Mending Malawi's Water Institutions and IWRM Solutions

2022 ◽  
pp. 76-95
Author(s):  
Innocent Simphiwe Nojiyeza
Keyword(s):  
Rural Areas ◽  
Integrated Water Resources Management ◽  
Structured Interviews ◽  
Group Discussions ◽  
State Institutions ◽  
Water Users ◽  
Water Board ◽  
Economic Good ◽  
To Receive ◽  
Regional Water

The aim of this chapter is to explain the challenges of decentralisation and management of water as economic good principles of integrated water resources management (IWRM) in Malawi in the rural areas of Ntcheu, Balaka, and Mangochi. Semi-structured interviews, focus group discussions, community meetings, and observation of water points were conducted. It was established that households and other state institutions prefer to receive services from Mpira-Balaka Water Users Association, which subsidizes households, rather than Southern Regional Water Board, which operates along commercial lines. The chapter questions the focus in the implementation of IWRM, which remain the establishment and fixing of decentralised institutions whilst recognising water as an economic good.

scholarly journals Policy perspectives on expanding cogeneration from bagasse in Malawi

2017 ◽  
Vol 28 (1) ◽  
pp. 45 ◽  
Author(s):  
Long Seng To ◽  
Kingdom Kwapata ◽  
Leonard Masala ◽  
Virginia Alonso Navarro ◽  
Simon Batchelor ◽  
...  
Keyword(s):  
Renewable Energy ◽  
Rural Areas ◽  
Sugar Industry ◽  
Energy Sector ◽  
Substantial Contribution ◽  
Energy Access ◽  
Structured Interviews ◽  
Group Discussions ◽  
International Agencies ◽  
Key Issues

Agro-industries have the potential to make a substantial contribution to sustainable energy supply in Africa, including energy access in rural areas. This paper focuses on the drivers and barriers to wider use of cogeneration from sugarcane bagasse in Malawi as there is a potential for the technology to enable access to electricity in rural areas. The paper gives an overview of the policy landscape for the energy sector and the sugar industry in Malawi. The research involved site visits, focus group discussions, and individual semi-structured interviews with participants from key government departments, businesses, research institutes and international agencies. It was found that energy sector reform, the proposed feed-in tariff for renewable energy, and risk are the key issues for investment in this area.Keywords: biomass, renewable energy, electricity

Perceptions of water, sanitation and health: a case study from the Mekong Delta, Vietnam

2009 ◽  
Vol 60 (3) ◽  
pp. 699-707 ◽  
Author(s):  
S. Herbst ◽  
S. Benedikter ◽  
U. Koester ◽  
N. Phan ◽  
C. Berger ◽  
...  
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Mekong Delta ◽  
Basic Knowledge ◽  
Structured Interviews ◽  
Group Discussions ◽  
Hygiene Behaviour ◽  
Hygiene Measures ◽  
Health Related

In the Mekong Delta in the south of Vietnam about 5.7 million people lack access to safe drinking water and 10 million people in rural areas live without adequate sanitation. Between May and August, 2007 a survey was carried out in An Bin, a peri-urban ward in the Mekong Delta, to gain insight into water, sanitation and health as well as to health-related hygiene behaviour. The study employed a combination of quantitative (standardized questionnaire) and qualitative (focus group discussions, semi-structured interviews) methods. The most important features in the choice of drinking water sources are matters of hygiene and the taste of the water. The majority (74%) of the 120 households surveyed indicated their ownership of a sanitation facility, but the fish pond toilet (64%) which is predominantly utilized is considered to be unimproved sanitation. The local peri-urban population link water and hygiene to health, but sanitation instead to environmental pollution. This and other outcomes lead to the assumption that people have a basic knowledge of proper hygiene behaviour. However, hygiene measures such as hand washing are put into practice in an untimely manner, most likely due to a misconception of risks and/or a lack of background knowledge of cause–effect relationships as well as ingrained habits.

Durban Community's Experiences of Class-Based Urinary Diversion Toilets

2022 ◽  
pp. 202-224
Author(s):  
Innocent Simphiwe Nojiyeza
Keyword(s):  
Rural Communities ◽  
Water Resources ◽  
Focus Group ◽  
Urinary Diversion ◽  
Water Resources Management ◽  
Rural Areas ◽  
Integrated Water Resources Management ◽  
Group Discussions ◽  
Water And Sanitation ◽  
Resources Management

The aim of this chapter is to look at the integrated water resources management (IWRM)-related institutional shift in governance of water and sanitation in Durban and the extent to which class is considered in providing rural inhabitants with facilities they regard as sub-standard. The key finding is that rural communities remain uncomfortable with nearly 90,000 UD toilets constructed by eThekwini Municipality, despite current efforts being made to relieve them of the most hated chores of emptying vaults when they fill up. In a study conducted in rural areas of Durban through interviews with 70 households and focus group discussions, communities continue to reject UDs on the grounds of lack of equity, proximity to areas with flush toilets, lack of communication, and lack of sustainable institutional mechanisms associated with this project.

scholarly journals PARE0023 ORAL HEALTH IN RHEUMATOID ARTHRITIS: LISTENING TO PATIENTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1297.2-1297
Author(s):  
J. Protudjer ◽  
C. Billedeau ◽  
C. Stavropoulou ◽  
A. Cholakis ◽  
R. Schroth ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oral Health ◽  
Periodontal Disease ◽  
Oral Care ◽  
Structured Interviews ◽  
Face To Face ◽  
Oral Health Education ◽  
To Receive ◽  
Latent Content

Background:Rates of periodontal disease and tooth loss are increased in rheumatoid arthritis (RA). Periodontal disease may exacerbate RA inflammation and complicate RA care. Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and possibly arthritis outcomes. People with RA may have unique needs and/or barriers to maintain oral health.Objectives:To determine from people with RA what are their experiences and perceptions about their oral health, their most important questions relating to oral health, and how they wish to receive oral health information.Methods:Semi-structured interviews were conducted with RA patients. Recorded interview transcripts underwent iterative content analysis. Transcripts were initially reviewed to develop a coding guide. Latent content, or larger themes, were then applied to the transcripts. Constructs were considered saturated when no new themes were identified with subsequent interviews. We report identified themes with representative quotes.Results:Interviews with 11 RA (10[91%] female; all on RA medication) averaged 19 minutes (range 8-31 minutes) and were mostly conducted face-to-face. Many believed RA medication contributed to dry mouth. Most participants had not previously considered other links between oral health and RA. Themes identified included the need for complicated oral health routines, barriers of cost and access to dental care, and shame relating to oral health (Table 1). Participants preferred to receive oral health education from their rheumatologists or dentists over printed or online resources.Conclusion:RA patients have unique needs relating to oral health and report poor oral quality of life. Strategies to optimize oral health in RA may include educational tools for optimizing oral self-care appropriate for RA, and improved access to oral care professionals who are aware of the needs of arthritis patients.Disclosure of Interests:Jennifer Protudjer: None declared, Corrie Billedeau: None declared, Chrysi Stavropoulou: None declared, Anastasia Cholakis: None declared, Robert Schroth: None declared, Carol Hitchon Grant/research support from: UCB Canada; Pfizer Canada

scholarly journals Sexual and reproductive health of Syrian refugee adolescent girls: a qualitative study using focus group discussions in an urban setting in Lebanon

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rayan Korri ◽  
Sabine Hess ◽  
Guenter Froeschl ◽  
Olena Ivanova
Keyword(s):  
Focus Group ◽  
Reproductive Health ◽  
Sexual Harassment ◽  
Qualitative Study ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Urban Setting ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
To Receive

Abstract Background The war in Syria caused the forced displacement of millions of Syrians to neighboring countries. Lebanon is the host country with the largest overall number of Syrian refugees per capita. Adolescent refugee girls experience a unique level of vulnerability during human emergencies and are at increased risk of suffering from poor sexual and reproductive health (SRH) outcomes. We conducted an exploratory qualitative study to learn about the SRH perceptions and experiences of refugee adolescent girls living in Bourj Hammoud, an urban setting in Lebanon. Methods We employed a qualitative design with eight focus group discussions (FGDs) conducted with 40 Syrian Arab and Syrian Kurdish adolescent girls between January and March 2020. Every FGD consisted of five participants aged 13 to 17 years. A semi-structured guide was used covering multiple themes: menstruation, puberty, SRH awareness, and sexual harassment. FGDs were transcribed and analyzed using thematic analysis. Findings The participants discussed adolescent girls’ health and named six elements of good health, such as healthy activities and self-protection. The majority of the FGD participants reported a lack of awareness about menstruation when they experienced it for the first time and the social stigma associated with menstruation. When defining puberty, they indicated its social link to a girl’s readiness for marriage and her need to become cautious about sexual harassment. Most FGD participants had very poor knowledge of the female reproductive system. Mothers were the most approached persons to receive information on SRH issues; however, the girls indicated a wish to receive advice from specialists in a comfortable and private atmosphere. All the girls reported that either they themselves, or an acquaintance, had experienced some type of sexual harassment. The girls rarely reported those incidents due to fear of being blamed or subjected to mobility restrictions, or forced to drop out of school. Conclusions The findings show the refugee girls need for satisfactory knowledge on SRH issues and interventions to prevent sexual and gender-based violence that take into consideration the complexity of urban settings.

scholarly journals Loneliness Among the Elderly in Rural Contexts: A Mixed-Method Study Protocol

2021 ◽  
Vol 20 ◽  
pp. 160940692199686
Author(s):  
Borja Rivero Jiménez ◽  
David Conde-Caballero ◽  
Lorenzo Mariano Juárez
Keyword(s):  
Data Collection ◽  
Mixed Method ◽  
Rural Areas ◽  
Population Group ◽  
The Elderly ◽  
Interaction Patterns ◽  
Structured Interviews ◽  
Strict Adherence ◽  
Data Collection And Analysis ◽  
Technological Tools

Loneliness among the elderly has become a pressing issue in Western societies. In the Spanish context, the problem of the so-called “empty” Spain disproportionately affects this population group—elderly individuals living in rural areas with low population density, and therefore at higher risk of social exclusion and isolation. We introduce here a mixed-method, quantitative-qualitative research protocol, triangulated with technological tools, designed to improve both data acquisition and subsequent data analysis and interpretation. This study will take place in a rural locality in the Extremadura region (Spain), chosen according to a particular socio-demographic profile. The De Jong Gierveld Loneliness Scale will be used on a cohort of 80 people over 65 years old. Within this cohort, a smaller sample of 20–30 individuals will be selected for semi-structured interviews about their beliefs and experiences of loneliness. Finally, data gathered from technological tools (smartbands, Bluetooth sensors) will allow us to monitor social interactions and to map daily loneliness/interaction patterns. Data will be triangulated by analyzing and comparing the empirical material gathered through these different methods and tools. Strict adherence to ethical standards for data protection and handling will be essential through data collection and analysis. As well as providing insights into the phenomenon of loneliness in old age, the use of different methods and tools for data collection will provide the basis for an epistemological reflection on the scope and limits of each one of these methods.

scholarly journals Homeless on Main Street: Using Photovoice to Highlight Older Adults Among the Hidden Homeless

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 728-728
Author(s):  
H Shellae Versey
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Meaning Making ◽  
Small Towns ◽  
Photo Elicitation ◽  
Service Agency ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based ◽  
Formerly Homeless

Abstract Homelessness is a reality for a growing number of Americans living in small towns and rural areas. However, unlike in cities, housing instability may be less visible. Using a photo-elicitation method (i.e., Photovoice), this study explores the meaning of place and obscured visibility to currently and formerly homeless older adults living in a small town in central Connecticut. Participants (N = 27) were recruited from a local service agency, given cameras and asked to photograph areas around town that were meaningful to them. Photographs were developed and followed by in-person, semi-structured interviews with participants in which photos and experiences during the project were discussed. Primary themes included belonging, generativity, social isolation, and place-making as meaning-making. The study culminated in a community photography exhibition in which photographs from the project were displayed in public spaces around town. Implications for community-based interventions to reach homeless groups in rural areas are discussed. Part of a symposium sponsored by the Qualitative Research Interest Group.

scholarly journals Homegarden agroecosystems managed by Salar people on Qinghai-Tibet Plateau

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mingjing Zhu ◽  
Binsheng Luo ◽  
Ben La ◽  
Ruijie Chen ◽  
Fenggui Liu ◽  
...  
Keyword(s):  
Plant Species ◽  
Rural Areas ◽  
Production Systems ◽  
Farming Systems ◽  
Field Investigation ◽  
Tibet Plateau ◽  
Ecosystem Functions ◽  
Structured Interviews ◽  
Services Research ◽  
Qinghai Tibet Plateau

Abstract Background Salar is a Turkic-speaking Islamic ethnic group in China living mainly in Xunhua Salar Autonomous County (Xunhua or Xunhua County), Qinghai-Tibet Plateau. Salar people are skilled in horticulture and their homegarden (HG) management. They are regarded as the first people on the Qinghai-Tibet Plateau to practice horticulture, especially manage their HGs, traditional farming systems, and supplementary food production systems. Traditional knowledge of Salar people associated with their HGs always contributes significantly to the local livelihood, food security, ornamental value, and biodiversity conservation. The cultivation of different plants in HGs for self-sufficiency has a long tradition in China’s rural areas, especially in some mountainous areas. However, Salar traditional HGs have not been described. The present paper aims to report the features of Salar HGs mostly based on agrobiodiversity and its ecosystem services. Methods The methods used in this work included semi-structured interviews and participatory observation. A total of 60 households in three townships, 9 villages were surveyed. There are 4–12 family members in each household, aged from 20 to 86 years old. The homestead size is between 200 and 1200 m2. Plant species cultivated in Salar HGs were identified according to Flora of China. Based on a comprehensive survey of Salar HGs and related to background data, we identified and characterized the most important services and functions provided by Salar HGs. Results According to primary production systems, there are 4 different types of Salar HGs, including ornamental focus, product focus, dual-purpose and multi-purpose. In total, 108 (excluding weeds and bonsai) plant species were recorded in Salar HGs, within 43 plant families. The most important and frequently used plants are Rosa chinensis, Armeniaca vulgar, Prunus salicina, and Ziziphus jujuba. About 4 to 32 plant species were recorded in each homegarden. We found that the Salar HGs, as a typical agroecosyste, prossess multiple servcices and functions that directly benefit households according to the field investigation. Conclusion This paper reveals the floristic diversity of Salar HGs. It presents useful information in the homegarden agroecosystem of Salar people, such as HG types and species diversity in Salar HGs. Ecosystem functions and services research suggested that the Salar HG agroecosystem provides agroecosystem services mainly related to supply and culture services. Salar HGs are important as food supplement resources, aesthetics symbol, and cultural spaces.

scholarly journals Exploring the potential for introducing home monitoring of blood pressure during pregnancy into maternity care: current views and experiences of staff—a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e037874
Author(s):  
Lisa Hinton ◽  
James Hodgkinson ◽  
Katherine L Tucker ◽  
Linda Rozmovits ◽  
Lucy Chappell ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Maternity Care ◽  
Healthcare Providers ◽  
Home Monitoring ◽  
Structured Interviews ◽  
Group Discussions ◽  
Self Monitoring ◽  
Team Members ◽  
Registration Number ◽  
In Pregnancy

ObjectiveOne in 20 women are affected by pre-eclampsia, a major cause of maternal and perinatal morbidity, death and premature birth worldwide. Diagnosis is made from monitoring blood pressure (BP) and urine and symptoms at antenatal visits after 20 weeks of pregnancy. There are no randomised data from contemporary trials to guide the efficacy of self-monitoring of BP (SMBP) in pregnancy. We explored the perspectives of maternity staff to understand the context and health system challenges to introducing and implementing SMBP in maternity care, ahead of undertaking a trial.DesignExploratory study using a qualitative approach.SettingEight hospitals, English National Health Service.ParticipantsObstetricians, community and hospital midwives, pharmacists, trainee doctors (n=147).MethodsSemi-structured interviews with site research team members and clinicians, interviews and focus group discussions. Rapid content and thematic analysis undertaken.ResultsThe main themes to emerge around SMBP include (1) different BP changes in pregnancy, (2) reliability and accuracy of BP monitoring, (3) anticipated impact of SMBP on women, (4) anticipated impact of SMBP on the antenatal care system, (5) caution, uncertainty and evidence, (6) concerns over action/inaction and patient safety.ConclusionsThe potential impact of SMBP on maternity services is profound although nuanced. While introducing SMBP does not reduce the responsibility clinicians have for women’s health, it may enhance the responsibilities and agency of pregnant women, and introduces a new set of relationships into maternity care. This is a new space for reconfiguration of roles, mutual expectations and the relationships between and responsibilities of healthcare providers and women.Trial registration numberNCT03334149.

scholarly journals Immigrant entrepreneurs in rural England – An examination of the socio- cultural barriers facing migrant small businesses in Lincolnshire

2020 ◽  
Vol 35 (7) ◽  
pp. 676-694
Author(s):  
Dieu Hack-Polay ◽  
Justice Tenna Ogbaburu ◽  
Mahfuzur Rahman ◽  
Ali B Mahmoud
Keyword(s):  
Rural Areas ◽  
Small Businesses ◽  
Cultural Barriers ◽  
Entrepreneurial Success ◽  
Structured Interviews ◽  
Language Differences ◽  
Institutional Embeddedness ◽  
Immigrant Entrepreneurs ◽  
Relational Embeddedness ◽  
Rural England

A growing body of literature recognises the crucial role played by immigrant entrepreneurs. However, certain socio-cultural barriers adversely affect their businesses in rural areas. Thus, this article examines the socio-cultural barriers facing immigrant entrepreneurs in Lincolnshire. Eleven semi-structured interviews were held with businesses owned by immigrants from diverse ethnic backgrounds. The findings identified migrant ethnocentrism, stereotypes, cultural differences and language differences as key socio-cultural barriers adversely affecting immigrant businesses in Lincolnshire. The research found that immigrant enterprises experienced growth issues, not just owing to the size of the market but also due to issues of embeddedness in the socio-economic nomenclature. The study found mixed embeddedness to be key to immigrant entrepreneurial success. This involves immigrant adaptation to develop relational embeddedness with the hosts, involvement with its social, structural and institutional frameworks. The study contributes to our understanding of the role of social, relational, structural and institutional embeddedness in steering fertile approaches to immigrant entrepreneurship in rural England which has been under-researched.

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