Extension of What and to Whom? A Qualitative Study of Self-Provisioning Service Delivery in a University Extension Program

2017 ◽  
pp. 177-198
Author(s):  
Ashley Colby ◽  
Emily Huddart Kennedy
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Extension Program

Service Delivery and Accountability of Urban Officials: Evidence from Urban-based Local Government in Bangladesh

2021 ◽  
pp. 097152312110163
Author(s):  
A. H. M. Kamrul Ahsan ◽  
Peter Walters ◽  
Md. Adil Khan
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Service Providers ◽  
City Government ◽  
Quality Monitoring ◽  
Government Service ◽  
The Poor ◽  
Similar Class ◽  
Rajshahi City

This study compares the state of city government service delivery for communities living in different areas with different level of affluence in Rajshahi City in Bangladesh. Based on the results of a qualitative study, we found a significant service disparity between the affluent and the poor communities. This disparity is due to the inability of the poor to hold service providers accountable, attributable to a lack of knowledge about services and a lack of social status. Lack of quality monitoring and a marked bias in the quality of interactions between the poor and the affluent contribute to the service disparity This disparity is largely invisible to the poor who, instead of comparing themselves with the affluent citizens, compare themselves with a similar class of people.

Making the connection: a qualitative study of brokerage in Aboriginal health in a metropolitan area of Victoria and a regional area of New South Wales

2011 ◽  
Vol 35 (1) ◽  
pp. 18 ◽  
Author(s):  
Melanie S. Cheng ◽  
Angela Clarke ◽  
Timothy D. Moore ◽  
Phyllis M. Lau
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Focus Groups ◽  
Aboriginal Health ◽  
Theory Approach ◽  
Service Delivery Model ◽  
Aboriginal Community ◽  
Delivery Model ◽  
Objective Health ◽  
Key Stakeholders

Objective. Health brokerage is one method being employed by government health agencies in an attempt to improve Aboriginal and Torres Strait Islander people’s access to primary healthcare. This qualitative study explores key stakeholders’ understanding and acceptance of the health brokerage model, prior to the implementation of brokerage services. Methods. Semistructured interviews and focus groups were conducted with key stakeholders. The resulting data was analysed using a grounded theory approach. Results. Qualitative analysis of the interviews and focus groups revealed five major themes. These were: (1) the perceived limitations of brokerage as a service delivery model; (2) the benefits of health brokerage such as increased flexibility; (3) issues relating to patient independence; (4) the necessity for broker independence; and (5) a mistrust of health brokerage and the authority handling the brokerage funds. Conclusions. Since this study was conducted in 2008, ongoing funding for urban brokerage services has been suspended. Although the reasons for this are unclear, our study suggests that barriers to the acceptance of brokerage services by the community may have existed even before such services were implemented, thus highlighting the need for transparency when launching new health initiatives that hope to engage the Aboriginal community. What is known about the topic? Brokerage models have previously been described in the areas of mental health and aged care. In these examples, brokerage agencies have provided patients with a key entry point into the healthcare system. Benefits of the brokerage model, such as flexibility, have been contrasted with its limitations, such as a heavy reliance upon existing services. What does this paper add? This paper provides insight into the acceptability of health brokerage, as a service delivery model, to the Aboriginal community. Although findings from the study reinforce many of the benefits and limitations already described in the literature, they also introduce the new and important themes of patient empowerment and mistrust. What are the implications for practitioners? This study provides vital information about community perceptions of health brokerage. It is important that policy makers take heed of such insights when planning attempts to close the gap in Aboriginal health.

scholarly journals Malaria Intermittent Preventive Treatment in Nigeria: A Qualitative study to explore barriers and facilitators

2020 ◽  
Author(s):  
Fatima Muhammad Mahmud ◽  
Saharnaz Nedjat ◽  
Haniye Sadat Sajadi ◽  
Mahbubeh Parseian ◽  
Reza Majdzadeh
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Intermittent Preventive Treatment ◽  
Sampling Strategy ◽  
Preventive Treatment ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
The Sustainable Development

Abstract Background : Sulphadoxine pyrimethamine (SP) used as a preventive treatment for malaria is low among pregnant women in Nigeria. However, there is limited evidence on the barriers and facilitators of intermittent preventive treatment (IPTp) use in pregnant women. This study aimed to explore the barriers and facilitators of IPTp use among pregnant women in Kano state, Nigeria.Methods: This qualitative study used a conventional content analysis method. Purposive sampling strategy was used to select study participants. A total of 14 key informant interviews were conducted with policy makers, malaria experts and health care providers. Three focus group discussions (FGD) were also conducted among pregnant women. Furthermore, separate three FGDs were conducted among husbands whom were selected using opportunistic maximum variation sampling method. MaxqDA 10 software was used for data analysis, i.e., to develop categories, subcategories and themes.Results: Malaria policy implementation, antenatal care attendance, accessibility of intermittent preventive treatment in the communities, strengthening IPTp service delivery were the facilitators of IPTp use while political reluctance, high population density, inadequate budget to implement IPTp related policies emerged as barriers to IPTp use.Conclusion: The political will to allocate sufficient budget could help improve service delivery and IPTp use among pregnant women and facilitate the achievement of the Sustainable Development Agenda to end malaria in 2030.

scholarly journals Exploring Community Tuberculosis Program in the Pastoralist Setting of Ethiopia: a Qualitative Study of Community Health Workers' Perspectives in Borena Zone, Oromia Region

2021 ◽  
Author(s):  
Abebe Megerso ◽  
Negusie Deyessa ◽  
Godana Jarso ◽  
Robel Tezera ◽  
Alemayehu Worku
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Community Involvement ◽  
Health Workers ◽  
Community Setting ◽  
Community Factors ◽  
Geographically Dispersed ◽  
Pastoralist Community ◽  
Data Saturation ◽  
Pastoral Setting

Abstract Background: Tuberculosis (TB) is one of the top ten causes of death and thee first cause of death due to single infectious disease in the world. Nevertheless, access to TB prevention and control is not uniform even within a country, The community TB program is designed to improve the access in Ethiopia. Exploring the program performance from the perspectives of its implemters in a pastoral setting remains important.Method: We conducted a qualitative study using an interpretive description method in the pastoralist community setting of Ethiopia. Study participants were recruited from geographically dispersed areas. Data were collected through in-depth interview using semi-structured guides and audio recordings during February 01-30, 2020. The interview guide was developed based on consultation with TB program experts and clinicians treating TB patients in the study area. Notes were taken at the interview to enrich the transcription of the data. The interview was conducted by the principal investigator. The subsequent data collection was informed by emerging ideas from forgoing interview transcriptions. The interview continued until data saturation was achieved.Results: One hundred and fisty six codes, nine categories and three themes emanated. The first theme was an inadequate community TB performance and some of its codes include inadequate presumptive TB case identification and compromised DOTs service delivery. The second theme was factors contributing to the performance. Community factors, lack of physical access to health facilities and indirect non-medical cost are some of categories under this theme. The final theme was related to solutions and its categories include a need for active community involvement and modification of service delivery approaches.Conclusion:Community TB performance is inadequate in the pastoralist community and many factors contribute to the inadequate performance. Aligning the program to the context of the pastoralist community setting is required to improve the performance.

scholarly journals Shaping a township: self-connecting as �counter conduct� in Umlazi, Durban

2021 ◽  
Vol 9s11 ◽  
pp. 93-106
Author(s):  
Shauna Mottiar
Keyword(s):  
South Africa ◽  
Social Movements ◽  
Qualitative Study ◽  
Service Delivery ◽  
Service Provision ◽  
Social Rights ◽  
Self Service ◽  
The Government

South Africa has high levels of protest. Protest actions are frequently linked to demands for �service delivery�, specifically the lack of access to housing, water and electricity in poor neighbourhoods. As a result, residents in these areas have resorted to informal, self-service provision in the form of illegal water and electricity connections. These self-services have assumed two narratives: the first, in official circles, as criminalised activities; and the second, by protestors and social movements, as gaining basic social rights. This article examines the various methods of �illegal� water and electricity connections in the township of Umlazi, situated in Durban, South Africa. It draws on �counter conduct� to understand illegal connections as �diffuse and subdued forms of resistance�. Techniques of counter conduct by Umlazi residents resist both forms and quantities of service provision through the act of self-connecting. Self-connections use the government�s own techniques against it while adopting its own governmentality. The article is based on a qualitative study comprising interviews with householders of Emhlabeni, Umlazi Section D.

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