scholarly journals Ghanaian views of short-term medical missions: The pros, the cons, and the possibilities for improvement

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Efua Esaaba Mantey ◽  
Daniel Doh ◽  
Judith N. Lasker ◽  
Sirry Alang ◽  
Peter Donkor ◽  
...  

Abstract Background Various governments in Ghana have tried to improve healthcare in the country. Despite these efforts, meeting health care needs is a growing concern to government and their citizens. Short term medical missions from other countries are one of the responses to meet the challenges of healthcare delivery in Ghana. This research aimed to understand Ghanaian perceptions of short-term missions from the narratives of host country staff involved. The study from which this paper is developed used a qualitative design, which combined a case study approach and political economy analysis involving in-depth interviews with 28 participants. Result Findings show short term medical mission programs in Ghana were largely undertaken in rural communities to address shortfalls in healthcare provision to these areas. The programs were often delivered free and were highly appreciated by communities and host institutions. While the contributions of STMM to health service provision have been noted, there were challenges associated with how they operated. The study found concerns over language and how volunteers effectively interacted with communities. Other identified challenges were the extent to which volunteers undermined local expertise, using fraudulent qualifications by some volunteers, and poor skills and lack of experience leading to wrong diagnoses sometimes. The study found a lack of awareness of rules requiring the registration of practitioners with national professional regulatory bodies, suggesting non enforcement of volunteers’ need for local certification. Conclusion Short Term Medical Missions appear to contribute to addressing some of the critical gaps in healthcare delivery. However, there is an urgent need to address the challenges of ineffective utilisation and lack of oversight of these programs to maximise their benefits.

2021 ◽  
Vol 13 (8) ◽  
pp. 4359
Author(s):  
Carla Barlagne ◽  
Mariana Melnykovych ◽  
David Miller ◽  
Richard J. Hewitt ◽  
Laura Secco ◽  
...  

In a context of political and economic austerity, social innovation has been presented as a solution to many social challenges, old and new. It aims to support the introduction of new ideas in response to the current urgent needs and challenges of vulnerable groups and seems to offer promising solutions to the challenges faced by rural areas. Yet the evidence base of the impacts on the sustainable development of rural communities remains scarce. In this paper, we explore social innovation in the context of community forestry and provide a brief synthetic review of key themes linking the two concepts. We examine a case of social innovation in the context of community forestry and analyse its type, extent, and scale of impact in a marginalized rural area of Scotland. Using an in-depth case study approach, we apply a mixed research methodology using quantitative indicators of impact as well as qualitative data. Our results show that social innovation reinforces the social dimension of community forestry. Impacts are highlighted across domains (environmental, social, economic, and institutional/governance) but are mainly limited to local territory. We discuss the significance of those results in the context of community forestry as well as for local development. We formulate policy recommendations to foster and sustain social innovation in rural areas.


2014 ◽  
Vol 24 (2) ◽  
pp. 181-204 ◽  
Author(s):  
Jeff McCarthy ◽  
Jennifer Rowley ◽  
Catherine Jane Ashworth ◽  
Elke Pioch

Purpose – The purpose of this paper is to contribute knowledge on the issues and benefits associated with managing brand presence and relationships through social media. UK football clubs are big businesses, with committed communities of fans, so are an ideal context from which to develop an understanding of the issues and challenges facing organisations as they seek to protect and promote their brand online. Design/methodology/approach – Due to the emergent nature of social media, and the criticality of the relationships between clubs and their fans, an exploratory study using a multiple case study approach was used to gather rich insights into the phenomenon. Findings – Clubs agreed that further development of social media strategies had potential to deliver interaction and engagement, community growth and belonging, traffic flow to official web sites and commercial gain. However, in developing their social media strategies they had two key concerns. The first concern was the control of the brand presence and image in social media, and how to respond to the opportunities that social media present to fans to impact on the brand. The second concern was how to strike an appropriate balance between strategies that deliver short-term revenue, and those that build longer term brand loyalty. Originality/value – This research is the first to offer insights into the issues facing organisations when developing their social media strategy.


2011 ◽  
pp. 2044-2056
Author(s):  
Katherine M. Boydell ◽  
Tiziana Volpe ◽  
Antonio Pignatiello

Although a great deal has been written about the potential for telemedicine to increase access to care, applications in paediatrics are sparse. This chapter details how one paediatric telepsychiatry program has facilitated the creation of integrated healthcare solutions in patient psychiatric care for children and youth in remote and rural communities. It demonstrates how the telepsychiatry model of healthcare service delivery has improved access, enhanced capacity, and promoted knowledge exchange in rural communities. A case study is used to highlight theoretical and empirical research on the value of televideo information technology in mental healthcare and its impact on the healthcare stakeholders who utilize this technology. An overview of the clinical, education, and evaluation components of the program is outlined, with a focus on knowledge translation and exchange as the underpinning foundation to the success of the program.


2022 ◽  
pp. 898-916
Author(s):  
Vanessa Ratten ◽  
Leo-Paul Dana

There has been increasing recognition that for regional competitiveness in rural areas there needs to be a focus on sustainable farming initiatives especially for family farms that are competing with global conglomerates. Family farms, whilst declining in number, are the purpose of this paper studying the rural entrepreneurship in family farms as they are at the heart of rural communities and the overall agricultural industry and comprise a high percentage of total farms. This paper takes a case study approach using in-depth semi structured interviews to delve into the types of entrepreneurial strategies that are distinctive of family farms in terms of their sustainability approach to farming. Dairy farms in the West Victorian area of Australia are studied and the findings suggest that family farms can increase their regional competitiveness and international standing by focusing on their collaborative, social and sustainable entrepreneurial strategies.


2018 ◽  
Vol 6 (2) ◽  
pp. 12
Author(s):  
Zvavahera Promise ◽  
Chigora Farai ◽  
Tandi Roselyn

This study sought to evaluate the impact of the Indigenisation Policy on the socio-economic emancipation of rural communities in Zimbabwe. A case study approach was taken focusing on the Marange and Zimunya communities in Manicaland Province of Zimbabwe, where diamonds are being mined. Both qualitative and quantitative research methodologies were applied to get a balanced view from these two communities on their socio-economic improvement because of the mining of diamonds, which are a valuable natural resource found in these two communities. Purposive sampling was applied to come up with the sample of senior politicians and traditional leaders. Two Focus groups were formed in the two communities. The study established that the five diamond mining companies doing business in the two communities had failed to honour their pledges of contributing USD10 million each towards the development of the two communities. Only USD400 000 was contributed by two mining companies at the time of the study. Ninety five percent (95%) of the respondents reported that there were no projects that were being implemented to benefit the local communities. It was therefore, concluded that there was limited socio-economic empowerment of the Marange-Zimunya communities by the diamond mining companies. The study recommended the intervention by the Government in order for these mining companies to honour their pledges by coming up with empowerment projects and also by allowing the two communities to have shares in these companies so that they could be economically empowered.


2016 ◽  
Vol 5 (3) ◽  
pp. 305-317 ◽  
Author(s):  
Kwok Wai Ma

Purpose – The purpose of this paper is to illustrate the issues relating to sustainable development (SD) in the context of indigenous village development in Hong Kong. Design/methodology/approach – A case study approach is used in this research. In addition to literature review, qualitative data, primarily collected through personal interviews with various stakeholders were the main source of input. Findings – The Small House Policy (SHP) case illustrates an unsustainable policy. It underscores the interrelatedness among the relevant systems – social/cultural, economic, political and environmental – in the context of SD. In the short term, the government can at least expedite the construction of sewage facilities for the villages. Furthermore, the government can consider elevating the penalty and tightening policing/patrolling in village environs to discourage the illegal sale of “ding” rights and small houses. In the longer term, the government needs to put the rural area in order. Identifying means to zone planning would be a possible direction on this front. Originality/value – Through examining the case of SHP relating to the indigenous villages in Hong Kong, the complexity of SD is thoroughly revealed.


2020 ◽  
Vol 8 (1) ◽  
pp. 480-490
Author(s):  
Maryam Abdu Gainaka ◽  
Syed Agil Alsagoff ◽  
Akmar Hayati Ahmad Ghazali

Purpose of the study: The research became necessary to explore the watchdog role of broadcast media in Nigeria. The study was conducted for the purpose of understanding how broadcast media interpret the watchdog function and the reason for its rarity in Nigeria broadcast media. Methodology: The study used the qualitative case study approach. Two broadcast media were purposively selected for the study-FRCN and AIT. Semi-structured face to face interview was used to collect data from ten informants comprising of senior editors and field reporters who were purposively selected for the study. Researchers used thematic analysis for data analysis to interpret and discuss findings. Main findings: The broadcast media perform the watchdog role through reporting of investigations not initiated by them and also through their programs. The absence of watchdog in their media is influenced by the interference of broadcast media owners, enormous economic and commercial pressures on them being a more capital intensive media as well as the failure of broadcast media practitioners to explore the freedom of information Act like their print counterparts do. Application/Implication: The findings offer a reference point for media regulatory bodies to discover broadcast media issues that are useful for making regulations to improve media practice. It contributes to the call for media social responsibility by providing insight into the impediments of fulfilling the media’s social obligation as a watchdog. Novelty/originality: Research in the area of media watchdog role and functions have often focused on audience perceptions and evaluations of print media. This study explored broadcast media and added to the conceptualization of the concept of media as watchdog beyond investigative journalism only.


2018 ◽  
Vol 2 (2) ◽  
pp. 148
Author(s):  
M. Daimul Abror ◽  
Heri Sunarno

Voter turnout in 1999-2009 has decreased significantly. At 1999 92.6% chosen and 7.3% abstains, at 2004 84.1% chosen and 15.9% abstains, at 2009 70.9% chosen and 29.1% abstains. (www.merdeka.com). These conditions encourage Indonesian Election Commision to form Democratic Volunteer as an agent that helps the socialization of Election 2014. This study aims to comprehensively assess the role of Democratic Volunteer as "Election Marketer" in Principal Agency Theory perspective. This study uses qualitative research with case study approach. The results are (1) Relations between Pasuruan Regency Election Commision as principal with Democratic Volunteerasagent (2) Contract model of Democratic Volunteer in two aspects, the type of contract that contract model is short Term Contracts, and the type of both relationship are relation between government and civil society; (3) In carrying out its role as election marketer, Democratic Volunteer fulfill four criteria in Principal Agency Theory perspective. The weakness of model contract of Democratic Volunteer are Short Term Contracts must be solved by entering into a Long Term Contracts to be interwoven communication simultaneously between the government, in this case between Pasuruan Regency Election Commision with Democratic Volunteer as the embodiment of Civil Societies participation is represented by five segments groups of voters.


2015 ◽  
Vol 36 (3) ◽  
pp. 14-20 ◽  
Author(s):  
Ana Valéria Furquim Gonçalves ◽  
Carla Cristiane Kottwitz Bierhals ◽  
Lisiane Manganelli Girardi Paskulin

Objective: To assess practices of embracement at the patient intake area of the emergency department of Porto Alegre Clinicas Hospital from the perspective of the older adults.Methods: Qualitative investigation using the case study approach with 30 older adults trough semi-structured interview between July by November 2010. Data were assessed by thematic analysis with the Nvivo software suite.Results: Responses focused on wait times and on the role of nurses in patient classification. User embracement practices enhanced the work process and highlighted the direct contact between nurses and users.Conclusions: The care needs of the older adults, the respect for the assessment protocol intervals and work on internal and external network can be improved in order to qualify attention to these patients.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
L. Fransen ◽  
V. J. T. Peters ◽  
B. R. Meijboom ◽  
E. de Vries

Abstract Background Service modularity could be promising for organizing healthcare delivery to heterogeneous patient groups because it enables cost reductions while also being responsive towards individual patients’ needs. However, no research on the applicability of modularity in this context exists. To this end, we conducted a qualitative single-case study on chronic healthcare provision for Down syndrome patients, delivered by multidisciplinary pediatric Downteams in the Netherlands, from a modular perspective. Methods We conducted six semi-structured interviews with coordinators of multidisciplinary Downteams in six hospitals. In addition, we gathered data by means of observations and analysis of relevant documentation. We transcribed, coded, and analyzed the interviews utilizing the Miles and Huberman approach. The consolidated criteria for reporting qualitative research (COREQ) were applied in this study. Results In all six Downteams studied, the modular package for Down syndrome patients (i.e. the visit to the Downteams) could clearly be divided into modules (i.e. the separate consultations with the various professionals), and into different components (i.e. sub-elements of these consultations). These modules and components were linked by different types of customer-flow and information-flow interfaces. These interfaces allowed patients to flow smoothly through the system and allowed for information transfer, respectively. Conclusion Our study shows a modular perspective is applicable to analyzing chronic healthcare for a heterogeneous patient group like children with Down syndrome. The decomposition of the various Downteams into modules and components led to mutual insight into each other’s professional practices, both within and across the various Downteams studied. It could be used to increase transparency of delivered care for patients and family. Moreover, it could be used to customize care provision by mixing-and-matching components. More detailed research on chronic modular care provision for patients with DS is needed to explore this.


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