scholarly journals Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Laura Catalina Blandón-Lotero ◽  
Marta Cecilia Jaramillo-Mejía

Abstract Background Social and community participation is a fundamental component of the development of renewed primary healthcare (PHC). With the recognition of health as a right, such participation is a significant part of the design of public policies aimed at this sector. These policies contribute not only to overcoming inequity in the provision of this type of services but also to a reduction in social inequalities as a whole. Through a comparative analysis, this study aimed to explain the conditions through which ethnic-rural territories of the Colombian Pacific coast participate in health to contribute to the generation of policies and programs in territories with similar conditions. Methods The work was developed through the use of multiple techniques and strategies for information collection and analysis. These include several semi-structured interviews, multiple observation exercises and analysis based on a set theory, i.e., qualitative comparative analysis (QCA). The latter aims to develop a model that provides a count of the main causal combinations that allow high community participation in health. Results Key findings include how the trajectory of social mobilization and existence of a robust community social fabric became two critical conditions for community participation in the context of social exclusion. The presence of variables such as the implementation of PHC, guarantee of social rights, and trust in institutions, is underestimated as sufficient causal conditions for obtaining this result. Therefore, it is essential to recognize the existence, validity, and importance of processes, experiences, and resourcefulness of political natures, which aim at transforming the daily reality of the inhabitants of these communities. These also set a potential space and scenario for managing the communities’ main problems, including health, in the absence of institutionality that guarantees access to their social rights. Conclusion This study points out the importance of understanding community participation as a political activity, expanding exchange dynamics and dialogs between institutions, rulers, and communities to provide social responses in health and well-being to communities and to understand local realities and their own community dynamics.

2019 ◽  
Vol 11 (13) ◽  
pp. 3726 ◽  
Author(s):  
Liesbet Olaerts ◽  
Jeffrey Walters ◽  
Karl Linden ◽  
Amy Javernick-Will ◽  
Adam Harvey

This study analyzed combinations of conditions that influence regular payments for water service in resource-limited communities. To do so, the study investigated 16 communities participating in a new preventive maintenance program in the Kamuli District of Uganda under a public–private partnership framework. First, this study identified conditions posited as important for collective payment compliance from a literature review. Then, drawing from data included in a water source report and by conducting semi-structured interviews with households and water user committees (WUC), we identified communities that were compliant with, or suspended from, preventative maintenance service payments. Through qualitative analyses of these data and case knowledge, we identified and characterized conditions that appeared to contribute to these outcomes. Then, we employed fuzzy-set qualitative comparative analysis (fsQCA) to determine the combinations of conditions that led to payment compliance. Overall, the findings from this study reveal distinct pathways of conditions that impact payment compliance and reflect the multifaceted nature of water point sustainability. Practically, the findings identify the processes needed for successful payment compliance, which include a strong WUC with proper support and training, user perceptions that the water quality is high and available in adequate quantities, ongoing support, and a lack of nearby water sources. A comprehensive understanding of the combined factors that lead to payment compliance can improve future preventative maintenance programs, guide the design of water service arrangements, and ultimately increase water service sustainability.


2021 ◽  
Vol 13 (3) ◽  
pp. 1103
Author(s):  
Ahmed Soliman ◽  
Andreas Thiel ◽  
Matteo Roggero

Egypt, akin to many countries in the global South, has striven to promote collective management to overcome the challenges of irrigation management since the 1990s. Establishing shared pumping stations (SPSs) has been one of the cornerstones helping farmers better manage water for irrigation. Operating SPSs successfully poses collective action problems, for which there is no single set of solutions. This paper utilizes fuzzy set qualitative comparative analysis (fsQCA) to identify which conditions or configurations are sufficient or necessary for well-operated SPSs. The study draws on empirical data gathered through semi-structured interviews from 45 cases, located in Kafr El-Sheikh Governorate in Egypt’s Nile Delta. Results show that three different paths are sufficient to ensure well-operated SPSs. These are: (1) the condition of effective rules related to allocation, monitoring, and sanctions; (2) the configuration of small group size of SPSs and large irrigated sizes of SPSs; or (3) the configuration of adequate water supply and appropriate location of the SPS command area. The paper concludes that neither group size nor resource size alone explains the outcome of collective action, while a combination of both factors does. Similarly, an adequate water supply is essential to enhance users’ engagement in collective actions only when resource location characteristics do not provide alternative water sources for irrigation.


Author(s):  
Emily Bacon ◽  
Michael D. Williams ◽  
Gareth H. Davies

AbstractOrganisations are increasingly creating inter-organisational ecosystem partnerships to innovate openly. Despite effective knowledge management significantly supporting ecosystem infrastructures, empirical insights into the importance of and interdependencies between conditions for successful knowledge exchange across ecosystem contexts remain unexplored within existing literature. This study implements a mixed-method approach to ascertain which conditions are responsible for knowledge transfer success across innovation ecosystems. Interpretive Structural Modelling was employed to analyse questionnaires with key ecosystem stakeholders, in order to impose a hierarchical structure upon the conditions. The configurational nature of these conditions, and their combinations into solutions for success was ascertained through analysing semi-structured interviews using fuzzy-set Qualitative Comparative Analysis. Results reveal multiple, mutually exclusive pathways to knowledge transfer success, grouped into three solution types, increasing understanding of the interrelated nature of the knowledge transfer conditions. Limitations and implications for future research are provided.


2021 ◽  
Vol 12 ◽  
Author(s):  
Can Wang ◽  
Fangyu Chen ◽  
Feiteng Yi ◽  
Yongchang Wei

With the development of Internet technology, e-commerce platforms have emerged one after another, and the competition of the fruit e-commerce market is increasingly intensified. How to boost customer demand by improving their purchase intention has become a key issue. The study identified the critical conditions leading to high purchase intention of fruits through fuzzy-set qualitative comparative analysis. The empirical analysis was conducted based on an online questionnaire of 344 Internet users. The results reveal that high purchase intention comes from high fruit quality, high fruit price concessions and supply service, and low perceived risk (peripheral conditions). In addition, high purchase intention can also be realized from high fruit quality, high fruit price concessions, high supply service, and high website information quality (peripheral conditions). This study provides more nuanced thinking of how to improve online purchase intention of fruits.


2021 ◽  
Vol 119 ◽  
pp. 06003
Author(s):  
Ikrame Abroun ◽  
Abdelilah Azyat ◽  
Nizar Ben Achhab ◽  
Naoufal Raissouni ◽  
Asaad Chahboun

Human development is more than a question of the accumulation of wealth, income, or economic growth. It must be human-centred. This is why concerns as necessary as respect for human rights, the reduction of social inequalities and poverty, the promotion of equal opportunities between men and women are indeed relevant. This considers human resources not only as a means of growth but, more fundamentally, as an end of growth. The demographic variable was always a serious problem to decision-makers in different countries. It is considered to be at the root of the various handicaps of development. Morocco has carried out throughout the last forty years’ population policies to improve the well-being of its citizens. To highlight regional and provincial disparities in Morocco, we are based in this work on indices of human development, namely, SDI, ASDI, MLDI using the process of the data warehouse. Finally, we have analyzed and visualized these indices with Power BI software to make a comparative analysis of TTA provinces. Findings show that Tanger-Assilah province has a great value with 0.77 of MLDI. However, Chefchaouen province has the less one with 0.56. This study has been performed to help to establish efficient decisions and making operational insights.


2021 ◽  
Vol 9 ◽  
Author(s):  
Manlin Li ◽  
Ryan Woolrych

Whilst cities can be sites of creativity, innovation, and change, they can also reproduce the conditions for the exclusion of vulnerable groups. Older people report experiencing specific barriers to accessing the city and are often excluded from the resources for ageing well. The smart city agenda has attempted to bring about technological change whilst also delivering improved quality of life for urban citizens. Smart technologies are a key element of the smart city and are viewed as having the potential to support the independence, autonomy, and well-being of older people. Yet, there has been little research exploring the role of the smart city in supporting the social inclusion of older people, nor any attempt to link this with key policy drivers on ageing e.g., age-friendly cities and communities. In response, the aim of this paper is to explore the experiences of older people living in a smart city in China and discuss how the smart city and age-friendly can be brought together to support positive social outcomes for older people. The paper presents qualitative findings from a multi-methods approach, including semi-structured interviews, walking interviews and focus groups. A total of 64 older people participated in the research across three diverse neighbourhoods in the case study smart city of Chongqing, China. The findings identified opportunities in the development and deployment of smart cities, including the potential for improved health and well-being and social connectedness. Yet in delivering on these benefits, a number of challenges were identified which may widen social inequalities, including inequities in access, issues of safety and security, and exclusion from the co-production of smart city policy and practise. The paper discusses the implications of the findings for future smart city policy and practise, specifically in delivering interventions that support older adults' social inclusion and the delivery of age-friendly cities and communities.


BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e020799 ◽  
Author(s):  
Monica Peddle ◽  
Margaret Bearman ◽  
Natalie Radomski ◽  
Lisa Mckenna ◽  
Debra Nestel

ObjectivesAt minimum, safe patient outcomes are recognised as resulting from a combination of technical and non-technical skills. Flin and colleagues provide a practical framework of non-technical skills, cognitive, social and interpersonal, that complement technical skills, with categories identified assituational awareness, communication, team working, decision-making, leadership, coping with stressandmanaging fatigue. The aim of this research was to explore the alignment of categories and elements of non-technical skills with those in the published standards documents of several health professions in Australia.DesignA qualitative comparative analysis using document analysis and deductive coding examined, extracted and interpreted data from competency standards documents focusing on non-technical skills categories and elements.ParticipantsA purposive sample of 11 health professions competency standards documents required for registration in Australia.FindingsThe 11 competency standards documents contained 1616 statements. Although standards documents addressed all non-technical skills categories, there was limited reporting ofmanaging stressandcoping with fatigue.Of the 31 elements included in the non-technical skills framework, 22 were not common to all health professions and 3 elements were missing from the standards documents. Additionally, the documents were composed differently with no common taxonomy and multifaceted statements.ConclusionWhile commonalities identified in the standards documents related to non-technical skills categories are likely to support patient safety, gaps in associated elements may undermine their effectiveness. The notable lack of reference to stress and fatigue requires further attention for health professional well-being in Australia. A shared taxonomy with clear statements may offer the best support for collaborative practice and positive patient outcomes. Competency standards need to be flexible to respond to the emerging demands of current healthcare practice along with consumer and health service needs.


2013 ◽  
Vol 29 (1) ◽  
pp. 15-27 ◽  
Author(s):  
Philip Haynes ◽  
Laura Banks ◽  
Michael Hill

Using data from The International Social Survey Programme this paper compares the social networks of those aged 50 and above in 18 countries. Two different types of networks are conceptualised: family contact and community participation. Using qualitative comparative analysis (QCA), international sets are established for four groups of countries. Set one includes countries that only satisfy a minimal number of social network thresholds (France, Norway, Great Britain, Denmark and the USA). Set two includes a homogeneous group of countries with above-threshold rates of marriage and community participation (Australia, New Zealand, Germany, Austria and Canada). Other separate sets with stronger social network features comprise Eastern European countries (set three) and Southern Europe countries (set four) in these sets, family contacts are above the international country average but community participation is less strong. Country sets with low comparative threshold scores in the QCA are argued to be likely to be in greater need of government care policy interventions.


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