scholarly journals Amplification and aural rehabilitation in resource-constrained environments

2018 ◽  
Vol 133 (1) ◽  
pp. 26-33 ◽  
Author(s):  
C Rutherford ◽  
L Petersen
Keyword(s):  
South Africa ◽  
Developing Countries ◽  
Service Delivery ◽  
Healthcare Service ◽  
Local Population ◽  
Resource Constrained ◽  
Aural Rehabilitation ◽  
Constrained Environments ◽  
Context Specific

AbstractObjectivesThis article attempts to highlight the challenges and possibilities for hearing healthcare through technology and aural rehabilitation in a resource-constrained setting, using South Africa as an example.Results and conclusionThe authors argue that it is possible to enhance service delivery by using free resources and maximising the limited existing resources. In order to provide a sustainable hearing healthcare service in developing countries, it is pertinent to understand the context where the services are needed, and not just adopt an approach developed for a different context. Audiologists in such settings need to employ strategies to develop context-specific tools, and adapt existing tools to serve the needs of the local population. Some examples, although not exhaustive, are provided in the article.

scholarly journals Healthcare Information Systems Implementation Causal Mechanisms in Resource-constrained Environments

2020 ◽  
Author(s):  
Mourine Sarah Achieng ◽  
Ephias Ruhode
Keyword(s):  
Information Systems ◽  
Service Delivery ◽  
Healthcare Service ◽  
Public Healthcare ◽  
Resource Constrained ◽  
Healthcare Information ◽  
Healthcare Facilities ◽  
Healthcare Information Systems ◽  
Constrained Environments ◽  
Generative Mechanisms

Abstract Background: The implementation of healthcare information systems has regained new interest among scholars, policy makers and governments over the past decades. This is as a result of undesired outcomes of the existing implementation processes which has produced outcomes such as lack of integration between existing systems, uncoordinated thus fragmented silo systems and many more. The implications of such outcomes have been that in most public healthcare facilities, medical information are either never captured, or captured incorrectly or ineffectively. Consequently, the retrieval of such information for decision making purposes at various levels of the healthcare system, becomes a challenge.Objectives: This paper sought to establish causal mechanisms and context-based mediators that influence the implementation of healthcare information systems in public healthcare facilities in resource constrained environments. As such having negative implications of the delivery of healthcare services to people in need.Methods: A case-study strategy approach was employed using a critical realist methodology. Data collection was done through semi-structured interviews and document analysis.Results: The findings in this paper indicate that context-based mediators such as leadership and management, maldistribution of resources and health policies have enabling and impeding effects on the implementation of HISs for public healthcare service delivery. Further the results of this paper highlight generative mechanisms such as misinterpretation of polices from paper to practice at operational level of healthcare systems of policies and strategies trigger causal effects that may generate the outcomes experienced in public healthcare service delivery process.Conclusions: The results in this paper suggests that mediating factors and generative mechanisms with inhibiting causal powers in the implementation of healthcare information systems requires more focus during the pre-implementation phase.

scholarly journals Enhancing accountability in public–private partnerships in South Africa

2019 ◽  
Vol 18 (3) ◽  
pp. 66-92 ◽  
Author(s):  
M C Fombad
Keyword(s):  
South Africa ◽  
Developing Countries ◽  
Service Delivery ◽  
Public Private Partnerships ◽  
Public Control ◽  
The World ◽  
Alternative Service ◽  
Alternative Service Delivery ◽  
Societal Problems

South Africa, like other developing countries, has joined other nations around the world in resorting to public–private partnerships (PPPs) as an integral strategy to improve its deeply rooted socio-economic, political, fiscal and societal problems and to meet the pressure of attaining the goals of national and international developmental projects. In spite of the reasons advanced for the importance of PPPs as an alternative service-delivery option, several doubts about the efficacy of accountability and suggestions that it may undermine public control have been expressed. Given the importance of accountability, this paper seeks to determine some approaches to enhance accountability in public–private partnerships in South Africa. It identifies some of the accountability challenges and suggests ways of overcoming them.

scholarly journals Rethinking artisan entrepreneurship in a small island

2019 ◽  
Vol 25 (4) ◽  
pp. 633-651 ◽  
Author(s):  
Ricardo Alonzo Cortez Arias ◽  
Allan Discua Cruz
Keyword(s):  
Developing Countries ◽  
Limited Resources ◽  
Small Island ◽  
Resource Constrained ◽  
Content Type ◽  
Lifestyle Choices ◽  
Constrained Environments ◽  
Entrepreneurial Bricolage ◽  
Interpretative Approach ◽  
Depth Interviews

Purpose There is a growing interest in artisan entrepreneurs around the world. Scholars are increasingly interested in how artisan enterprises use tourism in a resource-constrained resources. Based on the concept of artisan chocolate entrepreneur, the purpose of this paper is to examine the phenomenon of artisanal chocolate making in a small island with limited resources yet influenced by increased tourism. Design/methodology/approach Artisan enterprises are considered relevant in developing countries and their creation merits further attention. This study examines artisan enterprises using in-depth interviews, case studies, and an interpretative approach. The approach enables examining how artisan chocolate enterprises use tourism to develop their businesses in a context characterized by limited resources. Findings The findings show that artisan entrepreneurs are encouraged to start and develop enterprises due to lifestyle choices. The findings reveal a connection between artisan chocolatiers developing place-bound features to address a growing demand of tourists’ expectation for authentic and local products. The approach of artisan entrepreneurs in such conditions can be explained through entrepreneurial bricolage. Originality/value This study contributes to the literature on the initial stages of artisan enterprises particularly in resource-constrained environments influenced by tourism. More specifically, the study provides evidence of the relevance of tourism for artisanal enterprise emergence, which is a relatively overlooked area in tourism and artisanal studies in developing countries. The study highlights the key place bound features that artisanal chocolate entrepreneurs associate to their products based on tourists’ demand for authentic and local products.

scholarly journals A sustainability framework for mobile technology integration in schools: The case of resource-constrained environments in South Africa

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Jabulisiwe Mabila ◽  
Judy Van Biljon ◽  
Marlien Herselman
Keyword(s):  
South Africa ◽  
Technology Integration ◽  
Mobile Technology ◽  
Basic Education ◽  
Design Science ◽  
Science Research ◽  
Pedagogical Practice ◽  
Resource Constrained ◽  
Constrained Environments ◽  
Sustainability Framework

The application of mobile technology integration in schools has been widely researched. However, only a few studies have extensively examined the sustainability of mobile technology integration in resource-constrained environments. Diverse contexts and devices complicate the construction of a consolidated view of how to sustain the pedagogical practice of learning with mobile devices in these environments. The purpose of this article is to indicate how feedback from teachers and district officials informed the development of a sustainability framework for mobile technology integration in schools (SFMTIS), which originated following a literature review. Employing design science research as methodology, a sustainability framework was synthesized from the existing literature. Teachers’ views were obtained regarding the integration of mobile technology in their schools and were subsequently processed to inform the further development of the framework. Teachers who had previously participated in an initiative which introduced mobile tablet use, trained those teachers, and provided information and communication technology infrastructure to their schools, were purposively selected for the study. Department of Basic Education officials based at district offices were also interviewed for their views on sustainable integration. The findings form the basis for the proposed SFMTIS in resource-constrained environments in South Africa. Besides the refined sustainability framework, the research contributes novel insights into the differing perspectives of the teachers and the district officials, and how those can impact the sustainability of mobile technology integration in resource-constrained environments.

An Overview of the effectiveness of mhealth technology in the Developing Countries (Preprint)

2020 ◽  
Author(s):  
Nawaf Khan
Keyword(s):  
Developing Countries ◽  
Service Delivery ◽  
Mobile Phone ◽  
Text Messaging ◽  
Healthcare Service ◽  
Developing Nations ◽  
Healthcare Personnel ◽  
High Quality ◽  
Short Messaging Service ◽  
Mobile Phone Applications

BACKGROUND The healthcare system in most of the developing countries has been struggling to provide high-quality services. This limitation has negatively affected the performance and safety of healthcare personnel, as well as patients’ satisfaction. OBJECTIVE To provide an overview of the current knowledge of integrating human factors/ergonomics technology to improve healthcare service delivery in developing nations METHODS The authors reviewed the current literature focusing on mhealth interventions in developing countries. This review included the integration of mobile phone applications as well as Short Messaging Service (SMS). RESULTS Previous research on the integration of mhealth in developing countries focused on the use of mobile phone applications and SMS text messaging. However, the effectiveness of such programs has not to be reported in most of these studies. CONCLUSIONS Although little research was found in the implementation of mhealth technologies such as the Short Messaging Service (SMS) to improve healthcare service delivery in the developing nations, the effectiveness of such programs has not been reported. Therefore, future research should focus on evaluating the outcomes of mhealth interventions to ensure that patients in developing countries have access to high-quality healthcare services.

ANT Perspective of Healthcare Big Data for Service Delivery in South Africa

2022 ◽  
pp. 1071-1089
Author(s):  
Tiko Iyamu ◽  
Sibulela Mgudlwa
Keyword(s):  
South Africa ◽  
Big Data ◽  
Service Delivery ◽  
Qualitative Methods ◽  
South African ◽  
Rural Areas ◽  
Healthcare Service ◽  
Qualitative Data ◽  
Actor Network Theory ◽  
Healthcare Facility

In South Africa, there has been for many years challenges in how healthcare big data are accessed, used, and managed by facilities, particularly the small health facilities. The challenges arise from inaccuracy and inconsistency of patients' data and have impact on diagnoses, medications, and treatments, which consequently contributes to fatalities in South Africa, particularly in the rural areas of the country. The problem of inaccuracy and inconsistency of patients' data is often caused by lack of or poor analysis (or analytics) of data. Thus, the objective of this research was to understand the factors that influence the use and management of patients' big data for healthcare service delivery. The qualitative methods were applied, and a South African healthcare facility was used as a case in the study. Actor network theory (ANT) was employed as a lens to guide the analysis of the qualitative data. Based on the findings from the analysis, a model was developed, which is intended to guide analytics of big data for healthcare purposes, towards improving service delivery in the country.

scholarly journals Models of service delivery for ear and hearing care in remote or resource-constrained environments

2018 ◽  
Vol 133 (1) ◽  
pp. 39-48 ◽  
Author(s):  
M F Bhutta
Keyword(s):  
Public Health ◽  
Service Delivery ◽  
Resource Constrained ◽  
Delivery Of Care ◽  
Advantages And Disadvantages ◽  
Trained Personnel ◽  
Constrained Environments ◽  
Hearing Health ◽  
Set Up ◽  
Models Of Service Delivery

AbstractBackgroundThere is poor availability of ear and hearing services globally, because of a lack of infrastructure, funding, equipment and appropriately trained personnel. When deciding upon delivery of ear and hearing services, an approach based upon community assessment is advocated, with subsequent asset mapping and acquisition.ObjectivesSome of the challenges to delivery of care in resource-constrained or remote environments are acknowledged, with discussion of several existing models of service delivery, and their advantages and disadvantages. Public health and telehealth are also mentioned. This article may assist those trying to set up new programmes in ear and hearing health.

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