Issues with mobile money in developing countries

A major criterion is the reduction of snags in the management of mobile money systems. The study was prompted by the ongoing problems with mobile money management. Previous research in underdeveloped nations concentrated mostly on technology algorithms for mobile money systems, with little attention paid to managerial issues. The research aims to reduce hiccups in the management of mobile money systems. A qualitative investigation was carried out, which was supported by activity theory and directed by an interpretative paradigm. The major data tools were semi-structured interviews and an internal document review. Expert purposive sampling was used, and data was thematically evaluated and themes were mapped onto activity theory nodes. The study's key findings included inadequate monitoring of mobile money agents, insufficient confidentiality and privacy in financial transactions, the use of general accounts for financial transactions, the use of generic guidelines and policies, third-party involvement in sensitive mobile money activities, and weak staff recruitment policies. The study's managerial implications include online customer registration, the implementation of online transaction monitoring, the online categorization of mobile money accounts, digital financial crime checks, digital validation of customer identities, and the continuous review and updating of mobile money guidelines.

UPAYA PENERAPAN METODE LEAN THINKING PADA PROSES PELAYANAN FARMASI RAWAT JALAN

Pharmacy services in a hospital are an inaccessible part of the hospital services as a whole. The accumulation of prescriptions in the pharmacy will cause the prescription process to be long and long, which has an impact on customer waiting times, which of course will have a major impact on customer satisfaction. From the standard time set as Quality Indicators at Bali Jimbaran Hospital, namely: drug processing at the outpatient pharmacy of Bali Jimbaran Hospital is 60 minutes of concocted drugs, 30 minutes of non-concocted drugs. The purpose of this research is to identify activities starting from the input, process and results generated through the Lean approach. The method used is an observational action process research, using lean methods to photograph the outpatient pharmacy service process flow through document review, direct interviews, interviews. The result of the research is an improvement in waiting time, it can be seen that the NVA activities can be eliminated by 66% and VA activities show an increase of 44%. With the many activities that are VA and the elimination of NVA activities, it will accelerate the process of outpatient pharmacy services at the Bali Jimbaran Hospital and improve customer satisfaction, which can be seen from the decrease in customer complaints against outpatient pharmacy services by up to 50%, which was previously 80%. Keywords: Lean, Pharmacist, Waiting time, Value Added, Non-Value Added

Arboviral Disease Outbreaks in the Pacific Islands Countries and Areas, 2014 to 2020: A Systematic Literature and Document Review

Arthropod-borne diseases pose a significant public health threat, accounting for greater than 17% of infectious disease cases and 1 million deaths annually. Across Pacific Island countries and areas (PICs), outbreaks of dengue, chikungunya, and Zika are increasing in frequency and scale. Data about arbovirus outbreaks are incomplete, with reports sporadic, delayed, and often based solely on syndromic surveillance. We undertook a systematic review of published and grey literature and contacted relevant regional authorities to collect information about arboviral activity affecting PICs between October 2014 and June 2020. Our literature search identified 1176 unique peer-reviewed articles that were reduced to 25 relevant publications when screened. Our grey literature search identified 873 sources. Collectively, these data reported 104 unique outbreaks, including 72 dengue outbreaks affecting 19 (out of 22) PICs, 14 chikungunya outbreaks affecting 11 PICs, and 18 Zika outbreaks affecting 14 PICs. Our review is the most complete account of arboviral outbreaks to affect PICs since comparable work was published in 2014. It highlights the continued elevated level of arboviral activity across the Pacific and inconsistencies in how information about outbreaks is reported and recorded. It demonstrates the importance of a One-Health approach and the role that improved communication and reporting between different governments and sectors play in understanding the emergence, circulation, and transboundary risks posed by arboviral diseases.

Three decades of a lesson learned from Thailand: compulsory service for dentist workforce distribution

Background Thailand has encountered an imbalanced dentist distribution and an internal brain drain of dentists from public to private health care facilities. To tackle these challenges, the compulsory service (CS) program, which has been initially implemented for physicians, was extended for dentists. Method This policy and workforce document review describes the background, development, and policy implementation of the CS program in Thailand during the past three decades. Outcomes after policy implementation and future directions are also discussed. The information was gathered from the relevant policy and workforce documents available from 1961 to 2021. Results In Thailand, junior dentists, specifically newly graduates, have to enroll in the CS program by working as oral health practitioners in public hospitals for at least 3 years. Dentists must pay a maximum fine of 400 000 baht (~ 12 571 USD) if they wish to skip the program. This fine is lowered according to the number of attending years in the program. CS program conditions are related to each university’s admission track. The CS enrolled dentists receive several financial and non-financial benefits, including educational, employment-related, and living provisions. Altogether, successive Thai governments have launched directive policies to increase dentist distribution in rural areas and their retention in public hospitals. These policies have been implemented in 3 stages: (1) increase production of new dentists, (2) allocation of newly dental graduates to public hospitals, and (3) provide benefits for working in public hospitals. Conclusion During the past three decades, several public policies have been implemented to improve dentist retention and distribution to public hospitals across Thailand, particularly in rural areas. The present CS program may not completely resolve the oral health inequalities because the dentist retention rate in public hospitals depends on multi-dimensional considerations. Further modifications on the CS program and future well-planned policies are needed.

Challenges for the Integrated Management of Priority Areas for Conservation in Tamaulipas, México

Protected areas (PAs) are considered as a globally accepted strategy for biodiversity conservation that demonstrates the difficulties in meeting the proposed objectives; therefore, different conservation schemes are promoted to integrate the design of interfaces that favor the exchange of knowledge among different sectors, systems and stakeholders. The objective of this study was to characterize challenges regarding the protection of natural protected areas and other biodiversity conservation schemes in Tamaulipas, Mexico. This paper analyzed 39 areas with some form of protection status in addition to the 70 national and international designations that are part of them. A document review and 13 semi-structured interviews were conducted with experts from the public, private, academic, and civil society sectors. The data were analyzed from a qualitative perspective using ATLAS.ti 9 software. The results show the overlapping of protection schemes in priority areas; the lack of policies and mechanisms that integrate the different schemes to facilitate the exchange between stakeholders; and regulatory, structural, governance, management, participation, and operational gaps, as well as the absence of comprehensive and long-term work. The importance of and challenges in articulating the different schemes and visions to achieve effective biodiversity conservation are evident.

Exploring indigenous conflict resolution mechanisms between the Awi and Gumuz ethnic communities in Zigem Woreda, Ethiopia

Purpose The purpose of this study is to explore indigenous conflict resolution mechanisms for resolving ethnic-based conflicts between the Awi and Gumuz communities in Ethiopia. Design/methodology/approach This study followed a qualitative research approach and it has a case study design that is appropriate to collect in-depth information about indigenous mechanisms of resolving conflicts that arise between Awi and Gumuz ethnic groups. Data were collected through in-depth interviews and document review. Findings The results revealed that the Awi and Gumuz ethnic groups resolve conflict through the elder council or shimigilina. This indigenous mechanism conflict resolution mechanism is well recognized, accepted and respected both by the Awi and Gumuz ethnic groups. Shimiglina has different phases and rituals which are finally concluded by kale-mehala (oath) or promising not to take revenge and harm. The Awi and Gumuz ethnic groups view shimigilina as a vital and effective conflict resolution mechanism. Practical implications This study clearly indicated important implications for policy, practice and future research. The Awi and Gumuz communities have used the elders’ council (shimiglina) to solve ethnic-based conflicts for a long time. Therefore, there should be policy frameworks at different levels (national, regional and local) for the integration of the elders’ council with the formal justice system. Put in other words, this indigenous conflict resolution mechanism should be properly organized and institutionalized. However, a comprehensive study should be conducted to understand how to organize and institutionalize this indigenous conflict resolution mechanism. Originality/value This is an original study that contributes to peacebuilding by discovering the role of indigenous knowledge in conflict resolution and peacebuilding.

Baby (Not So) Friendly: Implementation of the Baby-Friendly Hospital Initiative in Serbia

The WHO and UNICEF launched The Baby-Friendly Hospital Initiative (BFHI) in 1991 with the goal of promoting breastfeeding. Four years later, this initiative was adopted in Serbia (then Yugoslavia). Although Serbia has officially been a part of the BFHI for over 26 years, less than 13% of children are currently exclusively breastfed for the first 6 months of life. Drawing on interviews, observations and document review, this chapter offers ethnographic insight into why the BFHI in Serbia has met with little success. I argue that the principles and practices of the initiative to promote breastfeeding have been both thinly learned and thinly applied by healthcare workers and therefore have had little positive impact on women’s empowerment to breastfeed or the rates of breastfeeding in the country. I show how the global Baby-Friendly Hospital Initiative implemented in Serbia in the early 1990s and the national level policies which renewed it in 2018 were severely constrained by social, political and economic conditions that hindered the uptake of the program by frontline health workers – namely the devastating effects of the civil war and international sanctions in the 1990s, and the deleterious effects of IMF policies on the Serbian healthcare system since the 2000s. The pressure of time due to high workloads, and understaffed hospitals, in combination with unsustainable national funds for implementation may contribute to the reality of the thin implementation of BFHI.

Analysis of Policy, Infrastructure Facilities and Human Resources in Preparation for Re-Accreditation

Accreditation is an acknowledgment of the public health center agency, by an independent accreditation agency set by the Minister of Health after meeting the first level health facility service standards to improve the quality of services on an ongoing basis. Puskesmas Bagansiapapi is a middle-accredited puskesmas that will go through a re-accreditation process scheduled for 2020 and is planned to be a pilot health center in Rokan Hilir district. Based on the results of initial interview with Head and Staff of Public Health center, there are some recommendations from surveyors for 2020’s re-accreditation preparation such as policies, infrastructure and human resources. Downstream 2020.This type of research is qualitative descriptive exploratory research with in-depth interviews, observation and document review with the respondents of the quality head, an admin’s leader, an UKM’s Leader, the head of UKP, the Head of Public Health Center and the Internal Health Staff. The results showed that the preparatory policies for accreditation had been implemented well. The facilities and infrastructure in preparation for accreditation have not met Permenkes 43 of 2019 and have not met the needs of the community. Judging from the adequacy of human resources has not met the standard Permenkes No. 43 of 2019 in the form of environmental sanitation workers, health information system personnel, financial administration staff, administrative staff and those needed by medical record health centers and information technology workers.Preparation for Puskesmas Bagansiapiapi accreditation in policy has been well implemented, infrastructure and human resources do not meet standards.

RAGAM HIAS MOTIF BATIK MELALUI RELIEF FLORA CANDI BOROBUDUR PADA MAHASISWA PGSD FKIP UAD

His study aims to describe the implementation of the decorative reliefs of the Borobudur temple flora on the batik motifs of PGSD FKIP UAD students. The research method that will be used is qualitative with a case study approach. Data collection techniques were carried out by interview, observation, and document review. Data analysis techniques that will be used in the form of data reduction, data presentation and drawing conclusions. The results of the study were the implementation of various relief batik motifs through the reliefs of the flora of the Borobudur temple on the work of PGSD UAD students. The motifs that appear in the decorative motifs made by students are geometric and non-gemetric batik motifs combined with flora reliefs in the form of frangipani trees, lotus trees, banana trees and lotus trees. Student works are in the form of 2-dimensional works with the identification of elements of straight, curved, zigzag and irregular lines, geometric expressions, organic expressions, multi-angled faces, and irregular shapes. and tertiary, playing dark and light, applying the principles of composition work. Keywords: Decorative Variety, Batik Motif, Relief

Whole Language Approach Implementation as a Child Language Learning Model Development

This research was conducted to implement a holistic language approach (whole language approach) as a development model for students' language learning at SDN (Public School) 2 Sigli. This study uses a classroom action research method by providing action in each cycle starting from planning, acting, observing, and reflecting. This research was conducted at the Sigli 2 Public Elementary School. The subjects of this study consisted of 10 students consisting of 6 boys and 4 girls. The results of observations were processed through data analysis techniques with descriptive statistics, namely finding the percentage and average value of the improvement in Indonesian language skills obtained through observation, interviews and discussions, and document review. The results showed that the implementation of the whole language approach which includes immertion, demonstration, expectation, responsibility, employment, approximation, and feedback can improve students' reading ability. Based on the results of observations in the pre-cycle, the percentage of pre-cycle reading ability was still 30.25%. In the first cycle, after the action was carried out for 7 meetings, the percentage increased to 85.50%. Based on these data shows an increase in the percentage of reading ability from the results of pre-cycle observations by 55.25%. The implication of this research is that the whole language approach is expected to be used as the development of a language learning model at SDN 2 Sigli, because it is natural and fun and is the same age as the stages of student development.