Source Document Analysis

March 14, 20120
Title: Overview and Summary: School Health Policies and Programs Study 2006
Author: Kann, Laura, Brener, Nancy, Wechsler, Howell
Source: CDC
Kann L, Brener ND, Wechsler H
Journal of School Health 2007;77:385–397

 This study was the largest, most comprehensives assessment of school health programs in the U.S. ever conducted.  The CDC conducts surveys every 6 years in every state.  This survey describes key school health policies and programs across all 8 school health program components which include: health education, physical education and activity, health services, mental health and social services, nutrition services, healthy and safe school environment, faculty and staff health promotion, and family and community involvement. 

March 12, 2012
Title: It's all in the delivery!  An analysis of instructional strategies from effective health education curricula
Author: Herbert PC, Lohrmann DK
Source: EBSCO

This study explores the strategies used for effective health education curricula.  They analyzed 10 health education curricula to see which strategies were used among all of them more effective.  They found that the five active learning strategies to involve students in acquiring health skills which include role play, group cooperation and small group discussion.  Effective health education is taught by teachers who use active learning strategies and involving students to practice those skills.

March 5, 2012
Title:Tongan adolescents' eating patterns: opportunities for intervention
Author: Cacavas K, Mavoa H, Kremer P, Malakellis M, Fotu K, Swinburn B, De Silva-Sanigorski A
Source: EBSCO

This study examined the dietary patterns of Tongan adolescents and their perceptions of sociocultural influences.  The methods included behavioral survey and qualitative interviews.  As a result, more adolescent Tongan females reported drinking morning tea, consuming chocolate and obesity-promoting foods (packaged snacks) than males.  This study concluded that ensuring that students have access to high nutritional quality sourced food and restricting access to local food outlets could improve the nutrition status of adolescents in Tonga.


March 2, 2012
(Learning Journal)

Feb. 29, 2012
Source: EBSCO
Title: The seafood-nutrition-health paradigm of South Pacific islanders
Author: Kronen M, Snowdon W, Schultz JT

This article wanted to see if there was a correlation between consumption of fish (fresh fish as well as tinned fish) and lifestyle disease risk.  Seafood is very common among the south pacific islands and is included in the daily diet.  They studied six Tongan rural communities between Dec. 2001 and July 2002.  They found there were no significant relations between fish consumption and obesity.  They also found that fish consumption did not bring about significant changes in lifestyles or increased risks of lifestyles. 
Feb. 27, 2012
(Learning Journal)

Feb. 24, 2012
Source: EBSCO
Title: Prioritizing policy interventions to improve diets?  Will it work, can it happen, will it do harm?
Author: Snowdon W, Potter JL, Swinburn B, Schultz, J, Lawrence M
     This article talked about policies from non-health sectors which have made an impact on nutrition and the food environment.  This study was to help health promoters accurately identify which policy changes would most likely work and improve health situations.  This process was used in Tonga.


Feb. 22, 2012
Source:  EBSCO
Title: The Pursuit of Muscularity among Adolescent boys in Fiji and Tonga
Authors: Ricciardelli LA; McCabe MP; Mavoa H; Fotu K; Goundar R; Schultz J; Waqa G; Swinburn BA

This article talked about body image from boys' perspective in Fiji and Tonga.  They conducted semi-structured interviews with 24 boys from Tonga, ages ranging from 13-19 years old.  Mascularity was a dominant theme for many boys.  Mascularity was associated with strength and fitness, sporting performance, physical work, dominance, and health. 

Feb. 20, 2012
Source: EBSCO
Title: Psychosocial profiles of adolescent nonsmokers in the Pacific
Authors: Phongsavan P; Smith BJ; Chey T; Gilmete M; Havea D; Bauman AE
    
The study examined the association between non-smoking and positive emotions of youth in Tonga.  Tobacco use has been a growing health issue among Pacific adolescents.  This study examined behavioral and psychosocial correlates of adolescents were resistant to smoking.  About 54.1% of Tongan students reported feeling very happy about life.  Adolescents who reported to be happy about life and did not smoke were also likely to have more self-confidence, be more involved in the community, and also had a strong commitment to their religion compared to other groups.
 

Feb. 17, 2012
Source: EBSCO
Title: Intentional injury reported by young people in the Federated States of Micronesia, Kingdom of Tonga and Vanuatu Author: Ben J Smith, Philayrath Phongsavan, Dale Bampton,Genevieve Peacocke, Mercedes Gilmete, Drew Havea, Tien Chey and Adrian E Bauman



Feb. 15, 2012
Source: EBSCO
Title: The impact of socio-cultural context on young people's condom use: evidence from two Pacific Island countries
Author: McMillan K; Worth H



Feb. 13, 2012
Source: EBSCO
Title:Energy and nutrient intake of Tongan adults estimated by 24-hour recall: the importance of local food items
Author: Konishi S; Watanabe C; Umezaki M; Ohtsuka R



Feb. 10, 20120
Source: EBSCO
Title: Improved immunization practices reduce childhood hepatitis B infection in Tonga
Author: Danielsson N; Fakakovikaetau T; Szegedi E



Feb. 8, 2012
Source: EBSCO
Title:The role of policy in improving diets: experiences from the Pacific Obesity Prevention in Communities food policy project
Author: Thow AM; Snowdon W; Schultz JT; Leeder S; Vivili P; Swinburn BA



Feb. 6, 2012
Source: http://www.taimionline.com/articles/6476
Title: A boy's life transformed
Author: Taimi media network
 


Feb. 3, 2012
source: https://illiad.lib.byu.edu/illiad/illiad.dll 
Title: Health and telecast: a milestone for Tonga into the 21st century
Author: ST Kupu
     This article talks about the advantages and difficulties in establishing a functional telehealth service in Tonga.  Tonga consists of 36 inhabited islands and have a population of more than 97,784.  There is a referral hospital in the Capital (on the main island) and three other district hospitals.  There are also 14 peripheral health centres and 32 maternal child health clinics.  This article looks at the types of communication health facilities use to communicate to each other and they include telephone, telegram, and fax. 


Feb. 1, 2012
     This journal article talked about body image perceptions among boys in Fiji and Tonga.  There were semi-structured interviews which were conducted with 24 Tongan boys aged 13-20 years old.  Mascularity is a dominant theme for many boys.  Mascularity includes strenth and fitness, sporting performance, physical work, dominance, and health. 
source: https://illiad.lib.byu.edu/illiad/illiad.dll?SessionID=A113932542Y&Action=10&Form=75&Value=1608438
Title: "Producing what in the transition? Health messaging and cultural constructions of health in Tonga."
Author: Leslie H. Young



January 30, 2012
Title: Treating Patients, Providing Health Education in Tonga
Author: Kris Radder


January 27, 2012
source: http://www.paddle.usp.ac.fj/collect/paddle/index/assoc/ton005.dir/doc.pdf
Title: Tonga education policy framework (2004-2019) - final draft
Prepared by: Vince Catherwood, Victor Levine, and Ministry of Education Planning Group
audience intended for: Ministry of Education, Government of Tonga

This source is of Tonga's education policy framework.  This talks about the goals and vision of Tonga's education system, which began in 2004 and will last fifteen years, until 2019.  I thought it was interesting that they planned this framework to fit Tonga for fifteen years, because I think after maybe five or ten years, you could evaluate what is working and what isn't, and make changes from there.  It talked about giving children in Tonga the right to get a basic education and improve teacher quality.  Basic education goes up to form 2, which is up to middle school.  It gave statistics on how many students further their basic education to secondary education (which is compared to our high schools) stating that 72% of students study at non-Government Church schools while the 28% attend state schools.  I thought that was interesting that most students attend non-Government schools, and makes wonder if the quality of education or religion plays a factor in choosing schools.  I think this source is very helpful for me to understand a little more about the Ministry of Education in Tonga, especially because I hope to work with high schools students at Liahona high school.  This will give me background information on the Ministry's vision in general on education.


 January 25
Source: PNG Med J 2006 Sep-Dec;49(3-4):
            The experience of health sector reform in Tonga
            Ministry of Health, Nuku’alofa, Tonga

http://www.pngimr.org.pg/png_med_journal/the%20experience%20of%20health%20sector%20reform%20in%20Tonga%20-%20sept-dec%202006.pdf

This source talks about the problems the Ministry of Health in Tonga has faced.  Some of the problems include project management, being able to manage interventions or programs.  In some of the programs, there was no vision when first started, and with no vision there is no direction.  Budgeting was a major problem as it stated that the ministry was the poorest ministry.  This could be one of the things I could look into, is whether or not clinics and the hospital receive equal amount of funding from the ministry, or even if they receive any money from the ministry.  I wonder how the ministry of health distributes their money.  In the article it said that they turned in their budget three months after the deadline which causes a set back on programs and other things they planned to do.  The article gave some statistics on life expectancy among males and females which were 70 and 72 years.  I thought that would be interesting to just find out, is what makes people live longer in Tonga.


January 23
Smith, BJ, Phongsavan, P, Havea, D, Halavatau, V, Chey, T (2006)
Title: Body mass index, physical activity and dietary behaviours among adolescents in the Kingdom of Tonga
Public Health Nutrition Journal, Vol. 10, Issue 02, pg 134-144


January 20
Fotu, KF, Millar, L, Mavoa, J, Kremer, P, Moodie, M, Snowdon, W, Utter, J, Vivili, P, Schultz, JT, Malakellis, M, McCabe, MP, Roberts, G, Swinburn, BA (2011)
Title: Outcome results for the Ma'alahi Youth Project, a Tongan community-based obesity prevention programme for adolescents
Journal of The International Association For The Study of Obesity, Vol. 12 


January 18
Criag, P, Halavatau, V, COmino, E, Caterson, I (1999)
Title: Perceptions of body size in the Tongan community: differences from and similarities to an Australian sample
Journal of The International Association For The Study of Obesity Vol. 23




January 16
McGrath, Barbara Burns (1999)
Title: Health and healing in contemporary Tonga 
Pacific Health Dialoug Vol. 6, No.