scholarly journals Empowerment in agricultural value chains: Mixed methods evidence from the Philippines

Author(s):  
Hazel J. Malapit ◽  
Catherine Ragasa ◽  
Elena M. Martinez ◽  
Deborah Rubin ◽  
Gregory Seymour ◽  
...  
2020 ◽  
Vol 76 ◽  
pp. 240-253 ◽  
Author(s):  
Hazel Malapit ◽  
Catherine Ragasa ◽  
Elena M. Martinez ◽  
Deborah Rubin ◽  
Greg Seymour ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erika Louise L. Flores ◽  
Edric Matthew R. Manahan ◽  
Miguel Paulo B. Lacanilao ◽  
Isabella Ma. Beatriz T. Ladaw ◽  
Mico Martin B. Mallillin ◽  
...  

Abstract Background To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. Methods A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. Results 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. Conclusions A host of individual, work-related, local, national, and international factors influence the DTTB’s decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.


2020 ◽  
Author(s):  
Chisato Masuda ◽  
Shirley Kristine Ferolin ◽  
Ken Masuda ◽  
Chris Smith ◽  
Mitsuaki Matsui

Abstract Background Evidenced-based practice is a key component of quality care. However, studies in the Philippines have identified gaps between evidence and actual maternity practices. This study aims to describe the practice of evidence-based intrapartum care and its associated factors, as well as exploring the perceptions of healthcare providers in a tertiary hospital in the Philippines. Methods A mixed-methods study was conducted, which consisted of direct observation of intrapartum practices during the second and third stages, as well as semi-structured interviews and focus group discussions with care providers to determine their perceptions and reasoning behind decisions to perform episiotomy or fundal pressure. Univariate and multivariate logistic regression were used to analyse the relationship between observed practices and maternal, neonatal, and environmental factors. Qualitative data were parsed and categorised to identify themes related to the decision-making process. Results A total of 170 deliveries were included. Recommended care, such as prophylactic use of oxytocin and controlled cord traction in the third stage, were applied in almost all the cases. However, harmful practices were also observed, such as intramuscular or intravenous oxytocin use in the second stage (14%) and lack of foetal heart rate monitoring (57%). Of primiparae, 92% received episiotomy and 31% of all deliveries received fundal pressure. Factors associated with the implementation of episiotomy included primipara (adjusted Odds Ratio [aOR] 62.3), duration of the second stage of more than 30 minutes (aOR 4.6), and assisted vaginal delivery (aOR 15.0). Factors associated with fundal pressure were primipara (aOR 3.0), augmentation with oxytocin (aOR 3.3), and assisted delivery (aOR 4.8). Healthcare providers believe that these practices can prevent laceration. The rate of obstetric anal sphincter injuries (OASIS) was 17%. Associated with OASIS were assisted delivery (aOR 6.0), baby weights of more than 3.5 kg (aOR 7.8), episiotomy (aOR 26.4), and fundal pressure (aOR 6.2). Conclusions Our study found that potentially harmful practices are still conducted that contribute to the occurrence of OASIS. The perception of these practices is divergent with current evidence, and empirical knowledge has more influence. To improve practices the scientific evidence and its underlying basis should be understood among providers.


2021 ◽  
pp. 0261927X2110657
Author(s):  
Cristina Jayme Montiel ◽  
Joshua Uyheng ◽  
Nmanuel de Leon

Swearing in public discourse represents a contentious rhetorical feature of populist leaders’ transgressive politics. This paper argues that, beyond constituting merely “offensive” speech, swearing generatively accomplishes a host of discursive functions which contribute to the fortification of a populist regime. Taking populist President Duterte of the Philippines as a case in point, we utilize a critical text analytics approach to examine his use of profane language across a corpus of 746 of his public speeches. We find that Duterte discursively harnesses swear words to: (a) affirm vernacular identities with hostile humor, (b) claim outsider virtues against corrupt institutions, and (c) marshal insider force as the nation's sovereign leader. Swearing thus represents a rich discursive resource for populist leaders to navigate their contradictory positions as insiders and outsiders to political power, toward both public endearment and coercion of the nation's people. Our findings suggest the importance of critically examining language in relation to collective-level phenomena like populism and the utility of mixed methods approaches for enriching global psychologies of politics and language.


Author(s):  
May T. Delgado

With the diversity of learners, identifying their multiple intelligences and vocabulary levels has a significant contribution to the academe. The study, which employed mixed methods, aimed to determine the multiple intelligences and the vocabulary level of the teacher education students enrolled in a state university in the Philippines. The quantitative data were obtained using the MIDAS-24 and the validated vocabulary test; while the qualitative data were obtained from interviews and some documents. The numerical data were processed considering the percentage, mean, standard deviation, and ANOVA, using the SPSS software. The text data were subjected to qualitative analysis, such as documentation, and coding and categorization. The findings revealed the following: (a) considering the multiple intelligence(s) they possessed, the students were grouped into seven clusters, where the most number of them had interpersonal intelligence; (b) when considered as a whole and when classified according to their multiple intelligences, they had an “average” vocabulary level, or they had a limited vocabulary; and (c) no significant difference existed in their vocabulary levels when grouped according to multiple intelligence classification. The results then served as bases on the development of instructional materials designed to complement the students' multiple intelligences and to improve their vocabulary.   Keywords-Education, multiple intelligences, vocabulary level, teacher education students, mixed methods, Philippines  


2019 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Lee C. Fergusson ◽  
Kenneth L. Cavanaugh

The relationship between individual and group practice of the Transcendental Meditation and TM-Sidhi program andreductions in social stress, tension, and violence has been the topic of systematic exploration since the 1970s in Canada,India, Israel, Lebanon, New Zealand, Norway, the Philippines, Puerto Rico, United Kingdom, and United States.Findings from these quantitative studies have been published in leading international conflict resolution and peacestudies journals. However, research in Cambodia has to date only been of a descriptive and qualitative nature with afocus on economic and social variables not violence or crime.The purpose of the present study is therefore to examine socio-political violence in Cambodia between January 1990and December 1992 (the baseline period) and the possible influence of group practice of the Transcendental Meditationand TM-Sidhi program at Maharishi Vedic University (MVU) by 550 undergraduate students beginning in January1993 through December 2008 (the impact-assessment period). This study uses an explanatory mixed methods designto examine socio-political violence using time series analysis of machine-coded news reports (quantitative data) anddocument analysis of national and international media reports, personal statements, and public documents (qualitativedata).Results indicate that beginning in January 1993, when meditating students at MVU began their group practice, amarked downward shift occurred in the trends of socio-political violence and other forms of violent crime in Cambodia,contrary to predicted baseline trends and contrary to widespread community and media expectations. Such aconclusion can be drawn from both the quantitative and qualitative evidence when comparing baseline andimpact-assessment periods, suggesting that the observed decline in socio-political violence during this time wasassociated with an increase in peace, order, and harmony—that is, a rise of social coherence—in the collectiveconsciousness of Cambodia generated by the group of meditating students at MVU.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050688
Author(s):  
Jonathan P Guevarra ◽  
Amy E Peden ◽  
Richard Charles Franklin

IntroductionDrowning is a global public health threat, disproportionately impacting low-income and middle-income countries. In the Philippines, it is estimated that more than 5200 people die from drowning per annum. This number is likely to be higher than currently estimated with the inclusion of disaster-related and transportation-related drowning. Drowning is preventable if appropriate preventive interventions are put in place which redress known risk factors.Methods and analysisThis study uses the PRECEDE–PROCEED model (PPM), an eight-step health promotion planning and evaluation model for building and improving intervention programmes. This mixed-methods study, which can be used in any location, will be implemented in Los Baňos, Laguna, Philippines, identified as an area of concern for drowning. Using the PPM, data on drowning will be collected from death records, community observation, key informant interviews, focus group discussions and community survey. A range of analytical methods will be used to explore drowning data including univariate and χ2 analyses, analysis of variance, relative risk and calculating rates using population data. The quantitative data and themes drawn from qualitative data will be used to populate the first four phases of the PPM. Following the data collection, the remaining stages of the PPM will be designed and implemented in the barangay (village) with the highest drowning rate.Ethics and disseminationThis study has obtained ethical clearance from the University of the Philippines Manila Research Ethics Board (UPMREB 2017-425-01). Study findings will be disseminated through workshops and presentations to the local community as well as through peer-reviewed literature and conference presentations. The PPM has rarely been applied to drowning prevention and it is the aim that the study described in this protocol is expanded across other areas of the Philippines and to other countries with a high drowning burden to inform prevention efforts.


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