B.L. Aarons and MPS Phc
The evolution of polymers and similar organic compounds has literally revolutionised the paint industry, as witness the variety of types of paint manufactured today, compared with…
Abstract
The evolution of polymers and similar organic compounds has literally revolutionised the paint industry, as witness the variety of types of paint manufactured today, compared with not so very long ago when only high gloss paint, undercoat and distemper were available.
Remigijus Civinskas and Jaroslav Dvorak
This study aims to investigate the role of the public health advocacy coalition (PHC) in the context of policy change. Using the “advocacy coalition framework” theory, this study…
Abstract
Purpose
This study aims to investigate the role of the public health advocacy coalition (PHC) in the context of policy change. Using the “advocacy coalition framework” theory, this study examines how new ideas and the transformation of the policy subsystem influenced the adaptation of strategy, framing and messaging used by PHC actors.
Design/methodology/approach
A detailed policy case study was conducted based on a range of primary documents and individual semi-structured interviews (n = 34) with key decision-makers, civil servants, NGO leaders, public health experts and AI representatives.
Findings
In 2020, the Lithuanian PHC coalition became involved in policy-making with a slightly re-framed strategy, which was based on public health priorities and scientific research evidence. The priorities and relevant activities were aimed at maintaining a wide range of regulative measures. The PHC advocates focused on and prioritised arguments pertaining to the social and economic harms of alcohol. This framework created some ground for policy-influencing action and was important for debates with AI actors. The PHC put a great deal of pressure on Members of Parliament to continue the implementation of evidence-based policies.
Originality/value
Over two decades, Lithuanian alcohol policy has shifted in waves, from liberalisation to stricter control interventions. The previous wave of strict alcohol policy was effective from the perspective of the measures implemented, and it also reduced alcohol-related harm. In 2020, two liberal and conservative parties focused on a laissez-faire approach to the elimination of some unfavourable restrictions for the alcohol industry (AI).
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Manjula Venkataraghavan, Padma Rani, Lena Ashok, Chythra R. Rao, Varalakshmi Chandra Sekaran and T.K. Krishnapriya
Physicians who are primary care providers in rural communities form an essential stakeholder group in rural mobile health (mHealth) delivery. This study was exploratory in nature…
Abstract
Purpose
Physicians who are primary care providers in rural communities form an essential stakeholder group in rural mobile health (mHealth) delivery. This study was exploratory in nature and was conducted in Udupi district of Karnataka, India. The purpose of this study is to examine the perceptions of rural medical officers (MOs) (rural physicians) regarding the benefits and challenges of mobile phone use by community health workers (CHWs).
Design/methodology/approach
In-depth interviews were conducted among 15 MOs belonging to different primary health centers of the district. Only MOs with a minimum five years of experience were recruited in the study using purposive and snowball sampling. This was followed by thematic analysis of the data collected.
Findings
The perceptions of MOs regarding the CHWs' use of mobile phones were largely positive. However, they reported the existence of some challenges that limits the potential of its full use. The findings were categorized under four themes namely, benefits of mobile phone use to CHWs, benefits of mobile phone-equipped CHWs, current mobile phone use by CHWs and barriers to CHWs' mobile phone use. The significant barriers reported in the CHWs' mobile phone use were poor mobile network coverage, technical illiteracy, lack of consistent technical training and call and data expense of the CHWs. The participants recommend an increased number of mobile towers, frequent training in mobile phone use and basic English language for the CHWs as possible solutions to the barriers.
Originality/value
Studies examining the perceptions of doctors who are a primary stakeholder group in mHealth as well as in the public health system scenario are limited. To the authors’ knowledge, this is one of the first studies to examine the perception of rural doctors regarding CHWs' mobile phone use for work in India.
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This chapter provides a comprehensive description of special education in Bangladesh. It begins with the early origins of special education and then proceeds with definitions of…
Abstract
This chapter provides a comprehensive description of special education in Bangladesh. It begins with the early origins of special education and then proceeds with definitions of and prevalence of current disabilities in Bangladesh. This section is followed by governmental policies and legislation related to the right to education for all students with disabilities. Next, educational intervention methods are delineated along with a description of governmental special schools and teacher training and preparation of special educational professions. Early intervention practices and working with families is also discussed. The chapter ends with the progress that Bangladesh has made and the challenges that remain.
This study investigates the frequency and specificity of health-related issues discussed during the East Java Indonesia Gubernatorial Election Campaign 2018.
Abstract
Purpose
This study investigates the frequency and specificity of health-related issues discussed during the East Java Indonesia Gubernatorial Election Campaign 2018.
Design/methodology/approach
The research utilized a mixed-methods approach, combining topic modeling and qualitative thematic analysis, to analyze 4,023 online news articles from March to June 2018. From the data sources obtained in terms of time frame, this research can be categorized as a retrospective study because it examines origins from events that have already occurred.
Findings
The study found that health issues accounted for only 6% of all gubernatorial election news in each selected online media portal. The health issues identified were categorised into eight groups: health financing and facilities, health workforce, malnutrition and stunting, leprosy, cigarettes and tobacco, healthy lifestyles, pregnancy and breastfeeding, and disability. The study also reveals a need for increased attention to health-related issues in political campaigns and media. By focusing on the health-related issues raised during the campaign, the study provides valuable insights into the gaps and priorities in addressing the health needs of the East Java population. The research framework used in this study offers a valuable approach for analyzing online data sources using qualitative analysis capacity. The study can improve health policies and outcomes in the local election campaign by raising awareness of health issues and promoting informed decision-making among voters.
Research limitations/implications
This research limitation is a local political campaign case in Indonesia. The research indicates that health issues receive limited coverage during election campaigns, suggesting a lack of emphasis on health as a critical issue among East Java's electorate.
Originality/value
The study can improve health policies and outcomes in the local election campaign by raising awareness of health issues and promoting informed decision-making among voters.
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Anthony Nkrumah Agyabeng, James Kwame Mensah and Anthony Acquah
Waste management has become a topical issue among scholars, practitioners, and industrialists. This study extends the debate on waste within informal communities, highlighting the…
Abstract
Waste management has become a topical issue among scholars, practitioners, and industrialists. This study extends the debate on waste within informal communities, highlighting the functionalities of local assemblies in Ghana, a developing country context. This study utilized the desk research regime situated within the qualitative approach. Several sources of data, including key policy documents in context, were used to inform the conclusion reached. The results show a lack of independence of local assemblies to enforce waste management by-laws in informal communities. It further indicates that limited waste management departments within the metropolitan, municipal, and district assemblies (MMDAs) and a lack of funds are to blame for effectively managing waste and sanitation in the informal settlements. Being desk research, the findings of the study should be carefully interpreted to reflect similar settings and characteristics across national, regional, and international contexts. The study explored the nuance of waste and sanitation management and discovered some setbacks to effective waste management, as well as practical ways of addressing them. This research is one of the few to examine waste management and sanitation-related issues within informal communities in a developing country context.
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Mark Petrich, Vijaya L. Ramamurthy, Delia Hendrie and Suzanne Robinson
The purpose of this paper is to contribute an Australian perspective to the debate on health system integration by identifying some key Australian challenges to integration…
Abstract
Purpose
The purpose of this paper is to contribute an Australian perspective to the debate on health system integration by identifying some key Australian challenges to integration, policy responses to enhance integration and potential insights from these for international policy makers, researchers and practitioners.
Design/methodology/approach
Drawing on the systems theory concept of entropy, the authors contend that there exist factors that contribute to system fragmentation. Whilst policy responses to these challenges are contextual, there are generalisable features worth exploring internationally.
Findings
The authors suggest that recognition of inherent system-based barriers is an important initial stage in moving towards integration. Whilst process and people factors are important contributors to integration, the political will to move in this direction is a necessary dynamic to energise the system through appropriate funding, incentives and governance structures.
Originality/value
The paper provides a fresh Australian perspective to the international discourse on barriers and opportunities to enhance health system integration.