Opioid Substitution Treatment Barriers Health And Social Care Essay

ISSUES. Opioid permutation intervention is internationally recognised as the most effectual intercession available to handle opioid dependance. There is concern that capacity at public clinics and pharmaceuticss is deficient to run into high demand, ensuing in a cohort of opioid-dependent patients left untreated. Research has focussed on pharmaceutics barriers to OST bringing but small is known about the public clinic sector. APPROACH. A narrative reappraisal was conducted by thorough scrutiny of relevant literature in electronic databases ; Medline, CINAHL and Cochrane. Cardinal FINDINGS. Despite the enlargement of OST and vacancies in pharmaceuticss, some opioid-dependent patients continue to confront barriers that block entree to intervention. These barriers are varied and multi-faceted. For the patient, stigma and a compulsory dispensing fee are important deterrences to pharmacy dosing. For the druggist, negative behaviors associated with OST patients such as debt, larceny and aggressive behavior and full capacity are grounds that impede proviso of OST. In public clinics, the backlog of stable patients non being transferred to pharmacy dosing is a suspected barrier that has non been extensively investigated. IMPLICATIONS. Research has explored pharmaceutics and patient barriers to OST entree but less is known about the public clinic barriers. More research is warranted into public clinics to clarify possible barriers of all grades of the OST system. CONCLUSION. This reappraisal emphasises the dearth of research into OST bringing in public clinics. Further probe into the processs of OST in clinics is necessary and should concentrate on patient appraisal, referral and direction. Keywords: opioid permutation intervention, pharmaceutics, clinic Word count: 246 Researching barriers to opioid permutation intervention in pharmaceuticss and public clinicsIntroductionOpioid dependance carries a scope of important inauspicious wellness, economic and societal jobs to the person and wider community, including the hazard of overdose, the spread of infective diseases ( HIV/AIDS, hepatitis B and C ) , psychological jobs, drug-related offense, wellness impairment and household break [ 1, 2 ] . Opioid permutation intervention ( OST ) is internationally recognised as the most good and cost-efficient pharmacological intercession available for the intervention of opioid dependance [ 3, 4 ] . In response to an addition in the Australian population of heroin-dependent users in the 1990s [ 5, 6 ] the authorities introduced OST as a injury minimization scheme to understate these inauspicious effects [ 7 ] . Since so OST bringing has steadily increased under the National Pharmacotherapy Policy and National Drug Strategy [ 7, 8 ] . The figure of patients has ri sen in surplus of 2,000 clients per twelvemonth since 2007 and at the clip of authorship, there are presently over 46, 000 clients having intervention in Australia entirely [ 8 ] . In Australia, OST involves supervised day-to-day dosing of one of three long-acting opioid replacing medical specialties ( dolophine hydrochloride, buprenorphine or buprenorphine/naloxone ) . Most new patients are initiated into intervention by the doctor at a public clinic under the supervising of a nurse or instance director. In this scene they have entree to single instance direction, reding and specialist medical support at no charge. Once they become stabilised on intervention, patients are encouraged to reassign their dosing to a community pharmaceutics [ 2 ] , thereby emancipating their dosing topographic point at the public clinic for a new patient. There is a concern that this tract is non every bit smooth as it appears. As at June 2008, an estimated 41,000 opioid dependent people in the community were still unable to entree intervention and the job is declining [ 9 ] . Confusing the job is the fact that there is no bing agencies of measuring the precise demand for intervention and no systematic monitoring of waiting times in the pharmacotherapy system [ 9 ] . Proposed accounts for this issue are varied and multi-faceted. It is believed the system capacity at both the populace clinics and the community pharmaceutics degrees may non be sufficient to suit the high demand for OST, therefore the ground why an estimated 50 % heroin-users are non in intervention. Previous surveies have investigated the pharmaceutics barriers to OST but at that place appears to be a deficiency of research into the drug and intoxicant clinics [ 10, 11 ] . This reappraisal aims to research the literature refering to OST in Australia. In peculiar the reappraisal will look into the grounds for the â€Å" unmet demand † [ 9 ] of opioid dependant patients necessitating these services and the bing barriers to the proviso, entree and consumption of OST faced by both patients and healthcare suppliers.MethodA narrative literature reappraisal was conducted by thorough scrutiny of the literature in 3 electronic databases Medline, CINAHL and Cochrane. The undermentioned keywords and phrases were searched: â€Å" opiate ( opioid ) permutation ( replacing ) intervention ( therapy ) † , â€Å" referral † , â€Å" dolophine hydrochloride † , â€Å" buprenorphine † , â€Å" pharmaceutics † , â€Å" drug and intoxicant clinic † , â€Å" drug wellness clinic † and â€Å" harm minimization † . The mentions of relevant literature were besides searched. Documents were eligible for inclusion if they were written in English and published between the old ages 2000 and 2012. Documents were excluded if they chiefly focused on detoxification plans, naltrexone intervention, dolophine hydrochloride for hurting alleviation or if they pertained to patients other than big opioid-dependent patients. A comprehensive hunt of Australian cyberspace resources was besides conducted. The primary sites were Australian national and province authorities wellness policy and statistics sites ( hypertext transfer protocol: //www.druginfo.nsw.gov.au/ , hypertext transfer protocol: //www.aihw.gov.au/ , hypertext transfer protocol: //www.health.nsw.gov.au/ , hypertext transfer protocol: //www.nhmrc.gov.au ) and the UNSW National Drug & A ; Alcohol Research Centre ( NDARC ) .RESULTS AND DISCUSSION:Several surveies have shown OST to be associated with benefits including reduced illicit opioid usage, lower associated offense rates and improved wellness results [ 3, 12, 13 ] . It has besides been demonstrated to be more extremely cost-efficient than detoxification or rehabilitation [ 4 ] . In response to increasing demand, the figure of dosing sites in Australia has increased from 2,081 ( 2005-06 ) to 2,200 ( 2009-10 ) with the major addition being in the figure of new pharmaceuticss taking to offe r OST services [ 8 ] . Community pharmaceuticss are the chief suppliers of OST in Australia, accounting for 43 % of OST patients in NSW. This is in line with other states such as the UK, France, Germany and New Zealand where pharmaceutics is emerging as a head of OST proviso [ 14-16 ] . Although pharmacy proviso of OST has expanded, there are still people who can non entree these dosing sites, restricted by certain barriers. The lone solid grounds of these people is on waiting lists, but presently in Australia there is no official demand to supervise waiting lists or capacity [ 9, 17-19 ] . Factors explicating the inability of OST plans to run into current demand are multifaceted and interconnected and scope from deficient figure of intervention topographic points depending on location to barriers faced by patients in accessing OST such as rural location or restricted dosing hours. Much research has focussed on the challenges faced by suppliers of OST services, viz. community pharmaceuticss, GPs and public clinics.OST in community pharmaceuticsCommunity pharmaceutics histories for 43 % of OST patients in NSW. Most surveies on OST proviso are survey-based. In a study of NSW public clinic patients, 80 % of participants preferable pharmaceutics dosing over the clinic [ 20 ] . Benefits of pharmaceutics that have been cited in patient studies include greater community integrating, a more stable dosing environment, flexible dosing hours, less travel clip and cost ( the patient may be referred to a pharmaceutics closer to their reference ) and the chance for regular takeout doses [ 20-22 ] . Takeouts are extremely valued by opioid dependent patients as they facilitate the standardization of life [ 21 ] . Patients can devour their dosage unsupervised and the decreased frequence of dosing attending allows clients to prosecute employment and instruction chances and fulfil household duties. Sing they are merely routinely given to stable patients in community pharmaceuticss and non by and large in public clinics, takeouts are a major inducement to pharmaceutics dosing. Although demand and patient penchant for pharmaceutics dosing is high, patients may still confront barriers that deter them from come ining into pharmaceutics intervention. Stigma Whilst patients on OST reported high degrees of satisfaction, a common issue in dosing sites was the presence of negative staff opinion and stigma [ 10, 21, 22 ] . When Deering et Al. ( 2011 ) asked New Zealand OST patients how intervention could be improved, an overpowering bulk identified ‘better intervention by staff ‘ [ 10 ] . The position that staff behavior could be improved was supported in a study by Kehoe et Al. ( 2004 ) nevertheless contrastingly 80 % of respondents besides reported that staff intervention was satisfactory or first-class [ 21 ] . This disagreement suggests that whilst patients were overall satisfied with staff intervention, they still felt the demand for betterment. Financial load Another common hindrance to OST identified in the literature is the fiscal load of intervention faced by patients [ 11, 20, 22, 23 ] . Whilst intervention costs in NSW public clinics are to the full subsidised by the province authorities, pharmaceutics dosing incurs a hebdomadal dispensing fee runing from about $ 30- $ 35 [ 22 ] . In one survey, 32 % of public clinic patients surveyed claimed they could non afford the pharmaceutics distributing fees perchance explicating their involuntariness to reassign to pharmacy [ 20 ] . The balance were merely able to pay an mean $ 10 a hebdomad, an sum well lower than $ 33.56, the average hebdomadal dispensing fee reported by Lea et al [ 22 ] . The fact that 23 % pharmaceutics clients owed the pharmaceutics money for dosing [ 22 ] confirms that a significant figure of OST clients struggle to afford pharmaceutics distributing fees. The theoretical account used in Canberra in which 50 % of the distributing fee is subsidised, [ 24 ] is intended to ease the pecuniary load and act as an added inducement for intervention keeping or entryway. No surveies have yet evaluated the consequence of lower fees on patient keeping times. From the druggist perspective client debt likewise serves as a deterrence against the bringing of OST or uptake of new patients. Other jobs related to behavioral disinhibition, aggression, larceny and the negative impact on concern and other clients have all been identified as grounds impacting druggists ‘ proviso of OST [ 25, 26 ] . In contrast to pharmacist concerns, one survey in the UK interviewed pharmaceutics clients and found the bulk to be overall supportive of pharmaceuticss presenting drug user services [ 14 ] , with the specification that privateness was necessary. The demand for equal privateness is in line with OST patient positions [ 22 ] . However qualitative informations was sourced from interviews which may be skewed by interviewee disposition to give socially desirable replies. Role of the GP prescriber Another common job experienced by community druggists is the trouble reaching prescribers and the prescribing of takeout doses to unstable patients [ 26 ] . Pharmacists identified the hazard of recreation of takeout doses and hapless appraisal of stableness as issues that required improved interprofessional coaction with prescribers. Interestingly in one survey a bulk of druggists agreed that prescriber communicating was equal, nevertheless little sample size and the rural location which tends to further closer interprofessional relationships may be accountable [ 27 ] . Winstock et Al. ( 2010 ) recommends the public-service corporation of standardized resources such as the NSW Department of Health ‘Patient Journey Kits ‘ to steer multidisciplinary attention of OST patients [ 26, 28 ] . Another facet lending to system capacity is the reduced supply of prescribers for OST. GPs are frequently the first point of contact for opioid-dependent people. They are required to set about extra preparation to go commissioned opioid pharmacotherapy prescribers [ 29 ] . GPs play an intrinsic function in the initial showing, appraisal and on-going feedback and monitoring of OST clients. The issue lies in the ripening work force and the retirement of commissioned prescribers, thereby cut downing intervention entree [ 17 ] . Public clinics are the lone prescribing option but considerable barriers including full system capacity and the deficiency of motion of stable patients out of clinics into pharmaceuticss besides limit the public clinics ability to suit excess patients. Unexplained vacancies Despite grounds of an â€Å" unmet demand † [ 9 ] , a survey conducted by the National Drug and Alcohol Research Centre ( NDARC ) found that more than half of OST-providing pharmaceuticss reported an norm of 7 vacancies to dose extra patients. Data extrapolation of to all NSW pharmaceuticss registered to present OST suggests that there are about 3000 vacant dosing topographic points across NSW. Whilst a 3rd of pharmaceuticss in the survey were runing at full capacity, some pharmaceuticss reported functioning no clients [ 18 ] . This spectrum of clients across registered pharmaceuticss and the being of current vacancies exemplify the underutilisation of community pharmaceutics dosing topographic points. However the fact that these vacancies may non ever be located where the demand is highest has to be taken into consideration. For illustration patient entree to intervention in rural locations is frequently restricted due to limited pharmaceutics Numberss and longer going distan ces [ 25 ] . From the literature, it appears NSW pharmaceuticss have the capacity to increase consumption of clients, with a possible 70 % of pharmaceuticss capable but non willing to supply OST services. Factors identified that would promote druggists to increase client Numberss include the stableness of the patient, higher fiscal additions per client and the option to instantly return unstable patients to public clinics [ 18 ] . However some public clinics expressed concern about taking back unstable patients, proposing there was no warrant of available dosing capacity, one time a new patient had been inducted [ 18 ] .OST in public clinicsEntree to OST is determined by both the handiness of pharmaceuticss supplying OST every bit good as the capacity of public clinics to take on extra clients [ 19, 26 ] . However harmonizing to an expansive NSW state-wide study on OST by Winstock et Al. ( 2008 ) , there appears to be an underutilisation of available pharmaceutics dosing sites and limited capacit y in public clinics [ 19 ] . Whilst the bulk of literature has focussed on pharmaceutics proviso of OST, relatively less research has been conducted into the public clinic grade of the OST system despite representing 19 % of dosing patients in NSW [ 8 ] . Public clinics have become an increasing country of involvement driven by studies that the motion of stable patients through the clinics out to community pharmaceuticss appears to be dead [ 17, 19 ] . This is ensuing in a backlog of patients barricading new patients from accessing intervention at the clinics. The proportion of stable patients transferred from the clinics to pharmaceuticss is estimated to be really low at 3-15 % a month [ 18 ] . Surveyed patients have cited a reluctance or inability to afford a dispensing fee and feeling dying about reassigning [ 20 ] as grounds against transportation. Precedence groups Intensifying the limited capacity of public clinics is the duty of supplying priority entree of vacancies to groups that meet standards stipulated under NSW Health directives [ 2, 7 ] . Cohorts include released captives, pregnant adult females, people with HIV, hepatitis B bearers and those on a recreation plan as ordered by the tribunal. [ 19 ] Similarly clients that show hazardous forms of illicit substance maltreatment such as those with mental unwellness and intoxicant dependance, or those that exhibit aggressive or antisocial behaviors are better managed at the public clinic instead than at a pharmaceutics. As a consequence many patients who do non run into ‘priority ‘ position are forced to wait. Obviously there is a demand to increase the efficient transportation rate of patients out to pharmaceuticss to do infinite for these clients. As antecedently mentioned, there is no consistent systematic process or set guidelines to help clinicians in covering with these iss ues and as of yet, no research has been conducted on their response to pull offing these issues. A 2008 SWAT study of NSW public clinics reported that when unable to offer immediate intervention, clinics either provided injury decrease advice referred to another public clinic, a private clinic or a GP, or offered detoxification. The assortment of actions and the effectivity of each have non been assessed and look to be decided upon at the discretion of the presiding OST practician at the clinic. Recommendations by the SWAT squad include developing a standardised response when a clinic can non offer a intervention topographic point to a client, and systematic monitoring of capacity to explicate more timely intervention in the hereafter [ 19 ] . Stability appraisal and referral processs An obstruction inherent to the pharmacotherapy system is the clinical appraisal of patient stableness and referral process. The triage function of stableness appraisal is usually coordinated by Nursing Unit of measurement Managers ( NUMs ) or a cardinal stakeholder in the public clinic and involves reexamining patient dosing history and behavior and placing those suited for transportation [ 30 ] . Currently no surveies into the clinical function or preparation of NUMs in OST proviso have been conducted. Soon determinations are guided by clinical opinion. The lone available counsel is limited to authorities policy, instead than scientific grounds and no standardized guidelines exist [ 30 ] . Whilst there are over 300 hazard appraisal instruments available to mensurate results of patients in drug and intoxicant intervention, no individual standardised attack has been nationally adopted or endorsed for OST [ 30 ] . A survey by Winstock et Al. ( 2009 ) found that execution of a province broad preparation plan improved client stableness appraisal with 25 % of staff increasing the figure of clients transferred out to community pharmaceutics [ 31 ] . However the objectiveness of this survey was affected as the method involved clinicians self-reporting cognition and accomplishments prior to and after preparation. However the survey provides preliminary grounds that acceptance of standardized appraisal processes increases the transparence of clinical determinations and can better entree to O ST [ 19, 31 ] . As above-named there appears to be underutilisation of community pharmaceutics OST services with some dosing at full capacity, whilst at the other terminal of the spectrum, some pharmaceuticss serve no patients. The bulk of pharmaceuticss reported vacancies. Whilst 75 % of clinics reportedly monitored available capacity within local pharmaceuticss, it is possible that the remainder are directing clients to overfilled dosing sites [ 18 ] . No formal survey has as of yet explored how clients refer and allocate patients to pharmaceuticss and how pharmaceuticss are selected.DecisionFrom the reappraisal of the literature, there is grounds to propose that the current opioid permutation intervention capacity may non be sufficient to run into demand for intervention. Several barriers have been identified that restrict patient entree to intervention. Pharmacy barriers include the minority of community pharmaceuticss that opt in to present dosing, pharmacist reluctance to take on new patients due to perceived associated negative behaviors and old experiences and patient involuntariness or inability to pay the dispensing fee. The deficiency of prescribers is another aspect contributing to the decreased entree to available intervention. An country of involvement is the part of the public clinic grade of the OST system, nevertheless there is an evident dearth of research conducted into the direction of OST entree in public clinics. The dead flow of stable patients reassigning dosing from the public clinics to community pharmaceuticss is suspected to be impacting entree to intervention for new patients who do non run into precedence standards and are forced to wait. There is preliminary grounds to propose that a standardized attack to stability appraisal may ease stable patient transportation and liberate dosing sites in clinics for non-priority groups. Further research needs to be conducted into the stableness appraisal and referral processs of OST, the bing tools and processs and how effectual they will be in shuting the spread between demand and supply of OST.

Chemical Studies Essay

a) The teller at the bank with brown hair and brown eyes and is taller than the other tellers. b) I caught four fish at the seven o’clock in the morning but didn’t catch any at noon. c) The salaries at Smith and Company are based on the number of sales and Billy makes 3,000 dollars more than Joe. d) When Sally eats healthy foods and exercises regularly, her blood pressure is lower than when she does not exercise and eats fatty foods. e) The Italian restaurant across the street closes at 9 pm but the one two blocks away closes at 10 pm. f) Bob bought a new blue shirt with a golf club on the back for twenty dollars. g)For the past two days the clouds have come out at 3 pm and it has started raining at 3:15 pm. h)George did not sleep at all last night because he was up finishing his pape i) Ice cream melts faster on a warm summer day than on a cold winter day. ) The teller at the bank with brown hair and brown eyes and is taller than the other tellers. – it can be tested by considering other tellers height. b) I caught four fish at the seven o’clock in the morning but didn’t catch any at noon. – in this case the work is already done and believing it is the only way. We cannot do any test as the results may vary. c) The salaries at Smith and Company are based on the number of sales and Billy makes 3,000 dollars more than Joe. – it can be tested by calculating the sales and salaries of both Billy and Joe. d) When Sally eats healthy foods and exercises regularly, her blood pressure is lower than when she does not exercise and eats fatty foods.- yes, it is testable, by having medical records of Sally. e) The Italian restaurant across the street closes at 9 pm but the one two blocks away closes at 10 pm.- it can be tested by observing the closure time of both restaurants for a period of time. g)For the past two days the clouds have come out at 3 pm and it has started raining at 3:15 pm. – it cannot be tested as clouds wont come at the same time daily. h)George did not sleep at all last night because he was up finishing his paper- it is not testable because, writing paper is not the sole source of not sleeping. Other thinngs can also effect. i) Ice cream melts faster on a warm summer day than on a cold winter day. – not testable because, in cold winter also ice cream melts if temperature is warm.

Ccna

LAN Switching and Wireless CCNA Exploration Labs and Study Guide LAN Switching and Wireless, CCNA Exploration Companion Guide LAN Switching and Wireless, CCNA Exploration Labs and Study Guide is designed to help you learn about and apply your knowledge of the LAN switching and wireless topics from Version 4 of the Cisco ® Networking Academy ® CCNA ® Exploration curriculum. Each chapter contains a Study Guide section and a Labs and Activities section. ISBN-10: 1-58713-207-9 ISBN-13: 978-158713-207-0 Study GuideThe dozens of exercises in this book help you learn the concepts and configurations crucial to your success as a CCNA exam candidate. Each chapter is slightly different and includes matching, multiple-choice, fill-in-the-blank, and open-ended questions designed to help you  ¦ Review vocabulary  ¦ Strengthen troubleshooting skills  ¦ Boost configuration skills  ¦ Reinforce concepts  ¦ Research topics Packet Tracer Activities—This icon identifies exercises i nterspersed throughout the Study Guide section where you can practice or visualize a specific task using Packet Tracer, a powerful network simulation program developed by Cisco.Packet Tracer Activity Labs and Activities The Labs and Activities sections begin with a Command Reference table and include all the online curriculum labs to ensure that you have mastered the practical skills needed to succeed in this course. Hands-On Labs—This icon identifies the hands-on labs created for each chapter. Work through all the Basic, Challenge, and Troubleshooting labs as provided to gain a deep understanding of CCNA knowledge and skills to ultimately succeed on the CCNA Certification Exam. Packet Tracer Companion—This icon identifies the companion activities that correspond to each hands-on lab.You use Packet Tracer to complete a simulation of the hands-on lab. Packet Tracer Companion Companion CD-ROM The CD-ROM provides all the Packet Tracer Activity, Packet Tracer Companion, an d Packet Tracer Challenge files that are referenced throughout the book as indicated by the icons. These files work with Packet Tracer v4. 1 software, which is available through the Academy Connection website. Ask your instructor for access to the Packet Tracer software. This book is part of the Cisco Networking Academy Series from Cisco Press ®. Books in this series support and complement theCisco Networking Academy curriculum. ciscopress. com Packet Tracer Skills Integration Challenge—Each chapter concludes with a culminating activity called the Packet Tracer Skills Integration Challenge. These challenging activities require you to pull together several skills learned from the chapter— as well as previous chapters and courses—to successfully complete one comprehensive exercise. Packet Tracer Challenge Allan Johnson works full time developing curriculum for Cisco Networking Academy. Allan also is a part-time instructor at Del Mar College in Corpus Christi, Te xas.LAN Switching and Wireless CCNA Exploration Labs and Study Guide Use this book with: ISBN-13: 978-1-58713-202-5 ISBN-10: 1-58713-202-8 90000 9 781587 132025 Cisco Press L AN Switching and Wireless CCNA Exploration Labs and Study Guide Allan Johnson 00_2028_fm. qxp ii 4/3/08 5:08 PM Page ii LAN Switching and Wireless, CCNA Exploration Labs and Study Guide LAN Switching and Wireless CCNA Exploration Labs and Study Guide Allan Johnson Copyright © 2008 Cisco Systems, Inc. Publisher Paul Boger Associate Publisher Dave Dusthimer Cisco Representative Anthony Wolfenden Published by: Cisco Press 00 East 96th Street Indianapolis, IN 46240 USA Cisco Press Program Manager Jeff Brady All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the publisher, except for the inclusion of brief quotations in a review. Production Manager Patrick Kanouse Printed in the United States of America Senior Project Editor Tonya Simpson First Printing April 2008 Library of Congress Cataloging-in-Publication Data:Johnson, Allan, 1962LAN switching and wireless : CCNA exploration labs and study guide / Allan Johnson. p. cm. ISBN-13: 978-1-58713-202-5 (pbk. ) ISBN-10: 1-58713-202-8 (pbk. ) 1. Wireless LANs—Examinations—Study guides. 2. Packet switching—Examinations—Study guides. 3. Telecommunications engineers—Certification—Examinations—Study guides. 4. Routing (Computer network management)—Examinations—Study guides. 5. Telecommunication—Switching systems Examinations—Study guides. I. Title. TK5105. 78. J64 2008 004. 6'8—dc22 2008014858 ISBN-13: 978-1-58713-202-5 ISBN-10: 1-58713-202-8 Executive Editor Mary Beth RayDevelopment Editor Andrew Cupp Copy Editor Bill McManus Technical Editors Bruce R. Gottwig Khalid Rubay i Tara Skibar Linda C. Watson Editorial Assistant Vanessa Evans Book and Cover Designer Louisa Adair Composition Mark Shirar Proofreader Leslie Joseph 00_2028_fm. qxp 4/3/08 5:08 PM Page xvii xvii Introduction The Cisco Networking Academy is a comprehensive e-learning program that provides students with Internet technology skills. A Networking Academy delivers web-based content, online assessment, student performance tracking, and hands-on labs to prepare students for industry-standard certifications.The CCNA curriculum includes four courses oriented around the topics on the Cisco Certified Network Associate (CCNA) certification. LAN Switching and Wireless, CCNA Exploration Labs and Study Guide is a supplement to your classroom and laboratory experience with the Cisco Networking Academy. In order to be successful on the exam and achieve your CCNA certification, you should do everything in your power to arm yourself with a variety of tools and training materials to support your learn ing efforts. This Labs and Study Guide is just such a collection of tools.Used to its fullest extent, it will help you gain the knowledge and practice the skills associated with the content area of the CCNA Exploration LAN Switching and Wireless course. Specifically, this book will help you work on these main areas:  ¦ LAN design principles and concepts  ¦ Ethernet operation with switches  ¦ Basic switch configuration and security  ¦ VLAN concepts and configuration  ¦ VTP concepts and configuration  ¦ STP, RSTP, and rapid PVST+ concepts and configuration  ¦ Inter-VLAN routing concepts and configuration  ¦ LAN wireless concepts and security issues LAN wireless configuration using Linksys WRT300N routers  ¦ Troubleshooting LAN switching and wireless configurations Labs and Study Guides similar to this one are also available for the other three courses: Network Fundamentals, CCNA Exploration Labs and Study Guide, Routing Protocols and Concepts, CCNA Exploration Labs a nd Study Guide, and Accessing the WAN, CCNA Exploration Labs and Study Guide. Audience for This Book This book’s main audience is anyone taking the CCNA Exploration LAN Switching and Wireless course of the Cisco Networking Academy curriculum.Many Academies use this book as a required tool in the course, while other Academies recommend the Labs and Study Guides as an additional source of study and practice materials. The secondary audiences for this book include people taking CCNA-related classes from professional training organizations. This book can also be used for college- and university-level networking courses, as well as anyone wanting to gain a detailed understanding of basic switching and wireless technologies. 00_2028_fm. qxp xviii 4/3/08 5:08 PM Page xviii LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Goals and MethodsThe most important goal of this book is to help you pass the CCNA exam (640-802). Passing this foundation exam means that you not only have the required knowledge of the technologies covered by the exam, but that you can plan, design, implement, operate, and troubleshoot these technologies. In other words, these exams are rigorously application based. You can view the exam topics any time at http://www. cisco. com/go/certifications. The topics are divided into eight categories:  ¦ Describe how a network works  ¦ Configure, verify, and troubleshoot a switch with VLANs and inter-switch communications  ¦Implement an IP addressing scheme and IP services to meet network requirements in a medium-sized enterprise branch office network  ¦ Configure, verify, and troubleshoot basic router operation and routing on Cisco devices  ¦ Explain and select the appropriate administrative tasks required for a WLAN  ¦ Identify security threats to a network and describe general methods to mitigate those threats  ¦ Implement, verify, and troubleshoot NAT and ACLs in a medium-sized enterprise branch office network  ¦ Implement and verify WAN links The LAN Switching and Wireless course focuses on the second, fifth, and sixth bullets.The Study Guide portion of each chapter offers exercises that help you learn the LAN switching and wireless concepts as well as the configurations crucial to your success as a CCNA exam candidate. Each chapter is slightly different and includes some or all of the following types of exercises:  ¦  ¦ Skill-building activities and scenarios  ¦ Configuration scenarios  ¦ Concept questions  ¦ Packet Tracer Activity Vocabulary matching and completion Internet research In the configuration chapters, you’ll find many Packet Tracer Activities that work with the Cisco Packet Tracer tool.Packet Tracer allows you to create networks, visualize how packets flow in the network, and use basic testing tools to determine whether the network would work. When you see this icon, you can use Packet Tracer with the listed file to perform a task suggested in this book. The a ctivity files are available in this book’s CD-ROM; Packet Tracer software, however, is available through the Academy Connection website. Ask your instructor for access to Packet Tracer. The Labs and Activities portion of each chapter includes a Command Reference table, all the online Curriculum Labs, and a Packet Tracer Skills Integration Challenge Activity.The Curriculum Labs are divided into three categories:  ¦ Basic: The Basic Labs are procedural in nature and assume you have no experience configuring the technologies that are the topic of the lab.  ¦ Challenge: The Challenge Labs are implementation in nature and assume you have a firm enough grasp on the technologies to â€Å"go it alone. † These labs often only give you a general requirement that you must implement fully without the details of each small step. In other words, you must use the knowledge and skills you gained in the chapter text, activities, and Basic Lab to successfully complete the Challenge Labs.Avoid the temptation to work through 00_2028_fm. qxp 4/3/08 5:08 PM Page xix xix the Challenge Lab by flipping back through the Basic Lab when you are not sure of a command. Do not try to short-circuit your CCNA training. You need a deep understanding CCNA knowledge and skills to ultimately be successful on the CCNA exam.  ¦ Troubleshooting: The Troubleshooting Labs will ask you to fix a broken network. These labs include corrupted scripts you purposefully load onto the routers. Then you use troubleshooting techniques to isolate problems and implement a solution.By the end of the lab, you should have a functional network with full end-to-end connectivity. Packet Tracer Companion Most of the hands-on labs include Packet Tracer Companion Activities where you can use Packet Tracer to complete a simulation of the lab. Packet Tracer Challenge Each chapter also includes a culminating activity called the Packet Tracer Skills Integration Challenge. These activities require you to pul l together several skills learned from the chapter— and from previous chapters and courses—to successfully complete one comprehensive exercise. A Word About Packet TracerPacket Tracer is a self-paced, visual, interactive teaching and learning tool developed by Cisco. Lab activities are an important part of networking education. However, lab equipment can be a scarce resource. Packet Tracer provides a visual simulation of equipment and network processes to offset the challenge of limited equipment. Students can spend as much time as they like completing standard lab exercises through Packet Tracer, and have the option to work from home. Although Packet Tracer is not a substitute for real equipment, it allows students to practice using a command-line interface.This â€Å"e-doing† capability is a fundamental component of learning how to configure routers and switches from the command line. Packet Tracer v4. x is available only to Cisco Networking Academies through the Academy Connection website. How This Book Is Organized Because the content of LAN Switching and Wireless, CCNA Exploration Companion Guide and the online curriculum is sequential, you should work through this Labs and Study Guide in order beginning with Chapter 1. The book covers the major topic headings in the same sequence as the online curriculum for the CCNA Exploration LAN Switching and Wireless course.This book has seven chapters, with the same numbers and names as the online course chapters. If necessary, a chapter uses a single topology for the exercises in the Study Guide portion. The single topology per chapter allows for better continuity and easier understanding of switching commands, operations, and outputs. However, the topology is different from the one used in the online curriculum and the Companion Guide. A different topology affords you the opportunity to practice your knowledge and skills without just simply recording the information you find in the text.  ¦ Chapter 1, â€Å"LAN Design†: The exercises in the Study Guide portion focus on LAN design concepts, including vocabulary and the three-layer hierarchical model. The Labs and Activities portion includes a Basic Lab, a Challenge Lab, a Troubleshooting Lab, and a Packet Tracer Skills Integration Challenge activity.  ¦ Chapter 2, â€Å"Basic Switch Concepts and Configuration†: The exercises in the Study Guide portion help you understand basic Ethernet and switching concepts, including building the MAC address table and collision and broadcast domains. Then, the Packet Tracer exercises 00_2028_fm. qxp xx 4/3/08 5:08 PMPage xx LAN Switching and Wireless, CCNA Exploration Labs and Study Guide cover, in detail, how to configure a switch, including basic switch management and configuring switch security. The Labs and Activities portion includes two Basic Labs, a Challenge Lab, and a Packet Tracer Skills Integration Challenge activity.  ¦ Chapter 3, â€Å"VLANs†: The exercises in the Study Guide portion focus on the concepts of VLANs, including benefits of VLANs and types of VLANs. The exercises then cover VLAN trunking concepts before moving into a section devoted to a VLAN and trunk configuration Packet Tracer exercise.The Labs and Activities portion includes a Basic Lab, a Challenge Lab, a Troubleshooting Lab, and a Packet Tracer Skills Integration Challenge activity.  ¦ Chapter 4, â€Å"VTP†: The exercises in the Study Guide portion are devoted to VTP concepts and configuration, including vocabulary, VTP modes, an Internet research exercise, and a VTP Packet Tracer exercise. The Labs and Activities portion includes a Basic Lab, a Challenge Lab, a Troubleshooting Lab, and a Packet Tracer Skills Integration Challenge activity.  ¦Chapter 5, â€Å"STP†: The exercises in the Study Guide portion focus on the concept of redundant LAN topologies, using STP and its variants to stop loops, and the commands to manipulate root bridge elections. The Labs and Activities portion of the chapter includes a Basic Lab, a Challenge Lab, a Troubleshooting Lab, and a Packet Tracer Skills Integration Challenge activity.  ¦ Chapter 6, â€Å"Inter-VLAN Routing†: This short chapter focuses on how to configure interVLAN routing, including two Packet Tracer exercises.The Labs and Activities portion includes a Basic Lab, a Challenge Lab, a Troubleshooting Lab, and a Packet Tracer Skills Integration Challenge activity.  ¦ Chapter 7, â€Å"Basic Wireless Concepts and Configuration†: The exercises in the Study Guide portion begin with wireless LAN concepts, including standards, operation, and security. The exercises then cover wireless configuration for LAN access using a Linksys WRT300N, including a Packet Tracer exercise. The Labs and Activities portion of the chapter includes a Basic Lab, a Challenge Lab, a Troubleshooting Lab, and a Packet Tracer Skills Integration Challenge activity.About the CD-ROM Packet Tr acer Activity The CD-ROM included with this book has all the Packet Tracer Activity, Packet Tracer Companion, and Packet Tracer Challenge files that are referenced throughout the book, indicated by the Packet Tracer Activity, Packet Tracer Companion, and Packet Tracer Challenge icons. Packet Tracer Companion Updates to these files can be obtained from the website for this book at http://www. ciscopress. com/title/1587132028. The files will be updated to cover any subsequent releases of Packet Tracer. Packet Tracer Challenge About the Cisco Press Website for This BookCisco Press may provide additional content that can be accessed by registering your individual book at the Ciscopress. com website. Becoming a member and registering is free, and you then gain access to exclusive deals on other resources from Cisco Press. To register this book, go to www. ciscopress. com/bookstore/register. asp and log into your account or create a free account if you do not have one already. Then enter the ISBN located on the back cover of this book. After you register the book, it will appear on your Account page under Registered Products and you can access any online material from there. 6_2028_ch06. qxp 4/3/08 5:10 PM Page 239 CHAPTER 6 Inter-VL AN Routing Now that you have a network with many different VLANs, the next question is, â€Å"How do you permit devices on separate VLANs to communicate? † The exercises in this chapter review the concepts of inter-VLAN routing and how it is used to permit devices on separate VLANs to communicate. The Study Guide portion of this chapter uses a combination of fill-in-the-blank, open-ended question, and Packet Tracer exercises to test your knowledge of inter-VLAN routing concepts and configurations.The Labs and Activities portion of this chapter includes all the online curriculum labs to ensure that you have mastered the hands-on skills needed to understand inter-VLAN routing concepts and configuration. As you work through this cha pter, use Chapter 6 in LAN Switching and Wireless, CCNA Exploration Companion Guide or use the corresponding Chapter 6 in the Exploration LAN Switching and Wireless online curriculum for assistance. 06_2028_ch06. qxp 240 4/3/08 5:10 PM Page 240 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Study Guide Inter-VLAN RoutingThe exercise in this section covers what inter-VLAN routing is and some of the different ways to accomplish inter-VLAN routing on a network. Inter-VLAN Routing Concepts Exercise Introducing Inter-VLAN Routing Define inter-VLAN routing: Briefly explain traditional inter-VLAN routing: Briefly explain â€Å"router-on-a-stick† inter-VLAN routing: What are subinterfaces? Interfaces and Subinterfaces In Figure 6-1, PC1 and PC3 need connectivity between each other. However, each is on a different VLAN. Assume S1 is already configured for traditional inter-VLAN routing. In Figure 6-1, connect S1 and R1 and label the interfaces.Then record the comman ds to configure R1 with traditional interVLAN routing. Use the first available IP addresses in each VLAN for the router interfaces. Figure 6-1 Traditional Inter-VLAN Routing Configuration R1 S1 10. 10. 10. 10 VLAN 10 PC1 VLAN 10: 10. 10. 10. 0/24 VLAN 30: 10. 10. 30. 0/24 PC3 10. 10. 30. 10 VLAN 30 06_2028_ch06. qxp 4/3/08 5:10 PM Page 241 Chapter 6: Inter-VLAN Routing 241 In the following lines, record the commands to configure R1 with traditional inter-VLAN routing: In Figure 6-2, PC1 and PC3 need connectivity between each other. However, each is on a different VLAN.Assume S1 is already configured for router-on-a-stick inter-VLAN routing. In Figure 6-2, connect S1 and R1 and label the interfaces. Then record the commands to configure R1 with router-on-astick inter-VLAN routing. Use the first available IP addresses in each VLAN for the router interfaces. Figure 6-2 Router-on-a-Stick Inter-VLAN Routing Configuration R1 S1 10. 10. 10. 10 VLAN 10 PC1 VLAN 10: 10. 10. 10. 0/24 VLAN 30: 10. 10. 30. 0/24 PC3 10. 10. 30. 10 VLAN 30 In the following lines, record the commands to configure R1 with router-on-a-stick inter-VLAN routing:Complete Table 6-1, which compares the characteristics of configuring traditional inter-VLAN routing with router-on-a-stick inter-VLAN routing. Table 6-1 Comparing Traditional and Router-on-a-Stick Inter-VLAN Routing Characteristics Characteristic Traditional Router-on-a-Stick Physical interfaces Bandwidth Switch port configuration continues 06_2028_ch06. qxp 242 4/3/08 5:10 PM Page 242 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Table 6-1 Comparing Traditional and Router-on-a-Stick Inter-VLAN Routing Characteristics continued Characteristic Traditional Router-on-a-Stick ExpensePhysical complexity Configuring Inter-VLAN Routing The exercises in this section cover how to configure inter-VLAN routing and review the commands to configure a switch to support inter-VLAN routing. Inter-VLAN Routing Configuration Exercise F igure 6-3 shows two topologies. One topology is using traditional inter-VLAN routing and the other topology is using router-on-a-stick inter-VLAN routing. The addressing for both topologies is shown in Table 6-2. For this exercise, you will not configure a separate management or native VLAN. Figure 6-3 Inter-VLAN Routing Configuration Topology Traditional Inter-VLAN Routing Router-on-a-Stick† Inter-VLAN Routing R1 R2 Fa0/0 Fa0/1 Fa0/0 Fa0/1 Fa0/2 Fa0/1 S1 Fa0/6 PC1 Fa0/6 VLAN 10: 192. 168. 10. 0/24 VLAN 20: 192. 168. 20. 0/24 192. 168. 10. 10 VLAN 10 Table 6-2 S2 Fa0/11 PC2 192. 168. 20. 10 VLAN 20 PC3 Fa0/11 VLAN 30: 192. 168. 30. 0/24 VLAN 40: 192. 168. 40. 0/24 192. 168. 30. 10 VLAN 30 PC4 192. 168. 40. 10 VLAN 40 Addressing Table for Inter-VLAN Routing Configuration Exercise Device Interface IP Address Subnet Mask Default Gateway R1 Fa0/0 192. 168. 10. 1 255. 255. 255. 0 — Fa0/1 192. 168. 20. 1 255. 255. 255. 0 — PC1 NIC 192. 168. 10. 10 255. 255. 255. 0 192. 168. 10. 1 PC2 NIC 192. 168. 0. 10 255. 255. 255. 0 192. 168. 20. 10 R2 Fa0/0. 30 192. 168. 30. 1 255. 255. 255. 0 — Fa0/0. 40 192. 168. 40. 1 255. 255. 255. 0 — PC3 NIC 192. 168. 30. 10 255. 255. 255. 0 192. 168. 30. 1 PC4 NIC 192. 168. 40. 10 255. 255. 255. 0 192. 168. 40. 1 06_2028_ch06. qxp 4/3/08 5:10 PM Page 243 Chapter 6: Inter-VLAN Routing 243 Enter the commands, including the router prompt, to configure R1 for traditional inter-VLAN routing: Enter the commands, including the switch prompt, to configure S1 to forward VLAN traffic. Assume the VLANs are already created in the VLAN database. However, VLANs have not yet been assigned to any ports.Enter the commands, including the router prompt, to configure R2 for router-on-a-stick inter-VLAN routing: Enter the commands, including the switch prompt, to configure S2 to forward VLAN traffic. Assume the VLANs are already created in the VLAN database. However, VLANs have not yet been assigned to any ports. 06_2028_ch0 6. qxp 244 4/3/08 5:10 PM Page 244 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Packet Tracer Activity Packet Tracer Exercise 6-1: Inter-VLAN Configuration Now you are ready to use Packet Tracer to apply your answers to the â€Å"Inter-VLAN Routing Configuration Exercise. Open file LSG03-0601. pka on the CD-ROM that accompanies this book to perform this exercise using Packet Tracer. Note: The following instructions are also contained within the Packet Tracer Exercise. Learning Objectives Upon completion of this Packet Tracer Exercise, you will be able to  ¦ Configure traditional inter-VLAN routing  ¦ Configure router-on-a-stick inter-VLAN routing  ¦ Verify connectivity  ¦ Save the Packet Tracer file Scenario In this exercise, you will practice configuring both traditional and router-on-a-stick inter-VLAN routing. The routers and switches have a basic configuration.The passwords are cisco for user EXEC mode and class for privileged EXEC mode. Use your an swers from the â€Å"Inter-VLAN Routing Configuration Exercise† to complete the tasks. Task 1: Configure Traditional Inter-VLAN Routing Step 1. Configure R1 for traditional inter-VLAN routing. Step 2. Configure S1 to forward VLAN traffic. Step 3. Your completion percentage should be 53 percent. If not, click Check Results to see which required components are not yet completed. Task 2: Configure Router-on-a-Stick Inter-VLAN Routing Step 1. Configure R2 for router-on-a-stick inter-VLAN routing. Step 2.Configure S2 to forward VLAN traffic. Step 3. Your completion percentage should be 100 percent. If not, click Check Results to see which required components are not yet completed. Task 3: Verify Connectivity PC1 should be able to ping PC2. PC3 should be able to ping PC4. Alternatively, you can click Check Results and then the Connectivity Tests tab. The status of both connectivity tests should be listed as â€Å"Correct. † Task 4: Save the Packet Tracer File Save your Packe t Tracer file as LSG03-0601-end. pka. 06_2028_ch06. qxp 4/3/08 5:10 PM Page 245 Chapter 6: Inter-VLAN Routing 245 Troubleshooting Inter-VLAN RoutingThe exercises in this section explore common issues and troubleshooting methods to identify and correct problems in inter-VLAN routing implementations. Common Errors and Troubleshooting Tools Exercise Using the examples shown in the chapter, list at least six common errors in the inter-VLAN routing implementations. Switch Configuration Issues:  ¦  ¦  ¦ Router Configuration Issues:  ¦  ¦ IP Addressing Issues:  ¦  ¦  ¦ What are some useful commands you can use to isolate problems in an inter-VLAN routing network? Switch IOS Commands:  ¦  ¦ Router IOS Commands:  ¦  ¦ PC Commands:  ¦ Packet Tracer ActivityPacket Tracer Exercise 6-2: Troubleshooting Inter-VLAN Routing Now you are ready to use Packet Tracer to apply your knowledge of troubleshooting techniques. Open file LSG03-0602. pka on the CD-ROM that accompanies this book to perform this exercise using Packet Tracer. Note: The following instructions are also contained within the Packet Tracer Exercise. 06_2028_ch06. qxp 246 4/3/08 5:10 PM Page 246 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Learning Objectives Upon completion of this Packet Tracer Exercise, you will be able to  ¦ Test connectivity between the PCs and the router Gather data on the problems  ¦ Implement solutions and test connectivity Scenario In this exercise, you will practice troubleshooting both traditional and router-on-a-stick inter-VLAN routing. The routers, switches, and PCs are already configured and are using the IP addresses listed in Table 6-2. You cannot access the routers or switches directly. Instead, you must use the available console connections through the PCs. The passwords are cisco for user EXEC mode and class for privileged EXEC mode. Use connectivity tests and show commands to discover problems and troubleshoot the networks.The exercise is complete when you achieve 100 percent and the two PCs on each network can ping each other. Task 1: Configure Traditional Inter-VLAN Routing The following tests should be successful at the conclusion of this activity:  ¦ PC1 can ping R1.  ¦ PC2 can ping R1.  ¦ PC1 can ping PC2.  ¦ PC3 can ping R2.  ¦ PC4 can ping R2.  ¦ PC3 can ping PC4. Each of these tests should fail on the first attempt. Task 2: Gather Data on the Problems Step 1. Verify the configuration on the PCs. Are the following configurations for each PC correct?  ¦  ¦ Subnet mask  ¦ Step 2. IP address Default gatewayVerify the configuration on the switches. Are the configurations on the switches correct? Be sure to verify the following:  ¦ Ports assigned to the correct VLANs  ¦ Ports configured for the correct mode  ¦ Ports connected to the correct device 06_2028_ch06. qxp 4/3/08 5:10 PM Page 247 Chapter 6: Inter-VLAN Routing Step 3. 247 Verify the configuration on the routers. Are the configurations on the routers correct? Be sure to verify the following:  ¦  ¦ Interface status  ¦ Step 4. IP addresses Encapsulation and VLAN assignment Document the problems and suggest solutions. What are the reasons connectivity failed between the PCs?What are the solutions? There could be more than one problem and more than one solution. All solutions must conform to the topology diagram in Figure 6-3 and the addressing in Table 6-2. List the problems, if any, and the solutions for the PCs: List the problems, if any, and the solutions for the switches: List the problems, if any, and the solutions for routers: Task 3: Implement the Solution and Test Connectivity Step 1. Make changes according to the suggested solutions in Task 2. Note: If you make changes to the switch configuration, you should make the changes in Realtime mode rather than Simulation mode.This is necessary so that the switch port will proceed to the forwarding state. Step 2. Test connectivity between PCs an d R1. If you change any IP configurations, you should create new pings because the prior pings use the old IP address:  ¦ PC1 should be able to ping R1.  ¦ PC2 should be able to ping R1. 06_2028_ch06. qxp 248 4/3/08 5:10 PM Page 248 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide  ¦ PC1 should be able to ping PC2.  ¦ PC3 should be able to ping R2.  ¦ PC4 should be able to ping R2.  ¦ PC3 should be able to ping PC4. If any pings fail, return to Task 2 to continue troubleshooting.Step 3. Check results. Your completion percentage should be 100 percent. If not, return to Step 1 and continue to implement your suggested solutions. You will not be able to click Check Results and see which required components are not yet completed. However, you can click Check Results and then the Connectivity Tests tab. The status of all six connectivity tests should be listed as â€Å"Correct. † Task 4: Save the Packet Tracer File Save your Packet Tracer file as LSG03- 0602-end. pka. 06_2028_ch06. qxp 4/3/08 5:10 PM Page 249 Chapter 6: Inter-VLAN Routing 249 Labs and Activities Command ReferenceIn Table 6-3, record the command, including the correct prompt, that fits the description. Fill in any blanks with the appropriate missing information. Table 6-3 Commands for Inter-VLAN Routing Configuration Command Description Creates a subinterface numbered 10 on the router for Fa0/0 Specifies IEEE 801. 1Q as the VLAN tagging method for VLAN 10 on this subinterface Lab 6-1: Basic Inter-VLAN Routing (6. 4. 1) Learning Objectives Upon completion of this lab, you will be able to  ¦ Cable a network according to the topology diagram in Figure 6-4  ¦ Clear configurations and reload a switch and a router to the default state Perform basic configuration tasks on a switched LAN and router  ¦ Configure VLANs and VLAN Trunking Protocol (VTP) on all switches  ¦ Demonstrate and explain the impact of Layer 3 boundaries imposed by creating VLANs  ¦ Configure a router to support 802. 1Q trunking on a Fast Ethernet interface  ¦ Configure a router with subinterfaces corresponding to the configured VLANs  ¦ Demonstrate and explain inter-VLAN routing 06_2028_ch06. qxp 250 4/3/08 5:10 PM Page 250 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Figure 6-4 shows the topology diagram for this lab. Figure 6-4 Topology Diagram for Lab 6-1F0/0 R1 WEB/TFTP Server 172. 17. 50. 254 F0/1 F0/1 F0/2 S3 F0/4 F0/5 F0/1 F0/2 F0/3 S1 F0/3 F0/1 F0/2 F0/3 F0/4 F0/4 S2 F0/11 F0/6 F0/18 PC1 172. 17. 10. 21 VLAN 10 PC2 172. 17. 20. 22 VLAN 20 PC3 172. 17. 30. 23 VLAN 30 Table 6-4 shows the addressing scheme used in this lab. Table 6-4 Addressing Table for Lab 6-1 Device Interface IP Address Subnet Mask Default Gateway R1 Fa0/0 172. 17. 50. 1 255. 255. 255. 0 — Fa0/1. 1 172. 17. 1. 1 255. 255. 255. 0 — Fa0/1. 10 172. 17. 10. 1 255. 255. 255. 0 — Fa0/1. 20 172. 17. 20. 1 255. 255. 255. 0 — Fa0/1. 30 172. 17. 30. 1 25 5. 255. 255. 0 — Fa0/1. 99 172. 17. 9. 1 255. 255. 255. 0 — S1 VLAN 99 172. 17. 99. 11 255. 255. 255. 0 172. 17. 99. 1 S2 VLAN 99 172. 17. 99. 12 255. 255. 255. 0 172. 17. 99. 1 S3 VLAN 99 172. 17. 99. 13 255. 255. 255. 0 172. 17. 99. 1 PC1 NIC 172. 17. 10. 21 255. 255. 255. 0 172. 17. 10. 1 PC2 NIC 172. 17. 20. 22 255. 255. 255. 0 172. 17. 20. 1 PC3 NIC 172. 17. 30. 23 255. 255. 255. 0 172. 17. 30. 1 Web server NIC 172. 17. 50. 254 255. 255. 255. 0 172. 17. 50. 1 06_2028_ch06. qxp 4/3/08 5:10 PM Page 251 Chapter 6: Inter-VLAN Routing 251 Table 6-5 shows the port assignments used in this lab. Table 6-5 Port Assignments for S2 PortsAssignment Network Fa0/1–0/4 802. 1Q Trunks (Native VLAN 99) 172. 17. 99. 0 /24 Fa0/5–0/10 VLAN 30—Guest (Default) 172. 17. 30. 0 /24 Fa0/11–0/17 VLAN 10—Faculty/Staff 172. 17. 10. 0 /24 Fa0/18–0/24 VLAN 20—Students 172. 17. 20. 0 /24 Task 1: Prepare the Network Step 1. Cable a network that is similar to the one shown in Figure 6-4. You can use any current switch in your lab as long as it has the required interfaces shown in Figure 6-4 and supports 802. 1Q encapsulation. The router you choose must support inter-VLAN routing. The output shown in this lab is based on Cisco 2960 switches and an 1841 router.Other switch or router models may produce different output. Set up console connections to all three switches. Step 2. Clear any existing configurations on the switches. Clear NVRAM, delete the vlan. dat file, and reload the switches. Refer to â€Å"Lab 2-1: Basic Switch Configuration (2. 5. 1)† if necessary for the procedure. After the reload is complete, use the show vlan command to confirm that only default VLANs exist and that all ports are assigned to VLAN 1. S1#show vlan VLAN Name Status Ports —— ——————————————— ———— - ——————————————1 default active Fa0/1, Fa0/2, Fa0/3, Fa0/4 Fa0/5, Fa0/6, Fa0/7, Fa0/8Fa0/9, Fa0/10, Fa0/11, Fa0/12 Fa0/13, Fa0/14, Fa0/15,Fa0/16 Fa0/17, Fa0/18, Fa0/19,Fa0/20 Fa0/21, Fa0/22, Fa0/23,Fa0/24 Gig1/1, Gig1/2 1002 fddi-default active 1003 token-ring-default active 1004 fddinet-default active 1005 trnet-default active 06_2028_ch06. qxp 252 4/3/08 5:10 PM Page 252 LAN Switching and Wireless, CCNA Exploration Labs and Study Guide Step 3. Disable all ports on the switches using the shutdown command. Ensure that the initial switch port states are inactive by disabling all ports. Use the interface range command to simplify this task. Commands for S1 are shown here: S1(config)#interface range fa0/1-24S1(config-if-range)#shutdown S1(config-if-range)#interface range gi0/1-2 S1(config-if-range)#shutdown Step 4. Reenable the active user ports on S2 in access mode: S2(config)#interface fa0/6 S2(config-if)#switchport mode access S2(config-if)#no shutdown S2(config-if)#interface fa0/11 S2(config-if)#switchport mode access S2(config-if)#no shutdown S2(config-if)#interface fa0/18 S2(config-if)#switchport mode access S2(config-if)#no shutdown Task 2: Perform Basic Switch Configurations Configure the S1, S2, and S3 switches according to the addressing table and the following guidelines:  ¦Configure the switch hostname.  ¦ Disable DNS lookup.  ¦ Configure an enable secret password of class.  ¦ Configure a password of cisco for the console connections.  ¦ Configure a password of cisco for vty connections.  ¦ Configure the default gateway on each switch. Only the commands for S1 are shown here: Switch;gt;enable Switch#configure terminal Enter configuration commands, one per line. End with CNTL/Z. Switch(config)#hostname S1 S1(config)#enable secret class S1(config)#no ip domain-lookup S1(config)#ip default-gateway 172. 17. 99. 1 S1(config)#line console 0 S1(conf ig-line)#password ciscoS1(config-line)#login S1(config-line)#line vty 0 15 S1(config-line)#password cisco S1(config-line)#login S1(config-line)

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Legal Memo with Blue Book formatted Citations - Research Paper Example However, their cars were towed from the scene of the accident, and junked afterwards. These events bring up the issue of destruction of evidence; for that, Mary would like to file legal claims against the insurance company of her car, for trashing the car before she could be able to file charges and sue the car manufacturer for faulty brakes. Destruction of evidence; spoliation as it is known, has different statutes that govern it in different states of the United States of America. As a result, of this, it is extremely vital that the client knows what she is dealing with before taking the first step towards legal justice. Rules The state of Michigan has several rules the govern situations of destruction of evidence. The Tort of Spoliation is one of the rules applicable in this scenario. Under this law, the state of Michigan does not recognize destruction of evidence as a separate tort. Panich v. Iron Wood Prods. Corp., 445 N.W.2d 795 Mich. Ct. App. (1989). Michigan considers destruc tion of evidence – if the correct facts are available - as an actionable tort claim. Wilson v. Sinai Grace Hosp., 2004 WL 915044 Mich. App. LEXIS (2004). Another rule applicable in spoliation of evidence case is presumption or adverse inference. In Michigan, destruction of evidence is governed by a jury instruction, M. Civ. J.I.2d 6.01(d). This provides that a person trying the case facts may infer the evidence that has not been offered in this case might be injurious to the offending party if (1) such evidence is/was under the control of the offending party; (2) the offending party could have produced such evidence; or (3) there is no reasonable grounds to support failure for disclosure of such evidence. A permissible inference is allowed when these three features are shown. The inference is such that the evidence would have been injurious to the offending party. The person trying the case facts, however, is free to determine this issue for itself. Lagalo v. Allied Corp., 59 2 N.W.2d 786, 789 Mich. Ct. App. LEXIS (1999). In cases where evidence of willful destruction exists, it is presumed that the evidence that was not produced may have been injurious to the offending party. When it has been left un-rebutted, a conclusion that such evidence may have been injurious to the offending party is required for this presumption. Trupiano v. Cully, 84 N.W.2d 747, 748 Mich. (1957). In general, failure of a party to produce evidence or deliberate destruction of evidence by a party is presumed by courts that such evidence may have worked against the party responsible for its destruction or its non-production. Johnson v. Secretary of State, 406 Mich. 420, 440, 280 N.W.2d 9 Mich. (1979); Berryman v. K Mart Corp., 193 Mich. App. LEXIS 88, 101, 483 N.W.2d 642 Mich. (1992); Ritter v. Meijer, Inc., 128 Mich. App. LEXIS 783, 786, 341 N.W.2d 220 Mich. (1983). Therefore, in Michigan, such a presumption can only arise when the complaining party is able to establish that ther e was intentional, fraudulent conduct, and a desire for destruction of evidence with the aim of suppressing the truth. Trupiano v. Cully, 349 Mich. 568, 570, 84 N.W.2d 747 Mich. (1957), quoting 20 Am. Jur., Evidence, Â § 185, p. 191; see also Lagalo v. Allied Corp., 233 Mich. App. 514, 520, 592 N.W.2d 786 Mich. (1999). Analysis In this case, it is factual that Mary Jane Plaine was driving at a considerable acceptable speed when she was involved in an accident. It is also a fact that the

To study at a young age in abroad Research Paper

To study at a young age in abroad - Research Paper Example In the past, studying abroad was considered as greater luxury that was beyond the reach of everyone except the bright scholarship students and the rich students. However, the trend has changed subsequently where more students go abroad at their younger age to study without visualizing the dark sides of studying in the alien countries. Studying abroad leads to considerable expenses and most of the families need to possess large sum of money so that they can finance their loved ones. Many of them feel very lonely without the families and many face identity crisis. Moreover, it has also been found that students studying abroad tries to inculcate that particular countries culture and have hard times in getting back to their own culture and way of life (Chung, â€Å"Study Abroad of Young Korean Children: Gain and Losses†). It can be said that the student over 18 years can be allowed to send to foreign countries because after that age the students learn to be responsible and don’t tend to forget their individuality and become more self aware. There has been number of studies that show that students who are studying abroad are at risk for mental health issues. From the study it was evident that the students feel very depressed and have trouble in acclimatizing. Moreover, they can face problems of depression, addiction, anxiety, obsessive compulsiveness, post-traumatic stress disorders, eating disorders and others. College tends to be a stressful place for the young students as they make the changeover from home to liberty. The students going abroad to study are required to separate from their family as well as friends. This becomes even more existent for students who are far from their family and friends. This kind of students faces feeling of loss and separation anxiety. Cultural shock has been one of the main problems that the students of younger age face when

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Sew What Inc - Case Study Example The Sew What? Business has won several awards and recognitions attesting to the distinct application of information technology that spurred financial success. Information technologies contributed to the business success of Sew What? Inc. through allowing customers from various locations, both locally and abroad, to view the products and services that they offer. By ensuring that their Web site is effectively designed, customers get to review all kinds of color swatches; guides them to calculate measurements for their respective projects; differentiates one kind of curtain from another; providing instructional advise on the care and use of drapery materials; among others (Case Facts, 41). Duckett came to realize that information technology is relevant in terms of enabling small business to provide products and services in a more sophisticated and highly structured fashion that enabled them to reach a wide range of clientele and create high quality products and services. The amount and value of work is thereby maximized by using only a small amount of manpower and internal resources. If I were a management consultant to Sew What? Inc., one would advise Megan Duckett to continue upgrading various applications that could be offered by developments in information technology. For instance, she is already reflecting on instituting a bar code system to track the manufacturing process at their company’s warehouse. After this, Duckett can use information technology to the management in the business’ supply chain in terms of providing a direct link with her regular suppliers of raw materials to identify the inventory levels and reorder points. By doing so, her company need not order for raw materials that are not fast moving and suppliers, on the other hand, could anticipate demand for fast moving items and schedule deliveries at the soonest possible time. Further, their database should contain prospective projects from current clients to enable

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Budget Measures Essay Example | Topics and Well Written Essays - 1500 words

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Slavery Abolitionist vs. Slave Holders Essay Example for Free

Slavery Abolitionist vs. Slave Holders Essay Slavery. This was the cause of major debates in American history that contributed greatly to the differences developing between the northern and southern states of America during the 1800s. These differences would eventually lead to the Civil War, which would cause the still newly formed America to diverge. During the debates over slavery, both the abolitionist and the slave holders fought diligently to protect what they thought to be the best intentions for America and for themselves, but because these two sides were so conflicting in their arguments, it was inevitable that the debate over slavery would eventually end in drastic measures. Although the two sides disagreed on ideas, each had valid points to contribute to their cases. The Abolitionist, or those who wanted to abolish slavery, believed that slavery violated many rights and beliefs held by the American nation. They argued that capturing others and forcing them into labor was a direct violation of the constitutions inalienable rights: life, liberty, and the pursuit of happiness. Even though at the time we were plagued with extreme racism against blacks (some to the extent of believing that blacks were of a sub-human species), the abolitionist argued that everyone should be given the opportunity to have these rights, regardless of race. They strengthened this point by using scriptures directly taken from the Christian bible. Scriptures such as Matt 7:12 do to others what you would have them do to you,backed up their point that capturing others for forced labor was morally wrong. Other scripture such as Col 4:1 Masters, grant to your slaves justice and fairness, knowing that you too have a Master in heaven, aided their next major argument against slavery; the treatment of slaves. Many slave holders, or to the slaves, masters, were brutal in the treatment of their laborers. Cruel forms of punishment were used against those slaves who were rebellious or did not work to their masters standards, but rarely did a slave holder kill their slaves. At up to $2000, the were much too valuable property to simply kill. This treatment outraged the abolitionist, and the debate raged on. The slave holders of the south presented many valid arguments. The southern states stated that abolishing slavery would be devastating to the economy of  America. Three of the nations largest crops, cotton, tobacco, and rice, were profitable only because of slave labor. Such a large amount of workers were needed, that slavery was one of their only options that would not cost more than the money they made from their cash crops themselves. Slavery was cheaper because the slaves worked consistently, as opposed to laborers of the north who were in constant competion of each other, and in and out of work. If slavery were to be outlawed, these crops would eventually fail, causing an economic turmoil in the nation. Profits made from trading with other counties would plummet and, the north would also be greatly affected because the only way many of the industrial workers in the north could afford clothing was to wear those made of the cotton imported from the south. This led to their next point against abolitionist. Wage Slavery. Although abolitionist believed the north was giving their civilians their freedom rights, the only choice for most of the northern laborers was to work or starve. Many parents were forced to sell their children into contracts with companies as soon as they were old enough to work (5-6 yrs. old by northern standards), just so they could help their families survive. The south argued that working conditions for children laborers in the north were worse than their slaves of the south, and at wages of just cents a day, and no guarantee of food, shelter, or clothes, the slaves were virtually living in a paradise. The slave holders also used the bible to their advantage, much like the north. Verses such as Col 3:22 Slaves, in all things obey those who are your masters on earth, not with external service, as those who merely please men, but with sincerity of heart, fearing the Lord., not only strengthened the souths case morally but it was also useful in keeping their slaves in line during sermons when they were christianizing them. The most prominent point though, was that slavery, was legal. Both the north and the south contributed many viable points, but in the end, slavery was abolished. Its final days ended when Abraham Lincoln signed the Emancipation Proclamation, freeing all of the enslaved blacks of the south. Even though the north won, I believe the answer to this debate over slavery lays somewhere between both arguments. All great societies throughout  history have been built largely on slavery, but the oppressing of a people for racial reasons is what I believe to be morally wrong. Whether strong-willed opinions or compromise wins out is always up to us as a democratic nation.

Kenyan Strategy on Infant and Young Child Feeding

Kenyan Strategy on Infant and Young Child Feeding HOW DID THE KENYAN STRATEGY ON INFANT AND YOUNG CHILD FEEDING COME TO BE?A CRITICAL ANALYSIS. *Commonly used Acronyms EBF-Exclusive Breastfeeding IYCF/N-Infant and Young Child Feeding/Nutrition BFHI/CI-Baby Friendly Hospital Initiative/Community Initiative. MOPHS-Ministry Of Public Health and Sanitation The first 1000 days of life are crucial stages for a childs growth and development. Damages accrued from nutritional deficiencies during this time are likely to lead to poor cognitive development which results into compromised educational achievement and hence low economic productivity.(Murage et.al,2013;Bhutta et.al,2013).Poor nutrition results from inappropriate feeding practices with poor timing, poor quality and inadequate quantity of food.(M.O.P.H.S,2010). Optimal breastfeeding and complimentary feeding practices are essential in meeting the nutritional needs of children in the first years of life.The Lancet (2003),indicates that exclusive breastfeeding(EBF) for the first 6 months, followed by continued breastfeeding from 6-11 months in addition to complementary feeding and a continued breastfeeding up-to 2 years of age help reduce child mortality rates by 19%.This would not only be in line with The Kenyan National Health Sector Strategic Plan II but also significantly contribute towards attainment of Millennium Development Goal 4(Huffman et.al,2001), and The Kenyan Vision 2030.(M.O.H,2000). Several worldwide efforts intended to address child malnutrition emerged in the 1990s,championing to promote Infant and Young Child Feeding by providing appropriate breastfeeding environment.(M.O.P.H.S,2007/10).These included; The Innocenti Declaration(1990),World Summit For Children(1990),Earth Summit, International Conferences on Nutrition and on Population Development(1992),World Alliance for Breastfeeding Action(WABA) and the Baby Friendly Hospital Initiative. The 2003 Kenya Demographic Health Survey(KDHS) results showed only 2.6% of exclusive breastfeeding( EBF) rates in the country.Additionally, the rates of malnutrition were 30% for stunting,20% underweight and 6% severe malnutrition. Between 2008-2009,Kenya was listed among the top 20 countries with the highest under-nutrition rates.26.9% stunting and 20.3% underweight rates for ages 6-59 months(KDHS 2008/09;KNBS,2008).The HIV pandemic and the attendant risk of Mother To Child Transmission continued to pose a threat to exclusive breastfeeding even to the non-affected families.A study revealed the increased fear by both mothers and peer counsellors on the risk of HIV transmission through breastfeeding(Koricho et.al,2010).The peer counsellors were more comfortable if HIV positive mothers would abstain from EBF and rather opt for replacement feeding which mostly did not meet the WHO guideline of AFASS(Acceptable, feasible, affordable, sustainable, safe).This led to an increase in infant m ortality rates and malnutrition(Creek et.al,2006). Over 30 countries have developed National IYCF(Infant Young Child Feeding) Strategies based on WHO/UNICEF guidelines..(Sagoe et.al,2012;WHO,2006).Kenya was also a signatory to all global conventions meant to improve IYCF practices.(M.O.P.H.S,2007/10). This essay aims to critically analyse the Kenyan Strategy on Infant and Young Child Feeding practices (IYCF), developed between 2007-2010. The strategy was intended to provide a strong mechanism, through which the government and various sectors could in a comprehensive and coordinated manner influence accelerated action to improve IYCF practices in Kenya.(M.O.P.H.S,2007/1O).I will draw upon the Walt and Gilson approach of the health policy triangle(1994,cited by Buse et.al,2012) to critically analyse and discuss how the Strategy came into place, what were the key driving factors and the stakeholders involved in the policy making process. I will combine the health policy triangle for analysis and John Kingdons Policy Windows and 3streams approach to agenda setting. The Health Policy Triangle comes in as a more suitable approach, as it acknowledges the importance of looking at content and process of policy making; besides exploring the role of power by the state, national and internati onal organisations and its influence on policy making.(Buse et.al,2012).Kenya is a low income country hence hence a policy making process would involve an interaction among various different stakeholders. Buse et.al(2012) defines policy as the decisions made by those with responsibility for a given area; and a health policy as that which covers courses of action or inaction that affects the set of institutions, organisations, services and funding arrangements of both private and public healthcare systems.The health policy triangle is divided into four constituent parts, both interrelated and interconnected and which are suitable for describing and understanding the Kenyan IYCF Strategy. These include the context, content, process and actors. Context entails the political, social, economic, cultural, both national and international which may have an effect on health policy(Buse et.al,2012).Further classified into situational, structural, cultural and international/exogenous factors by Leichter (1979),cited by Buse et.al,(2012).Some of the situational factors that stimulated the development of The Kenyan Strategy on IYCF include the issue of HIV and its great influence on exclusive breastfeeding and the increased rates of malnutrition combined with decline in the key indicators of IYCF(M.O.P.H.S,2007/10).A rapid assessment study (Chopra et.al,2009)indicated widespread mis- information on the Mother To Child Transmission(MTCT) of HIV as a major factor influencing breastfeeding patterns in Kenya.IYCF practices that differ from the commonly seen ones in the community would result in unwanted disclosure of HIV status.(Onono et.al,2014).This had a great influence on the duration of breastfeeding and the method of infant feeding used by the mother. Increased malnutrition rates caused by declined exclusive breastfeeding rates from 3.5%(KDHS 1998)to 2.6%(KDHS 2003) was the other factor(M.O.P.H.S,2007/10).Structural factors included inadequate capacity building on healthcare workers on IYCF ,HIV and breastfeeding leading to decline in promotion of Baby Friendly Hospital Initiative(BFHI) and breastfeeding promotion through healthcare facilities(Kimani et.al,2015;MOPHS,2007/10).Buse et.al,2012 describes capacity as the ability of the government to make and implement policies.Kenya recorded a decline in BFHI from 600 in 1996 to less than 6 in 2003(M.O.P.H.S,2007/10;Chopra et.al,2009). On the other hand, contextual cultural factors would entail issues such as, the fact that 60-80% of Kenyan women were involved in labour and agricultural practices with minimal male involvement in childcare, leading to poor child caring practices(MOPHS,2007/10).Other beliefs and practices in Kenyan families e.g the belief that breast milk alone is not sufficient for a child also played a great role in influencing the strategy(MOPHS,2007/10;Matsuyama et.al,2013;Murage et.al,2013).To most African countries, exclusive breastfeeding(EBF) is alien(Magoni et.al 2005,cited by Onono et.al,2014).Mixed feeding(breastfeeding along with other liquids or fluids) is the most common method of infant feeding globally and is often continued up to 2 years of age.The strategy was developed to mirror the WHO/UNICEF global strategy for IYCF that was developed to improve global IYCF practices.(Murage,2015).Kenyas aim was to actualize this through the BFHI, along with other interventions such as adopting a nd implementing the WHO Code Of Marketing of Breastmilk Substitutes(MOPHS,2007/10)meant to regulate the marketing of breast milk substitutes.A reflection of the influence of international factors to the development of this strategy. Content of a policy refers to substance of a particular policy which details its constituent parts.The aim of the strategy was to contribute to improved health, nutritional status development and survival of infants and young children in Kenya.(MOPHS,2007/2010).Some of the component parts and targets of the strategy between 2008-2010 included: strengthening national structures on IYCF to facilitate planning, coordination and advocacy for implementation of the strategy; updating the existent IYCF policy guidelines and the National policies in the context of HIV, to be in line with WHO consensus and statement on HIV and IYCF(WHO,2006) ,and disseminating it by 2008;Enactment of Kenyan National Law for regulation of foods eaten by children aged below 3years and putting up a monitoring system by 2009;revitalization of the Kenyan BFHI to ensure 75% of mothers who deliver in healthcare facilities are initiated on exclusive breastfeeding and providing support and necessary information to hel p them continue up to 6 months of age; ensuring support for breastfeeding mothers by employees through the Employment Act and attendance of IYCF Inter-grated Course by 60% health workers, and 80% PMTCT service providers.The nine main strategic components deemed crucial for the attainment of the strategy goals included; policies and legislation on IYCF, practices in IYCF and IYCF in difficult circumstances, HIV and infant feeding, capacity building on IYCF, communication and advocacy, research on IYCF, partnerships and coordination and finally monitoring and evaluation in IYCF.(MOPHS,2007/10). The process of policy making refers to the way in which policies are initiated,developed,formulated,negotiated,communicated,implemented and evaluated.(Buse et.al,2012).The Kenyan strategy on IYCF can be broken down into the four different theoretical stages of policy process named by Sabatier Smith,(1993) cited by Buse et.al,(2012).These are, problem identification, policy formulation, policy implementation and evaluation.Kenya had recorded a decline on key indicators on IYCF during the two decades prior to the formation of this strategy.Exclusive breastfeeding rates were at 3% with virtually no BFHI facilities(MOH,2007-2010).Additionally, only about 52% of mothers would initiate breastfeeding within one hour.Complementary feeds were introduced way too early for the babies.These issues were closely linked to poor IYCF programming at that time(Lancet 2003;MOPHS,2007/2010). On formulation, The Strategy was developed as a measure that sought to build on past initiatives and improvements to promote IYCF in Kenya(Murage et.al.2013).It was derived from The Global Strategy on IYCF, the Kenyan Policy Guidelines on IYCF, The National Assessment of IYCF policies, programmes and practices and National Food and Nutrition Policy (was still being reviewed in parliament).(MOPHS,2007/10).The rationale for the strategy accrued from among other issues, the increased evidence on interventions to promote exclusive breastfeeding and complimentary feeding practices being able to prevent about a fifth of under-five mortality rates in developing countries(Lancet,2003;MOPHS,2007/10). Nutrition is universally recognized as a childs right to enjoyment of the highest attainable standard of health(UNICEF,2012).Based on the global strategy, an assessment of IYCF policies, programmes and practices was conducted in 2004.(Sagoe et.al,2012).Weaknesses were identified, hence leading to a suggestion of the need for a national programme focusing on IYCF, with high levels of advocacy if mothers and children were to practice exclusive breast and complementary feeding.This strategy evolved as a response to that assessment. The strategy would be mainly implemented through BFHI which promotes breastfeeding around the maternity ward during the time of delivery (Murage et.al,2013).It would call for increased political will, public investment and heightened awareness of the critical importance of IYCF amongst health workers, other professionals and community based care providers.(MOH,2007/10).Additionally, involvement of the government, families, communities and community based organisations(CBOs)in collaboration with international organisations and other concerned parties would ensure that necessary action is taken(MOH,2007). The monitoring and evaluation(ME) process would be achieved through: reviewing, developing and harmonizing monitoring and evaluation tools for IYCF; developing and installing software for IYCF at district level; all level monitoring of the National Communication Strategy on IYCF; developing and maintaining a data bank for the persons trained on IYCF/BFHI/code; developing ME tools for IYCF in difficult situations including HIV and Infant Feeding; regular review of IYCF strategy implementation, among many other evaluation strategies such as ME of the implementation of the communication strategy at all levels.(MOPHS,2007). Actors in a policy refers to individuals, organizations the state and their actions that affect policy(Buse.et.al,2012).They may try to influence policy at local, regional, national and international levels.Buse et.al(2012) further classifies the actors into: interest/pressure groups which refers to a type of civil society group that attempts to influence the policy to achieve specific goals; or civil society groups which refers to group or organization which is outside the government and beyond the family group.The actors who played different roles towards the formation of this strategy and were to be actively involved in the implementation included: the government; the non-governmental organisations and community based support groups; international organisations; industries and enterprises; professional associations, ministries, mass media and other groups and communities which includes parents and caregivers directly responsible for feeding children.(MOPHS,2007/10).These can be cl assified as either interest/pressure groups or the civil society groups. The power of international bodies and their influence on the development of this strategy is clearly depicted.Power as defined by Buse et.al,(2012) is the ability to influence and to control resources or the ability to achieve a desired outcome.Being a member of the WHO, Kenya had to comply to the guide it provided on IYCF by creating a National strategy, just like all the other member countries(Jones et.al,2013;Sagoe et.al,2012)),especially within the Sub-Saharan Africa, Asia and the Caribbean.The strategy also adopts the BFHI which was originally launched by WHO/UNICEF(1991) following the Innocenti Declaration, meant to promote exclusive breastfeeding (WHO/UNICEF,2009).A demonstration of the power emanating from WHO as a decision making process.(Dahl,1961 cited by Buse et.al,2012). Development of the strategy would involve using WHO/LINKAGES assessment tool to assess the policies and practices in the country, after which they would be rated after review by national stakeholders and the results used to create a interventions meant to address the gaps(Sagoe et.al,2012). A mixed scanning method of decision making was applied in the formation of the strategy.Mixed scanning would involve a sweep of the problem as a whole followed by a detailed analysis of the component parts(Etzoni,1967 cited by Buse et.al,2012).The Ministry Of Health ,at the national level was involved in assessments intended to quantify the levels of different IYCF practices.Whereas the Ministry Of Public Health And Sanitation(MOPHS)went further ahead to come up with different approaches towards addressing the issue e.g revitalizing BFHI, training all health officials on PMTCT(Prevention of Mother to child transfer);and renewing commitments to create an environment that enabled Kenyan women to practice optimal IYCF.Additionally,it would collaborate with other ministries and international stakeholders and NGOs towards fulfilment of the objectives of the strategy.Therefore working as a policy community. A Policy community is a recognizable subdivision of public policy making in which there is sustained interaction between participants through a web of formal and informal relationships(Buse.et.al,2012).It was demonstrated through participation and consultation among different key IYCF stakeholders; including the government, international bodies, non-governmental organisations and communities, steered by a technical working group under the auspices of National Infant Feeding Steering Committee(MOPHS,2007/10). A legislative framework that would help support and promote breastfeeding had to be set up in the formation of the strategy.The legislature refers to a body that enacts the laws that govern a country and oversees the executive.(Buse et.al,2012).Its roles would include, legislation to give effect to the aims and principles of the International Code Of Breast Milk Substitutes.Additionally,it would legislate towards protecting and supporting breastfeeding among working mothers.(MOPHS,2007/2010). Getting onto the agenda setting aspect of the IYCF strategy; Kingdons(1984) theoretical model of agenda setting(cited by Buse et.al,2012), would be much suitable in explaining how the Kenyan Strategy on IYCF became a major focus of government. Agenda setting is the process by which issues come into the policy agenda from the much larger number of issues potentially worthy of attention by policy makers.(Buse et.al,2012).Policy making is therefore viewed in agenda setting as responding to daily problems that need solutions.(Thomas and Grindle,1991 cited by Buse et.al,2012).The approach focuses on the role of policy entrepreneurs within and outside the government who utilize policy windows(agenda setting opportunities)to move issues onto the governments formal agenda.It is explained using 3 streams ;problem, policy and politics streams and the policy windows.Policy entrepreneurs promote their ideas into many different fora and invest time to ensure they are put onto the agenda.(Kingdon, 1995). Problem stream is defined as public matters that requires attention(Gulbrandson and Fossum,2009). With an emphasis that it only becomes a problem if identified by the decision makers besides other lists of problems presented.Chopra et.al 2009 acknowledges the existence of a huge gap in the level of political support that nutrition and infant feeding was able to achieve compared to other components of the Prevention of Mother To Child Transfer(PMTCT) programme.An explanation to the delay in implementation of the then, already existing IYCF policy and the pending approval of other existent nutritional programmes that would promote IYCF.The Ministry Of Public Health and Sanitation(MOPHS) was majorly involved in advocacy besides other nongovernmental organizations.The overwhelming evidence on malnutrition recorded by KDHS and Kenya Bureau of Statistics e.g 29.% stunting and 20.3% underweight children, data on huge reduction in EBF and decrease in BFHI by 70% (KDHS 2003;Lancet,2003) were the key indicators that evidenced the magnitude of the issue and the need for prompt government action. Implementing this strategy was Kenyas way of renewing its commitment to WHO, by adopting its 2006 consensus statements on HIV and infant feeding.It was also a major stakeholder and a potential source of funding.The policy stream consists of ongoing problem analysis, and their proposed solutions together with debates surrounding the problems.(Buse et.al,2012).The solutions should be easily available and promptly reachable by decisionmakers.(Guldbrandson and Fossum,2009). The strategy was drawn from national assessments of IYCF policies ,programmes and practices in the country(2004)and from consultative meetings with stakeholders.In addition to being harmonized with the National Food and Nutrition policy that was pending in the government at that time; it was intended as a guide of action based on accumulated evidence on importance of infant and child nutrition during their early months and years of life and for growth and development.(MOPHS,2007;Murage et.al,2013). The Kenyan Public Health Sanitation ministry then also had the expertise, technical and programme knowledge to rapidly improve Infant and Young Child Feeding indicators and to save lives.(MOPHS,2007/2010). Politics stream is defined as being composed of such events as national mood swings, government changes and campaigns by interest groups.(Buse et.al 2012;Guldbrandson and Fusson,2009).The year of 2007 was an elections and campaign year in Kenya.The then existing government had a strong intention to go for a second term.Cairney and Jones,(2015) describe this as an existence of both motive an opportunity in politics stream.Implementing the IYCF strategy during this period would be one of the moves to entice the public by showing attention to their problems.The strategy would provide a strong framework through which the government and other important stakeholders could contribute towards improvement of Kenyan childrens nutritional status through IYCF practices.(MOPHS,2007/10). The existence of an attention lurching problem(problem stream),with readily proposed solutions(policy stream) and a conducive and positive political environment that accepted and supported the strategy(politics stream) led to development of a policy window.An opportunity to develop the strategy in parliament and eventually its implementation. The Kenyan Ministry of Public Health and Sanitation(MOPHS-Kenya)would support this strategy by renewing its commitment to create an enabling environment for optimal IYCF(MOPHS,2007/10).It would also improve child survival by strengthening focus on IYCF through various ways like: advocating for enforcement and implementation of Maternity protection Provision in the Employment Act 2007 in all sectors; working with the attorney general and the Minister Of Justice and Constitutional Affairs to ensure enactment of a law that protects optimal IYCF; develop clear, consistent policies and guidelines; build the entire capacity of the public and private healthcare system to implement them, among many other key supportive tasks.(MOPHS,2007). Development of the IYCF strategy was a huge and commendable step in Kenya.Different factors are clearly outlined as having contributed towards its formation.Improvement infant and young child feeding practices, and maternal health being the core driving factors, besides adherence to WHO Global Strategy on IYCF.(MOPHS,2007/10).By 2012,Kenya was in its final stages of enacting the strategy.(Sagoe et.al,2012). The successive process of the strategy formation can be attributed to, the involvement of WHO/UNICEF, the intense collaboration between the Ministry of Health(MOH) and the MOPHS-Kenya together with other major national and international NGOs such as APHIA II Partners, World Vision Kenya among many others.(MOPHS,2007/10) Several significant achievements accrued from the implementation of this strategy include the 61% increase in EBF rates(KDHS,2014).Making Kenya among the handful of countries that have managed to achieve the WHA target of 50% EBF rates by 2025.Enactment of the Code of Marketing for breastmilk substitutes(Sagoe et.al,2012)and the development of various models like the BFHI and the Breast Feeding Community initiative(APHRC,2014) have greatly contributed towards achieving high EBF rates. A critical analysis of the strategy implementation process and the challenges pertaining to its implementation, an aspect my essay did not focus on; would be a clear and concise way of depicting the achievements of the strategy and the barriers faced on rolling out and implementation of its plans. TOTAL WORD COUNT-3,265.