scholarly journals How has COVID-19 impacted the civil registration and vital statistics system in Loreto, Perú? Evidence using process mapping and qualitative analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e055024
Author(s):  
Javier Silva-Valencia ◽  
Tim Adair ◽  
John Hart ◽  
Graciela Meza ◽  
Javier Vargas Herrera

ObjectivesAccurate civil registration and vital statistics (CRVS) systems are the primary data source to measure the impact of the COVID-19 pandemic on mortality. This study assesses how the pandemic impacted CRVS system processes in Loreto region of Peru, one of the worst affected countries globally.DesignQualitative study.SettingLoreto, a remote region, which had the highest reported mortality rate in Peru during the pandemic.ParticipantsSemistructured individual interviews and documentary analysis were conducted between September 2020 and May 2021 with 28 key informants from eight institutions involved in death certification. Key informants were identified using a purposive sampling strategy commencing at the Health Directorate of Loreto, and the snowball method was used where a participant suggested another organisation or person. Information from key informants was used to compare business process maps of the CRVS system before and during the pandemic.ResultsDuring early May 2020, there were seven times more registered deaths than in earlier years, but key informants believed this underestimated mortality by 20%–30%. During the pandemic, families had to interact with more institutions during the death certification process. Several issues disrupted death certification processes, including the burden of increased deaths, the Environmental Health Directorate often removing a body without the family’s express agreement, the creation of COVID-19 cemeteries where no death certificate was needed for burial, greater participation of funeral homes that often used outdated paper forms, and closure of civil registry offices. There was increased use of the online National Death System (SINADEF) but many users had problems with access.ConclusionsThe pandemic substantially disrupted CRVS processes in Loreto, making death certification more difficult, placing greater burden on the family and leading to more participation from unregulated organisations such as funeral homes or cemeteries. These disruptions were impacted by limitations of the CRVS system’s processes before the pandemic.

2014 ◽  
Vol 9 (4) ◽  
pp. 297-308 ◽  
Author(s):  
Nicole A. Errett, PhD, MSPH, CPH, CEM ◽  
Shannon Frattaroli, PhD, MPH ◽  
Beth A. Resnick, MPH ◽  
Daniel J. Barnett, MD, MPH ◽  
Lainie Rutkow, JD, PhD, MPH

Objective: Horizontal intergovernmental coordination, or interlocal collaboration, is an ongoing strategy to enhance public health emergency preparedness in the United States. This study aims to understand the impact of interlocal collaboration on emergency preparedness, and how the Urban Area Security Initiative (UASI) program, a federally administered grant program to promote regional preparedness capability development, has influenced perceptions of this relationship.Design: Semistructured interviews were conducted and recorded in early 2014. Transcribed data were coded and iteratively analyzed. A purposive and snowball sampling strategy was used.Setting: Interviews were conducted in person or by phone.Participants: Twenty-eight key informants were interviewed during 24 interviews. Individuals were selected as key informants due to their knowledge of a UASI region(s) and its governance structures, investment strategies, and challenges, as well as knowledge of the UASI program’s history and goals.Main outcome measure(s): Interviews were used to identify, describe, and characterize perceptions of interlocal collaboration, national emergency preparedness, and the UASI grant.Results: Impacts, challenges, incentives, facilitators, and disadvantages to interlocal collaboration were identified. Interlocal collaboration was found to impact preparedness by promoting the perceived dissolution of geopolitical boundaries; developing self-reliant regions; developing regional capabilities; promoting regional risk identification; and creating an appreciation of interlocal collaboration importance. The UASI program was thought to have a profound and unique impact on the development of interlocal collaboration infrastructure and on national preparedness.Conclusions: Interlocal collaborations contribute to overall national preparedness. Grant programs, such as the UASI, can incentivize and foster interlocal collaboration in preparedness.


2020 ◽  
Vol 2 (1) ◽  
pp. 1-24
Author(s):  
Dr. Mary Kathambi Kinoti ◽  
Luke Mwiti Kinoti

Purpose: The study aimed to establish the impact of social entrepreneurial support on social-economic empowerment of households and a case study of Riziki Kenya was taken. Methodology: The study used a descriptive survey design and the target population for this study was Riziki managers and staff as the key informants, the 230 supported entrepreneurs (households) and 22 supported micro-enterprises groups in Kibra Sub-County. The study employed multi-stage sampling which included purposive and simple random sampling. The study collected primary data using questionnaires. Key Informants included six Riziki Kenya managers and staff members. The use of interviews guides enabled the researcher to solicit the required information from supported entrepreneurs, key informants and group micro-enterprises. Statistical package for the social sciences (SPSS) was used to analyze quantitative data from questionnaires and the results presented in tables, graphs, charts and narratives to answer the research questions. Qualitative data was organized into themes and patterns categorized through content analysis to capture emerging thoughts. Results: Riziki Kenya has empowered households to improve their standards of living. Even with their small businesses, they could feed their families and pay bills. Empirically, the study has shown that social entrepreneurial support positively impacts the business of households which in turn improves the living conditions of families that own such enterprises.  Access to credit facilities by small businesses helps such enterprises to grow and by extension, this improves the households’ finances and ability to get nutritious food, a good shelter, better education and better health care. Contribution to theory, policy and practice: The paper suggests that the appropriate model and theoretical approach for social entrepreneurial impacts would be to direct resources to household owned business which would grow and in turn affect the prosperity of the households. In practice, social entrepreneurs and their staff should increase the support to households partnering with other NGOs to train on the basic entrepreneurial and business management skills to improve their enterprises, increasing access to funds and any other intervention strategies. Policymakers should enact laws that encourage the growth of social entrepreneurship since doing so increases the likelihood of successful small enterprises and this finally impacts positively on the social-economic empowerment of households.


2020 ◽  
Vol 2 (2) ◽  
pp. 166
Author(s):  
M.Ulfatul Akbar Jafar ◽  
M. Taufik Rachman ◽  
Dedy Iswanto

Public interest in the community is the main target in public service providers. Officials of the Office of Population and Civil Registry as a bureaucrat at the regional level are required to be able to handle the constraints faced in the government's promoted development efforts. Officials of the Office of Population and Civil Registration must be able to carry out its first function is to provide services to the community well, deft, effective and efficient. Another problem that often arises is the discipline of employees in providing services this proved many employees who come not on time, start the service not on time, rest not in time, and employees also home before the time to go home. This also greatly affects the service because if the shortage of employees then the counter service that will be opened also a little, so that the impact of many people who are not served. The purpose of this research are; 1) To know Employee Perception Against Attendance of Administration Service Bureau at Department of Population and Civil Regent of Bima Regency; 2) To know the Factors that may affect the Presence of Calo Administration Services At the Department of Population and Civil Registration Bima District.This research uses qualitative approach method with technique of determination of informant use Purposive sampling, meaning intentionally intake technique. Methods of data collection ie observation, interview (Interview) and documentation. Data type is qualitative data and sourced from secondary and primary data with data analysis technique Data Reduction, Data Presentation (Data Display), and Conclusion drawing / verification.The result of research shows that: The distance of the Office of Population and Civil Registry of Bima Regency is far and there is no public transportation passing through it. So that has a private vehicle that many do service in the Department of Population and Civil Registry Bima District, for people living in remote areas usually take care of services, especially the service of birth certificate by handing someone close to his relationship with bureaucracy or brokers even if they have to pay more. The presence of brokers is difficult to separate from public services. But now their existence began to decrease, because the government increasingly simplify the process of document management and licensing.)


2014 ◽  
Vol 13 (2) ◽  
Author(s):  
Deni Surapto

A lack of bureaucracy community satisfaction in public service at the level of service and villages was the stigma impression of government apparatus received from the community for urban village. The residents’ satisfaction against public services from village influenced factor by responsiveness, credibility and empathy. Communities are satisfied with the services provided by officials in urban village, in providing services to the community. The method used in this research descriptive explanatory, are outlining and explaining the service, satisfaction toward society. The research survey used 200 respondents from 7 urban villages purposive through sampling methods and the kind of data supporting by primary and secondary data. Secondary data obtained and was gathered from various literature, book, a journal, the thesis and data from the internet that are considered relevant While the primary data was obtained through a method of surveying, namely by giving the research questionnaire in south of Tangerang. Instrument used in the analysis is spss and shem lisrel. Measurement of data done in this research used 1-5 likert scale. The results of this research proves that people feel that the officers being disciplined in providing services (x25), officers will always be in place to provide services (x26), in addition they felt easy to contact officers (x29). Some people feel the counter complaints service in the form of suggestions box just a display there have been no a follow-up (x33). The first hypothesis is: the impact on service satisfaction (accepted; 2.31>1,96). They felt the officers have to work in accordance with discipline time (x34). The target completion of conformity work received after the resident complained (x36) dependability and residents see the officers in (x39) does the work, in addition the officers can work together with colleagues (x40), and also has the initiative in work (x41). But, on the other hand, in carrying out the work, residents still seeing officers has not been fully worked with neat and minutely (x35). From this research, it can be concluded that the performance impact on the satisfaction of (the second hypothesis is accepted; 3,21> & gt; 1,96). The employees of services provided include the urban population and civil registration (Dukcapil) in south of tangerang, the people are satisfied with the services provided by employees urban village.


2018 ◽  
Vol 15 (2) ◽  
pp. 1-20
Author(s):  
Sabri Embi ◽  
Zurina Shafii

The purpose of this study is to examine the impact of Shariah governance and corporate governance (CG) on the risk management practices (RMPs) of local Islamic banks and foreign Islamic banks operating in Malaysia. The Shariah governance comprises the Shariah review (SR) and Shariah audit (SA) variables. The study also evaluates the level of RMPs, CG, SR, and SA between these two type of banks. With the aid of SPSS version 20, the items for RMPs, CG, SR, and SA were subjected to principal component analysis (PCA). From the PCA, one component or factor was extracted each for the CG, SR, and RMPs while another two factors were extracted for the SA. Primary data was collected using a self-administered survey questionnaire. The questionnaire covers four aspects ; CG, SR, SA, and RMPs. The data received from the 300 usable questionnaires were subjected to correlation and regression analyses as well as an independent t-test. The result of correlation analysis shows that all the four variables have large positive correlations with each other indicating a strong and significant relationship between them. From the regression analysis undertaken, CG, SR, and SA together explained 52.3 percent of the RMPs and CG emerged as the most influential variable that impacts the RMPs. The independent t-test carried out shows that there were significant differences in the CG and SA between the local and foreign Islamic banks. However, there were no significant differences between the two types of the bank in relation to SR and RMPs. The study has contributed to the body of knowledge and is beneficial to academicians, industry players, regulators, and other stakeholders.


2019 ◽  
Vol 10 (2) ◽  
pp. 144-151
Author(s):  
Noora Ahmed Lari ◽  

The State of Qatar has implemented several family policies in order to improve the wellbeing of Qatari families and ensure fair distribution of development benefits for both men and women. However, there is a linkage between female employment outside the home and instability in the marriages of Qatari families. This paper investigates the impact of female employment on marital stability, based on the results of primary data collected in Qatar, a questionnaire that consisted of several sections such as challenges in the workplace, supervisor, family and spouse relations, work motivation and performance. Of the 824 questionnaires that were returned, 807 were completed and valid for analysis. Regression analysis and an ANOVA test have been used to test the relationship between the variables. The results of the research have produced mixed findings about how wives’ employment increases marital instability and have yielded few significant differences on mean scores of discuss on work demands, insufficient time together, housework, financial matters, communication, relatives and rearing children. The results indicates that in general Qatar working women face several challenges in relation to their marital life as part of cultural and social constraints.


2019 ◽  
Vol 118 (7) ◽  
pp. 20-26
Author(s):  
S. JAYARAMAN ◽  
R. Sindhya ◽  
P. Vijiyalakshmi

this research aims to find out the intensity of Employee Engagement of the health care sector workers and the relationship between the Work life factors and Employee Engagement of Health care sector workers in Dindigul District. Primary data were used in this research, were collected from 298 Health care workers from Dindigul District. Questionnaire was the major tool used to gather the primary data from the selected sample respondents. For this purpose, a well structured questionnaire was constructed with the help of professionals and the practiced employees of various health care units in Dindigul District. The health care employees were chosen by simple random sampling method. The investigative measures of regression Path analysis, and simple percentage analysis were utilized to find the impact of work life related factors with the Employee Engagement. The maximum Health care workers were generally satisfied with their jobs. The analytical procedure of path analysis multiple regressions was utilized to determine the predicting strength among Work life factors and the employee engagement. This study provides an another view about the importance of Work life factors and Employee engagement for organizational effectiveness and performance .


2015 ◽  
Vol 6 (01-02) ◽  
Author(s):  
Anis Ur Rehman ◽  
Yasir Arafat Elahi ◽  
Sushma .

India has recently emerged as a major political and economic power in the world. The financial crisis that engulfed the world in 2008 needed developing countries like India to lead the rescue and recovery, instead of G7 westerns countries who dealt with such crisis in the past. Recently, discussions and negotiations are going amongst G20 countries regarding a new global financial architecture (G-20 Summit, 2008). The outcome will affect the relevant industries in India and hence it is a public interest issue for the actuarial profession in the country. Increased and more intrusive and costly regulations and red tapes are likely to be a part of the new deal (Economic Survey 2009-10). The objective of this paper is to study the perception of higher level authorities in Insurance sector regarding the role of regulator in minimizing the impact of global financial crisis. The primary data has been collected from 200 authorities in insurance industry. The data has been analyzed with statistical tools like MS-Excel. On the basis of the findings, various measures and policy recommendations for insurers have been suggested to minimize the impact of crisis.


Sign in / Sign up

Export Citation Format

Share Document