INFORMATION NEEDS AND SEEKING BEHAVIOUR OF ORPHANS AND VULNERABLE CHILDREN, THEIR CAREGIVERS, AND SERVICE PROVIDERS IN RURAL REGIONS IN NAMIBIA

Mousaion ◽  
2016 ◽  
Vol 32 (1) ◽  
pp. 23-45
Author(s):  
Chiku Mnubi-Mchombu ◽  
Dennis N. Ocholla
Keyword(s):  
Health Services ◽  
Information Needs ◽  
Service Providers ◽  
Dropout Rate ◽  
Financial Assistance ◽  
Vulnerable Children ◽  
Development Fund ◽  
Orphans And Vulnerable Children ◽  
Rural And Urban ◽  
Training Opportunities

A big problem in Namibia is the issue of destitute orphans and vulnerable children (OVC), many of whose parents have died from HIV/AIDS related illnesses. This study sought to examine the information needs of OVC and their caregivers and their information seeking strategies in managing the OVC situation in Namibia. Both qualitative and quantitative survey research methods were employed. Questionnaires were posted to various service providers, while interviews were conducted with OVC and their caregivers. Focus group discussions were also used for caregivers and informants in order to collect data on the respondents’ general attitudes, feelings, beliefs, experiences and reactions. The study took place in the rural Ohangwena region in January 2009 and urban Khomas region in April 2009. The preliminary findings indicated that there was a higher school dropout rate among rural OVC. Both rural and urban OVC expressed the need for financial assistance or grants, child care support, feeding schemes and health services as their top priorities. The rural OVC said they required information about school development fund exemptions, financial assistance or grants, health services, childcare support, and training opportunities. The urban OVC expressed the same priorities except for counselling, which was added to their list instead of training opportunities. Both the rural and urban OVC stated that they consulted relatives, teachers and friends for advice or information, thus indicating that interpersonal sources of information were the most important source of information. The study provided useful information for interventions and further research.

scholarly journals Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

2016 ◽  
Vol 5 (3) ◽  
pp. 39
Author(s):  
Amegovu K. Andrew
Keyword(s):  
Health Status ◽  
Health Services ◽  
Resource Constraints ◽  
Service Providers ◽  
Geographic Origin ◽  
Health Service Delivery ◽  
Health Facilities ◽  
Cross Sectional ◽  
Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access & uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean & safe drinking water.

Recovery Star: validating user recovery

2012 ◽  
Vol 36 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Geoff Dickens ◽  
Judy Weleminsky ◽  
Yetunde Onifade ◽  
Philip Sugarman
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Mental Health Problems ◽  
Service Providers ◽  
Mental Health Recovery ◽  
Addictive Behaviour ◽  
Health Service Providers ◽  
The Uk

Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.

Social protection for orphans and vulnerable children in Zimbabwe: The case for cash transfers

2010 ◽  
Vol 53 (2) ◽  
pp. 261-275 ◽  
Author(s):  
Mildred T. Mushunje ◽  
Muriel Mafico
Keyword(s):  
Social Protection ◽  
Psychosocial Support ◽  
Cash Transfers ◽  
Vulnerable Children ◽  
Orphans And Vulnerable Children ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
The Social ◽  
Attractive Option

The unprecedented number of orphans and vulnerable children in Zimbabwe has created an urgent need to create innovative ways to provide for the social protection of these children. Innovative packages consisting of educational, food and psychosocial support are being implemented by non-governmental organizations. However, as the orphan crisis continues to deepen, more needs to be done and, learning from the experiences of other countries, the option of cash transfers for social protection for orphans and vulnerable children offers an attractive option for Zimbabwe. This article explores the possibility of using cash transfers for the support of orphans and vulnerable children and highlights the challenges and strengths of this approach.

Preferred Terms for Users of Mental Health Services Among Service Providers and Recipients

2000 ◽  
Vol 51 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Verinder Sharma ◽  
Diane Whitney ◽  
Shahé S. Kazarian ◽  
Rahul Manchanda
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Providers

Novel research on transition from child to adult mental health services in Europe: The MILESTONE project

2016 ◽  
Vol 33 (S1) ◽  
pp. S58-S59 ◽  
Author(s):  
H. Tuomainen ◽  
S.P. Singh ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Providers ◽  
Care Pathway ◽  
Controlled Trial ◽  
Ethical Challenges ◽  
Adult Mental Health ◽  
Related Service ◽  
Competing Interest

IntroductionCurrent service configuration of distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS) is considered the weakest link where the care pathway should be most robust. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge for the EU.ObjectivesThe overall objective of the MILESTONE project is to improve transition from CAMHS to AMHS in diverse healthcare settings in Europe.AimsTo improve the understanding of current transition-related service characteristics, and processes, outcomes and experiences of transition from CAMHS to AMHS using a bespoke suite of measures; to explore the ethical challenges of providing appropriate care to young people as they move to adulthood; to test a model of managed transition in a cluster randomized controlled trial (cRCT) for improving health, social outcomes and transition to adult roles; and to develop training modules for clinicians and policy guidelines.MethodsData will be collected via systematic literature reviews; bespoke surveys to CAMHS professionals, experts and other stakeholders; focus groups with service providers and users and members of youth and mental health advocacy groups; and a longitudinal cohort study with a nested cRCT in eight EU countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS service users, their parents/carers, and clinicians, with assessments at baseline, 9, 18 and 27 months.ResultsFirst results are expected in 2016 with further major findings following in 2019.ConclusionsThe MILESTONE project will provide unprecedented information on the nature and magnitude of problems at the CAMHS-AMHS interface, and potential solutions to overcome these.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Efektifitas Sistem Informasi Manajemen Bagi Pengguna Internal (Studi Kasus Pada PT Bank Lampung)

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Alhibarsyah Alhibarsyah ◽  
Keyword(s):  
Information Technology ◽  
Structural Equation ◽  
Information Needs ◽  
Information Quality ◽  
Service Providers ◽  
Statistical Technique ◽  
Population Based ◽  
Equation Modeling ◽  
Observation Data ◽  
Technology System

Abstract To fulfill information needs that are relevant, fast, and accurate, the application of information technology, especially computer-based is inseparable from the role of the three basic components of a computer. The success model of the information technology system developed by DeLone & McLean quickly received a response. PT. Bank Lampung as one of the banking service providers in Lampung, is the object of research to determine how variables affect the level of Quality System, Information Quality, Service Quality, Use and Satisfaction and Use of Benefits, to determine the level of effectiveness in PT Bank Lampung's internal customer management information system. SEM (Structural Equation Modeling) is a multivariate statistical technique that is a combination of factor analysis and regression analysis (correlation), which aims to examine the relationship between variables in the model. To explain the overall relationship that exists between the variables in this study using AMOS software (Moment Structure Analysis). This shows that the sample variance-covariance matrix (observation data) I s the same as the estimated matrix of variance-covariance (population) based on the model built, it is expected that the results of this study KI significantly influence P, KI significantly affects KP, KS influences significant impact on P, significantly affecting KS KP, KL significantly affected P, KL significantly affected KP, P significantly affected KP, P significantly affected M, KP significantly affected M.

Foundations for Meaningful Consent in Canada’s Digital Health Ecosystem: Findings from a Pan-Canadian Survey (Preprint)

2021 ◽  
Author(s):  
Nelson Shen ◽  
Iman Kassam ◽  
Haoyu Zhao ◽  
Wei Wang ◽  
Sarah Wickham ◽  
...  
Keyword(s):  
Health Services ◽  
Information Needs ◽  
Digital Health ◽  
Healthcare Providers ◽  
Data Access ◽  
Patient Access ◽  
Access Channel ◽  
Patient Consent ◽  
Data Source ◽  
Healthcare Privacy

BACKGROUND Patients are increasingly gaining online access to digital health services and expect to access their data from various sources through a central patient access channel. For digital health services to connect and mutually share data, it is critical to understand patient consent preferences to meet the privacy needs of Canadians. Understanding user consent requirements and information needs is necessary in developing a trustworthy and transparent consent management system to support patient access channels. OBJECTIVE The objective of this study was to understand (1) data control preferences, (2) information needs for consent, and (3) how preferences and needs may vary by different user characteristics. METHODS A secondary analysis of a national survey was completed using a retrospective descriptive study design. The cross-sectional survey, conducted in October 2019, used a series of vignettes and consent scenarios to develop a deeper understanding of Canadians’ privacy perspectives and preferences for consent management. Non-parametric tests, and logistic regression analyses were conducted to identify differences and associations between the various factors. RESULTS Of the 1017 total responses, 70.4% (716/1017) of participants self-identified as potential users. Almost all (672/716, 93.8%) felt the ability to control their data was important, while 53.8% (385/716) believed an “all or none” control at data source level was adequate. Most users prefer new data sources to be accessible by healthcare providers (546/716, 76.3%) and delegated parties (389/716, 54.3%) by default. Users with positive healthcare privacy experiences were more likely than users with poor experiences to grant default access to healthcare providers (OR 2.78, 95%CI 1.34-5.74) and less likely to grant access to no-one (OR 0.31, 95%CI 0.14-0.72). From a list of nine information elements found in consent forms, users selected an average of 5.70 (SD 2.66) and 5.63 (SD 2.84) items to feel informed in consenting to data access by care partners, and commercial digital health service providers respectively. There were significant differences (p<0.05) in information needs between the scenarios. CONCLUSIONS Many survey participants would register and use a patient access channel and believe the ability to control data access is important, especially as it pertains to access by those outside their care. Positive healthcare experiences were a significant factor in this decision, signaling the importance of providing positive healthcare privacy experiences in both physical and digital environments. These findings suggest broad “all-or-none” approach by data source may be accepted; however, approximately one-fifth of users were unable to decide. Although vignettes were used to introduce the questions, this study showed that more context is required for users to make an informed decision. Understanding their information needs will be critical, as these needs varied with use case, highlighting the importance of prioritizing and tailoring information to enable meaningful consent.

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