scholarly journals Widespread closure of HIV prevention and care services places youth at higher risk during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0249740
Author(s):  
Rob Stephenson ◽  
Alison R. Walsh ◽  
Tanaka M. D. Chavanduka ◽  
Gregory Sallabank ◽  
Keith J. Horvath ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Service Provider ◽  
Service Providers ◽  
Lgbtq Youth ◽  
Related Services ◽  
Care Services ◽  
South Central ◽  
Hiv Service Providers ◽  
The Impact ◽  
Youth Friendly

Background Central to measuring the impact of the COVID-19 pandemic on HIV is understanding the role of loss of access to essential HIV prevention and care services created by clinic and community-based organization closures. In this paper, we use a comprehensive list of HIV prevention services in four corridors of the US heavily impacted by HIV, developed as part of a large RCT, to illustrate the potential impact of service closure on LGBTQ+ youth. Methods We identified and mapped LGBTQ+ friendly services offering at least one of the following HIV-related services: HIV testing; STI testing; PrEP/PEP; HIV treatment and care; and other HIV-related services in 109 counties across four major interstate corridors heavily affected by HIV US Census regions: Pacific (San Francisco, CA to San Diego, CA); South-Atlantic (Washington, DC to Atlanta, GA); East-North-Central (Chicago, IL to Detroit, MI); and East-South-Central (Memphis, TN to New Orleans, LA). Results There were a total of 831 LGBTQ+ youth-friendly HIV service providers across the 109 counties. There was a range of LGBTQ+ youth-friendly HIV-service provider availability across counties (range: 0–14.33 per 10,000 youth aged 13–24 (IQR: 2.13), median: 1.09); 9 (8.26%) analyzed counties did not have any LGBTQ+ youth-friendly HIV service providers. The Pearson correlation coefficient for the correlation between county HIV prevalence and LGBTQ+ youth-friendly HIV service provider density was 0.16 (p = 0.09), suggesting only a small, non-statistically significant linear relationship between a county’s available LGBTQ+ youth-friendly HIV service providers and their HIV burden. Conclusions As the COVID-19 pandemic continues, we must find novel, affordable ways to continue to provide sexual health, mental health and other support services to LGBTQ+ youth.

Widespread closure of HIV prevention and care services places youth at higher risk during the COVID-19 epidemic (Preprint)

2020 ◽  
Author(s):  
Rob Stephenson ◽  
Alison Walsh ◽  
Tanaka Chavanduka ◽  
Gregory Sallabank ◽  
Keith Horvath ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Service Provider ◽  
Service Providers ◽  
Pearson Correlation ◽  
Lgbtq Youth ◽  
Related Services ◽  
Care Services ◽  
Hiv Service Providers ◽  
The Impact ◽  
Youth Friendly

BACKGROUND Central to measuring the impact of the COVID-19 epidemic on HIV is understanding the role of loss of access to essential HIV prevention and care services created by clinic and community-based organization closures. OBJECTIVE In this paper, we use data from a large, randomized controlled trial for adolescent GBMSM aged 13-18 to map HIV prevention services in four corridors of the US heavily impacted by HIV METHODS We identified and mapped LGBTQ+ friendly services offering at least one of the following HIV-related services: HIV testing; STI testing, PrEP/PEP; HIV treatment and care; other HIV-related services in 109 counties across four major interstate corridors heavily affected by HIV (US Census regions: Pacific (San Francisco, CA to San Diego, CA; 14 counties); South-Atlantic (Washington, DC to Atlanta, GA; 57 counties). RESULTS There were a total of 831 LGBTQ+ youth-friendly HIV service providers across the 109 counties. There was a range of LGBTQ+ youth-friendly HIV-service provider availability across counties (range: 0-14.33 per 10,000 youth aged 13-24 (IQR: 2.13), median: 1.09); 9 (8.26%) analyzed counties did not have any LGBTQ+ youth-friendly HIV service providers. The Pearson correlation coefficient for the correlation between county HIV prevalence and LGBTQ+ youth-friendly HIV service provider density was 0.16 (p=0.09), suggesting only a small, non-statistically significant linear relationship between a county’s available LGBTQ+ youth-friendly HIV service providers and their HIV burden. CONCLUSIONS As the COVID-19 epidemic continues, we must find novel, affordable ways to continue to provide sexual health, mental health and support services to LGBTQ+ youth. CLINICALTRIAL NA

scholarly journals An African Rural Internet Network, and its interactions with Academics

2013 ◽  
Vol 10 (2) ◽  
Author(s):  
Gertjan Van Stam ◽  
Darelle Van Greunen
Keyword(s):  
Rural Areas ◽  
Service Providers ◽  
Cultural Adjustment ◽  
Related Services ◽  
Telecommunications Infrastructure ◽  
Main Challenge ◽  
Telecommunications Network ◽  
High Level ◽  
Rural Zambia ◽  
The Impact

Creating ICT access in the rural areas of Africa is a complex challenge. In these areas, telecommunications infrastructure is provided at a very high cost that may not be justified by the resulting use and effects of the telecommunications network. Affordable access to ICTs in rural areas can be frustrated at the supply as well as the demand end of the service-provision chain. To supply ICTs and related services in rural areas, the main challenge is the high level of capital and operating expenditures incurred by service providers. On the demand side, rural adoption of ICTs in developing countries is curtailed by low availability of complementary public services, such as electricity and education, and by the relative scarcity of locally relevant content. This paper highlight the various aspects of the challenges of setting up a First Mile project in rural Zambia. It takes a rather unique angle in that it introduces the perspectives on the value of academic interventions in a manner that not only addresses some of the complex issues but also accommodates cultural adjustment. The paper introduces the rural internet project in Macha, rural Zambia and demonstrates the impact of such an initiative on setting up not only connectivity in a rural community but also dealing with the challenges that come with this.

scholarly journals ‘Connecting with Young Men’: The Impact of Training in Ireland.

2020 ◽  
Vol 3 (1) ◽  
pp. e24-e35
Author(s):  
Paula Carroll ◽  
Noel Richardson ◽  
Billy Grace
Keyword(s):  
Service Providers ◽  
Emotional Health ◽  
Young Men ◽  
Work Practice ◽  
Training Programme ◽  
Support Service ◽  
Youth Workers ◽  
Related Services ◽  
Social And Emotional ◽  
The Impact

‘Connecting with Young Men’, Unit 6 in ENGAGE, Ireland’s National Men’s Health Training programme was developed to support service providers to engage young in mental health and related services. This study evaluated the impact of Unit 6 on front line service providers’ knowledge, skills, capacity, and practice pre and immediately post-training via questionnaire (n=206). At 1-month post-training interviews were conducted with youth workers (n=11), SPHE (social and emotional health curriculum) teachers (n=3), and sports personnel (n=3) (12-40 mins) to explore their experience of the training and its impact on practice. Overall, feedback regarding training satisfaction was largely positive (8.43±1.43/10). Participants self-reported level of knowledge (p=0.000), skills (p=0.000), capacity to engage (p<0.003) and identify priorities for young men (p<0.001), and success at convincing other service providers within (p<0.001) and beyond (p<0.000) their organization to prioritize engaging young men increased immediately post-training. Nota-bly, 57.3% of service providers said that they would integrate the training into their work practice. Critical components of Unit 6 included (a) the focus on understanding gender as a dynamic construct, (b) the use of experiential and interactive sessions, and (c) the integration of ongoing reflective practice. The provi-sion of more practical tips on ‘how’ to initiate and build relationships with young men as well as including young men’s voices would strengthen the training. Unit 6 has been effective in building capacity among service providers to engage young men. While assessing the longer-term impact of the training on practice is recommended, these findings have implications for those who wish to develop gender-sensitive services for young men elsewhere.

Examining the role of customer engagement in augmenting referral value

2019 ◽  
Vol 29 (5/6) ◽  
pp. 539-564
Author(s):  
Gurjeet Kaur Sahi ◽  
Rita Devi ◽  
Satya Bhusan Dash
Keyword(s):  
Social Exchange ◽  
Service Provider ◽  
Structural Equation ◽  
Service Providers ◽  
Reliability And Validity ◽  
Customer Engagement ◽  
Motivation Theory ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to examine the impact of a customer engagement-enabling platform on a value captured by the firm and value acquired by the customer. It explores the relevance of relational and expertise value for customers during the engagement process so as to ensure positive referrals about the service provider. Design/methodology/approach Using a sample of 482 students, the study examines the customer engagement efforts of professional institutes that provide training to prepare for the civil service examinations of the Union Public Service Commission. The survey is confined to central areas of New Delhi, India. Statistical techniques including confirmatory factor analysis and structural equation modelling are used to analyse the data, and reliability and validity tests are performed. Findings The findings reveal the indispensable role of service providers as creators of a meaningful effective learning process and of interpersonal relations with customers for generating more business through customer referrals. Research limitations/implications The study validated the moderating role of relational value between customers’ expertise value and their referrals on the basis of motivation theory, which asserts that customers’ motivation to contribute to the organisation is driven by the individuals’ extrinsic relational need for belongingness, acceptance by like-minded individuals, and feedback, recognition and respect from employees of the organisation. Originality/value The study contributes to the existing literature by integrating the well-developed social exchange and motivation theory so as to investigate the factors that propel customers’ positive word of mouth for the service provider.

scholarly journals Connected Health Services: Framework for an Impact Assessment (Preprint)

2019 ◽  
Author(s):  
Ioanna Chouvarda ◽  
Christos Maramis ◽  
Kristina Livitckaia ◽  
Vladimir Trajkovik ◽  
Serhat Burmaoglu ◽  
...  
Keyword(s):  
Early Stage ◽  
Cost Savings ◽  
Initial Step ◽  
New Paradigm ◽  
Chronic Patients ◽  
Related Services ◽  
Connected Health ◽  
Care Services ◽  
Care Models ◽  
The Impact

BACKGROUND Connected health (CH), as a new paradigm, manages individual and community health in a holistic manner by leveraging a variety of technologies and has the potential for the incorporation of telehealth and integrated care services, covering the whole spectrum of health-related services addressing healthy subjects and chronic patients. The reorganization of services around the person or citizen has been expected to bring high impact in the health care domain. There are a series of concerns (eg, contextual factors influencing the impact of care models, the cost savings associated with CH solutions, and the sustainability of the CH ecosystem) that should be better addressed for CH technologies to reach stakeholders more successfully. Overall, there is a need to effectively establish an understanding of the concepts of CH impact. As services based on CH technologies go beyond standard clinical interventions and assessments of medical devices or medical treatments, the need for standardization and for new ways of measurements and assessments emerges when studying CH impact. OBJECTIVE This study aimed to introduce the CH impact framework (CHIF) that serves as an approach to assess the impact of CH services. METHODS This study focused on the subset of CH comprising services that directly address patients and citizens on the management of disease or health and wellness. The CHIF was developed through a multistep procedure and various activities. These included, as initial steps, a literature review and workshop focusing on knowledge elicitation around CH concepts. Then followed the development of the initial version of the framework, refining of the framework with the experts as a result of the second workshop, and, finally, composition and deployment of a questionnaire for preliminary feedback from early-stage researchers in the relevant domains. RESULTS The framework contributes to a better understanding of what is CH impact and analyzes the factors toward achieving it. CHIF elaborates on how to assess impact in CH services. These aspects can contribute to an impact-aware design of CH services. It can also contribute to a comparison of CH services and further knowledge of the domain. The CHIF is based on 4 concepts, including CH system and service outline, CH system end users, CH outcomes, and factors toward achieving CH impact. The framework is visualized as an ontological model. CONCLUSIONS The CHIF is an initial step toward identifying methodologies to objectively measure CH impact while recognizing its multiple dimensions and scales.

scholarly journals Farming Services Management System

2021 ◽  
Vol 9 (VII) ◽  
pp. 440-446
Author(s):  
Prof. Aparna Sawant
Keyword(s):  
Service Provider ◽  
Management System ◽  
Service Providers ◽  
Native Language ◽  
Related Services

In India, 70% people are related directly or indirectly to farming. The major challenge for farmers to get farmer related services like labour and tractor related services because of poor communication between service providers and farmers . The FSMS (Farming Services Management System) will provide the convenient way by which farmers will get various farming related services like labour services for planting, weeding, cutting etc. and tractor services like ploughing, rotatory machine, moving heavy weights etc. The system will provide the list of service providers with charges according to the area selected by the farmer. Service provider has the facility to confirm or reject the request which is sent by the farmer. If the service provider accepts the request then according to conversation done by farmer and labour, one notification is generated at farmer side. It confirms that the service provider is ready to work or not and according to that response the service is added to the service stack of farmers. FSMS is a mobile (Android and ios) based application which provides an interface in a native language of the user like Marathi. Users of this application may not be well educated so it helps them to use the application in a convenient and efficient way.

IS ANTENATAL CARE EFFECTIVE IN IMPROVING MATERNAL HEALTH IN RURAL UTTAR PRADESH? EVIDENCE FROM A DISTRICT LEVEL HOUSEHOLD SURVEY

2005 ◽  
Vol 38 (4) ◽  
pp. 433-448 ◽  
Author(s):  
FAUJDAR RAM ◽  
ABHISHEK SINGH
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Uttar Pradesh ◽  
Household Survey ◽  
District Level ◽  
Related Services ◽  
Care Services ◽  
Socioeconomic And Demographic Factors ◽  
The Impact

Data from the District Level Household Survey (2002) conducted by the Reproductive and Child Health Project in India has been used to examine the impact of utilization of antenatal care services on improvement in maternal health in rural areas of Uttar Pradesh, India. Multilevel analysis shows that after controlling for other socioeconomic and demographic factors, utilization of antenatal care services may lead to the utilization of other maternal health related services such as institutional delivery, delivery assisted by trained professionals, seeking advice for pregnancy complications, and seeking advice for post-delivery complications. There is strong clustering of utilization of services within the primary sampling units (i.e. villages) and districts.

scholarly journals Learning, Doing and Teaching Together: Reflecting on our Arts Based Approach to Research, Education and Activism with and for Women Living with HIV

2019 ◽  
Vol 5 (2) ◽  
pp. 263-273
Author(s):  
Saara Greene ◽  
Marvelous Muchenje ◽  
Jasmine Cotnam ◽  
Kristin Dunn ◽  
Peggy Frank ◽  
...  
Keyword(s):  
Service Providers ◽  
Body Mapping ◽  
Life Project ◽  
Research Education ◽  
National Team ◽  
Women Living With Hiv ◽  
Aids Stigma ◽  
Hiv Service Providers ◽  
Living With Hiv ◽  
The Impact

Body Mapping has been used for thousands of years by people who want to achieve a better understanding of themselves, their bodies and the world they live in. Artist Jane Solomon and psychologist Jonathan Morgan transformed Body Mapping for the “Long Life Project”, during the Médecins Sans Frontières (MSF) roll-out of antiretrovirals in Khayelitsha township, South Africa in 2001. Body mapping enables participants to tell their stories in the face of intense HIV/AIDS stigma. We adapted Body Mapping for the Women, Art and Criminalizaton of HIV Non-Disclosure (WATCH) study, a community arts based research (CBR) approach to better understand the impact that Canadian laws criminalizing HIV non-disclosure have on women living with HIV. Our national team includes women living with HIV, service providers, and researchers. This reflection illustrates our collective and iterative process of learning, teaching and doing body mapping workshops with women living with HIV in Canada. We share our experiences of coming to Body Mapping as an arts-based approach to CBR, how our roles as researchers stretched to include community-based education, advocacy, and group facilitation, and how we embodied the artist-researcher identity as we disseminate our research in ways that actively engage the general public on laws criminalizing HIV nondisclosure laws vis-à-vis Body Mapping galleries.

scholarly journals Bereavement support standards and bereavement care pathway for quality palliative care

2017 ◽  
Vol 16 (4) ◽  
pp. 375-387 ◽  
Author(s):  
Peter Hudson ◽  
Chris Hall ◽  
Alison Boughey ◽  
Audrey Roulston
Keyword(s):  
Palliative Care ◽  
Service Providers ◽  
Care Pathway ◽  
Care Service ◽  
Palliative Care Service ◽  
Bereavement Support ◽  
Care Services ◽  
Palliative Care Services ◽  
Bereavement Care ◽  
The Impact

ABSTRACTObjective:Provision of bereavement support is an essential component of palliative care service delivery. While bereavement support is integral to palliative care, it is typically insufficiently resourced, under-researched, and not systematically applied. Our aim was to develop bereavement standards to assist palliative care services to provide targeted support to family caregivers.Method:We employed a multiple-methods design for our study, which included: (1) a literature review, (2) a survey of palliative care service providers in Australia, (3) interviews with national (Australian) and international experts, (4) key stakeholder workshops, and (5) a modified Delphi-type survey.Results:A total of 10 standards were developed along with a pragmatic care pathway to assist palliative care services with implementation of the standards.Significance of results:The bereavement standards and care pathway constitute a key initiative in the evolution of bereavement support provided by palliative care services. Future endeavors should refine and examine the impact of these standards. Additional research is required to enhance systematic approaches to quality bereavement care.

scholarly journals Connected Health Services: Framework for an Impact Assessment

10.2196/14005 ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. e14005 ◽  
Author(s):  
Ioanna Chouvarda ◽  
Christos Maramis ◽  
Kristina Livitckaia ◽  
Vladimir Trajkovik ◽  
Serhat Burmaoglu ◽  
...  
Keyword(s):  
Early Stage ◽  
Cost Savings ◽  
Initial Step ◽  
New Paradigm ◽  
Chronic Patients ◽  
Related Services ◽  
Connected Health ◽  
Care Services ◽  
Care Models ◽  
The Impact

Background Connected health (CH), as a new paradigm, manages individual and community health in a holistic manner by leveraging a variety of technologies and has the potential for the incorporation of telehealth and integrated care services, covering the whole spectrum of health-related services addressing healthy subjects and chronic patients. The reorganization of services around the person or citizen has been expected to bring high impact in the health care domain. There are a series of concerns (eg, contextual factors influencing the impact of care models, the cost savings associated with CH solutions, and the sustainability of the CH ecosystem) that should be better addressed for CH technologies to reach stakeholders more successfully. Overall, there is a need to effectively establish an understanding of the concepts of CH impact. As services based on CH technologies go beyond standard clinical interventions and assessments of medical devices or medical treatments, the need for standardization and for new ways of measurements and assessments emerges when studying CH impact. Objective This study aimed to introduce the CH impact framework (CHIF) that serves as an approach to assess the impact of CH services. Methods This study focused on the subset of CH comprising services that directly address patients and citizens on the management of disease or health and wellness. The CHIF was developed through a multistep procedure and various activities. These included, as initial steps, a literature review and workshop focusing on knowledge elicitation around CH concepts. Then followed the development of the initial version of the framework, refining of the framework with the experts as a result of the second workshop, and, finally, composition and deployment of a questionnaire for preliminary feedback from early-stage researchers in the relevant domains. Results The framework contributes to a better understanding of what is CH impact and analyzes the factors toward achieving it. CHIF elaborates on how to assess impact in CH services. These aspects can contribute to an impact-aware design of CH services. It can also contribute to a comparison of CH services and further knowledge of the domain. The CHIF is based on 4 concepts, including CH system and service outline, CH system end users, CH outcomes, and factors toward achieving CH impact. The framework is visualized as an ontological model. Conclusions The CHIF is an initial step toward identifying methodologies to objectively measure CH impact while recognizing its multiple dimensions and scales.

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