scholarly journals Towards elimination of Lymphatic Filariasis in Kenya: Improving advocacy, communication and social mobilization activities for mass drug administration, a qualitative study.

2021 ◽  
Author(s):  
Lydiah W. Kibe ◽  
Bridget W. Kimani ◽  
Collins Okoyo ◽  
Wyckliff P. Omondi ◽  
Hadley M. Sultani ◽  
...  
Keyword(s):  
Health Workers ◽  
Neglected Tropical Diseases ◽  
Social Mobilization ◽  
Structured Interviews ◽  
Health Extension Workers ◽  
Innovative Strategies ◽  
Transmission Strategy ◽  
Effective Implementation ◽  
Depth Interviews ◽  
Collection Methods

Abstract IntroductionA major pillar in the Kenya Neglected Tropical Diseases (NTD) breaking transmission strategy of 2019 -2023 is that of intensifying advocacy, coordination and partnerships in NTD control and elimination. The purpose of this study was to explore views and experiences of stakeholders and health workers on ways of improving Advocacy, Communication and Social Mobilization (ACSM) activities of MDA for LF programmes through participatory approaches in Kilifi County, Kenya.Methods: Two wards were purposely selected in Kaloleni sub county, Kilifi County where there was average treatment coverage of 56% in 2015, 50.5% in 2016. Qualitative data collection methods were employed which included participatory meetings with county stakeholders to understand their views, experiences and suggestions on how ACSM strategies can be improved in MDA for LF. 12 In-Depth Interviews (IDI) were conducted (six with opinion leaders and six with Community Health Extension Workers (CHEWs) and two Semi structured interviews (SSIs) were held with county and sub-county coordinators involved in MDA administration. The aim was better understanding their perceptions of the NTD program about ACSM, challenges to ACSM strategies, and ways to improve the strategies for ACSM in MDA for LF. Data was organized and classified into codes and themes using QSR NVIVO version 12.Results: The study observed a low participation of stakeholders in ACSM activities of MDA for LF and identified potential areas for stakeholders’ involvement to strengthen the activities. Challenges hindering effective implementation of ACSM activities included late delivery of Information Educational and Communication (IEC) and few IEC materials, insufficient funding, inadequate time allocated to reach to the assigned households with messages, messaging and packaging of information for dissemination and vastness of the area. The stakeholders recommended innovative strategies and techniques to improve ACSM activities.Discussion and Conclusion: The results of this study show key challenges to ACSM implementation of MDA for LF. Implementers need to pay attention to these challenges to enhance effectiveness of MDA in accordance to the Kenya NTD breaking transmission Strategy. ACSM efforts in MDA for LF control and elimination should be linked with overarching efforts to mainstream partnerships and coordination in control and elimination.

scholarly journals Towards elimination of Lymphatic Filariasis in Kenya: Improving advocacy, communication and social mobilization activities for mass drug administration

2021 ◽  
Author(s):  
Lydiah W. Kibe ◽  
Bridget W. Kimani ◽  
Collins Okoyo ◽  
Wyckliff P. Omondi ◽  
Hadley M Sultani ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Health Workers ◽  
Neglected Tropical Diseases ◽  
Social Mobilization ◽  
Sub Saharan Africa ◽  
Successful Implementation ◽  
Health Extension Workers ◽  
Transmission Strategy

Abstract Introduction Understanding challenges affecting the implementation process of Mass Drug Administration for Lymphatic Filariasis (MDA for LF) elimination programmes is critical for successful implementation of similar interventions. The sub-Saharan Africa (SSA) region records the second highest prevalence of the disease and subsequently several countries have initiated and implemented MDA for LF. A major pillar in the Kenya Neglected Tropical Diseases (NTD) breaking transmission strategy of 2019 -2023 is that of intensifying advocacy, coordination and partnerships in NTD control and elimination. The purpose of this study was therefore to explore views and experiences of stakeholders and health workers on ways of improving Advocacy, Communication and Social Mobilization (ACSM) activities of MDA for LF programmes through participatory approaches in Kilifi County, Kenya. Methods Two wards were purposely selected in Kaloleni sub county, Kilifi County where there was an average treatment coverage of 56% in 2015, 50.5% in 2016. Qualitative data collection methods were employed which included participatory meetings with county stakeholders to understand their views, experiences and suggestions on how ACSM strategies can be improved in MDA for LF. Twelve In-Depth Interviews (IDI) were conducted (six with opinion leaders and six with Community Health Extension Workers (CHEWs) and two Semi structured interviews (SSIs) were held with county and sub-county coordinators involved in MDA administration. The aim was better understanding their perceptions of the NTD program about ACSM, challenges to ACSM strategies, and ways to improve the strategies for ACSM in MDA for LF. Data was organized and classified into codes and themes using QSR NVIVO version 12.Results The study observed a low participation of stakeholders in ACSM activities of MDA for LF and identified potential areas for stakeholders’ involvement to strengthen the activities. Challenges hindering effective implementation of ACSM activities included late delivery of Information Educational and Communication (IEC) and few IEC materials, insufficient funding, inadequate time allocated to reach to the assigned households with messages, messaging and packaging of information for dissemination and vastness of the area. Also, highlighted were challenges with morbidity management and disability prevention services. The stakeholders recommended innovative strategies and techniques to improve ACSM activities. Discussion and Conclusion The results of this study show key challenges to ACSM implementation of MDA for LF. Implementers need to pay attention to these challenges to enhance effectiveness of MDA in accordance to the Kenya NTD breaking transmission Strategy. ACSM efforts in MDA for LF control and elimination should be linked with overarching efforts to mainstream partnerships and coordination in control and elimination.

scholarly journals Aspek Lingual Tegursapa Sosial Masyarakat Jawa Kota Semarang

2018 ◽  
Vol 13 (2) ◽  
pp. 180
Author(s):  
M Suryadi
Keyword(s):  
Data Analysis ◽  
Focus Group ◽  
Structured Interviews ◽  
Sampling System ◽  
Purposive Sampling ◽  
System Data ◽  
Depth Interviews ◽  
Collection Methods ◽  
Separation Of Components ◽  
Selection Of

AbstractThe purpose of this study is to describe lingual aspects that strengthen the speech of the clergy of Java Coastal community in Semarang City. This greeting remarks as a glue of the socioal harmony and horizontal conflict absorbers, as well as a feature of uniqueness in the connection of social intimacy in the coastal region.Research location in Semarang City. Selection of respondents and informants using purposive sampling system. Data collection methods were conducted through structured interviews, in-depth interviews, and focus group discs. The method of data analysis using the separation of components on speech by greeting sad lingual aspects contained in the speech.There are three lingual aspects that influence the power of speech:  speech sauce, variety, and formIntisariTujuan penelitian ini adalah mendeskripsikan aspek lingual yang memperkuat tuturan tegur-sapa social masyarakat Jawa Pesisir di Kota Semarang.  Tuturan bertegur-sapa ini sebagai perekat harmoni sosioal dan peredam konflik horizontal, sekaligus sebagai fitur keunikan dalam pertalian keakraban sosial di wilayah pesisiran.  Lokasi penelitian di Kota Semarang. Pemilihan responden dan informan menggunakan sistem purposive sampling. Metode pengumpulan data dilakukan melalui wawancara terstruktur, wawancara  mendalam, dan focus group discus.Metode analisis data menggunakan pemilahan komponen pada tuturan bertegur-sapa melalui aspek-aspek lingual yang terdapat pada tuturan. Ditemukan tiga aspek lingual yang mempengaruhi kekuatan tuturan bertegur sapa social, yakni kecap ujaran,ragam, dan bentuk.

scholarly journals Penyebab Balita tidak Imunisasi Dasar Lengkap di Desa Kalumbatan Kabupaten Banggai Kepulauan

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Lingsi Alpon ◽  
Ramli ◽  
Marselina Sattu ◽  
Derthan E.F. Polunggu ◽  
Muhammad Syahrir ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Health Workers ◽  
Sampling Technique ◽  
Phenomenological Approach ◽  
Retrieval Method ◽  
Child Immunization ◽  
Data Presentation ◽  
Depth Interviews ◽  
Collection Methods ◽  
Improve Health

Imunisasi merupakan pencegahan primer yang sangat efektif untuk menghindari terjangkitnya penyakit infeksi. Oleh sebab itu, angka kejadian penyakit infeksi akan menurun, kecacatan serta kematian yang ditimbulkannya pun akan berkurang. Sampai saat ini kasus yang ditemukan dilapangan ternyata masih ada ibu-ibu balita yang tidak mau membawa anaknya untuk diberikan imunisasi. Desa Kalumbatan merupakan satu-satunya Desa di Kecamatan Totikum Selatan yang belum mencapai target Universal Child Immunization (UCI). Penelitian ini bertujuan untuk memperoleh informasi penyebab ibu balita tidak memberikan imunisasi dasar pada balitanya di Desa Kalumbatan Kecamatan Totikum Selatan. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi, metode pengumpulan data dengan observasi dan wawancara mendalam (indepht interview). Informan dalam penelitian ini berjumlah 20 orang yakni ibu yang memiliki balita 0-59 bulan yang tidak lengkap imunisasi dasar balitanya, kader Posyandu dan petugas kesehatan yang didapatkan menggunakan metode pengambilan informan dengan teknik sampling menggunakan Snow Ball Sampling. Analisis data melalui tiga prosedur yaitu reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian ini menunjukkan bahwa penyebab ibu balita tidak memberikan imunisasi dasar lengkap pada balitanya di Desa Kalumbatan ditemukan 5 informasi yakni : Takut dan trauma balitanya demam setelah diimunisasi, jarak rumah ke Posyandu yang jauh, sibuk dengan pekerjaan, tidak ada dukungan keluarga dan tidak mengetahui informasi jadwal imunisasi. Perlu adanya atau ditingkatkan promosi kesehatan kepada orang tua maupun peserta posyandu terkait peningkatan pemahaman atau pengetahuan tentang manfaat pentingnya imunisasi. Sehingga mampu meningkatkan cakupan imunisasi dasar di kabupaten Banggai Kepulauan khususnya Desa Kalumbatan Kecamatan Totikum Selatan. Immunization is a very effective primary prevention to avoid contracting infectious diseases. Therefore, the incidence of infectious diseases will decrease, the resulting disability and death will also decrease. Until now, the cases found in the field are still mothers of toddlers who do not want to bring their children to be given immunizations. Kalumbatan Village is the only village in South Totikum District that has not yet reached the Universal Child Immunization (UCI) target. This study aims to obtain information on the reasons why mothers of toddlers do not provide basic immunizations for their toddlers in Kalumbatan Village, South Totikum District. This research is a qualitative research with a phenomenological approach, data collection methods with observation and in-depth interviews (indepht interviews). The informants in this study were 20 people, namely mothers who had toddlers 0-59 months whose basic immunizations were incomplete, Posyandu cadres and health workers who were obtained using the informant retrieval method with a sampling technique using Snow Ball Sampling. Data analysis through three procedures, namely data reduction, data presentation and drawing conclusions. The results of this study indicate that the causes of mothers under five who do not provide complete basic immunization to their toddlers in Kalumbatan Village found 5 information, namely: Fear and trauma of toddlers having fever after being immunized, far from home to Posyandu, busy with work, no family support and not knowing information immunization schedule. It is necessary to have or improve health promotion to parents and posyandu participants related to increasing understanding or knowledge about the benefits of the importance of immunization. So as to increase the coverage of basic immunization in Banggai Islands district, especially Kalumbatan Village, South Totikum District. 

scholarly journals Qualitative lens to assessing the ground level implementation of conditional cash transfer scheme in India

2018 ◽  
Vol 7 (7) ◽  
pp. 2742
Author(s):  
Shantanu Sharma ◽  
Devika Mehra ◽  
Harsavardhan Nayak ◽  
M. M. Singh
Keyword(s):  
Ground Level ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Respectful Maternity Care ◽  
Structured Interviews ◽  
Transfer Scheme ◽  
Effective Implementation ◽  
Accredited Social Health Activist ◽  
Principle Investigator ◽  
Depth Interviews

Background: Conditional cash transfer scheme, known as Janani Suraksha Yojna (JSY) is an innovative concept on the lines of behavioral economics. The study aimed to investigate factors associated with effective implementation of scheme at the community in Delhi, India.Methods: We did qualitative study to investigate the implementation factors related to JSY by conducting in depth interviews with 50 mothers in a span of three months. All the interviews were conducted in local language (Hindi) by the principle investigator. The data were collected through semi-structured interviews, which were later transcribed and recorded in Microsoft-Excel sheet. The themes were developed inductively, meaning that they were anticipated from the design of interview, during literature review and deductively meaning that they were not anticipated during design of the interview.Results: The mean (±SD) age of the women was 25(±3.5) years. More than three-forth of the mothers were not aware of the JSY scheme. Most of the women claimed limited support from accredited social health activist at the time of delivery. Provision of respectful maternity care was poor with women reporting episodes of verbal abuses, and arrogant attitude of the staff. Issues in utilization of the scheme encountered in study were untimely disbursement of money, problems in the process of BPL cards formation, lack of awareness on the scheme, banking illiteracy etc.Conclusions: Amidst the wider geographic reach and accessibility of the scheme by the poor, there exists some barriers to its effective implementation and practical challenges, which need immediate addressal by program managers.

scholarly journals ANALISIS DETERMINAN PENDAPATAN RUMAH TANGGA MISKIN DI KECAMATAN KARANGASEM

2021 ◽  
pp. 701
Author(s):  
I Nyoman Bayu Sugiarta Wiguna ◽  
Ni Luh Karmini
Keyword(s):  
Family Members ◽  
Total Sample ◽  
Work Participation ◽  
Structured Interviews ◽  
Poor Households ◽  
Participation Level ◽  
Analysis Technique ◽  
The World ◽  
Depth Interviews ◽  
Collection Methods

Poverty is the biggest challenge faced by the world and is one of the three main problems that exist in economic development in the world. This study aims to analyze the effect of education, age, and work participation of family members simultaneously and partially on the income of poor households in Karangasem District. This research was conducted in Karangasem sub-district with a total sample of 100 respondents using the sampling method, namely proportionate random sampling and data collection methods, namely observation, structured interviews, and in-depth interviews. The data analysis technique used is multiple linear regression. The results of this study indicate that the variables of education, age, and the level of work participation of family members simultaneously have a significant effect on the income of poor households in Karangasem District. The variables of education, age, and participation level partially have a positive and significant effect on the income of poor households in Karangasem District.

WISATA BAHARI PADA ZONA PEMANFAATAN TAMAN NASIONAL MANUSELA: POTENSI DAN FAKTOR PENGARUH PENGEMBANGAN

2018 ◽  
Vol 2 (2) ◽  
pp. 66-73
Author(s):  
Ivonne R. G. Kaya ◽  
Fildo De Lima
Keyword(s):  
National Park ◽  
Point Of View ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Tourist Attractions ◽  
Income Sources ◽  
Economic Progress ◽  
Key Driver ◽  
Tourism Attractions ◽  
Depth Interviews

Tourism has become one of the major players in ‎international commerce and represents one of the main income ‎sources for many developing countries at the same time. These dynamics have turned tourism into a key driver for socio-‎economic progress.‎ This article described the potential of tourism attraction and factor affecting the development of marine tourism area in the utilization zone of Manusela National Park. Semi-structured interviews, in-depth interviews and participant observations were conducted with respondent (n=110) in Bellarizky, Air Belanda, Ora Beach and Lizar Bahari resort. The potential of tourist attractions in the utilization zone of Manusela National Park is as a snorkeling, diving and point of view. Factors affecting the development are service, transportation, supporting facilities and tourism attractions.

STUDI KUALITATIF : KEBUTUHAN IBU HAMIL DENGAN DIABETES MELITUS GESTASIONAL DI KABUPATEN KARANGANYAR JAWA TENGAH

2020 ◽  
pp. 17-26
Author(s):  
Arista Apriani ◽  
M Mufdlilah ◽  
Menik Sri Daryanti
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Health Center ◽  
Blood Sugar ◽  
Interpretative Phenomenological Analysis ◽  
Health Workers ◽  
Phenomenological Analysis ◽  
Lifestyle Changes ◽  
Structured Interviews ◽  
Diabetes Melitus

ABSTRAK GDM dapat berpotensi menimbulkan komplikasi serius yang dapat mengakibatkan risiko kesehatan jangka pendek dan jangka panjang bagi ibu dan bayinya. diagnosis GDM menimbulkan efek emosional yang negatif. Persepsi ibu hamil tentang GDM dapat memengaruhi perubahan gaya hidup. Garis pertama penatalaksanaan DMG yaitu dengan perubahan gaya hidup. Tujuan menggali secara mendalam kebutuhan ibu dengan diagnosis diabetes melitus gestasional. Metode penelitian kualitatif dengan pendekatan  fenomenologi. Lokasi di Kabupaten Karanganyar yaitu Puskesmas Jaten I, Puskesmas Matesih dan RSUD Kabupaten Karanganyar, pada bulan Oktober 2019 - Januari 2020. Sampel secara criterion sampling Pengumpulan data dengan semistructure interview dengan one on one interview. Uji Keabsahan Data dengan Credibility pada penelitian ini menggunakan strategi validitas triangulasi, Tranferability, Dependability, Confirmability. Analisis data dengan Interpretative Phenomenological Analysis (IPA). Hasil penelitian kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga dalam hal mengontrol pola makan, mengatarkan periksa ke tenaga kesehatan, dan mengingatkan untuk aktifitas olah raga. Dukungan sosial, yaitu cara mengontrol gula darah. Dukungan tenaga kesehatan, yaitu saran dan motivasi untuk mengontrol gula darah. Informasi mendapat saran atau perawatan DMG dalam kehamilan adalah dari tenaga kesehatan yaitu bidan, dokter, serta selain tenaga kesehatan dari teman dan internet. Kesimpulannya kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga, dukungan sosial, dukungan tenaga kesehatan dan informasi.   Kata kunci: diabetes melitus gestasional, kehamilan, kebutuhan.   ABSTRACT GDM can overcome serious problems that can overcome short-term and long-term health problems for mother and baby. a diagnosis of GDM has a negative emotional effect. Pregnant women 's perception of GDM can affect lifestyle changes. The first line of management of DMG is lifestyle changes. Diagnosis of gestational diabetes mellitus. Qualitative research methods by studying phenomenology. Locations in Karanganyar Regency are Jaten I Health Center, Matesih Health Center and Karanganyar District Public Hospital, in October 2019 - January 2020. Sample sampling criteria Data collection by semi-structured interviews with one-on-one interviews. Data Validity Test with Credibility in this study using the triangulation validity strategy, Transparency, Dependability, Confirmability. Data analysis with Interpretative Phenomenological Analysis (IPA). The results of the study of the needs of pregnant women with DMG identified four themes, namely supporting the family in terms of controlling diet, sending check to health workers, and reminding for sports activities. Social support, which is a way to control blood sugar. Support of Health Workers, namely advice and motivation to control blood sugar. The information obtained from DMG advice or treatment in the assessment is from health workers, namely midwives, doctors, and also health workers from friends and the internet. In conclusion, the needs of pregnant women with DMG identified four themes, namely family support, social support, support of health workers and information.  

DINAMIKA PSIKOLOGIS PADA MANTAN PECANDU NAPZA YANG SEDANG MENJALANI PROGRAM SUBSTITUSI ORAL METADON (STUDI KASUS)

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Wina Lova Riza
Keyword(s):  
Sampling Technique ◽  
Drug Addicts ◽  
Structured Interviews ◽  
Probability Sampling ◽  
Purposive Sampling ◽  
Case Study Analysis ◽  
Analysis Technique ◽  
Depth Interview ◽  
Psychological Dynamics ◽  
Depth Interviews

 This study aims to determine the psychological dynamics of former drug addicts, starting from drug abuse until they become addicted, deciding to stop using them. This study uses a qualitative approach, the subject or informant is determined using a non-probability sampling technique with a purposive sampling type based on predetermined criteria, which involves one informant, namely a male (F) aged 42 years. Data collection methods used in this study are in-depth interviews (in depth interviews), where researchers will interview informants with semi-structured interviews. In addition, researchers also used observation and psychological tests, which are graphic tests in the form of DAM (Draw a Man) and BAUM (tree drawing) tests, and intelligence tests using WAIS. The data analysis technique used is case study analysis of case / incident patterns. Based on the results of research F became a drug addict because of the learning process, where the enjoyment and lack of parental supervision is a reinforcement to continue using drugs. Generalization of people, places, pleasure makes it difficult for F to stop using drugs.   Keywords: Psychological Dynamics, Drug Addicts. Penelitian ini bertujuan untuk mengetahui dinamika psikologis mantan pecandu napza, dimulai dari awal menyalahgunan napza hingga menjadi kecanduan, memutuskan untuk berhenti memakai. Penelitian ini menggunakan pendekatan kualitatif, Subjek atau informan ditentukan dengan menggunakan tehnik sampling non-probability sampling dengan tipe purposive sampling berdasarkan kriteria yang telah ditentukan, yaitu melibatkan satu informan, yaitu laki-laki (F) yang berusia 42 tahun. Metode pengumpulan data yang digunakan dalam penelitian ini adalah dengan wawancara secara mendalam (in depth interview), dimana peneliti akan menwawancarai informan dengan wawancara semi terstruktur. Selain itu peneliti juga menggunakan observasi serta menggunakan tes-tes psikologi, yaitu tes grafis berupa tes DAM (Draw a Man) dan BAUM (tes menggambar pohon), serta tes inteligensi dengan menggunakan WAIS. Tehnik analisis data yang digunakan adalah menggunakan analisis studi kasus pola kasus/kejadian. Berdasarkan hasil penelitian F menjadi pecandu narkoba karena adanya proses belajar, dimana kenikmatan dan kurangnya pengawasan orang tua merupakan reinforcement untuk terus menggunakan napza. Adanya generalisasi terhadap people, place, pleasure menyebabkan F sulit untuk berhenti menggunakan napza. Kata Kunci: Dinamika Psikologis, Mantan Pengguna Napza

scholarly journals Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kirsten Austad ◽  
Michel Juarez ◽  
Hannah Shryer ◽  
Patricia L. Hibberd ◽  
Mari-Lynn Drainoni ◽  
...  
Keyword(s):  
Health Workers ◽  
Positive Impact ◽  
Qualitative Evaluation ◽  
Obstetric Care ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Future Research ◽  
Care Seeking ◽  
Structured Interviews ◽  
The Impact

Abstract Background Global disparities in maternal mortality could be reduced by universal facility delivery. Yet, deficiencies in the quality of care prevent some mothers from seeking facility-based obstetric care. Obstetric care navigators (OCNs) are a new form of lay health workers that combine elements of continuous labor support and care navigation to promote obstetric referrals. Here we report qualitative results from the pilot OCN project implemented in Indigenous villages in the Guatemalan central highlands. Methods We conducted semi-structured interviews with 17 mothers who received OCN accompaniment and 13 staff—namely physicians, nurses, and social workers—of the main public hospital in the pilot’s catchment area (Chimaltenango). Interviews queried OCN’s impact on patient and hospital staff experience and understanding of intended OCN roles. Audiorecorded interviews were transcribed, coded, and underwent content analysis. Results Maternal fear of surgical intervention, disrespectful and abusive treatment, and linguistic barriers were principal deterrents of care seeking. Physicians and nurses reported cultural barriers, opposition from family, and inadequate hospital resources as challenges to providing care to Indigenous mothers. Patient and hospital staff identified four valuable services offered by OCNs: emotional support, patient advocacy, facilitation of patient-provider communication, and care coordination. While patients and most physicians felt that OCNs had an overwhelmingly positive impact, nurses felt their effort would be better directed toward traditional nursing tasks. Conclusions Many barriers to maternity care exist for Indigenous mothers in Guatemala. OCNs can improve mothers’ experiences in public hospitals and reduce limitations faced by providers. However, broader buy-in from hospital staff—especially nurses—appears critical to program success. Future research should focus on measuring the impact of obstetric care navigation on key clinical outcomes (cesarean delivery) and mothers’ future care seeking behavior.

scholarly journals Adapting to context: Creative strategies of video streaming services in Nigeria

2021 ◽  
pp. 135485652110173
Author(s):  
Godwin Iretomiwa Simon
Keyword(s):  
Video On Demand ◽  
Business Environment ◽  
Media Industry ◽  
Operational Environment ◽  
Structured Interviews ◽  
African Countries ◽  
Innovative Strategies ◽  
African Context ◽  
The Media ◽  
Streaming Services

This article examines the contextual challenges that characterize the video on demand (VOD) market in Africa. It provides critical analysis of the creative strategies employed by Nigeria-based streaming services to navigate the peculiar business environment on the continent. This research is on the background of the poor Internet infrastructure and economic divides in many African countries including Nigeria. Streaming services operating in these markets must understand a context where Internet access is complicated on the levels of availability and/or affordability, including significant lack of confidence in e-payment facilities. All these, together with epileptic power supply and poor standard of living, indicate that streaming services must innovate to capture subscribers within the continent. Despite the harsh operational environment, streaming services in Nigeria have continued to increase in number within the past 5 years. This is attributed to the transnational reach of the streaming services as they are patronized by Africans in diaspora across the globe, while they also enjoy popularity within African countries. This article specifically focuses on the innovative strategies employed by Nigerian streaming services to operate within their African markets in the context of their peculiar challenges. In so doing, it extends extant scholarship about Internet-distributed video using the African context. This article is situated within the Media Industry Studies framework and draws from semi-structured interviews with 7 streaming executives in Nigeria and 10 creative professionals in the Nigerian Video Film Industry (Nollywood). It also relies on desk research of press reports, industry publications, as well as the interfaces of streaming portals. This article underscores the necessity of contextualized research with the digital turn in video distribution. Through contextualized analysis of VOD market realities in a less studied terrain like Africa, it aligns with scholarly call to expand theories of Internet-distributed video to marginal contexts.

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