scholarly journals A Perspective on Training Methods Aimed at Building Local Capacity for the Assessment and Implementation of Environmental Flows in Rivers

Author(s):  
Jeremy Howard O'Keeffe
2019 ◽  
Vol 31 (3) ◽  
pp. 177-183 ◽  
Author(s):  
Kanika I Dharmayat

BackgroundThe global health community and funding agencies are currently engaged in ensuring that worthwhile research-based programmes are sustainable. Despite its importance, few studies have analysed the sustainability of global health interventions. In this paper, we aim to explore barriers and facilitators for the wider implementation and sustainability of a mobile health (mHealth) intervention (Supporting LIFE Community Case Management programme) in Malawi, Africa.MethodsBetween January and March 2017, a qualitative approach was used to carry out and analyse 13 in-depth semi-structured interviews with key stakeholders across all levels of healthcare provision in Malawi to explore their perceptions with regards to the implementation and sustainability of the mHealth programme. Data were analysed thematically by two reviewers. ResultsOverall, our analysis found that the programme was successful in achieving its goals. However, there are many challenges to the wider implementation and sustainability of this programme, including the absence of monetary resources, limited visibility outside the healthcare sector, the lack of integration with community-based and nationwide programmes, services and information and communication technologies, and the limited local capacity in relation to the maintenance, further development, and management.ConclusionsFuture developments should be aligned with the strategic goals and interests of the Ministry of Health and engage with national and international stakeholders to develop shared goals and strategies for nationwide scale-up. These developments should also focus on building local capacity by educating trainers and ensuring that training methods and guidelines are appropriately accredited based on national policies. Our findings provide a framework for a variety of stakeholders who are engaged in sustaining mHealth programmes in resource-poor settings and can be used to develop an evidence-based policy for the utilization of technology for healthcare delivery across developing countries.


2020 ◽  
Vol 29 (4) ◽  
pp. 738-761
Author(s):  
Tess K. Koerner ◽  
Melissa A. Papesh ◽  
Frederick J. Gallun

Purpose A questionnaire survey was conducted to collect information from clinical audiologists about rehabilitation options for adult patients who report significant auditory difficulties despite having normal or near-normal hearing sensitivity. This work aimed to provide more information about what audiologists are currently doing in the clinic to manage auditory difficulties in this patient population and their views on the efficacy of recommended rehabilitation methods. Method A questionnaire survey containing multiple-choice and open-ended questions was developed and disseminated online. Invitations to participate were delivered via e-mail listservs and through business cards provided at annual audiology conferences. All responses were anonymous at the time of data collection. Results Responses were collected from 209 participants. The majority of participants reported seeing at least one normal-hearing patient per month who reported significant communication difficulties. However, few respondents indicated that their location had specific protocols for the treatment of these patients. Counseling was reported as the most frequent rehabilitation method, but results revealed that audiologists across various work settings are also successfully starting to fit patients with mild-gain hearing aids. Responses indicated that patient compliance with computer-based auditory training methods was regarded as low, with patients generally preferring device-based rehabilitation options. Conclusions Results from this questionnaire survey strongly suggest that audiologists frequently see normal-hearing patients who report auditory difficulties, but that few clinicians are equipped with established protocols for diagnosis and management. While many feel that mild-gain hearing aids provide considerable benefit for these patients, very little research has been conducted to date to support the use of hearing aids or other rehabilitation options for this unique patient population. This study reveals the critical need for additional research to establish evidence-based practice guidelines that will empower clinicians to provide a high level of clinical care and effective rehabilitation strategies to these patients.


2008 ◽  
Vol 18 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Margaret Leahy

Abstract Educating students and informing clinicians regarding developments in therapy approaches and in evidence-based practice are important elements of the responsibility of specialist academic posts in universities. In this article, the development of narrative therapy and its theoretical background are outlined (preceded by a general outline of how the topic of fluency disorders is introduced to students at an Irish university). An example of implementing narrative therapy with a 12-year-old boy is presented. The brief case description demonstrates how narrative therapy facilitated this 12-year-old make sense of his dysfluency and his phonological disorder, leading to his improved understanding and management of the problems, fostering a sense of control that led ultimately to their resolution.


1969 ◽  
Vol 14 (9) ◽  
pp. 468-469
Author(s):  
MARVIN E. SHAW

Author(s):  
D. M. Nazarov

The article describes the training methods in the course “Information Technologies” for the future bachelors of the directions “Economics”, “Management”, “Finance”, “Business Informatics”, the development of metasubject competencies of the student while his use of tools for data processing by means of the language R. The metasubject essence of the work is to update traditional economic knowledge and skills through various presentation forms of the same data sets. As part of the laboratory work described in the article, future bachelors learn to use the basic tools of the R language and acquire specific skills and abilities in R-Studio using the example of processing currency exchange data. The description of the methods is presented in the form of the traditional Key-by-Key technology, which is widely used in teaching information technologies.


2017 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Rosmin Silaban

This research is motivated by the lack of ability to write simple words first grade students of SD Negeri 014 Pagaran Tapah Darussalam Rokan Hulu. This study aims to improve the ability to write simple words first grade students of SD Negeri 014 Pagaran Tapah Darussalam, held for 1 month. The subjects were students of class I SD Negeri 014 Pagaran Tapah Darussalam academic year 2015/2016 the number of students as many as 7 people, consisting of 5 boys and 2 girls. Form of research is classroom action research. The research instrument consists of instruments and instrument performance data collection activity observation sheet form teacher and student activity. Based on the results of the study it can be concluded that the ability to write simple words can be enhanced through training methods first grade students of SD Negeri 014 Pagaran Tapah Darussalam. This statement can be accepted, because the students' ability to write simple words increased. Where known from preliminary data the average value of 59.3 or in the medium category. When viewed from the classical completeness, there is 28.6% or 2 students who completed gain value according to standards KKM, which is a minimum of 65. However, after the implementation of training methods, obtained an average value of 67.1 or higher in a category. When viewed from the classical completeness has reached 57.1%, or 4 students, but research has not been successful. Because this study was successful when 85% of students obtaining a minimum value of 65. While on the second cycle, to reach an average value of 80.7 or higher in a category. When viewed from the classical completeness, has acquired all of the students (100%). Thus, the researchers limited the study to the second cycle. Because of the results obtained was clear, that improve the students' first-class students of SD Negeri 014 Pagaran Tapah Darussalam in writing simple words.


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