scholarly journals P.018 The Ottawa Epilepsy Program: region-wide coordinated and multidisciplinary care in the 21st century

2021 ◽  
Vol 48 (s3) ◽  
pp. S25-S25
Author(s):  
N Porter ◽  
K Muir ◽  
A Rezazadeh ◽  
S Whiting ◽  
T Fantaneanu
Keyword(s):  
Care Delivery ◽  
Multidisciplinary Care ◽  
Transition Program ◽  
Community Group ◽  
Social Barriers ◽  
Care Integration ◽  
Key Stakeholders ◽  
Treatment Gaps ◽  
Social Support Services ◽  
The City

Background: Epilepsy is the most common chronic neurological illness worldwide, affecting more than 330, 000 people in Canada, 10, 000 of which reside in the Ottawa area. Despite facing higher mortality, stigma and social barriers, PLE (people living with epilepsy) incur treatment gaps even in high income countries like ours. Our goal was to address this burden locally with the creation of novel, community-integrated, care delivery for PLE in our area; we describe its inception. Methods: A transition program bridging pediatric and adult institutions was created to address the care continuity gap in 2017. Following a meeting of key stakeholders in the region in 2019, the community group was integrated into the model of care and the city-wide program was created incorporating adult, pediatric, transition and community pillars. A patient friendly website was launched in 2020 (ottawaepilepsyprogram.ca). Results: 170 patients were followed in the transition program since 2017. Adult and pediatric pillars have referred 70 patients to the community program between 2019-2020, 48 between 2020-2021. Through this, PLE are able to access the Clinic to community (C2C) and UPLIFT programs for social support services and mental health, respectively. Conclusions: An interconnected region-wide program can support PLE and foster innovative care integration across disciplines.

KEBANGGAAN TERHADAP BATIK MADURA BAGI WARGA SUMENEP

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Sayyida Sayyida ◽  
Nurdody Zakki
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Research Method ◽  
Community Group ◽  
Parametric Regression ◽  
Logit Function ◽  
The Village ◽  
The City ◽  
Level Of Risk ◽  
Non Parametric

Diversity of Indonesian Batik hanging area. One of the very well-known Indonesian batik is Batik Madura. Batik Madura has become a pride for Indonesia, especially for Madura. The purpose of the study is to model the Sumenep pride to Batik Madura and to see the level of risk or tendency of batik madura pride for the community group Sumenep. This research method uses a non parametric regression used a non-parametric regression because the dependent variable in this study is the variable Y are variables not normally distributed. The results of this study states that the level of risk of the village in Sumenep proud of batik is almost 5 times higher than the islands while people in this city who live in the district town at risk Sumenep proud of Batik Madura 8-fold compared to the archipelago. So it can be concluded that the city is much more proud of batik than those who reside in rural areas especially those who reside in the islands. This study uses data from 100 questionnaires were analyzed using logistic regression analysis. The conclusion of this study is the pride of the batik model as follows: Function logistic regression / logit function: g (x) = 0,074 + 1,568X4(1)+2,159X4(2 this is case the islands as a comparison, X4(1)  is the place to stay in the village and X4(2)  is the place to stay in town, so the Model Opportunities p(x) = EXP(g(x))/1+EXP(g(x)).  Hopes for further research is to conduct research on the development of batik in an integrated region, the need to be disseminated to potential areas of particular potential in Madura batik, especially for residents who reside in the Islands.Keywords: Pride, Batik, Sumenep.

scholarly journals CHALLENGES OF CIVIC ENGAGEMENT IN THE (POST-SOCIALIST) TRANSITIONAL SOCIETY: EXPERIENCES FROM WATERFRONT URBAN AREAS MEZAPARK IN RIGA AND KALARAND IN TALLINN

2020 ◽  
Vol 44 (2) ◽  
pp. 109-121
Author(s):  
Viktorija Prilenska ◽  
Katrin Paadam ◽  
Roode Liias
Keyword(s):  
Civic Engagement ◽  
Urban Areas ◽  
Local Planning ◽  
Structured Interviews ◽  
Current Case ◽  
Engagement Strategies ◽  
Public Expectations ◽  
Key Stakeholders ◽  
Planning Culture ◽  
The City

Current case studies examine the shortcomings of civic engagement strategies during the design process and ratification of detailed plans for urban areas of strategic importance − Mezapark in Riga and Kalarand in Tallinn. Detailed plans caused public outcries and led to long-lasting and distressful negotiations between local communities, developers, designers and municipalities over the future development and use of these areas. The debates about detailed plans raised an increasing public interest in planning related issues and growing demands for greater civic engagement in decisions shaping the city. At the same time, the debates demonstrated the inability of local planning frameworks to meet public expectations. There appears a salient need for changing the planning culture. This paper studies the shortcomings of civic engagement strategies and the desirable changes through a series of semi-structured interviews with key stakeholders involved and the analysis of planning related documentation.

SFD Promotion Initiative: Cap-Haïtien, Haiti

2021 ◽  
Author(s):  
Benjamin Biscan ◽  
Sergio Pérez Monforte ◽  
Lars Schöbitz ◽  
Anthony Kilbride
Keyword(s):  
Urban Areas ◽  
Decision Support Tool ◽  
Flow Diagram ◽  
Context Analysis ◽  
Executive Summary ◽  
Support Tool ◽  
Urban Sanitation ◽  
Key Stakeholders ◽  
Involved Field ◽  
The City

The Shit Flow Diagram (SFD) graphic is an advocacy tool that aims to assist technical and non-technical stakeholders to implement plans and programs related to urban sanitation. The SFD methodology is increasingly being used to analyze the extent of safely managed sanitation in urban areas, providing a valuable picture of the prevailing sanitation conditions, from containment to disposal. As such, it is a widely recognized advocacy and decision support tool that aims to understand, communicate, and visualize how wastewater and fecal sludge move within a city or town. As stated on the SuSanA website, the SFD methodology offers “a new and innovative way to engage sanitation experts, political leaders, and civil society in coordinated discussions about excreta management in their city”. The production and publication of an SFD report for Cap-Haitien (Haiti) would help to visualize the current sanitation situation in the city, resulting in a potential to shift current activities and efforts towards more efficient investments in the places along the sanitation chain that need more attention, improving the urban sanitation situation and the surrounding environment of the city. The structure of this SFD report consists of an executive summary and the SFD report. The latter includes: i) general city information describing its main characteristics; ii) sanitation service outcomes, with a thorough explanation of the SFD graphic outcome and the assumptions made; iii) the service delivery context analysis, which contains information on the regulatory framework of water and sanitation at country and city levels, and describes the city plans, budget and future projects to improve the sanitation situation and; iv) a detailed description of the surveys, Key Informant Interviews (KIIs) and Focus Group Discussions (FGDs) conducted, as well as the key stakeholders involved, field visits carried out and references used to develop this SFD report.

Informatics for Medicines Management Systems in Resource-Limited Settings

2012 ◽  
pp. 634-645
Author(s):  
Andy Stergachis ◽  
Douglas Keene ◽  
Shabir Somani
Keyword(s):  
Information Technologies ◽  
Care Delivery ◽  
Monitoring And Evaluation ◽  
Management Systems ◽  
Medicines Management ◽  
Resource Limited Settings ◽  
Treatment And Prevention ◽  
Resource Limited ◽  
Key Stakeholders ◽  
Potential Benefits

Improved access to information is necessary to ensure achievement of the potential benefits of medicines in resource-limited countries. The scaling up of treatment and prevention programs involving medicines in resource-limited regions with high disease burdens requires proper and urgent attention to the development and use of information technologies. Areas of need for medicines management systems informatics include prescribing, dispensing, pharmaceutical care, administration, patient monitoring, education and training, supply chain management, and monitoring and evaluation of program performance. Such information systems should strive to collect and manage data that are a standardized, compiled, and made easily accessible for use by key stakeholders, including ministries of health, medicines regulators, pharmaceutical industry, public health programs, academic researchers, donor organizations, the health care delivery sector, and ultimately the public and patients. A framework is described for medicines management systems informatics in resource-limited settings.

Using Information Communication Technology to Decentralize City Marketing

2011 ◽  
pp. 357-378
Author(s):  
Bantu L. Morolong
Keyword(s):  
Communication Technologies ◽  
Capital City ◽  
Information Communication Technologies ◽  
Information Communication ◽  
City Marketing ◽  
Policy Makers ◽  
Key Stakeholders ◽  
The World ◽  
The City ◽  
Over Time

This chapter introduces the reader to the idea of city marketing. This idea has developed over time, globally, as cities continue to grow rapidly. The chapter assesses how city marketing as a concept and a practice has generally developed with particular reference to Botswana, Southern Africa. Using evidence from documented material this chapter critically reviews city marketing as perceived and applied by planners and policy makers. The chapter looks at how Information Communication Technologies (ICTs) can be used to market cities such as Gaborone, the capital city of Botswana. Literature and experiences from other parts of the world are used to underscore city growth as a serious development issue. City dwellers are identified as key stakeholders in city marketing because they have a more permanent association with the city in contrast to those who come into the city to visit or for business, tourism, and other purposes.

scholarly journals 299. “Where the Rubber Meets the Road”: Stakeholders’ Perspectives about the Current State of HCV Care Delivery in Massachusetts Jails

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S161-S162
Author(s):  
Alysse G Wurcel ◽  
Jessica Reyes ◽  
Julia Zubiago ◽  
Deirdre Burke ◽  
Tom Concannon ◽  
...  
Keyword(s):  
Public Health ◽  
Care Delivery ◽  
Mutual Recognition ◽  
Healthcare Delivery ◽  
Hiv Care ◽  
Structured Interviews ◽  
The Road ◽  
Transient Nature ◽  
Purposeful Sampling ◽  
Key Stakeholders

Abstract Background HCV is highly prevalent in criminal-justice involved populations (CJIP). Nationally, the operationalization of guideline-driven HCV care (including testing and treatment) for CJIP has been challenging, prompting this study to understand barriers and facilitators. Methods We used purposeful sampling strategies to recruit key stakeholders including people who are incarcerated, clinicians providing care in jail, clinicians providing care outside of jail, corrections administrators, and representatives of industry, public health and public policy. Semi-structured interviews were performed in Spanish or English, based on preference of participant. Written notes were used to capture details from interviews in jails and interviews outside of jail were recorded. People interviewed outside of jail were offered a stipend. Interviews were coded and analyzed with a compare and consensus approach. Results Of 120 people, 49 (41%) people agreed to be interviewed in each of the stakeholder categories including 21 men who were incarcerated (mean age 32 [IQR 25, 39], 60% non-White). Barriers to HCV care delivery included (1) Fragmented healthcare delivery because of transient nature of CJIP (2) Frustration and disempowerment experienced by people incarcerated in jail and (3) Heterogeneous views on stakeholders responsible for providing and financing HCV care in jails. Facilitators to HCV care delivery included (1) Incarcerated population’s interested in HCV care for public and personal health and (2) An existing strong public health infrastructure in place supporting HIV care delivery. Conclusion Understanding various stakeholders’ views of barriers to HCV care in jails is a necessary first step to building improved care pathways. Mutual recognition may help to focus limited administrative and fiscal resources on HCV care for this transient population. Disclosures All authors: No reported disclosures.

scholarly journals Evaluating the Integrated Methadone and Anti-Retroviral Therapy Strategy in Tanzania Using the RE-AIM Framework

2019 ◽  
Vol 16 (5) ◽  
pp. 728
Author(s):  
Saria Hassan ◽  
Alexis Cooke ◽  
Haneefa Saleem ◽  
Dorothy Mushi ◽  
Jessie Mbwambo ◽  
...  
Keyword(s):  
Care Delivery ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Hiv Positive ◽  
Initiation Rate ◽  
Hiv Services ◽  
Art Initiation ◽  
Care Integration ◽  
Therapy Strategy ◽  
Sub Saharan

There are an estimated 50,000 people who inject drugs in Tanzania, with an HIV prevalence in this population of 42%. The Integrated Methadone and Anti-Retroviral Therapy (IMAT) strategy was developed to integrate HIV services into an opioid treatment program (OTP) in sub-Saharan Africa and increase anti-retroviral therapy (ART) initiation rates. In this paper, we evaluate the IMAT strategy using an implementation science framework to inform future care integration efforts in the region. IMAT centralized HIV services into an OTP clinic in Dar Es Salaam, Tanzania: HIV diagnosis, ART initiation, monitoring and follow up. A mixed-methods, concurrent design, was used for evaluation: quantitative programmatic data and semi-structured interviews with providers and clients addressed 4 out of 5 components of the RE-AIM framework: reach, effectiveness, adoption, implementation. Results showed high reach: 98% of HIV-positive clients received HIV services; effectiveness: 90-day ART initiation rate doubled, from 41% pre-IMAT to 87% post-IMAT (p < 0.001); proportion of HIV-positive eligible clients on ART increased from 71% pre-IMAT to 98% post-IMAT (p < 0.001). There was high adoption and implementation protocol fidelity. Qualitative results informed barriers and facilitators of RE-AIM components. In conclusion, we successfully integrated HIV care into an OTP clinic in sub-Saharan Africa with increased rates of ART initiation. The IMAT strategy represents an effective care integration model to improve HIV care delivery for OTP clients.

scholarly journals Recruiting Practices for Change Initiatives Is Hard: Findings From EvidenceNOW

2017 ◽  
Vol 33 (3) ◽  
pp. 246-252 ◽  
Author(s):  
Shannon M. Sweeney ◽  
Jennifer D. Hall ◽  
Sarah S. Ono ◽  
Leah Gordon ◽  
David Cameron ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Delivery ◽  
Recruitment Strategies ◽  
Change Initiatives ◽  
Key Stakeholders ◽  
Observational Site ◽  
State Initiatives ◽  
Grant Proposals ◽  
Care Practices ◽  
Primary Care Practices

Engaging primary care practices in initiatives designed to enhance quality, reduce costs, and promote safety is challenging as practices are already participating in numerous projects and mandated programs designed to improve care delivery and quality. Recruiters must expand their recruitment tools to engage today’s practices in quality improvement. Using grant proposals, online diaries, observational site visits, and interviews with key stakeholders, the authors identify successful practice recruitment strategies in the EvidenceNOW initiative, which aimed to recruit approximately 1500 small- to medium-sized primary care practices. Recruiters learned they needed to articulate how participation in EvidenceNOW aligned with other initiatives and could help practices succeed with federal and state initiatives, recognition programs, and existing or future payment requirements. Recruiters, initiative leaders, and funders must now consider how their efforts align with ongoing initiatives to successfully recruit and engage practices, ease practice burden, and encourage participation in efforts that support practice transformation.

scholarly journals Non-technical barriers for decentralised energy and energy efficient buildings

2014 ◽  
Vol 8 (4) ◽  
pp. 544-561 ◽  
Author(s):  
Chris I. Goodier ◽  
Ksenia Chmutina
Keyword(s):  
Critical Role ◽  
Structured Interviews ◽  
Content Type ◽  
Social Barriers ◽  
Energy Efficient Buildings ◽  
Key Stakeholders ◽  
Organisational Values ◽  
The Uk ◽  
And Control ◽  
Relationship Of

Purpose – This paper aims to demonstrate the complex inter-relationship of non-technical barriers involved in the implementation of decentralised energy (DE) projects. To meet its ambitious 2050 target of 80 per cent carbon emission reduction, the UK needs to increase dramatically the wider uptake of DE systems. Many examples exist internationally of DE systems leading to enhanced carbon emissions reductions, including systems based not only on technological but also on more innovative policy, financial and social-economic approaches. Design/methodology/approach – Following semi-structured interviews with key stakeholders and thematic analysis with NVivo8, four exemplar international DE case studies have been investigated. Findings – The main non-technical barriers were not necessarily financial, as is often believed; governance barriers, such as out-of-date regulations or unreliable partners, can also play a critical role in a project’s success or failure. Social barriers such as public apathy and misinformation often affect a project’s operation. It is further hypothesised that non-technical barriers are often shaped by personal and/or organisational values related to consumption, abundance, trust and control. Finally, recommendations are provided on overcoming these barriers with regards replicating similar DE projects in the UK context. Originality/value – A systematic perspective is presented, which takes into account the possible interactions between the various barriers and demonstrates that to remove some of these barriers, it is important to understand and account for their varied and interconnected nature.

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