Researching Peers and Disaster Vulnerable Communities: An Insider Perspective

The Qualitative Report ◽

10.46743/2160-3715/2017.3024 ◽

2017 ◽

Author(s):

Stern Kita

Keyword(s):

Low Income ◽

Vulnerable Population ◽

Income Country ◽

Low Income Countries ◽

Doctoral Study ◽

Low Income Country ◽

Vulnerable Communities ◽

Conducting Research

Conducting research among peers and communities that a researcher also serves may be both daunting and rewarding. Researching peers may make the researcher feel uncomfortable raising certain questions that are sensitive or that could be construed to be testing their competencies. This paper is inclined more towards showing that it is advantageous to be an insider, whose position can facilitate collection of information that could not have been accessed, or revealed to an outsider. The paper reports on fieldwork conducted in a low-income country in Sub-Sahara Africa as part of a doctoral study with communities affected by disasters and those that work with such communities. The paper demonstrates the complexities of conducting such research and provides some insights that may be useful to insiders, outsiders or “in-betweeners” embarking on fieldwork in low-income countries and among vulnerable population struggling with manifold stresses and shocks.

Download Full-text

Adapting Collaborative Approaches for Service Provision to Low-Income Countries: Expert Panel Results

Sustainability ◽

10.3390/su12072612 ◽

2020 ◽

Vol 12 (7) ◽

pp. 2612 ◽

Cited By ~ 1

Author(s):

Kimberly Pugel ◽

Amy Javernick-Will ◽

Matthew Koschmann ◽

Shawn Peabody ◽

Karl Linden

Keyword(s):

Service Delivery ◽

International Development ◽

Low Income ◽

Expert Panel ◽

Income Country ◽

Low Income Countries ◽

Low Income Country ◽

Government Capacity ◽

The Government ◽

Future Practice

The international development sector is increasingly implementing collaborative approaches that facilitate a range of sectoral-level stakeholders to jointly address complex problems facing sustainable public service delivery, for which guidance does not explicitly exist. The literature on collaborative approaches has been built on experiences in high-income countries with vastly different governance capabilities, limiting their global relevance. A Delphi expert panel addressed this need by evaluating 58 factors hypothesized in the literature to contribute to the success of collaborative approaches. The panel rated factors according to their importance in low-income country contexts, on a scale from Not Important to Essential. Experts agreed on the importance of 49 factors, eight of which were essential for success. Rich qualitative data from open-ended responses revealed factors that may be unique to low-income country contexts and to service delivery applications, including how government capacity, politics, donor influence, and culture can influence decisions on structuring leadership and facilitation roles, appropriately engaging the government, and building legitimacy. Key considerations for future practice and research are summarized in a table in the appendix. This study contributes to both literature and practice by identifying the relative importance of factors to consider when designing collaborative approaches in low-income countries with limited governance capabilities.

Download Full-text

A Review of Some Aspects of the Low-Income Country Debt Sustainability Framework

Policy Papers ◽

10.5089/9781498335713.007 ◽

2009 ◽

Vol 09 ◽

Cited By ~ 1

Author(s):

Keyword(s):

Low Income ◽

Income Country ◽

Low Income Countries ◽

Preventive Action ◽

Debt Sustainability ◽

Low Income Country ◽

Debt Burden ◽

Development Goals ◽

Lending Decisions ◽

Sustainability Framework

The Bank-Fund Debt Sustainability Framework (DSF) is a standardized framework for analyzing debt-related vulnerabilities in low-income countries (LICs). It aims to help countries monitor their debt burden and take early preventive action, to provide guidance to creditors in ensuring their lending decisions are consistent with countries’ development goals, and to improve the Bank and Fund’s assessments and policy advice. The DSF was last reviewed in 2006, and a reconsideration of some aspects of the framework is timely.

Download Full-text

Changing Patterns in Low-Income Country Financing and Implications for Fund Policies on External Financing and Debt

Policy Papers ◽

10.5089/9781498336253.007 ◽

2009 ◽

Vol 09 ◽

Cited By ~ 1

Author(s):

Keyword(s):

Low Income ◽

Income Country ◽

Low Income Countries ◽

External Financing ◽

External Resources ◽

Low Income Country ◽

Changing Patterns ◽

Development Objectives ◽

External Borrowing ◽

Case Basis

Low-income countries (LICs) face significant challenges in meeting their development objectives while maintaining a sustainable debt position. The international community’s main answer to this dilemma has been to promote recourse to concessional external resources. The Fund’s recommendations to LICs conform to this preference: the practice in Fund-supported programs in LICs has generally been to set zero limits on nonconcessional external borrowing while not restricting concessional financing, although flexibility has been applied on a case-by-case basis to allow some nonconcessional borrowing when warranted.

Download Full-text

Review of Low-Income Country Debt Sustainability Framework and Implications of the Multilateral Debt Relief Initiative (MDRI)

Policy Papers ◽

10.5089/9781498332828.007 ◽

2006 ◽

Vol 2006 (13) ◽

Author(s):

Keyword(s):

World Bank ◽

Low Income ◽

Debt Relief ◽

Income Country ◽

Low Income Countries ◽

Bank Debt ◽

Debt Sustainability ◽

Low Income Country ◽

Sustainability Framework

This paper reviews the experience with the joint IMF-World Bank Debt Sustainability Framework for low-income countries, including cooperation between the staffs, and highlights the implications of the Multilateral Debt Relief Initiative.

Download Full-text

Can Ultrasound Guided Regional Anesthesia Improve Rural Anesthesia Services and Address Safety Issues in Low Income Country? Perspective from Nepal

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v18i1.2614 ◽

2020 ◽

Vol 18 (1) ◽

pp. 144-146

Author(s):

Pawan Kumar Hamal ◽

Anuj Jung Rayamajhi ◽

Nabin Pokhrel ◽

Rupesh Kumar Yadav ◽

Prajjwal Raj Bhattarai ◽

...

Keyword(s):

Regional Anesthesia ◽

Low Income ◽

Income Country ◽

Low Income Countries ◽

Ultrasound Guided ◽

Safety Issues ◽

Low Income Country ◽

Anesthesia Safety ◽

Logistics Services ◽

Proper Training

Provision of anesthesia services in a deprived area particularly in low income countries is a major challenge all over the globe. Along with issues of manpower, logistics, services, there lies agendas of safety and accuracy while delivering the services. With rise in ultrasound use in regional anesthesia, pain and perioperative care, it is prudent that some of these issues can be addressed with proper training, mentoring and monitoring. The global idea needs to be implemented locally to reach out to huge volume of patients who are inadequately treated for the various painful conditions. A group of regional enthusiasts from Nepal takes the vision and mission in Nepalese context to address the issues. Keywords: Low income country; rural anesthesia; safety; ultrasound guided regional anesthesia

Download Full-text

A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country

Journal of Child Neurology ◽

10.1177/0883073819864516 ◽

2019 ◽

Vol 34 (13) ◽

pp. 842-850

Author(s):

Emmanuel Segnon Sogbossi ◽

Damienne Houekpetodji ◽

Toussaint G. Kpadonou ◽

Yannick Bleyenheuft

Keyword(s):

Risk Factors ◽

Cerebral Palsy ◽

Low Income ◽

Classification System ◽

West African ◽

Low Income Countries ◽

Cross Sectional ◽

Common Cause ◽

Low Income Country ◽

Children With Cerebral Palsy

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.

Download Full-text