scholarly journals Learning from doing the EquitAble project: Content, context, process, and impact of a multi-country research project on vulnerable populations in Africa

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Mac MacLachlan ◽  
Mutamad Amin ◽  
Gubela Mji ◽  
Hasheem Mannan ◽  
Joanne McVeigh ◽  
...  
Keyword(s):  
South Africa ◽  
Quantitative Data ◽  
Access To Health Services ◽  
Research Project ◽  
Qualitative And Quantitative ◽  
Process Learning ◽  
Access To Health ◽  
Content Analyses ◽  
Successes And Challenges ◽  
Learning Points

Background: The ‘EquitAble’ project carried out content analyses of policies and collected and analysed qualitative and quantitative data concerning access to health services in Sudan, Malawi, Namibia and South Africa. Our particular concern was to address the situation of people with disabilities, although not in isolation from other marginalised or vulnerable groups.Objectives: This article reports on the content, context, process and impact of project EquitAble, funded by the European Commission Seventh Research Framework Programme, which brought together researchers from Ireland, Norway, South Africa, Namibia, Sudan and Malawi.Method: After the 4-year project ended in February 2013, all members of the consortium were asked to anonymously complete a bespoke questionnaire designed by the coordinating team. The purpose of the questionnaire was to capture the views of those who collaborated on the research project in relation to issues of content, context, process and impact of the EquitAble project.Results: Our results indicated some of the successes and challenges encountered by our consortium.Conclusion: We identified contextual and process learning points, factors often not discussed in papers, which typically focus on the reporting of the ‘content’ of results.

scholarly journals Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Janelle Hippe ◽  
Victor Maddalena ◽  
Sara Heath ◽  
Beulah Jesso ◽  
Marion McCahon ◽  
...  
Keyword(s):  
Health Services ◽  
Nurse Practitioners ◽  
Maternal Child Health ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Research Project ◽  
Community Engaged Research ◽  
Kitchen Table ◽  
Access To Health ◽  
Health Services Access

Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1) targeted distribution of a survey to communities throughout the region, and (2) informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs,  developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research.Keywords: rural, remote, healthcare, health services, social determinants of health

The Economics of Non-Cognitive Skills

2014 ◽  
pp. 350-369
Author(s):  
Laura Camfield
Keyword(s):  
South Africa ◽  
Young People ◽  
Cognitive Skills ◽  
Quantitative Data ◽  
Labor Market Outcomes ◽  
Sub Saharan Africa ◽  
Context Specificity ◽  
Market Outcomes ◽  
Qualitative And Quantitative ◽  
Sub Saharan

Non-cognitive skills, defined as individual differences that are independent of cognitive ability, are used within economics and policy to understand and improve labor market outcomes and reduce anti-social behavior. These measures are now being used in sub-Saharan Africa to capture “softer” outcomes of interventions with young people in particular. Having first defined non-cognitive skills and described how they are measured, this chapter then presents critiques relating to their relative insensitivity to culture and class. This argument as to the context specificity of non-cognitive skills is supported with qualitative and quantitative data generated with young entrepreneurs from Uganda and South Africa.

scholarly journals Health and Wellbeing Needs and Priorities in Mining Host Communities in South Africa: A Mixed-Methods Approach For Identifying Key SDG3 Targets

2021 ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Host Community ◽  
Structural Level ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Priority Areas ◽  
Health And Wellbeing

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

scholarly journals Health and wellbeing needs and priorities in mining host communities in South Africa: a mixed-methods approach for identifying key SDG3 targets

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Brian Rice ◽  
Delia Boccia ◽  
Daniel J. Carter ◽  
Renay Weiner ◽  
Lebohang Letsela ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Mixed Methods ◽  
Quantitative Data ◽  
Host Community ◽  
Structural Level ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative ◽  
Priority Areas ◽  
Health And Wellbeing

Abstract Background The global mining industry has an opportunity to mobilize resources to advance progress against the Sustainable Development Goals (SDGs). In 2018, the Anglo-American Group outlined aspirations for mining host communities to meet the SDG3 health targets. To progress from aspiration to action we designed and implemented a mixed-methods approach to attain a deeper understanding of the health and wellbeing priorities within the local context of host communities of fifteen mines in South Africa. Methods To identify local needs and priorities relating to SDG3 targets in host communities, stakeholder workshops and key informant interviews were conducted between June and August 2019. A baseline assessment of health data, related to each of the SDG3 targets and indicators and to each host community location, was also conducted. Findings emerging from the qualitative and quantitative baseline assessments were compared to identify the extent to which health issues aligned and health and wellbeing priority areas for action. Results A total of 407 people participated in the workshops, and 85 key informants were interviewed. Quantitative data were available at sub-national level for seven of the nine SDG3 targets and eleven of the 21 indicators. Key priority areas for action identified through alignment of the qualitative and quantitative data were maternal mortality (SDG3.1), HIV (SDG3.3.1), tuberculosis (SDG3.3.2), substance abuse (SDG3.5), and road traffic accidents (SDG3.6) We found consistency in the individual, interpersonal, community, societal, and structural factors underlying these priority areas. At a structural level, poor access to quality healthcare was raised at every workshop as a key factor underlying the achievement of all SDG3 targets. Of the five priority areas identified, HIV, TB and substance abuse were found to overlap in the study communities in terms of risk, burden, and underlying factors. Conclusions We demonstrate a mixed method approach for identifying local health needs and prioritised SDG3 targets in mining host communities. Consistency in reporting suggests the need for effective, efficient and feasible interventions to address five priority areas. Given the prominent economic role of the mining sector in South Africa, it can play a critical role in implementing programmatic activities that further progress towards achieving the SDG3 targets.

Putting cultural difference in its place: Barriers to access to health services for parents of children with intellectual disability in an urban African setting

2021 ◽  
pp. 002076402110431
Author(s):  
Siyabulela Mkabile ◽  
Leslie Swartz
Keyword(s):  
South Africa ◽  
Intellectual Disability ◽  
Cultural Difference ◽  
Access To Health Services ◽  
Barriers To Access ◽  
Access To Health ◽  
The World ◽  
Hostile Environments ◽  
African Setting ◽  
Children With Intellectual Disability

Background: Access to appropriate specialist level services for children with intellectual disability is challenging in Africa, with very few services available. Much literature on the utilisation of services by carers of children with intellectual disability in Africa emphasises the supposed incompatibility between indigenous and western beliefs, failing to identify more obvious, embodied barriers to access to care. Method: As part of a study on children with intellectual disability in Cape Town, South Africa, we interviewed caregivers regarding the difficulties in accessing care, specifically the complex, expensive and time-consuming travelling routes from home to care. Results: Caregivers discussed the embodied difficulties accessing care. Everyday struggles with transport, and crowded, dangerous and hostile environments were identified as barriers to care. Conclusion: These challenges are often overlooked in the literature, in favour of an emphasis on cultural difference. This dualistic view of the world may obscure more obvious reasons why people find it difficult to use services, even when they are available.

Motivations for Play in the UFractions Mobile Game in Three Countries

2012 ◽  
Vol 4 (2) ◽  
pp. 30-48 ◽  
Author(s):  
Eeva Nygren ◽  
Erkki Sutinen ◽  
A. Seugnet Blignaut ◽  
Teemu H. Laine ◽  
Christo J. Els
Keyword(s):  
South Africa ◽  
Quantitative Data ◽  
Real Life ◽  
Mobile Games ◽  
Mobile Game ◽  
Qualitative And Quantitative ◽  
Multi Method Approach ◽  
Math Problems ◽  
Collection Strategies ◽  
Method Approach

UFractions (Ubiquitous fractions) is a storytelling mobile game that utilizes fraction rods in solving real life related math problems. The prototype of UFractions was tested during the period March 2009 to May 2011 in South Africa, Finland, and Mozambique amongst 279 players, ranging in age from 10 to 32, the majority being grade eight students. A multi-method approach, comprising of both qualitative and quantitative data collection strategies, was employed to develop a trans-cultural taxonomy for play motivation in mobile games, as observed in the evaluation of UFractions, i.e., altruism, challenge, cognitive restlessness, curiosity, fantasy, relations, and technology.

scholarly journals Spatiotemporal modelling and mapping of cervical cancer incidence among HIV positive women in South Africa: A nationwide study

2020 ◽  
Author(s):  
Dhokotera Tafadzwa ◽  
Riou Julien ◽  
Bartels Lina ◽  
Rohner Eliane ◽  
Chammartin Frederique ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Cervical Cancer ◽  
Access To Health Care ◽  
Hiv Positive ◽  
Equitable Access ◽  
Access To Health Services ◽  
Hiv Positive Women ◽  
Access To Health ◽  
Physical Barriers

AbstractDisparities in invasive cervical cancer (ICC) incidence exist globally, particularly in HIV positive women who are at elevated risk compared to HIV negative women. We aimed to determine the spatial, temporal, and spatiotemporal incidence of ICC and the associated factors among HIV positive women in South Africa. We included ICC cases in women diagnosed with HIV from the South African HIV cancer match study during 2004-2014. We used the Thembisa model to estimate women diagnosed with HIV per municipality, age group and calendar year. We fitted Bayesian hierarchical models to estimate the spatiotemporal distribution of ICC incidence among women diagnosed with HIV. We also examined the association of deprivation, access to health (using the number of health facilities per municipality) and urbanicity with ICC incidence. We included 17,821 ICC cases and demonstrated a decreasing trend in ICC incidence, from 306 to 312 in 2004 and from 160 to 191 in 2014 per 100,000 person-years across all corrections. The spatial relative rate (RR) ranged from 0.27 to 4.43. In the model adjusting for covariates, the most affluent municipalities had a RR of 3.18 (95% Credible Interval 1.82, 5.57) compared to the least affluent ones, and municipalities with better access to health care had a RR of 1.52 (1.03, 2.27) compared to municipalities with worse access to health. More efforts should be made to ensure equitable access to health services, including mitigating physical barriers, such as transportation to health centres and strengthening of screening programmes.Novelty and ImpactThis is the first nationwide study in South Africa to evaluate spatial and spatiotemporal distribution of cervical cancer in women diagnosed with HIV. The results show an increased incidence of cervical cancer in affluent municipalities and in those with better access to health care. This is likely driven by better access to health care in more affluent areas. More efforts should be made to ensure equitable access to health services, including mitigating physical barriers.

scholarly journals IMPLEMENTATION OF THE SIAGA VILLAGE PROGRAM FOR COVID-19 PREVENTION IN BALI, INDONESIA

2021 ◽  
Vol 9 (4) ◽  
pp. 161-169
Author(s):  
Ni Kadek Widyanti ◽  
I Ketut Widnyana ◽  
I Putu Sujana ◽  
Ni Putu Pandawani
Keyword(s):  
Swot Analysis ◽  
External Factor ◽  
Virus Disease ◽  
Access To Health Services ◽  
Internal Factors ◽  
Household Level ◽  
Qualitative And Quantitative ◽  
Correct Information ◽  
Access To Health

Abuan Village, Susut District, Bangli Regency is one of the Siaga Villages in Bali. Siaga Village is a picture of a community that is aware, willing, and able to prevent and overcome various threats to public health. However, in Abuan Village, there had been a case where the community was confirmed positive for significant Covid-19. This condition raises the question of why the covid-19 incident can occur in Siaga Village. The purpose of the research is to know the implementation of Siaga Village program in Prevention Covid 19 in the Abuan village of Bangli regency. This research uses qualitative and quantitative approaches through SWOT analysis and followed by IFAS and EFAS matrices, with 30 respondents taken purposively. The results showed that the implementation of the Siaga Village program for the prevention of the Corona Covid-19 virus disease in Abuan Village Bangli Regency was generally in a very good category. The factors that determine the implementation of the Siaga village program in efforts to prevent Covid-19 consist of internal factors, namely clean and healthy living habits at the household level, access to health services, and village forums. The external factor is the existence of negative information (hoax) from social media about Covid-19 and other health. The strategy for implementing the Siaga village program is to carry out clean and healthy household behavior, carry out village forums regularly, update Decree Letters, disseminate correct information about the Covid-19 virus disease, and increase the role of health cadres.

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