scholarly journals Equitable Access of Naloxone Programs in Durham Region, Ontario, Canada

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Martignetti ◽  
W Sun

Abstract Background In 2019 there were over 1500 opioid-related deaths in the province of Ontario, Canada. While the opioid crisis is affecting many socioeconomic groups and communities across Canada not all are being affected equally despite the presence of naloxone distribution programs in Ontario. This qualitative exploratory study seeks to understand facilitators and barriers that influence equitable access of naloxone programs in Durham Region, Ontario, Canada. Methods An environmental scan will be conducted to examine the availability and distribution of naloxone across community pharmacies and organizations in Durham Region. A qualitative descriptive phenomenology will be the methodological approach where key informant interviews will explore experiences of users and providers of naloxone programs. Key informants will include service providers and clients of both Ontario Naloxone Program and Ontario Naloxone Program for Pharmacies in Durham Region. The harm reduction framework will be used to guide data analysis where thematic analysis will be conducted to generate overarching themes about the phenomenon. Results The environmental scan will result in the creation of a map outlining availability and distribution of naloxone programs to examine possible gaps that exist in Durham Region. It is expected that key informant interview findings will help understand where inequity exists in accessing Ontario's naloxone programs in Durham Region by highlighting its barriers and facilitators. Conclusions Findings generated will be used for larger scale studies in the future examining equitable access of naloxone distribution programs in Canada. This study will have implications to provide recommendations to policymakers for developing new policies to facilitate timely access of naloxone to mitigate risk of opioid-related harms. Key messages This research will help to better understand the inequities that exist in Ontario's naloxone distribution programs. This research will help to inform recommendations to improve policies surrounding Ontario's naloxone distribution programs.

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Vinicius Nahan Dos Santos

<p>Resumo: O presente estudo buscou descrever e analisar a forma como a Administração Pública municipal de Caçapava do Sul realiza a gestão das pessoas encaminhadas pelo Poder Judiciário para cumprimento da pena de prestação de serviços às entidades públicas, através da análise dos processos referentes ao ano de 2017. Para tanto, utilizou-se de uma abordagem metodológica qualitativa, descritiva e exploratória, além de se valer de pesquisa documental e entrevista. Nesse período, constatou-se a existência de 64 encaminhamentos de pessoas para prestação de serviços. Dentre esses, apurou-se que 76,6% (49) dos processos encaminhados tiveram início, enquanto 23,4% (15) não começaram. Ademais, excluindo dez pessoas (15,6%) que não haviam sido designadas para nenhum lugar, verificou-se que 63% (34) das pessoas foram encaminhadas para a Secretaria de Obras. No tocante aos tipos penais imputados aos prestadores de serviço, constatou-se que 45,3% (29) das pessoas encaminhadas foram acusadas de posse de drogas. Após a entrevista com o servidor responsável, identificou-se três pontos de aperfeiçoamento na gestão das prestações: critérios objetivos e impessoais para a definição do setor de cumprimento; controle efetivo da frequência das pessoas prestadoras de serviços e troca de informações com o Poder Judiciário local a respeito da situação de cumprimento da prestação.</p><p>Abstract: The present study sought to describe and analyze how the Municipal Public Administration of Caçapava do Sul manages the people sent by the Judiciary to fulfill the penalty of providing services to public entities, through the analysis of the processes for the year 2017.For that, a qualitative, descriptive and exploratory methodological approach was used, in addition to documentary research and interview. During this period, it was verified the existence of 64 referrals of people to provide services. It was found that 76.6% (49) of the referrals started, while 23.4% (15) did not begin. In addition, excluding 10 people (15.6%) who had not been assigned to any place, it was found that 63% (34) of the people were referred to the Secretary of Works. Regarding the criminal types attributed to service providers, it was found that 45.3% (29) of the people referred were charged with possession of drugs. After the interview, three points of improvement in the management of the benefits were identified: objective and impersonal criteria for the definition of the compliance sector; effective control of the frequency of persons providing services and exchange of information with the local Judiciary regarding the status of compliance with the provision.</p>


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Hesteria Friska Armynia Subratha ◽  
Ni Made Indra Peratiwi

ABSTRAKPenurunan prevalensi stunting balita merupakan tujuan yang pertama dari enam tujuan dalam Target Nutrisi Global untuk tahun 2025. Program pemerintah dalam penanggulangan masalah gizi pada balita sudah cukup banyak dan terstruktur. Namun, pada kenyataannya kasus kejadian balita stunting masih banyak dijumpai. Pada Kabupaten Gianyar terdapat 22,2% balita stunting, dan merupakan salah satu kabupaten yang menjadi pilot project penanganan stunting di Indonesia.Penelitian ini bertujuan untuk mengetahui secara mendalam determinan kejadian stunting pada balita di Kabupaten Gianyar, Bali  ditinjau dari faktor presdiposisi, faktor pemungkin dan faktor penguat. Penelitian deskriptif kualitatif ini menggunakan metode pengumpulan data observasi dan wawancara mendalam. Pengumpulan data dilaksanakan pada Bulan Mei-Juni 2020. Subyek penelitian ini adalah 8 pengasuh balita (usia 6-60 bulan) dan balita (usia 6-60 bulan) yang memiliki z-score TB/U di bawah -2SD di Kabupaten Gianyar. Proses analisis data menggunakan analisis data tematik.Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian stunting adalah adalah faktor pendorong (pengetahuan ibu, pemberian ASI Eksklusif), faktor pemungkin (ketersediaan dana, ketersediaan pangan keluarga), faktor penguat (dukungan keluarga).Semua petugas kesehatan agar memberikan informasi yang memadai mengenai pentingnya gizi pada balita sedini mungkin. Pemberian informasi dapat diberikan melalui penyuluhan kepada remaja, ibu-ibu selama hamil, nifas dan saat menyusui sewaktu ibu kunjungan ANC, mengikuti kelas ibu hamil, datang ke pusling, dan pada waktu ibu berkunjung ke posyandu. Kata Kunci       : Determinan, Stunting, Gianyar  ABSTRACTDecreasing the children stunting prevelence is the first of the sixth 2005 Global Nutrition Target goals. There were a lot and structured government prevention program regarding to the infants nutritional problems. However, in fact,  there were still found 22,2% infants stunting problems in Gianyar Regency. It was one of regencies that become a pilot project of stunting  countermeasures in Indonesia.This study aimed to determine the Gianyar Regency inftants stunting determinants in terms of precipitating factors, enabling factors and reinforcing factors. This was qualitative descriptive research with observation and in-depth interviews applied as and the data collection methods. Data collection was carried out over May-June 2020. The subjects of this research were 8 infant’s caregivers (6-60 months old) and infants (6-60 months old) who had a TB / U z-score below -2SD in Gianyar Regency. The data analysis process applied thematic data analysis.The results found that the factors associated with stunting occurrence were predisposing factors (knowledge, exclusive breastfeeding), enabling factors (funds availability, family food availability) and reinforcing factors (family support).All health service providers should provide adequate information as early as possible about the nutrition importance for infants. Information provision could be given by counseling to adolescents, mothers during pregnancy, childbirth and while breastfeeding on ANC mothers visit, attend pregnancy classes, visitting clinic and when mothers visit the Integrated Healthcare Center. Keywords         : Determinants, Stunting, Gianyar


Author(s):  
Wahyu Khalik

Comfort and security are vital factors in tourism destination of Kuta Lombok with great tourism potential. However, this potential will not be desirable if the conditions are not created by comfort and security. This proves that there are factors that affect the comfort, community understanding of tourism awareness, and community participation in comfort and security of tourists. The study was conducted aimed to determine the factors that affect comfort and safety, the level of community understanding of tourism awareness, and community participation in the comfort and security of tourists in Kuta Lombok tourism.This study examines the comfort and safety of tourists in tourism of Kuta Lombok are included in the descriptive study. Therefore, the research conducted through a qualitative approach. Methods of data collection through observation, interview and documentation. Decision is determined by the method of purposive, with 15 informants. The theory applied is the theory of structural functionalism which analyzed the factors and community participation, and motivation theory is applied to analyze the level of community understanding about tourism awareness.The analysis results of research conducted by qualitative descriptive analysis presents the results of research through a narrative supported by photographs. The results of this study suggests that the comfort and safety factor is  influenced by the low level of community understanding in the elements of tourism awareness through Sapta Pesona. The low raises community understanding of factors that affect comfort and safety as a factor of environmental aspects of parking management and environmental hygiene, factors of economic activity and the hawkers aspects trasnportation service providers as well as factors in the aspect of tourism access roads were damaged. Community participation in the comfort and security of tourists is not functioning optimally. This is caused by unsynchronization between organizations. Forms of community participation in the form of the participation into the organization and the coast guard and empowerment of communities in the festival. Based on those results of the three studies, the government of Central Lombok is expected especially for Culture and Tourism Department particular attention to the factors that affect comfort and safety, and the formation of tourism awareness with benchmarks Sapta Pesona.


Author(s):  
Victoria M. Scicluna ◽  
Sara F. Goldkind ◽  
Andrea R. Mitchell ◽  
Rebecca D. Pentz ◽  
Candace D. Speight ◽  
...  

2021 ◽  
Vol 23 (3) ◽  
pp. 273-284
Author(s):  
Eun Jeong Choi ◽  
Myonghwa Park

Purpose: The purpose of this study was to identify interprofessional competencies for the integrated community care of older people.Methods: This study used a methodological approach, and the specific process aimed to identify the components of interprofessional competencies for integrated community care using a scoping review and validating the identified competencies with the Delphi method. The scoping review first identified relevant studies through the following electronic databases: PubMed, CINAHL, Embase, and the Cochrane Library. We then selected studies that met the inclusion criteria and analyzed their results to identify a draft version of the competencies. Expert panels validated the list of competencies through two rounds of the Delphi survey.Results: The two rounds of the Delphi survey revealed consensus. Finally, we developed an interprofessional competency for integrated community care comprising 19 interprofessional core competencies, 20 integrated core care competencies for community care administrators, 13 integrated core care competencies for care coordinators, 13 integrated core care competencies for local service providers, and 12 integrated core care competencies for community health leaders.Conclusion: This study can help inform job descriptions, evaluate the relevant professionals’ performance, and develop a competency-based curriculum for better practice.


2020 ◽  
Vol 7 (10) ◽  
pp. 155-173
Author(s):  
Anjay Mishra

The study is focused to encounter the marketing strategies adopted by cement industries and suppliers. The study is conducted at Madhyapur Thimi Municipality among different level of consumer i.e house owner, supplier, contractor/mason and consultant/engineer. Out of 871 permitted under construction building of fiscal year 2016/17, 89 end consumers and 30 suppliers were selected for questionnaire survey with two different set of questionnaire. Key informant interview was conducted for in depth information while focus group discussion was done to understand influencing strategies. Bonus coupon and credit period was found to be brand promotional tools among 36.67% and 23.33% of the suppliers respectively whereas 50% of the end consumers get attracted through credit period. Credit period is the most influential marketing strategy while advertisement being the brand awareness tool to the consumer to set their brand in ‘Top of Mind’ state.


Jurnal NERS ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. 230
Author(s):  
Ah Yusuf

Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies.This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two  Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD). Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi .            The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient. The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction Keyword: Nurse, Competencies, Mental Disorder


2021 ◽  
Vol 4 (1) ◽  
pp. 10
Author(s):  
Bryan L. Bitantos ◽  
Lovena Grace Amor T. Dela Cruz ◽  
Jay Pril M. Natuil ◽  
Wellmor John R. Sabado

Dumanquillas Bay is a body of saltwater and the major source of food located in the Southern Mindanao. It has been observed that marine resources and fish catch in the area are declining. This study assumed that fishing practices affect the decline of marine and fish catch in the bay. A study on the documentation of fishing practices in the area is reported here. Key informant interview (KII), focus group discussion, direct observation and document archival were used. Twenty-three (23) fishing practices were observed in the area. Based on R.A. 10654 or the Philippine Fisheries Code, five (5) fishing practices were identified in the bay which are illegal. These are “pahulbot sa lalum”, “pahulbot sa mabaw”, “panubli”, “panguryente” and “troll” that destroys sea grasses, coral reefs and the sea beds. The illegal fishing practices identified poses a threat to the marine resources. It implies weak implementation of fishing policies among the LGU’s and other concerned government institutions and NGA’s. Capacity building, CEPA campaign and committed implementation of the Philippine Fisheries Code (R.A. 10654) should be implemented by the PAMB and stakeholders in the community to manage the remaining coastal marine resources thereby uplifting the socio-economic status of the coastal community and achieve sustainability.


2021 ◽  
Vol 1 (2) ◽  
pp. 33-50
Author(s):  
Ebabu Chekole Mengistu

In recent years, the magnitude and complexity of movements have brought increased attention to the phenomenon of emigration which affects nearly all countries in the world. In developing countries, labour emigration is extremely complex. The main objective of the study is to explore the trends, causes, and challenges of labour emigration from Ethiopia. In-depth interview, key informant interview, observation, and document analysis were used as methods of data collection. Content and document analysis techniques were used to analyze the data. The results of the study show that there is a high level of labour emigration from Ethiopia. Labour emigration from Ethiopia is mostly associated with economic factors such as unemployment, underemployment, and the search for better life in the destination countries. The institutional structure and inter-institutional collaboration in relation to labour emigration are informed by a fragmented framework. As a result, Ethiopian migrant workers are highly vulnerable to human rights violations.


Author(s):  
Heather Knauer ◽  
Dian L. Baker ◽  
Kathleen Hebbeler ◽  
Linda Davis-Alldritt

Sign in / Sign up

Export Citation Format

Share Document