scholarly journals WHO Systematic Assessment of Rehabilitation Situation (STARS): Results of the Field Testing in Jordan, Myanmar, Sri Lanka, Solomon Islands, Laos, Haiti, and Guyana

2021 ◽  
Vol 18 (21) ◽  
pp. 11549
Author(s):  
Pauline Kleinitz ◽  
Carla Sabariego ◽  
Alarcos Cieza
Keyword(s):  
Sri Lanka ◽  
Strategic Planning ◽  
Health Systems ◽  
Solomon Islands ◽  
Field Testing ◽  
Assessment Process ◽  
Structured Interviews ◽  
Regional Office ◽  
Office Staff ◽  
Systematic Assessment

The WHO Systematic Assessment of Rehabilitation Situation (STARS) tool was developed by WHO to facilitate effective prioritization and strategic planning for rehabilitation in countries. The objective of this paper is to present the results of the fourth phase of its development, its field testing in seven countries focusing on its completeness, usefulness, accessibility and feasibility. Field testing occurred in Jordan, Myanmar, Sri Lanka, Solomon Islands, Laos, Haiti, and Guyana. Evaluation occurred through structured interviews and rating exercises with 17 government representatives, international consultants, WHO country or regional office staff and rehabilitation experts who were actively engaged and familiar with the STARS assessment and who were knowledgeable of the rehabilitation situation in the countries. STARS was appraised as relevant, complete and accurate in describing the country situation. Areas of inaccuracy were mostly linked to challenges in describing areas of services similarly when significant diversity existed. Feasibility and accessibility were mostly confirmed and more complex components of the tool as well as the guidance to the assessment process were slightly revised in light of the field-testing results. The field testing of WHO STARS confirmed its completeness, usefulness, accessibility and feasibility, and concerns raised by the interviews informed the last refinement of the tool. STARS is part of the WHO Rehabilitation in Health Systems-Guide for Action, available online, by September 2021, STARS had guided 21 country situation assessments.

scholarly journals Community-based organizations’ perspectives on improving health and social service integration

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Etsemaye P. Agonafer ◽  
Savanna L. Carson ◽  
Vanessa Nunez ◽  
Kelli Poole ◽  
Clemens S. Hong ◽  
...  
Keyword(s):  
Los Angeles ◽  
Health Systems ◽  
Social Service ◽  
Social Needs ◽  
Assessment Process ◽  
Structured Interviews ◽  
Community Based ◽  
Community Based Organizations ◽  
Health And Social Care ◽  
The Impact

Abstract Background Collaborations between health systems and community-based organizations (CBOs) are increasingly common mechanisms to address the unmet health-related social needs of high-risk populations. However, there is limited evidence on how to develop, manage, and sustain these partnerships, and implementation rarely incorporates perspectives of community social service organizations. To address these gaps, we elicited CBOs’ perspectives on service delivery for clients, the impact of the Whole Person Care-Los Angeles (WPC-LA) initiative to integrate health and social care, and their suggestions for improving health system partnerships. Methods Using stakeholder engaged principles and a qualitative Rapid Assessment Process, we conducted brief surveys and in-depth semi-structured interviews with 65 key informants from 36 CBOs working with WPC-LA. Results Major themes identified by CBOs included: 1) the importance of a holistic, client-centered, continuously engaged approach that is reliant on regional partnerships; 2) benefits of WPC-LA expanding capacity and networks; 3) concerns about communication and redundancy hindering WPC-LA; and 4) a need for more equitable partnerships incorporating their approaches. Conclusions CBOs value opportunities for integration with health systems, bring critical expertise to these partnerships, and seek to strengthen cross-sector collaborations. Early, equitable, and inclusive participation in the development and implementation of these partnerships may enhance their effectiveness, but requires policy that prioritizes and incentivizes sustainable and mutually beneficial partnerships.

scholarly journals Drivers of Broad-Spectrum Antibiotic Overuse across Diverse Hospital Contexts—A Qualitative Study of Prescribers in the UK, Sri Lanka and South Africa

Antibiotics ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 94
Author(s):  
Carolyn Tarrant ◽  
Andrew M. Colman ◽  
David R. Jenkins ◽  
Edmund Chattoe-Brown ◽  
Nelun Perera ◽  
...  
Keyword(s):  
South Africa ◽  
Sri Lanka ◽  
Antimicrobial Stewardship ◽  
Broad Spectrum ◽  
Low Income ◽  
System Level ◽  
Comparative Approach ◽  
Structured Interviews ◽  
Public And Private ◽  
The Uk

Antimicrobial stewardship programs focus on reducing overuse of broad-spectrum antibiotics (BSAs), primarily through interventions to change prescribing behavior. This study aims to identify multi-level influences on BSA overuse across diverse high and low income, and public and private, healthcare contexts. Semi-structured interviews were conducted with 46 prescribers from hospitals in the UK, Sri Lanka, and South Africa, including public and private providers. Interviews explored decision making about prescribing BSAs, drivers of the use of BSAs, and benefits of BSAs to various stakeholders, and were analyzed using a constant comparative approach. Analysis identified drivers of BSA overuse at the individual, social and structural levels. Structural drivers of overuse varied significantly across contexts and included: system-level factors generating tensions with stewardship goals; limited material resources within hospitals; and patient poverty, lack of infrastructure and resources in local communities. Antimicrobial stewardship needs to encompass efforts to reduce the reliance on BSAs as a solution to context-specific structural conditions.

scholarly journals Enhancing Internet Search Abilities for People with Intellectual Disabilities in Sri Lanka

2021 ◽  
Vol 14 (2) ◽  
pp. 1-36
Author(s):  
Theja K. Arachchi ◽  
Laurianne Sitbon ◽  
Jinglan Zhang ◽  
Ruwan Gamage ◽  
Priyantha Hewagamage
Keyword(s):  
Young Adults ◽  
Sri Lanka ◽  
Visual Memory ◽  
Web Search ◽  
Future Research ◽  
Learning Needs ◽  
Learning Tools ◽  
Structured Interviews ◽  
Starting Point ◽  
Google Search

This article presents how young adults with intellectual disability (ID) from Sri Lanka, who had not previously used the Internet, interacted with Google search while enhancing their web search abilities throughout three web search workshops. Considering the little attention paid to the learning needs of people with ID in the current offering of web search learning tools, we iteratively developed a suite of learning tools to support our participants when they need help in the web search workshops. We employed an iterative participatory approach, with observations and semi-structured interviews, to reflect on how to design eLearning tools that enhance the participants’ interactions with web search. The qualitative thematic analysis resulted in five distinct themes on strategies to support, build on, and develop the abilities of young adults with IDs as they engage with Google search in their native language: application of existing abilities, basic skills to match learning needs, conceptual understanding, animations to facilitate visual memory, and promoting active engagement. These themes will be a starting point for understanding participants’ learning needs and behavior on web search, which would be important for future research on learning support as well as on software design.

scholarly journals ASHP Foundation Pharmacy Forecast 2021: Strategic Planning Advice for Pharmacy Departments in Hospitals and Health Systems

2021 ◽  
Author(s):  
Joseph T DiPiro ◽  
Erin R Fox ◽  
Aaron S Kesselheim ◽  
Marie Chisholm-Burns ◽  
Christopher K Finch ◽  
...  
Keyword(s):  
Strategic Planning ◽  
Health Systems

scholarly journals Organisational change in hospitals: a qualitative case-study of staff perspectives

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chiara Pomare ◽  
Kate Churruca ◽  
Janet C. Long ◽  
Louise A. Ellis ◽  
Jeffrey Braithwaite
Keyword(s):  
Health Systems ◽  
Early Stage ◽  
Organisational Change ◽  
Hospital Staff ◽  
Hospital Environment ◽  
Structured Interviews ◽  
Metropolitan Hospital ◽  
The Face ◽  
Negative Expectations

Abstract Background Organisational change in health systems is common. Success is often tied to the actors involved, including their awareness of the change, personal engagement and ownership of it. In many health systems, one of the most common changes we are witnessing is the redevelopment of long-standing hospitals. However, we know little about how hospital staff understand and experience such potentially far-reaching organisational change. The purpose of this study is to explore the understanding and experiences of hospital staff in the early stages of organisational change, using a hospital redevelopment in Sydney, Australia as a case study. Methods Semi-structured interviews were conducted with 46 clinical and non-clinical staff working at a large metropolitan hospital. Hospital staff were moving into a new building, not moving, or had moved into a different building two years prior. Questions asked staff about their level of awareness of the upcoming redevelopment and their experiences in the early stage of this change. Qualitative data were analysed using thematic analysis. Results Some staff expressed apprehension and held negative expectations regarding the organisational change. Concerns included inadequate staffing and potential for collaboration breakdown due to new layout of workspaces. These fears were compounded by current experiences of feeling uninformed about the change, as well as feelings of being fatigued and under-staffed in the constantly changing hospital environment. Nevertheless, balancing this, many staff reported positive expectations regarding the benefits to patients of the change and the potential for staff to adapt in the face of this change. Conclusions The results of this study suggest that it is important to understand prospectively how actors involved make sense of organisational change, in order to potentially assuage concerns and alleviate negative expectations. Throughout the processes of organisational change, such as a hospital redevelopment, staff need to be engaged, adequately informed, trained, and to feel supported by management. The use of champions of varying professions and lead departments, may be useful to address concerns, adequately inform, and promote a sense of engagement among staff.

Rice grassy stunt tenuivirus. [Distribution map].

1997 ◽  
Author(s):  
Keyword(s):  
Oryza Sativa ◽  
Sri Lanka ◽  
Papua New Guinea ◽  
Geographical Distribution ◽  
Tamil Nadu ◽  
Solomon Islands ◽  
New Guinea ◽  
Distribution Map ◽  
Brunei Darussalam ◽  
New Distribution

Abstract A new distribution map is provided for Rice grassy stunt tenuivirus Viruses: Tenuivirus. Hosts: Rice (Oryza sativa). Information is given on the geographical distribution in ASIA, Bangladesh, Brunei, Darussalam, China, India, Kerala, Tamil Nadu, Indonesia, Java, Nusa, Tenggara, Sulawesi, Sumatra, Japan, Kyushu, Korea Republic, Malaysia, Philippines, Sri Lanka, Taiwan, Thailand, Vietnam, OCEANIA, Fiji, Papua New Guinea, Solomon Islands.

Hypsipyla robusta. [Distribution map].

1983 ◽  
Author(s):  
Keyword(s):  
Sri Lanka ◽  
Sierra Leone ◽  
Papua New Guinea ◽  
Host Plants ◽  
Pacific Islands ◽  
Solomon Islands ◽  
Distribution Map ◽  
Hypsipyla Robusta ◽  
Fruit Borer ◽  
New Distribution

Abstract A new distribution map is provided for Hypsipyla robusta (Moore) (Lep., -Pyrandae) (Toon shoot-and fruit-borer). Host Plants: Cedrella, Khaya, Toona. Information is given on the geographical distribution in ASIA, Andaman Is, Burma, India, Indonesia, Malaysia, Pakistan, Sikkim, Singapore, Sri Lanka, AFRICA, Ghana, Madagascar, Malawi, Mauritius, Nigeria, Sierra Leone, Tanzania, Uganda, AUSTRALASIA, and PACIFIC ISLANDS, Australia, Papua New Guinea, Solomon Islands.

Cochliobolus eragrostidis. [Descriptions of Fungi and Bacteria].

1990 ◽  
Author(s):  
A. Sivanesan
Keyword(s):  
Puerto Rico ◽  
Hong Kong ◽  
New Zealand ◽  
Sri Lanka ◽  
Sierra Leone ◽  
Papua New Guinea ◽  
Geographical Distribution ◽  
Solomon Islands ◽  
New Guinea ◽  
Leaf Spots

Abstract A description is provided for Cochliobolus eragrostidis. Information is included on the disease caused by the organism, its transmission, geographical distribution, and hosts. HOSTS: Acacia, Agave, Allium, Alysicarpus, Amorphophallus, Anacardium, Arachis, Areca, Billbergia, Calamus, Callitris, Calotropis, Camellia, Cananga, Capsicum, Citrullus, Citrus, Clerodendron, Cocos, Coffea, Colocasia, Cymbopogon, Dendrobium, Digitaria, Dioscorea, Dracaena, Durio, Elaeis, Eragrostis, Eucalyptus, Euphorbia, Furcraea, Gladiolus, Glycine, Gossypium, Heliconia, Hevea, Hystrix, Ipomoea, Kaempferia, Lycopersicon, Mangifera, Manihot, Mystroxylon, Musa, Neyraudia, Oldenlandia, Opuntia, Oryza, Panicum, Pennisetum, Pentas, Phalaenopsis, Phaseolus, Pinus, Polygala, Pueraria, Raphia, Raphanus, Rhodomyrtus, Rhoeo, Rottboellia, Saccharum, Sesamum, Sorghum, Spinacia, Sporobolus, Stylosanthes, Theobroma, Thrasya, Tradescantia, Trichosanthes, Triplochiton, Triticum, Vanda, Vigna, Zea, Zingiber and soil. DISEASE: Leaf spots. GEOGRAPHICAL DISTRIBUTION: Australia, Bangladesh, Belize, Brazil, Brunei, Burma, Colombia, Cuba, Fiji, Ghana, Guinea, Honduras, Hong Kong, India, Indonesia, Japan, Kenya, Kuwait, Malaysia, New Zealand, Nigeria, Papua New Guinea, Puerto Rico, Sierra Leone, Singapore, Solomon Islands, Sri Lanka, Trinidad, USA, Zambia, Zaire. TRANSMISSION: By wind-borne conidia.

Adaptive clothing features to support daily exercising needs of muscular dystrophy victimized women in Sri Lanka

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Niromi Seram ◽  
Rivini Mataraarachchi ◽  
Thanuri Jayaneththi
Keyword(s):  
Muscular Dystrophy ◽  
Sri Lanka ◽  
Research Effort ◽  
Health And Safety ◽  
Psychological Needs ◽  
Daily Basis ◽  
Structured Interviews ◽  
Content Type ◽  
Daily Exercise ◽  
Custom Made

Purpose Exercising is a key approach adopted by muscular dystrophy patients to halt the weakening of muscles as it can eventually lead to serious immobility issues. Though it is essential to exercise on a daily basis for healthy living, there is no mention of any research effort in the current literature regarding the development of an apparel product for these mobility-affected patients that might assist them both in meeting their exercising needs and providing them some comfort in their daily living. Thus, this paper aims to focus on identifying the specific needs of muscular dystrophy victims and proposing special adaptive clothing solutions to support their daily exercise and mobility needs. Design/methodology/approach To achieve the objectives of this study, attention was focused on the muscular dystrophy afflicted women in Sri Lanka. Semi-structured interviews were conducted with the female victims of muscular dystrophy and their lifestyles were observed carefully; additional data were gathered by holding semi-structured interviews with their physiotherapists. Further, interviews were conducted with both garment technologists and fabric technologists too. Data gathered through these methods were analyzed qualitatively using the principles of thematic analysis and then aggregate conclusions were drawn. Findings It was observed that the patients were engaged in special activities such as exercising three times a day besides following their normal day-to-day activities to maintain and develop muscle strength. It soon became evident that these women found it difficult to perform their daily exercise routines with their regular clothing and were looking for custom made clothing they could wear all day long in comfort and avoid the problems that arose while exercising. The study specifies the requirements that must be met to satisfy both generic and specific needs. Considering all these aspects some adaptive clothing solutions were proposed to support daily exercising activity with respect to comfort, convenience, health and safety, as well as socio-cultural and psychological needs. Originality/value The area of fusing generic and specific features to support the daily exercising needs of muscular dystrophy victims is an untouched field of experimentation and being a need of the disabled, the present study marks a milestone on the way to a novel area of apparel design, besides exploring a new field of research.

How do public companies respond to national challenges through sustainability reporting? – The case of Sri Lanka

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dinithi Dissanayake ◽  
Carol A. Tilt ◽  
Wei Qian
Keyword(s):  
Sri Lanka ◽  
Developing Country ◽  
National Level ◽  
National Development ◽  
Sustainability Reporting ◽  
Annual Reports ◽  
Structured Interviews ◽  
Content Type ◽  
Integrative Social Contracts Theory ◽  
Reporting Practices

Purpose The purpose of this paper is to explore how sustainability reporting is shaped by the global influences and particular national context where businesses operate. Design/methodology/approach The paper uses both content analysis of published sustainability information and semi-structured interviews with corporate managers to explore how sustainability reporting is used to address unique social and environmental challenges in a developing country – Sri Lanka. The use of integrative social contracts theory in investigating sustainability reporting offers novel insights into understanding the drivers for sustainability reporting practices in this particular country. Findings The findings reveal that managers’ perceptions about usefulness of sustainability reporting, local contextual challenges and global norms influence the extent to which companies engage in sustainability reporting and the nature of sustainability information reported. In particular, Sri Lankan company managers strive to undertake sustainability projects that are beneficial not only to their companies but also to the development of the country. However, while company managers in Sri Lanka are keen to undertake sustainability reporting, they face different tensions/expectations between global expectations and local contextual factors when undertaking sustainability projects and reporting. This is also showcased in what is ultimately reported in company annual reports, where some aspects of sustainability, e.g. social, tend to focus more on addressing local concerns whereas other disclosures are on issues that may be relevant across many contexts. Research limitations/implications Important insights for government and other regulatory authorities can be drawn from the findings of this study. By capitalising on the strong sense of moral duty felt by company managers, policymakers can involve the business sector more to mitigate the social and environmental issues prevalent in Sri Lanka. The findings can also be used by other developing countries to enable pathways to engage with the corporate sector to contribute to national development agendas through their sustainability initiatives and projects. Originality/value While the usual understanding of developing country’s company managers is that they try to follow global trends, in Sri Lanka, this research shows how managers are trying to align their responsibilities at a national level with global principles regarding sustainability reporting. Therefore, this paper highlights how both hypernorms and microsocial rules can interact to define how company managers undertake sustainability reporting in a developing country.

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