestine refugees in 1961, 1978 and 1984 revealed that more than 50 per cent of preschool children 0-3 years of age and women in reproductive age suffer from iron deficiency anemia. Nutritional survey conducted among pregnant women by WHO in (1990) In 1990, a nutrition survey was conducted by the WHO Collaborating Center at Centers for Disease Control and Prevention (CDC), Atlanta in four Fields of UNRWAs area of operations, namely Jordan, the Syrian Arab Republic (SAR), Gaza Strip and the West Bank. The survey revealed that the prevalence of iron deficiency anemia among pregnant women ranged between 31.3% in the first trimester to 58.9% in the third trimester Agency-wide, while the prevalence among children 6-36 months of age ranged between 57.8% in the West Bank and 75.3% in SAR. A new intervention strategy for iron supplementation was then introduced in 1991, which was amended in 1995 placing special emphasis on treatment. Nutritional survey conducted among infants ,preschool children and pregnant women by WHO in (1998) In October 1998, the WHO Collaborating Centre at CDC conducted a nutritional survey in Gaza Strip, the results of which revealed that iron-deficiency anemia was still high among high-risk groups, namely infants, preschool children and pregnant women. A study conducted among pregnant women by UNRWA in (1999) In 1999, UNRWA conducted a study to assess the maternal health programme which revealed inter-alia that the prevalence of anemia among pregnant women was 44.7% in Gaza, 35.5% in the West Bank, 32.1% in Jordan, 28.6% in Lebanon and 27% in Syria. In addition, the study showed that the prevalence of anemia progressively increases during the course of pregnancy as well as with parity. Anemia below 9g/dl constituted 1.4% of pregnant women. This suggests that in spite of the interventions that the Agency had, so far, undertaken, iron-deficiency anemia, still represents a major public health problem. A study conducted among pregnant women, nursing mothers and children 6-36 months by UNRWA during (2004) During 2004, UNRWA conducted a follow-up study to assess the prevalence of anemia among pregnant women, nursing mothers and children 6-36 months of age in order to assess the impact of these strategies on the prevalence among pregnant women, nursing mothers and children. The study revealed that the overall prevalence of anemia among pregnant women varied from 35.7% in Gaza, to 29.5% in the West Bank, to 25.5% in Lebanon, to 22.4% in Jordan and 16.2% in Syria. Although, the overall prevalence of anemia among pregnant women in all Fields dropped since the last assessment in 1999, these rates are still considered to be high. The reason for this drop could be attributed to the prophylactic iron supplementation which is provided for all pregnant women upon registration. There is a progressive rise in the prevalence of anemia during the course of pregnancy, which confirms that iron intake during pregnancy, does not meet the increased physiological requirements. Another study conducted among children 6-36 months, pregnant women and nursing mothers by UNRWA in (2004) Another study by UNRWA in 2004 on the prevalence of iron deficiency anemia among children 6 to 36 months of age, pregnant women and nursing mothers, revealed that anemia in Gaza Strip was fairly high (54.7% among children, 35.7% among pregnant women and 45.7% among nursing mothers. The corresponding rates in the West Bank were 34.3% among children, 29.5% among pregnant women and 23.1% among nursing mothers). The high prevalence of anemia for many children may cause permanent negative effects on their physical and mental development. It is worth mentioning that the prevalence of anemia among infants 6 to 12 months of age reached 75% in Gaza(9). CHAPTER 2 BACKGROUND Definition of anemia Anemia is defined as a decrease in the number of red blood cells (RBCs) or in the total hemoglobin levels in the blood due to lack of sufficient iron (10,11).more specifically , it means lack in the concentration of hemoglobin, red blood cell volume, or red blood cell (RBCs) number(12). Normally hemoglobin carries oxygen from the lungs to the body tissues, anemia leads to hypoxia which means lack of oxygen in the blood .There are three main types of anemia which include : 1- Excessive blood loss such as bleeding 2-Excessive blood cell destruction 3-Insufficient red blood cell production within the human body (13). Signs and symptoms of anemia The signs and symptoms of anemia can be related to the anemia itself, or other causes and the women may experience these symptoms differently : In common cases, most women with anemia has a non-specific symptoms such as weakness, or fatigue, general malaise and sometimes poor concentration. In addition, the signs may include abnormal pallor or lack color of the skin, and nail beds upon clinical examination is performed . In severe cases of anemia, there may be signs of circulation disturbances such as tachycardia, and cardiac enlargement. There may be signs of heart failure. and restless legs syndrome is more common in those with iron deficiency anemia (IDA) patients . Swelling of both legs, arms, vomiting, chronic heartburn, and bloody stool may appear in rare cases(14). mhtml:file://C:Documents%20and%20SettingsMARWANMy%20DocumentsAnemia%20-%20Wikipedia,%20the%20free%20encyclopedia.mht!http://upload.wikimedia.org/wikipedia/commons/thumb/9/91/Symptoms_of_anemia.png/260px-Symptoms_of_anemia.png Main symptoms that may appear in anemia (14) Diagnosis of anemia In general, In the first time of diagnosis of anemia a simple blood test is ordered by the physician called complete blood counts (CBC ) .Another blood tests can be ordered is examination of a stained blood smear (SBS) by a microscope which could be helpful in the diagnosis of anemia, and sometimes it will be necessary in some countries internationally where automated analysis is not easily accessible. Usually and commonly four blood components are ordered and measured consists of hemoglobin concentration , RBC count, RDW and MCV, allowing others (hematocrit, MCH and MCHC) to be calculated, and to be compared to values according to age and sex. Some counters measurement estimate hematocrit level (Hct) from direct measurements in the same time (15). Table 2.1 WHOs Hemoglobin thresholds used to define anemia (1 g/Dl = 0.6206  mmol/L)(15) Age or gender group Hb threshold (g/dl) Hb threshold (mmol/l) Children (0.5-5.0 yrs) 11,0 6,8 Children (5-12 yrs) 11,5 7,1 Children (12-15 yrs) 12,0 7,4 Women, non-pregnant (>15yrs) 12,0 7,4 Women, pregnant 11,0 6,8 Men (>15yrs) 13,0 8,1 Anemia during pregnancy Anemia in pregnancy is defined as hemoglobin level less than (11g/dl ) or hematocrit level less than (33%) (16). It aggravates the effects of maternal blood loss and infections at childbirth, and is associated with increased maternal mortality and morbidity(17,18). iron deficiency is usually considered as the most common cause of anemia in pregnancy (16). Anemia occurs when the number of red blood cells are very low under the normal level . Red blood cells are very important blood component because they carry oxygen from lungs to all body organs. Without sufficient amount of oxygen, the body cannot work as well as it should. Anemia can affect any individual, but women are at greater risk for this condition. In women, iron and red blood cells are lost when bleeding or hemorrhage occurs from very heavy or long periods (menstruation). Anemia is common among pregnant women because a woman needs to have adequate red blood cells to carry oxygen to women body and to her baby. So its important for women to prevent anemia before, during and after pregnancy. Women will probably be tested for anemia regularly at least twice during pregnancy: during the first prenatal visit and then again between 24 and 28 weeks(19). Anemia is a condition of less red blood cells, or a lack ability of the red blood cells to carry oxygen or iron in the blood. Tissue enzymes dependent on iron in the blood can affect cell function in the body mainly in muscles and nerves .then the fetus is dependent on the mothers blood and anemia can cause problems before and after pregnancy such as preterm birth, poor fetal growth , and low birth weight(20). Main causes of anemia during pregnancy Iron deficiency anemia Women often become anemic during pregnancy because the demand for iron and other vitamins is increased. The mother must increase her production of red blood cells and, in addition, the foetus and placenta need their own supply of iron, which can only be obtained from the mother. In order to have enough red blood cells for the foetus, the body starts to produce more red blood cells and plasma. It has been calculated that the blood volume increases approximately 50 per cent during the pregnancy, although the plasma amount is disproportionately greater. This causes a dilution of the blood, making the hemoglobin concentration fall. This is a normal process, with the hemoglobin concentration at its lowest between weeks 25 and 30. The pregnant woman may need additional iron supplementation, and a blood test called serum ferritin is the best way of monitoring this(21). Illness or Disease Some women may have an illness that causes anemia. Diseases such as sickle cell anemia or thalassemia affect the quality and number of red blood cells the body produces. If you have a disease that causes anemia, talk with your health provider about how to treat anemia(22). Types of anemia in pregnancy There are several types of anemia that may occur during pregnancy: Iron deficiency anemia This is the most common type of anemia during pregnancy. It is known as the lack of iron in the blood, which is essential to produce hemoglobin the part of blood that carries oxygen from the lungs to tissues and many organs in the body. Good nutrition system to the women before becoming pregnant is very important to help build up these stores and prevent iron deficiency anemia during pregnancy period. Blood loss Blood loss at delivery and after delivery (postpartum) can also cause anemia. The average blood loss with a vaginal birth is about 500 milliliters, and about 1,000 milliliters with a cesarean delivery. Sufficient iron stores can help a woman replace lost red blood cells during delivery. Vitamin B12 deficiency Vitamin B12 is essential in forming red blood cells (RBCs) and in protein synthesis. Women who eat no animal products (vegans) are commonly most likely to develop vitamin B12 deficiency. Including animal foods in the diet such as meats, milk, eggs, and poultry can prevent vitamin B12 deficiency. Very severe vegans usually need supplemental vitamin B12 which usually administered by injection during pregnancy. Folic acid deficiency Folic acid, is a B-vitamin that works with iron to help with cell development and growth. Folic acid deficiency in pregnancy is most commonly associated with iron deficiency since both folic acid and iron are found in the same types of nutrition. Several Studies revealed that folic acid is necessary for women during pregnancy ,this maybe because folic acid help reduce the risk of having congenital baby with certain birth defects of the brain and spinal cord if taken by the women before conception and in early pregnancy (20). Symptoms of anemia during pregnancy Women with anemia during pregnancy may not have obvious symptoms unless the cell counts are very low. The following are the most common symptoms of anemia that may occur in pregnancy. However, each woman may experience symptoms differently. Symptoms may include: pale skin, ,nails, lips, palms of hands labored breathing underside of the eyelids vertigo or dizziness fatigue rapid heartbeat (tachycardia) The symptoms of anemia may similar other conditions or medical problems .So you should always consult your physician for a diagnosis and treatment(20). Diagnosing of anemia during pregnancy Depending on clinical symptoms, anemia is usually discovered during antenatal screening specially in the first visit of pregnant women to the antenatal care clinics for antenatal care and follow up. Normally ,Blood tests are usually measured on the first visit to antenatal health center, and again during pregnancy . A description of Hemoglobin(Hbs) ,red blood cells (RBCs) and their different components will be included in the blood test result. Possible complications of anemia and iron deficiency anemia during pregnancy There are several possible complications may occur during pregnancy which threats women health such as: Breathing difficulty, palpitations and angina. Severe anemia due to hemorrhage or loss of blood after the delivery. In this condition, the woman may be advised to have a blood transfusion as soon as possible (21). Severe anemia related to any reason may lead to hypoxemia and enhances the occurrence of coronary insufficiency and myocardial ischemia. (23). In women with severe iron deficiency, disturbances in function of epithelial tissue is usually occurred . Atrophy of the lingual papillae in the tongue may occur and show a glossy appearance. Also , angular stomatitis may develop associated with fissures at the corners of the mouth. The occurrance of dysphagia may appear with hard diets. Atrophic gastritis occurs in cases of iron deficiency with progressive lack of stomach enzymes production such as loss of acid secretion, pepsin, and intrinsic factor and development of an antibody to gastric parietal cells. Cold intolerance occurs in some cases with chronic iron deficiency anemia and is characterized by neurologic pain , vasomotor disturbances, or tingling and numbness. In rare conditions, severe iron deficiency anemia is associated with increased intracranial pressure. These symptoms can be treated with iron therapy. Impaired immune function is shown in cases with iron deficiency. Moreover, there are reports revealed that those patients are at high risk to develop infection (23). Treatment for anemia in pregnancy Specific treatment for anemia will be identified prescribed by physician based on: Your pregnancy status Overall health, and medical history Extent of the disease Your tolerance for specific medications, or procedures Expectations for the course of the disease Your opinion or preference Treatment of anemia depends on the type and severity of anemia. In cases of iron deficiency anemia treatment includes iron supplements therapy. Some forms are time-released, while others must be taken several times every day. Having iron supplements with a citrus juice can be help with the absorption into the body. Taking antacids may decrease absorption of iron in the blood. There are side effects may occurs when taking Iron supplements such as nausea and stools become dark greenish or black in color. In addition , Constipation may also occur with iron supplements. Prevention of anemia in pregnancy Anemia can be prevented during pregnancy with following a good pre-pregnancy nutrition system not only helps in preventing anemia, but also helps in building other nutritional stores in the mothers body. Having a healthy and balanced diet with essential products of food during pregnancy helps maintain the iron levels and other necessary nutrients needed for the mother health and growing her baby(20). Women education It is important for the public health officials in the geographical regions in which the iron deficiency is prevalent need to be more aware of the significance of iron deficiency, its effect on work performance and activities, and the importance of giving iron supplements during pregnancy and childhood. Moreover, Addition of iron to basic foodstuffs usually employed to solve this problem (24). CHAPTER 3 Women health in Palestine Womens Health Palestinian women have a fundamental right to enjoy the highest possible levels of health and quality of life. MOH works towards the improvement of their health during all phases of lives with wide participation with other key health providers as UNRWA and NGOs. Indicators value Indicators value % of women of child bearing age of total pop 22.3 Prevalence of anemia among pregnant women in MOH 35.7 Total fertility rate (5.8 in GS and 4.1 in WB) 4.6 T.T. immunization coverage among newly pregnant women in MOH (99.1 in UNRWA) (%) 42.4 Maternal mortality ratio per 100,000 live birth 15.4 % of children received breastfeeding 95.6 % of pregnant women attended antenatal care out of total live births 96.5 Mean duration of breastfeeding (months) 10.9 The number of visits paid per pregnant woman in MOH (7.6 in UNRWA) 5.5 Contraceptive prevalence rate (43 in GS, 55.1 in WB) 50.6 % of deliveries in health institution 97 % of IUDs used of total contraceptive methods 32 % of deliveries in home (0.4 in GS, 5.5 in WB) 3.2 % of pills used of total contraceptive methods 38.7 Prevalence of anemia among nursing mother in UNRWA 45.7 Antenatal care services Antenatal care is an essential part of modern health care; such care is every womans right. Health providers must pay serious attention to the health of the pregnant woman and her fetus. In Palestine there are four health sectors providing maternal care; the MOH, UNRWA, the NGOs and the private doctors. There are 353 MCH clinics in MOH and 53 clinics in UNRWA providing antenatal care. The number of visits paid per pregnant woman was 5.5 in Palestine (6.5 in GS and 4.8 in WB). In UNRWA, it was reported at 7.6 visits per pregnant women in Gaza Strip, the percent of women who paid 7-9 visits was 47.5%. According to DHS in 2005, Data showed that 96.5% of women aged 15-49 years received antenatal care in Palestine. There is direct relationship between education level and receipt of antenatal care; women who did not receive antenatal care were more likely to be less educated more than women who received antenatal care. In addition, access to antenatal care decreased with parity, with fewer women accessing antenatal care for their 4th pregnancy or more. High risk pregnancy services Certain conditions or characteristics, called risk factors, make a pregnancy high risk and woman or baby is more likely to become ill or die than usual. Doctors identify these factors and use a scoring system to determine the degree of risk for a particular woman. Identifying high-risk pregnancies ensures that women who most need special medical care. The high-risk program has been implemented in 26 referral governmental clinics in the Gaza Strip and 18 MCH clinics in UNRWA. The percentage of newly pregnant women visits with high-risk pregnancy was 14% of total newly pregnant women in MOH (17.8% in the GS and 11.6% in the WB). The number of visits paid per high-risk pregnant women was 5.2 visits. In UNRWA, the percentage of newly pregnant women visit at high risk and alert pregnancy was 44% from total antenatal visits of newly pregnant women. Out of the total, 40% paid 3-4 visits and 47.7% paid 7-9 visits. During home visit program in Gaza Strip, the factors associated with high risk pregnancy were as shown in the following table; taking in consideration that one woman may have more than one complication: Table 3.1 factors associated with high risk pregnancy Factors Percent % Anemia 48.8 Multipara 27.5 Primapara 25.4 Previous CS 21.6 Hypertention 16 Diabetes 5.5 Pre-eclamptic 2.1 Others 6 Tetanus toxoid immunization The vaccination for pregnant women is taken based on MOH protocol during the first antenatal visit. Immunization coverage among newly pregnant women was 42.4% (25.2% in WB and 64.1% in Gs). In UNRWA, out of total (11,100) pregnant women of 20 weeks and over of gestation, the vaccinated pregnant women were 11,005 with a coverage rate of 99.1% (25) . Anemia among women in Palestine WHO define anemia as Hb is less than 11 gm/dl. The percentage of anemic mothers whom visited the governmental MCH for antenatal care was 38.5% (27.2%in the GS and 50% in the WB) .During study conducted in UNRWA in the year 2005, the prevalence rate of anemia among pregnant women was 35.7% and 45.7% among nursing mothers visited UNRWA-PHC centers for antenatal services in the Gaza Strip. During home visits program which are conducted by Womens Health and development Directorate in MOH, Hemoglobin (HB) has been examined for 1,950 visited mothers after delivery in Shifa as 38.5% (27.2%in the GS and 50% in the WB). During home visits program which are conducted by Womens Health and development Directorate in MOH, Hemoglobin (HB) has been examined for 1,950 visited mothers after delivery in Shifa hospital especially those at high-risk pregnancy or who has complication/s during delivery. The results indicated that 61.6% of women were anemic. Out of the total women, HB was diagnosed 10 gm/d l 11 gm/dl among 38.4% of visited women. Ferrous sulfate and folic acid as a tonic is distributed for pregnant women and children under 3 years in MOH and UNRWA centers free of charge (25) . Table 3.2 Prevalence rate of anemia among women visited UNRWA-PHC centers in Gaza Strip, 2005 Pregnant women Nursing mothers Samples HBà ¢Ã¢â€š ¬Ã‚ ¹11gm/dl % Samples HBà ¢Ã¢â€š ¬Ã‚ ¹12gm/dl 920 328 35.7 810 370 CHAPTER 4 METHODOLOGY Study design A cross-sectional study design was conducted during August,2009 in order to assess awareness among pregnant women attending UNRWA health care centers for antenatal care , based on health clinics of UNRWA in Gaza strip. Target population All pregnant women who was registered at UNRWA clinics ,both old and new ,who attended for antenatal care during August,2009 in Gaza strip . Sample size A total of 164 women from UNRWA clinics in the middle region of Gaza strip were selected randomly to participate in the survey taking into account the distribution of population in each area to represent the study population fairly. The sample size was calculated by assuming a 95% confidence interval and sampling error no more than (5%) using Yamane formula (1967:886) as follows: Where n is the sample size N is the population e is the sampling error rate (5%) Instrument of the study The instrument used in this study was questionnaire which created to cover the objectives of the study .the questionnaire included four divisions . 1st division: The question is about socio-demographical data of the women including age, educational level, occupation, number of children, economical status and attending health education session .the questions in this division were closed-ended and open-ended. 2nd division: The questions is about knowledge and awareness of women regarding anemia concept ,nutrition ,iron supplements ,and the tea with meals. The questions included 3 choices (completely agree, partially agree and disagree). 3rd division: The questions about opinions and attitudes of women regarding anemia .It included 3 choices (completely agree, partially agree and disagree). 4th division: The questions about health education session regarding anemia. It included 3 choices (completely agree, partially agree and disagree). Data collection Data was collected using the structured questionnaire as a tool to collect data from the samples of study by individual interview performed by the researcher and with assistant of staff in UNRWA clinics who has the experience in data collection and methodology. data analysis After data collection ,the questionnaires were collected and the data was entered to computer software for processing and analysis. the programme used for analysis is (SPSS) statistical package for social sciences software version 15. Ethical consideration Clearance and permission was obtained from Chief Field Health Section of UNRWA in Gaza strip in order to conduct questionnaires survey among refugees pregnant women who attended UNRWA clinics for antenatal care and follow-up in Gaza strip. In addition, the permission was taken from the head of UNRWA clinics and also oral permission was obtained from the women who participated in the survey. CHAPTER 5 RESULTS The current study aimed to assess the awareness of anemia among pregnant women who attended UNRWA clinics for antenatal care. Table 6.1 Age distribution of pregnant women Percent Frequency Age groups (years) 8.5 % 14 Less than 20 34.8 % 57 20 -25 25 % 41 26-30 31.7 % 52 More than 30 100 % 164 Total Table 1.6 shows that most (34.8%) of parti