scholarly journals Assessing the Impact of Integrated Community-Based Management of Severe Wasting Programs in Conflict-Stricken South Sudan: A Multi-Dimensional Approach to Scalability of Nutrition Emergency Response Programs

2021 ◽  
Vol 18 (17) ◽  
pp. 9113
Author(s):  
Andre M. N. Renzaho ◽  
Gilbert Dachi ◽  
Kibrom Tesfaselassie ◽  
Kiross Tefera Abebe ◽  
Ismail Kassim ◽  
...  
Keyword(s):  
Weight Gain ◽  
Emergency Response ◽  
Program Implementation ◽  
Performance Indicators ◽  
Emergency Preparedness ◽  
Quality Care ◽  
South Sudan ◽  
Secondary Data ◽  
Community Based ◽  
The Impact

Community-based management of severe wasting (CMSW) programs have solely focused on exit outcome indicators, often omitting data on nutrition emergency preparedness and scalability. This study aimed to document good practices and generate evidence on the effectiveness and scalability of CMSW programs to guide future nutrition interventions in South Sudan. A total of 69 CMSW program implementation documents and policies were authenticated and retained for analysis, complemented with the analyses of aggregated secondary data obtained over five (2016–2020 for CMSW program performance) to six (wasting prevention) years (2014–2019). Findings suggest a strong and harmonised coordination of CMSW program implementation, facilitated timely and with quality care through an integrated and harmonised multi-agency and multidisciplinary approach. There were challenges to the institutionalisation and ownership of CMSW programs: a weak health system, fragile health budget that relied on external assistance, and limited opportunities for competency-based learning and knowledge transfer. Between 2014 and 2019, the prevalence of wasting fluctuated according to the agricultural cycle and remained above the emergency threshold of 15% during the July to August lean season. However, during the same period, under-five and crude mortality rates (10,000/day) declined respectively from 1.17 (95% confidence interval (CI): 0.91, 1.43) and 1.00 (95% CI: 0.75, 1.25) to 0.57 (95% CI: 0.38, 0.76) and 0.55 (95% CI: 0.39, 0.70). Both indicators remained below the emergency thresholds, hence suggesting that the emergency response was under control. Over a five-year period (2016–2020), a total of 1,105,546 children (52% girls, 48% boys) were admitted to CMSW programs. The five-year pooled performance indicators (mean [standard deviations]) was 86.4 (18.9%) for recovery, 2.1 (7.8%) for deaths, 5.2 (10.3%) for defaulting, 1.7 (5.7%) for non-recovery, 4.6 (13.5%) for medical transfers, 2.2 (4.7%) for relapse, 3.3 (15.0) g/kg/day for weight gain velocity, and 6.7 (3.7) weeks for the length of stay in the program. In conclusion, all key performance indicators, except the weight gain velocity, met or exceeded the Humanitarian Charter and Minimum Standards in Humanitarian Response. Our findings demonstrate the possibility of implementing robust and resilient CMSAM programs in protracted conflict environments, informed by global guidelines and protocols. They also depict challenges to institutionalisation and ownership.

Dampak Program CSR Binaan PT Pertamina RU II Sungai Pakning: Analisis Social Return on Investment (SROI) dan Sensitivitas

2021 ◽  
Vol 11 (2) ◽  
pp. 203-212
Author(s):  
Nurhazana Nurhazana ◽  
Muhammad Luthfi iznillah ◽  
Sahat Roy Pianto
Keyword(s):  
Program Implementation ◽  
Return On Investment ◽  
Secondary Data ◽  
Primary Data ◽  
Social Investment ◽  
Social Return On Investment ◽  
The Social ◽  
Program Costs ◽  
The Impact ◽  
Calculation Analysis

The purpose of this study is to see the impact of the CSR program of PT Pertamina RU II Sei Pakning through the analysis of Social Return on Investment and sensitivity. This research is descriptive quantitative by utilizing primary and secondary data. Primary data consists of data obtained from processing observational data and secondary data obtained from various literature sources. Based on the results of the SROI calculations for the four programs, it can be concluded that the social investment made for each program is feasible because all programs have a positive SROI score (more than 1) during the program implementation plan. In accordance with the results of the SROI calculation analysis, four programs from PT Pertamina RU II Sungai Pakning have generated benefits that are greater than the program costs. However, there are still opportunities to increase and expand the scope of benefits from the four programs.

scholarly journals Evaluating the Performance of Community Mental Health Centers in Iran: Strengths and Challenges

2021 ◽  
Vol 27 (2) ◽  
pp. 204-215
Author(s):  
Mozhgan Taban ◽  
◽  
Ahmad Hajebi ◽  
Mehri Gholami ◽  
Morteza Naserbakht ◽  
...  
Keyword(s):  
Mental Health ◽  
Program Implementation ◽  
General Medicine ◽  
Mental Health Program ◽  
Health Centers ◽  
Community Based ◽  
Individual Interviews ◽  
Mental Health Centers ◽  
Program Challenges ◽  
The Impact

Objectives: This study aims to evaluate the performance of Community-based Mental Health Centers (CMHCs) in Iran and identifying the strengths and challenges in the provision of mental health services. Methods: This is a qualitative study, conducted using 36 individual interviews and 13 focus group discussions. Content analysis was performed and data were categorized. The findings were presented in terms of the needs for program implementation, achieving the expected goals and outcomes, and the findings of program evaluation. First, the points related to the provision of infrastructure and setting up the centers were mentioned, and then, the features, strengths and challenges facing the program were discussed. Results: Significant successes were achieved in providing infrastructure and implementing the community-based mental health program. Challenges in the implementation of this program included the barriers to attracting more general physicians and the impact of culture and attitudes in each city on the effectiveness of the program. Conclusion: To improve the performance of CMHCs, more attention should be paid to psychiatry and mental health educational programs in the general medicine curriculum, public education about the mental health and providing solutions for better implementation of the program.

scholarly journals Evaluasi Dampak Pembangunan Pariwisata Menggunakan Konsep Community Based Tourism (CBT) di Kawasan Wisata Tebing Breksi

2021 ◽  
Vol 14 (2) ◽  
pp. 109-124
Author(s):  
Nurwanto Nurwanto
Keyword(s):  
Development Strategy ◽  
Negative Impact ◽  
Positive Impact ◽  
Secondary Data ◽  
Active Role ◽  
Government Support ◽  
Primary Data ◽  
Community Based ◽  
Study Approach ◽  
The Impact

Nowadays the development of tourism in an area will bring a positive impact on the local society. However, if the community is not ready to accept development and is not ready to manage its property, it will have a negative impact. Various problems will arise with the existence of mass tourism which makes it difficult or even detrimental to the community. Therefore, this study will discuss the evaluation of the impact tourism development in Tebing Breksi using the concept of community-based tourism (CBT). CBT is a development strategy that uses tourism as a tool to strengthen local communities that are managed by, from, and for the community, as well as considering aspects of sustainability to improve people’s welfare. The research method used is qualitative using a case study approach. The data used is sourced from primary data and secondary data. Primary data obtained by interviewing speakers who are considered competent in their fields and following the research topic. Secondary data were obtained from previous studies, documentation, a note, and an activity report related to Tebing Breksi. Evaluation of CBT principles at Tebing Breksi is seen based on five aspects, that is (i) Economic principles (ii) Social principles (iii) Cultural principles (iv) Environmental principles (v) Political principles, along with indicators. The result of the analysis shows that the principles of CBT applied at Tebing Breksi as a whole have shown success even though some of the indicators of the CBT principle need to be optimized again, while the positive impact obtained by the community with the presence of this CBT is increased economic income, improved quality of life, concern for waste management and mutual respect between cultures. Also, the success of CBT cannot be separated from the active role of community and government support.

scholarly journals If Only We Knew What We Know: Factors for Mobilizing Citizen Participation in Community-based Emergency Preparedness

2016 ◽  
Vol 7 (1) ◽  
pp. 77
Author(s):  
Wei-Ning Wu ◽  
Kaiju Chang ◽  
Yi-En Tso
Keyword(s):  
Emergency Management ◽  
Citizen Participation ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
Local Governments ◽  
Disaster Risk ◽  
Community Based ◽  
Emergency Communications ◽  
Response And Recovery ◽  
Southern Taiwan

Emergency management typically consists of four phases: mitigation, preparedness, response, and recovery. Citizen participation is recognized as key to these four phases, and local governments are responsible for promoting authentic citizen participation in all phases. Many studies have asserted the importance of citizen participation in improving the capabilities of community-based emergency response and recovery, yet studies on citizen activities and participation in the pre-disaster process are relatively limited. In practice, increasing citizen preparedness for disasters has presented a challenge to local emergency management agencies. In Taiwan, the approaches employed by local emergency management agencies for mobilizing citizens to participate in emergency management activities are often considered in isolation from their other administrative duties. To fill this gap, this study examines factors for mobilizing citizens in disaster exercises from the perspective of local fire branch heads. Using survey data collected from Southern Taiwan in 2013, we found that the capacity of local fire branches to provide emergency communications and information delivery, as well as pre-disaster risk assessment and alert systems, is critical for enhancing citizen participation in the local emergency preparedness process. 应急管理通常包括四个阶段：减灾、准备、响应和恢复。公民参与被认为对这四个阶段都很关键，而地方政府有责任在所有阶段都推动真正的公民参与。许多研究都指出了公民参与在提高社区应急响应和灾后重建能力的重要性，但是有关灾前过程中公民活动和参与的研究却相对较少。在实践中，增强公民应对灾害的就绪度，是地方应急管理部门面临的一大挑战。台湾地方应急管理部门动员公民参与应急管理活动的方式，通常被认为同其他行政职责是相割裂的。为了填补这项空白，本研究从地方消防部门主管的角度，考察了在灾害演练中动员公民的影响因素。使用2013年在台南收集的调查数据，我们发现地方消防部门提供应急沟通与信息传递的能力，以及灾前风险评估和预警系统，是地方应急就绪过程中促进公民参与的关键因素。 재난 관리는 일반적으로 완화, 예방, 대응 그리고 회복의 네 단계로 구성된다. 시민참여는 이러한 네 단계의 핵심으로 인식되며, 지방 정부는 모든 단계에서 진정한 시민 참여 증진에 관한 책임이 있다.  많은 선행 연구가 공동체 기반의 재난 대응과 회복 능력을 개선하기 위하여 시민 참여가 가지는 중요성을 역설하였지만,  재난 이전 단계에서의 시민 활공과 참여에 관한 연구는 제한적이었다. 실무에서의 재난에 관한 시민 예방 증진은 지방 재난 관리 부처에 과제를 제공해 왔다. 대만에서의 지방 재난 관리 부처의 재난 관리 활동에 시민 참여 활성화 방안은 기타의 행정 의무와 별개로 고려되어 왔다. 이러한 선행연구의 공백을 메우기 위하여 본 연구는 지방 소방서장의 관점에서 재난 관리에 시민 참여를 활성화하는 요인을 연구하였다. 본 연구는 2013년 남부 대만에서 수집된 서베이 자료를 이용하여 지방 소방서의 재난 커뮤니케이션, 정보 제공, 재난 이전 리스크 평가 그리고 경보 체제를 제공하는 지방 소방서의 능력이 지방 재난 예방 과정에 시민참여를 고양하는 중요한 요인이라는 것을 확인하였다. 

Association of timing of palliative care consult on quality care outcomes at a community based hospital.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 166-166
Author(s):  
Parag Bharadwaj ◽  
Sriram Yennu ◽  
Karen M Helfen ◽  
Leo J DeLeon ◽  
Joe Kim ◽  
...  
Keyword(s):  
Palliative Care ◽  
Quality Care ◽  
Community Setting ◽  
Readmission Rates ◽  
Community Based ◽  
Time Period ◽  
Mortality Ratio ◽  
Care Outcomes ◽  
Patient Groups ◽  
The Impact

166 Background: Timing of palliative care (PC) consults in hospitalized patients can have an impact on outcomes. Aim: To study the impact of the timing of consults on length of stay (LOS) of PC patients in a community based hospital over a span of 1 year. Additional outcomes included mortality and readmission rates. Methods: We conducted a retrospective review of medical records of consecutive patients who were referred to PC during the time period (November 2012- October 2013). LOS of PC patients consulted within and after 48 hours of admission were analyzed. Based on the timing of consult, mortality ratio of the two patient groups were analyzed. In addition, we analyzed the 30, 60 and 90 day readmission rates pre and post PC consult. Results: The LOS of patients seen by PC within 48 hours (N = 353) of admission was 1.20 (variance from expected) versus after 48 hours (N = 187) of admission was 6.28 (variance from expected). The mean difference in LOS between the groups was 5.08 days. The mortality ratio of the two groups was 1.01 (within 48 hours) versus 1.10 (after 48 hours) (p = .131). In addition the decrease in the 30, 60 and 90 day readmission rate was 61.5%, 47% and 42.1% respectively. Conclusions: Early PC consults were associated with a decrease in LOS and readmission rates with no increase in mortality rate. Further studies are needed to validate these findings in the community setting.

scholarly journals STUDI KEBERLANJUTAN PROGRAM PENGEMBANGAN MASYARAKAT PERIKANAN MARJINAL DI KABUPATEN TAPANULI TENGAH, PROVINSI SUMATERA UTARA

2017 ◽  
Vol 4 (2) ◽  
pp. 121
Author(s):  
Rizki Aprilian Wijaya ◽  
Luky Adrianto ◽  
Gatot Yulianto
Keyword(s):  
Community Development ◽  
Program Implementation ◽  
Technology Development ◽  
Development Program ◽  
Secondary Data ◽  
Fishing Community ◽  
Fisheries Resources ◽  
Resource Degradation ◽  
Implementation Program ◽  
The Impact

Program Pengembangan Masyarakat Perikanan Marjinal (MFCDP) merupakan program yang difasilitasi oleh Bappenas pada tahun 2004 melalui dana hibah Bank Dunia, bertujuan untuk meningkatkan kesejahteraan masyarakat pesisir dan nelayan kecil dalam mengelola sumberdaya perikanan yang lebih baik melalui upaya pengelolaan kawasan pesisir secara terpadu dan berkelanjutan. Program ini bersifat dana bantuan yang digunakan untuk pembangunan infrastruktur dan teknologi penangkapan serta budidaya. Penelitian ini bertujuan untuk mengetahui proses dan implementasi program, pengaruh program terhadap kondisi usaha perikanan dan tingkat keberlanjutan program. Metode studi kasus digunakan dalam penelitian ini. Data primer dan sekunder digunakan dalam penelitian ini. Analisis data dilakukan dengan metode deskriptif dan kualitatif Hasil penelitian menunjukkan tahap awal pelaksanaan program berjalan dengan baik seperti sosialisasi program dan pemberian dana bantuan. Namun demikian, dalam pelaksanaannya terdapat beberapa masalah, diantaranya adalah beberapa bantuan tidak dapat digulirkan kembali, konflik alat tangkap antara nelayan marjinal dengan pukat trawl, lemahnya koordinasi antara unit pengelola kegiatan. Pengaruh program terhadap kondisi hasil tangkapan nelayan dalam 5 tahun terakhir mengalami penurunan yang disebabkan karena kondisi perairan yang telah tercemar. Tingkat keberlanjutan program terhadap usaha perikanan tangkap tergolong tinggi sedangkan untuk usaha budidaya tergolong sedang. Tittle: Sustainability Study of Marginal Fishing Community Development Program in District Centre Tapanuli, North Sumatera ProvinceMarginal Fishing Community Development Program (MFCDP) is a program facilitated by Bappenas in 2004 through the World Bank grants aiming to improve the welfare of coastal community and small fisher in order to manage better fisheries resources through integrated and sustainable management fisheries area. The program grants are used for infrastructure and technology development of fishing and aquaculture. This study aims to find out the process and implementation program, its implication to the conditions of fisheries business and the level of sustainability. Case study method was used in this research. Primary and secondary data were used in this research. Analysis was carried out by using qualitative and descriptive methods.Results showed that there are several obstacles in the first stage of program implementation, including socialization of the program and find aid program. However, in the laterimplementation of the program, several problems occured, such as in returned revolving fund aid program, conflict between trawler is fishing and marginal fisher, and weak coordination the management unit. Unfortunately, during the last five years, the impact of the program to caught by fishers was negative due to resource degradation. In tune of program sustainability on fishing and aquaculture development, the farmer showed a relatively high while the later showed a mediocre.

scholarly journals ICT ENABLED IMPLEMENTATION OF STRATEGY - EMPIRICAL EVIDENCE FROM SERBIAN CUSTOMS SERVICE

2017 ◽  
pp. 175
Author(s):  
Sanja Dalton
Keyword(s):  
Performance Indicators ◽  
Positive Impact ◽  
Secondary Data ◽  
Successful Implementation ◽  
Service Strategy ◽  
The Core ◽  
Top Managers ◽  
The Impact ◽  
Computerized System ◽  
Survey Questionnaires

In this paper ICT enabled implementation of Serbian Customs Service Strategy is presented. The aim of the research is to measure and analyze the impact of ICT on successful implementation of the Organization’s Strategy. The research was conducted by survey –questionnaires and personal interviews with the Customs Service Senior Management and Top Managers. The data was also collected by using secondary data (customs reports). The results show that the new computerized system has a positive impact on key performance indicators improvement that is the core goal of the Strategy.

Communication and Team Performance: A Case Study of Division I Football Captains

2020 ◽  
Vol 13 (1) ◽  
pp. 77-96 ◽  
Author(s):  
Leeann M. Lower-Hoppe ◽  
Kyle B. Heuett ◽  
Tarkington J. Newman ◽  
Shea M. Brgoch
Keyword(s):  
Performance Analysis ◽  
Team Performance ◽  
Performance Indicators ◽  
Secondary Data ◽  
Sport Team ◽  
Football Team ◽  
Team Captains ◽  
Division I Football ◽  
The Impact

Performance excellence is a core value in athletic teams. A team’s intraorganizational network has been considered an important determinant of team performance. However, the role of sport-team captains is often overlooked in lieu of the coaching staff. The purpose of this case study was to explore the relationship between team captains’ intrateam ego network and team-performance indicators. The researchers video recorded the intrateam communication of 4 college football-team captains over the course of 9 practices and collected secondary data pertaining to team performance. Analysis of the coded interactions revealed significant positive relationships between captains’ ego network and the previous week’s team performance, with a nonsignificant correlation with the subsequent week’s team performance. Analysis exploring the relationships between captains’ ego network and other team-performance indicators provides some support for the impact of intrateam communication on team performance. Implications for coaches and future directions for research are presented.

scholarly journals Voluntary defense networks in emergency preparedness in developed countries: the case of Sweden

2019 ◽  
Vol 17 (26) ◽  
pp. 229-250
Author(s):  
Elvira Kaneberg ◽  
Susanne Hertz ◽  
Leif-Magnus Jensen
Keyword(s):  
Civil Society ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
Secondary Data ◽  
Developed Countries ◽  
Network Coordination

Voluntary networks are actors in civil society and central to the emergency preparedness efficiency of developed countries’. This study focuses on the voluntary defense networks in Sweden, a unique set of networks that contribute to the efficiency of emergency preparedness. Through interviews with experts in Swedish civil and military fields and their associated voluntary defense networks, as well as secondary data, we examined the coordination of these voluntary defense networks in practice. Although voluntary network coordination is highly associated with efficiency, in practice, most voluntary networks are not well coordinated. This study confirms that civil and military practitioners in developed countries, struggling with the coordination of voluntary networks are not isolated in their struggle; inattentive practices are indeed the norm. This article also establishes a course that civil and military practitioners can follow to improve emergency response efficiency.

scholarly journals Penerapan Algoritma K-Means Clustering dalam Mengelompokkan Jumlah Posyandu Aktif Berdasarkan Provinsi

2019 ◽  
Vol 1 ◽  
pp. 631
Author(s):  
Riski Sundari ◽  
Solikhun Solikhun ◽  
Eka Irawan ◽  
Edy Satria
Keyword(s):  
Data Mining ◽  
Child Health ◽  
Nutritional Status ◽  
Clustering Algorithm ◽  
Secondary Data ◽  
Nutritional Intake ◽  
Infants And Toddlers ◽  
Community Based ◽  
The Impact ◽  
And Child Health

Posyandu (Integrated Service Post) is one form of Community-based Health Efforts (UKBM) carried out with the community, to empower and provide facilities to the community to obtain health services for mothers, infants and toddlers. The Posyandu program is an effort to reduce the impact of the economic crisis on reducing the nutritional status of maternal and child health. This study discusses the grouping of the number of active posyandu based on provinces in Indonesia. The method used in the research is Data mining with the K-Means Clustering algorithm. By using this method the data obtained can be grouped into several clusters. This study uses secondary data, namely data obtained from intermediary media recorded on the website of the Indonesian Ministry of Health with the url address https://www.depkes.go.id/. The results obtained in this study are grouping the number of active posyandu grouped into 2 clusters, the highest cluster and the lowest cluster. There are 3 provinces included in the highest cluster and there are 31 provinces included in the lowest cluster. From the results of this study, it will be found that the provinces that get the lowest cluster in the number of active posyandu in Indonesia, It is hoped that this research can provide input to the relevant government, to pay more attention to the provinces in Indonesia which have the lowest cluster to activate the posyandu program in the province. Because posyandu is very important for children's health. If the child has never done a posyandu then he or she will not receive nutritional intake according to the child's needs.

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