scholarly journals Understanding the gap between access and use: a qualitative study on barriers and facilitators to insecticide-treated net use in Ghana

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Collins Stephen Ahorlu ◽  
Philip Adongo ◽  
Hannah Koenker ◽  
Sixte Zigirumugabe ◽  
Solomon Sika-Bright ◽  
...  

Abstract Background Mass and continuous distribution channels have significantly increased access to insecticide-treated nets (ITNs) in Ghana since 2000. Despite these gains, a large gap remains between ITN access and use. Methods A qualitative research study was carried out to explore the individual and contextual factors influencing ITN use among those with access in three sites in Ghana. Eighteen focus group discussions, and free listing and ranking activities were carried out with 174 participants; seven of those participants were selected for in-depth case study. Focus group discussions and case study interviews were audio-recorded, transcribed verbatim, and analysed thematically. Results ITN use, as described by study participants, was not binary; it varied throughout the night, across seasons, and over time. Heat was the most commonly cited barrier to consistent ITN use and contributed to low reported ITN use during the dry season. Barriers to ITN use throughout the year included skin irritation; lack of airflow in the sleeping space; and, in some cases, a lack of information on the connection between the use of ITNs and malaria prevention. Falling ill or losing a loved one to malaria was the most powerful motivator for consistent ITN use. Participants also discussed developing a habit of ITN use and the economic benefit of prevention over treatment as facilitating factors. Participants reported gender differences in ITN use, noting that men were more likely than women and children to stay outdoors late at night and more likely to sleep outdoors without an ITN. Conclusion The study results suggest the greatest gains in ITN use among those with access could be made by promoting consistent use throughout the year among occasional and seasonal users. Opportunities for improving communication messages, such as increasing the time ITNs are aired before first use, as well as structural approaches to enhance the usability of ITNs in challenging contexts, such as promoting solutions for outdoor ITN use, were identified from this work. The information from this study can be used to inform social and behaviour change messaging and innovative approaches to closing the ITN use gap in Ghana.

2018 ◽  
Vol 1 (2) ◽  
pp. 72
Author(s):  
Irvan Rifai ◽  
Fajar Santoso

This case study is aimed at revealing motives of women riding motor bike without helmet in Sidoarjo, East Java. The data in this study are garnered through interviews, focus group discussions, observation, and artefact including online newspapers, whilst thematic analysis is utilised as a primary data analysis. The findings of the study indicate that; first, distance from home to school is a most salient motive of women riding bike without helmet. Second, the absence of policeman on the street is a key factor of not wearing helmet. Third, social identity is another reason for not wearing helmet. Fourth, styles and its influence of feeling discomfort of wearing helmet. Fifth, social rules and its impracticality of not wearing helmet. The findings of this study are expected to have contributions of the ways to educate people about safety riding by involving students, students’ parents, teachers and or stakeholders. This study, however, cannot represent all women perspectives of not wearing helmet when riding motor bike within Indonesia. Further research, therefore, is expected to consider areas and characteristics which might differ from the present study. Penelitian ini bertujuan untuk mengungkap motif perempuan pengendara sepeda motor tanpa helm di daerah Kabupaten Sidoarjo, Jawa Timur, dengan menggunakan metode wawancara, Focus Group Discussion, observasi, dan analisis terhadap tulisan-tulisan yang ada di media sosial, seperti koran online. Analisis yang dilakukan menggunakan metode analisis tematik. Dari hasil analisis data diperoleh 5 tema yang menjadi pembahasan pada penelitian ini, yaitu: pertama, Jarak dari rumah ke sekolah menjadi pertimbangan utama responden tidak memakai helm; kedua, Kehadiran aparat kepolisian dan motif tidak memakai helm; ketiga, Identitas sosial sebagai alasan tidak memakai helm; keempat, style dan pengaruh ketidaknyamanan memakai helm; dan ke lima, aturan sosial dan ketidakpraktisan memakai helm. Hasil penelitian ini diharapkan bisa memberikan kontribusi informasi terhadap upaya mengedukasi masyarakat dalam keselamatan berkendara sepeda motor dengan melibatkan peran serta siswa, orang tua siswa, guru dan pemangku kepentingan. Namun demikian, dikarenakan penelitian ini terbatas pada studi kasus di Kota Sidoarjo, terdapat kemungkinan bahwa hasil yang diperoleh tidak dapat merepresentasikan perspektif perempuan pengendara sepeda motor di kota-kota lain di Indonesia. Untuk itu, penelitian ini diharapkan dapat dilanjutkan untuk kota-kota yang mempunya karakteristik berbeda dengan lokasi penelitian ini.


2021 ◽  
Vol 6 (2) ◽  
pp. 17-41
Author(s):  
Ondicho Machuki ◽  
Joan Mutua

Purpose: The study sought to examine the influence of mobile phone use on sexual behaviour of university students: a case study of Jomo Kenyatta University of Agriculture and Technology, Kenya. The study specifically, sought to examine the effect of characteristics of mobile phones users, uses and gratification of mobile phones and the frequency of using mobile phones on sexual behaviour of university students in Jomo Kenyatta University of Agriculture and Technology, Kenya. Methodology: The research design that was adopted was descriptive in nature. The study also used both quantitative and qualitative data obtained from the respondents using questionnaires and Focus Group Discussions (FGDs) guides. Quantitative data was collected using questionnaires while qualitative data was collected using Focus Group Discussions. The study adopted a stratified random sampling technique to select the sample size from the three strata, which are the various Faculties in JKUAT. The study then used Fisher’s formula to arrive at an adequate scientific sample size of 384 students who were targeted using convenient sampling, that is those that are ready to respond to the questionnaires and the Focus Group Discussions (FGDs). The quantitative data in this research was analyzed using descriptive statistics and inferential statistics using SPSS v22.0. Results: It was concluded that male students are more likely to use protection consistently compared to female students. In addition, the findings imply that consistency in condom use is a factor that is dependent on the age of the individual. In addition, relationship status is a contributor to the behaviour of the students sexually. For those that are in serious relationships, their use of protection declines due to the build-up of emotional and intimate trust towards each other. The findings likewise indicate that the student’s usage of mobile phones correlates significantly with the consistent use of protection for safe sex. Those students who have had their phones since they joined Campus are more likely to practice safe sex. In addition, heavy users of mobile phones are likely to practice safe sex including those who browse the internet for news updates. Unique contribution to theory, policy and practice: The study recommends the media practitioners need to step up the production of morally acceptable media content and offer a platform for advertising and campaigning for sexual conduct by encouraging and stressing the use of protection. The Ministry of Health and Ministry of Education should actively involve the undergraduate students in reproductive information awareness campaigns for ensuring positive attitudes towards responsible sexual behaviour and promoting best sexual practices.         


2020 ◽  
pp. 146735842096603
Author(s):  
Afamefuna Eyisi ◽  
Diane Lee ◽  
Kathryn Trees

Collaboration and community participation are crucial for securing sustainable tourism and highlight the need to listen and respond to the broad range of stakeholders’ voices, opinions, and concerns. These concepts dominated the discourse of sustainable-responsible tourism and gave rise to collaboration theory as well as various types of community participation. Many scholars in both Western and emerging economies have employed these concepts; however, there is limited research on how they apply in the Nigerian tourism industry. Therefore, this exploratory research discusses collaboration and community participation in tourism development in Nigeria, using the Southeastern region as a case study. In this area, tourism is in the early phase of growth. The paper reports on interviews and focus group discussions used to interact with tourism stakeholders in the region (traditional rulers, men, women, and youth representatives, chief priests, security agents, and tourism officials). Results showed that while the stakeholders are willing to collaborate, challenges affecting their efforts include autocratic governance structures leading to mistrust, clash of responsibilities, inadequate funding for security, lack of tourism awareness and little respect for local culture. The paper concludes that to develop a resident-friendly tourism destination and sustain collaboration and community participation, stakeholders require education about tourism and opportunities to participate in planning.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Grace Manu ◽  
Ellen Abrafi Boamah-Kaali ◽  
Lawrence Gyabaa Febir ◽  
Emmanuel Ayipah ◽  
Seth Owusu-Agyei ◽  
...  

Background. Malaria in pregnancy leads to low birth weight, premature birth, anaemia, and maternal and neonatal mortality. Use of insecticide-treated nets (ITNs) during pregnancy is one of the proven interventions to reduce the malaria burden. However, Ghana has not achieved its target for ITN use among pregnant women. Methods. A qualitative study was conducted in seven communities purposively selected from the middle belt of Ghana. Participants who had delivered in the six months prior to this study were selected. In all, seven focus group discussions and twenty-four in-depth interviews were conducted between June and August 2010. Results. Respondents knew of the importance of ITNs and other malaria-preventive strategies. Factors such as financial access and missed opportunities of free distribution denied some pregnant women the opportunity to own or use an ITN. Reasons for not using ITNs during pregnancy included discomfort resulting from heat, smell of the net, and difficulty in hanging the net. Participants maintained their ITNs by preventing holes in the nets, retreatment, and infrequent washing. Conclusion. Pregnant women know about the causes and prevention of malaria. However, this knowledge is not transformed into practice due to lack of access to ITNs and sleeping discomforts among other logistical constraints.


2017 ◽  
Vol 14 (1-2) ◽  
pp. 36-42
Author(s):  
Lalit Chaudhari

This research analyzed the situation of sharecroppers and their food sufficiency level in forty Tharu community households in Dumraha village of Sunsari. Household interviews, focus group discussions, key informants survey and observations are led to fulfill the research objective. Among ninety-one landless sharecroppers forty households were selected for the study applying the equation. The landlessness Tharu people are compelled to do agriculture or non-agriculture labor besides farming. The Tharu communities are engaged as sharecropper to face the challenges of food self-sufficiency. Some of the sharecroppers are found to be the previous owner of the land. The practice of sharecropping is fully based on mutual relationship between landlord and sharecroppers, where they agree in sharing the output equally. Sharecropping has helped the landless Tharus to be food self sufficient. Nepalese Journal of Development and Rural StudiesVol. 14 (Joint issue) (1&2), 2017, Page: 36-42


Land ◽  
2018 ◽  
Vol 7 (4) ◽  
pp. 140 ◽  
Author(s):  
Jemaiyo Chabeda-Barthe ◽  
Tobias Haller

This paper is a summary of the findings of research work conducted in two case studies in the Rift Valley, Kenya. This study used the Neo-Institutional theory to interrogate how the rules and regulations (institutions involved) of the agrarian reform process in Kenya are constantly changing and helping to shape the livelihoods of social actors around Mau Forest. The first case study—Ndungulu, is a settlement scheme where the Ogiek ethnic community were resettled between 1995 and 1997 after the land clashes of 1992. The second case study is the Kamuyu cooperative farm, a post-colonial settlement scheme owned by a cooperative society that was founded in 1965 by members from the Kikuyu ethnic group. This study employed qualitative data collection methods intermittently between 2012 and 2017 for a total of two years. A total of 60 interviews were conducted for this research. Thirteen (13) of these were key informant interviews with experts on land. The qualitative interviews were complemented by participant observations and nine focus group discussions. The qualitative data from the interviews and focus group discussions were transcribed, coded and analyzed thematically. Observations documented as field notes were also analyzed to complement the study findings. In this paper, the challenges, bargaining position and power play between social actors and government institutions implicated in the agrarian reform process in Kenya has been brought to the forefront. For instance, due to the structural issues that date back to the colonial period, the Ogiek have found innovative ways to maintain their daily existence (e.g., maintaining traditional methods of apiculture in Mau Forest). However, constraints in accessing forest land has resulted in them taking desperate measures, namely; selling off land to the Kalenjin in what is called “distress land sales”. On the contrary, the neighboring Kikuyu have maintained their land ownership status despite recurrent ethnic clashes that have occurred during general election years.


Author(s):  
Molefe Coper Joseph

This chapter presents a case-study drawn from a qualitative study which explored how non-governmental organizations (NGOs) in Botswana perceive and respond to recent global emphasis to engage men as stakeholders in gender and development so as to achieve gender equality and to empower women. This case-study was purposively selected from sixteen focus group discussions held with different organizations across the country. The chapter specifically looks at efforts by the Botswana Institute of Rehabilitation and Reintegration of Offenders (BIRRO), an NGO established by a group of rehabilitated ex-convicts to empower other ex-convicts by way of facilitating their re-integration into society. They established this NGO after realizing that the rate of reoffending is high due to negative stereotypes attached to ex-convicts. Despite facing some challenges, BIRRO is trying to counteract the disenfranchising criminal identity which members of the public attach to people who once committed a crime.


2019 ◽  
Vol 11 (5) ◽  
pp. 1275 ◽  
Author(s):  
Wenjuan Mu ◽  
Gert Spaargaren ◽  
Alfons Oude Lansink

Mobile applications (apps) have become popular among consumers to facilitate their existing food practices like cooking, shopping, and dining out. However, the feasibility of using mobile apps to facilitate sustainability transitions in food consumption is not well researched. In this study, we, therefore, propose a conceptual framework to illustrate how mobile apps can be developed in linking everyday food practices with sustainability transitions. Through the case study of dining out and with the help of focus group discussions, we seek to illustrate that practice theory might serve as a useful starting point for understanding the dynamics of food practices, their relevant sustainability dimensions, and the ways in which mobile apps can be used for changing current food practices into more sustainable ones. Among our main results are the findings that consumers prefer the sustainability food app to be integrated with dominant or mainstream apps, which are already used by consumers in the context of dining out. Besides being simple, functional, flexible, and rewarding, the information provided by the app should be reliable and trustworthy. Moreover, both science-based and practice-based information is necessary to provide sufficient guidance to consumers on how changes in food practice can be operationalized and implemented.


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