scholarly journals Community-based rehabilitation workers’ perspectives of wheelchair provision in Uganda: A qualitative study

2019 ◽  
Vol 8 ◽  
Author(s):  
Nikola Seymour ◽  
Martha Geiger ◽  
Elsje Scheffler
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Service Providers ◽  
Community Based ◽  
Wheelchair Users ◽  
Transfer Of Skills ◽  
Services Delivery ◽  
Barriers To Access ◽  
Community Based Rehabilitation ◽  
Field Notes

Background: The challenges of wheelchair provision and use in less resourced settings are the focus of global efforts to enhance wheelchair service delivery. The shortage of professional wheelchair service providers in these settings necessitates the collaboration of multiple stakeholders, including community-based rehabilitation (CBR) workers, whose role needs to be further understood.Objectives: The aim of this study was to determine what CBR workers in three areas of Uganda perceived as (1) the challenges with wheelchair provision and use, (2) the factors contributing to these challenges, (3) the role they themselves can potentially play and (4) what facilitators they need to achieve this.Method: This qualitative study in the transformative paradigm comprised focus group discussions to gather perceptions from 21 CBR workers in three areas of Uganda, each with an operational wheelchair service, participant observations and field notes. Thematic analysis of data was implemented.Results: Community-based rehabilitation workers’ perceptions of challenges were similar while perceived causes of challenges differed as influenced by location, historical and current wheelchair availability and the CBR workers’ roles. Their main responsibilities included assistance in overcoming barriers to access the service, transfer of skills and knowledge related to wheelchairs, follow-up of users for wheelchair-related problem-solving, and user and community empowerment.Conclusion: Community-based rehabilitation workers can contribute in various ways to wheelchair service delivery and inclusion of wheelchair users; however, their capabilities are not consistently applied. Considering the diversity of contextual challenges, CBR workers’ range of responsive approaches, knowledge of networks and ability to work in the community make their input valuable. However, to optimise their contribution, specific planning for their training and financial needs and effective engagement in the wheelchair services delivery system are essential.

Service Delivery and Accountability of Urban Officials: Evidence from Urban-based Local Government in Bangladesh

2021 ◽  
pp. 097152312110163
Author(s):  
A. H. M. Kamrul Ahsan ◽  
Peter Walters ◽  
Md. Adil Khan
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Service Providers ◽  
City Government ◽  
Quality Monitoring ◽  
Government Service ◽  
The Poor ◽  
Similar Class ◽  
Rajshahi City

This study compares the state of city government service delivery for communities living in different areas with different level of affluence in Rajshahi City in Bangladesh. Based on the results of a qualitative study, we found a significant service disparity between the affluent and the poor communities. This disparity is due to the inability of the poor to hold service providers accountable, attributable to a lack of knowledge about services and a lack of social status. Lack of quality monitoring and a marked bias in the quality of interactions between the poor and the affluent contribute to the service disparity This disparity is largely invisible to the poor who, instead of comparing themselves with the affluent citizens, compare themselves with a similar class of people.

A Preliminary Exploration of Goal-setting in Community-based Rehabilitation for People with Brain Impairment

2004 ◽  
Vol 5 (1) ◽  
pp. 30-41 ◽  
Author(s):  
Pim Kuipers ◽  
Glenys Carlson ◽  
Sandra Bailey ◽  
Anshu Sharma
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Service Provider ◽  
Service Providers ◽  
Acquired Brain Injury ◽  
Rehabilitation Service ◽  
Future Research ◽  
Training Experience ◽  
Community Based ◽  
Community Based Rehabilitation

AbstractCommunity-based rehabilitation for people with acquired brain injury (ABI) is largely driven by goals set in the course of rehabilitation by clients and service providers. A preliminary study investigating the perspectives and practice of experienced rehabilitation coordinators was undertaken to explore issues that influence goal-setting in community rehabilitation settings. Detailed interviews and subsequent rounds of clarification were conducted with six experienced rehabilitation coordinators. Key themes identified through inductive analysis include cognitive influences, other client influences, service provider influences and the client-service provider relationship in the goal-setting process. Based on the findings, a preliminary descriptive schema of goal-setting in a community-based rehabilitation service for people with acquired brain injury is suggested. Factors such as training, experience, and values of the rehabilitation coordinators are also discussed in terms of their influence on goal-setting. Some strategies to assist a person with ABI to identify and work towards achieving realistic goals are identified. Suggestions for enhancing community-based rehabilitation practices with people with ABI, and scope for future research are noted. This paper constitutes a general overview of goal-setting in community-based ABI rehabilitation.

scholarly journals Homelessness during COVID-19: Challenges, Responses, and Lessons Learned from Homeless Service Providers in Tippecanoe County, Indiana

2021 ◽  
Author(s):  
Natalia M. Rodriguez ◽  
Alexa M. Lahey ◽  
Justin J. MacNeill ◽  
Rebecca G. Martinez ◽  
Nina E. Teo ◽  
...  
Keyword(s):  
Service Delivery ◽  
Social Services ◽  
Service Providers ◽  
Qualitative Content Analysis ◽  
The United States ◽  
Adverse Outcomes ◽  
Lessons Learned ◽  
Community Based ◽  
Health Crisis ◽  
Community Based Organizations

Abstract Background: The COVID-19 pandemic laid bare some of the United States’ most devastating health and social inequities faced by people experiencing homelessness. Homeless populations experience disproportionate rates of underlying health conditions, stigma and marginalization that often disenfranchise them from health and social services, and living conditions that potentiate the risk of COVID-19 transmission and adverse outcomes. Methods: Guided by the socio-ecological model, this community-based participatory research study examined the impacts of the COVID-19 public health crisis on people experiencing homelessness in Tippecanoe County, Indiana, and the ways in which homeless service providers prepared for, experienced, and responded to the pandemic. Eighteen (18) semi-structured interviews were conducted with representatives of 15 community-based organizations, including shelters and other homeless service providers.Results: Qualitative content analysis revealed multilevel challenges and responses to COVID-19 impact mitigation in this community, including the implementation of diverse safety measures, policies and novel service delivery innovations.Conclusions: Community-based organizations, including homeless shelters, are uniquely qualified to inform pandemic response and disaster risk mitigation in order to respond appropriately to the specific needs of people experiencing homelessness. Many of the emergency measures put in place by homeless service providers in Tippecanoe County, Indiana created opportunities for innovative solutions to longstanding challenges faced by homeless populations that can inform better service delivery moving forward, long after the COVID-19 pandemic. The lessons learned and shared by homeless service providers on the frontline during the COVID-19 pandemic have important implications to improve future disaster response for homeless and other vulnerable populations.

scholarly journals DISCRIMINATION OF PUBLIC SERVICE IN POPULATION AND CIVIL REGISTRATION AGENCY NORTH LAMPUNG REGENCY

NATAPRAJA ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 11
Author(s):  
Rahadian Aksa
Keyword(s):  
Qualitative Research ◽  
Service Delivery ◽  
Public Service ◽  
Service Providers ◽  
Community Leaders ◽  
Civil Registration ◽  
Services Delivery ◽  
The Rich ◽  
Time Required ◽  
Race And Religion

The objective of this research is to determine the forms and causes of discrimination in the services delivery provision of North Lampung population and civil registration agency. The research was a descriptive qualitative. Research results showed the prevalence of discriminatory practices in the delivery of services in the Population and Civil Registration agency in North Lampung Regency. Dissemination took forms of time required, and cost incurred to obtain services, attitude of service providers, and procedures that differed between those that applied to ordinary citizens (long and tedious) and for others (short and quick) that included the rich, officials, community leaders and relatives or acquaintances of population and civil registration agency. However, there was no evidence of discrimination in service delivery that was based on race and religion. Culture, as manifested in paternalistic form and bureaucratic hierarchy was the main cause of discrimination in the services delivery in population and civil registration agency. Thus, paternalism and bureaucracy culture underlie favoritism accorded to officials and rulers, individuals in key positions of government and society, and relatives and acquaintances of employees in the agency as opposed to other members of society.

scholarly journals Cross Cultural Workers for Women and Families From Migrant and Refugee Backgrounds: A Mixed-Methods Study of Service Providers Perceptions

2021 ◽  
Author(s):  
Helen J Rogers ◽  
Lily Hogan ◽  
Dominiek Coates ◽  
Caroline SE Homer ◽  
Amanda Henry
Keyword(s):  
Culturally Responsive ◽  
Service Providers ◽  
Perinatal Outcomes ◽  
Cross Cultural ◽  
Mixed Methods Study ◽  
Model Of Care ◽  
Community Based ◽  
Cultural Workers ◽  
Barriers To Access ◽  
Community Based Services

Abstract BackgroundWomen from migrant and refugee backgrounds who live in high-income countries are at increased risk of adverse perinatal outcomes, including mental health issues, preterm birth and maternal and infant mortality. There is a need to implement and evaluate models of care to meet their specific needs in order to improve health outcomes, their experiences of care, and overcome barriers to access. In Sydney, Australia, a unique model of care was implemented to support women and families from migrant and refugee backgrounds to access health and community-based services through the continuum of pregnancy to the early parenting period. This model of care is known as the Cross Cultural Workers (CCWs) in Maternity and Child and Family Health Service (the CCW Service). The aim of this study was to explore the perceptions of service providers regarding the CCW Service and identify recommendations for improvement.MethodsA mixed-methods study was conducted consisting of surveys and face to face semi-structured interviews. Service providers were recruited from hospital-based maternity and community-based services. Survey data were analysed descriptively. Interviews were analysed using qualitative content analysis. ResultsSixty-nine service providers completed surveys and 19 were interviewed. The CCW Service was highly regarded by service providers who perceived it to be critical in improving care for women from migrant and refugee backgrounds. The overarching theme from the interviews was the ability of the CCW Service to act as a ‘bridge to health’. There were three main categories; supporting access to health and community-based services, improving the healthcare experience, and organisational factors affecting CCW Service provision. A limitation of the CCW Service was the part-time hours of the CCWs, reducing their ability to meet demand, build service provider capacity to provide culturally responsive care and fully operationalise the model. Conclusion Service providers perceived the CCW model to be a culturally responsive model of care tailored to the needs of women and families from migrant and refugee backgrounds, that reduces barriers to access, has the potential to improve perinatal outcomes, and women's experience and satisfaction with care.

scholarly journals The Future of Digital Services Delivery

2015 ◽  
Vol 3 (3) ◽  
pp. 31-46 ◽  
Author(s):  
Kevin Barrell ◽  
Warren Lemmens
Keyword(s):  
Service Delivery ◽  
Network Architecture ◽  
Service Providers ◽  
Full Range ◽  
Access Network ◽  
Global Marketplace ◽  
Services Delivery ◽  
Digital Services ◽  
Technology Process ◽  
Effective Service

Australia has set a strong ambition to capture opportunities presented by the emerging digital economy. While much discussion has focussed on the significant investment being made in broadband infrastructure, it is important to recognise that a range of other factors will also impact Australia’s ability to realise this vision of a dynamic digital market. Not least will be the requirement for the highest levels of satisfaction across a complex service delivery environment encompassing retail and business consumers, today’s retail and wholesale service providers, early phase digital content providers as well as the full range of future digital application services providers.This challenge transcends access network architecture and technology considerations, while highlighting the complex array of technology, process and systems components required to deliver digital services in the global marketplace. Successfully addressing this challenge is fundamental to ensuring Australia develops an effective service delivery ecosystem to underpin its digital future.This paper makes the case for industry to turn its attention to the operational market structure and processes that will support this future environment, together with the key multi-party relationships and interdependencies that will underpin the required high levels of user experience and Australia’s ultimate success.

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