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Article
Publication date: 8 March 2024

Gabriella Karakas and Daniel R. du Plooy

Despite the substantial body of international research exploring the effects of forced migration on mental health and the obstacles faced by refugee cohorts in accessing mental…

Abstract

Purpose

Despite the substantial body of international research exploring the effects of forced migration on mental health and the obstacles faced by refugee cohorts in accessing mental health services, there is a lack of in-depth studies specifically focusing on Bosnian refugees in Australia – one of the largest ethnic groups of displaced peoples. This qualitative investigation seeks to convey the experiences of mental health services by five Bosnian refugees in Melbourne, highlighting perceived pathways and barriers to service utilisation. This study aims to address two primary research questions: firstly, what characterises the experiences of Bosnian refugees in Australia when accessing mental health services? Secondly, what are the main barriers encountered by this population when seeking mental health services?

Design/methodology/approach

This study used qualitative inquiry and in-depth interviews to investigate the experiences of Bosnian refugees with mental health services in Australia. Data was collected through face-to-face interviews with five Melbourne-based Bosnian refugees who had previously accessed mental health services. Participants were recruited from community groups or associations using purposive sampling. Thematic analysis was used.

Findings

Key themes were revealed, such as the crucial role of social and community services, preferences for individual vs group therapy, potential re-traumatisation from therapeutic engagement, distrust of government-run mental health services and concerns regarding psychopharmaceutical prescription practices. Addressing barriers to mental health service access necessitates a multifaceted approach, including flexible social and community service support, an increased number of co-ethnic professionals and a recognition of cultural variations for effective service provision. Implementing these strategies can enhance help-seeking behaviours, provide culturally appropriate mental health services and improve the experiences of Bosnian refugees in Australia.

Originality/value

To the best of the authors’ knowledge, this study is the first to qualitatively explore how Bosnian refugees in Melbourne perceived the adequacy and availability of mental health services upon arrival to Australia. They are a large and potentially vulnerable community, due to experiences of war trauma and dislocation from country of origin. A lack of understanding regarding how this cohort engage with mental health services can lead to persistent inequities and ineffective service provision. This study identifies unique experiences and perspectives of Bosnian refugee participants, including distrust of government-run mental health services, and concerns regarding psychopharmaceutical prescription practices. This research is expected to contribute positively to the discourse on mental health service provision for Bosnian refugees and wider refugee communities in Australia.

Details

International Journal of Migration, Health and Social Care, vol. 20 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 5 December 2023

Mathew Nyashanu, Scovia Nalugo Mbalinda, Roda Madziva and Mandu Stephen Ekpenyong

The purpose of this paper is to explore the experiences of black Sub-Saharan African (BSSA) migrants from war-torn zones in accessing health services in the West Midlands region…

Abstract

Purpose

The purpose of this paper is to explore the experiences of black Sub-Saharan African (BSSA) migrants from war-torn zones in accessing health services in the West Midlands region of the UK. This may help to inform on factors influencing the uptake of health services for new migrant communities.

Design/methodology/approach

This study explored the experiences of BSSA migrants from war-torn zones in accessing health services in the West Midlands using an explorative qualitative approach. Ten focus groups made up of seven participants each were followed up with three in-depth one-to-one interviews from each focus group using a conversational approach where research participants were encouraged to direct and shape the discussion in accordance with their own experiences, views and particular concerns (Kvale, 1996) as opposed to responding to a pre-determined agenda.

Findings

Following transcription, coding and analysis of the focus group discussions and follow-up interviews, this study found that perceptions and attitudes of BSSA communities in accessing health services included difficulties in navigating the health system, intrusive and embarrassing questions from clinicians, stigmatisation through offering an HIV test, culturally unfriendly counselling support, unconfidently services and episodes of trauma flashbacks.

Originality/value

The experiences of BSSA migrants who sought health services in the West Midlands in the UK demonstrated important implications for future practice and informed service delivery. There is a need to consider cultural education for both BSSA migrants and health professionals to enhance understanding and trust between the groups. Basic professional training for health professionals should also encompass the needs of the growing ethnic populations in the UK.

Details

International Journal of Migration, Health and Social Care, vol. 20 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Open Access
Article
Publication date: 9 April 2024

Ahmed Shafiqul Huque and Jannatul Ferdous

The paper aims to examine the state of electronic service delivery in Bangladesh. It reviews the structure and operation of the “e-service” centers at the district, sub-district…

Abstract

Purpose

The paper aims to examine the state of electronic service delivery in Bangladesh. It reviews the structure and operation of the “e-service” centers at the district, sub-district (upazila), and union levels by taking an inventory and assessing their contributions.

Design/methodology/approach

The paper is based on a review of the functions and operations of the service delivery agencies with reference to the claims made by the government. It is based on secondary materials obtained from academic studies, government documents, relevant websites, and media reports.

Findings

Electronic delivery of public services in Bangladesh has not been effective as planned. There are issues regarding channels of communication, the competence of public officials, human and financial resources, and political will to support the agencies delivering public services.

Originality/value

The paper examines the arrangements, practices, and problems of delivery of public services in Bangladesh through e-service centers at the local levels to determine the progress and potentials of employing digital technology for addressing problems. It proposes the strategy for public service delivery by using digital technology in the country.

Details

Public Administration and Policy, vol. 27 no. 1
Type: Research Article
ISSN: 1727-2645

Keywords

Article
Publication date: 1 March 2024

Munazza Jabeen, Sanila Aslam, Muhammad Zareef and Farzana Zaman

In the digital age, public libraries are facing numerous challenges, and the Balochistan public libraries are no exception. This study aimed to identify current digital trends…

Abstract

Purpose

In the digital age, public libraries are facing numerous challenges, and the Balochistan public libraries are no exception. This study aimed to identify current digital trends adopted by the public libraries in Balochistan and to find out about challenges and potential solutions regarding digital trends from library users.

Design/methodology/approach

A quantitative study was carried out and data were collected through the survey method, employing a structured questionnaire. The target population consisted of 17,953 users of 17 public libraries in Balochistan. A sample of 510 users both male and female was selected by using random sampling technique from the target population.

Findings

The analysis revealed that patrons of public libraries are dissatisfied with the services offered, as they now require access to new digital trends such as fast Internet, download facilities, unlimited content on numerous resources, Wi-Fi, online reference services, universal accessibility and user-friendly interfaces. Unfortunately, public libraries in Balochistan are still lagging in terms of development. The study recommended that public libraries in Balochistan should develop and implement digital services, increase access to digital resources, hire professional librarians, professional development and collaborate with other libraries.

Originality/value

The study’s findings can assist in improving public library services and granting patrons access to current information and resources in Balochisthan and other developing countries. This study’s originality stems from its use of a quantitative survey approach to gather data from 17 public libraries in Balochisthan and provide a comprehensive view of the digital challenges they face. The study’s focus on digital tendencies is relevant in today’s world, where technology is rapidly changing the way, we access and consume information.

Details

Library Management, vol. 45 no. 3/4
Type: Research Article
ISSN: 0143-5124

Keywords

Article
Publication date: 30 January 2024

Shadrack Lusi Muma, Kovin Shunmugam Naidoo and Rekha Hansraj

Effective refractive error (RE) coverage in a resource-constrained country such as Kenya could possibly be achievable if the current dominant commercial entrepreneurship is…

Abstract

Purpose

Effective refractive error (RE) coverage in a resource-constrained country such as Kenya could possibly be achievable if the current dominant commercial entrepreneurship is supplemented with alternative avenues such as social entrepreneurship. This study aims to explore the perceived impact of social enterprises (SEs) in scaling effective RE coverage in Kenya.

Design/methodology/approach

This was an exploratory study with data collected from representatives of SEs (n = 29), trainees of SEs (n = 112) and beneficiaries of eye care services provided by SEs (n = 674). Participants were recruited purposively with data collected through telephonic calls. Thematic analysis was carried out by categorizing the codes into categories and themes based on the semantic meaning of the codes.

Findings

The perceived impact of SEs from the representative perspective included entrepreneurship and livelihood (n = 3; 10.3%), skills development (n = 20; 69%), technology development (n = 7; 24.1%), access to specialized services (n = 7; 24.1%) and affordability, accessibility and availability of RE services (n = 27; 93.1%). From the perspective of trainees, the themes included economic empowerment (n = 99; 88.4%), improved quality of life (n = 84; 75.0%), sensitizing locals to RE during screening events (n = 112; 100.0%) and enhancing accessibility, availability and affordability (n = 107; 95.5%).

Originality/value

The perceived impact of SEs highlighted in this paper showcases that they are useful for integration into the eye health ecosystem in a resource-constrained country such as Kenya. Integration of SEs into the eye health ecosystem could potentially address the human resource challenge, scale RE service delivery, enhance awareness creation and address the cost barriers to current RE service delivery coverage.

Details

Social Enterprise Journal, vol. 20 no. 1
Type: Research Article
ISSN: 1750-8614

Keywords

Article
Publication date: 13 October 2023

Carolin Hess

The shift in policy discourse towards individualism is affecting service provision and access, which has become increasingly conditioned on individual agency and the…

Abstract

Purpose

The shift in policy discourse towards individualism is affecting service provision and access, which has become increasingly conditioned on individual agency and the “deservingness” of the recipient. Gendered and intersectional experiences of homelessness and excluded populations less likely to be living on the streets remain overlooked and unaddressed. This study thus aims to uncover what drives “invisibility” in services for women experiencing multiple disadvantage and the gendered constraints the women are facing when exiting and navigating multiple disadvantage.

Design/methodology/approach

The paper draws on in-depth interviews with women who face severe and multiple disadvantage and their support staff. Data is also gathered through survey data and observations with a wide range of frontline service providers, as well as support notes and numerical progress data recorded by one of the service providers.

Findings

Contradicting the common assumption that people act as rational actors in their interaction with services, the author found that women’s decisions to (dis)engage may be blinded by forces of multiple disadvantage and mistrust. These are often developed as a result of systemic and gendered constraints that limit women’s capabilities and exercise of choice. Barriers in service access often amplified the personal barriers they were facing and reinforced women’s decisions to not engage with services.

Research limitations/implications

The author hopes that this paper sheds light on the particular set of barriers women with multiple disadvantage face, which will be vital to reach women who face severe disadvantage and provide more effective policies, care and support.

Originality/value

This study gives voice to a particular hidden population: women with multiple disadvantage. It contributes to existing frameworks on agency and choice by understanding gendered barriers behind service engagement and how services themselves may be contributing to women’s invisibility.

Details

Housing, Care and Support, vol. 26 no. 3/4
Type: Research Article
ISSN: 1460-8790

Keywords

Article
Publication date: 15 August 2023

Shriyuta Abhishek and Nanda Kishore Kannuri

Migrants face some unique health-care challenges, which often remain unaddressed by the health system. The purpose of this study is to determine health-care access among migrants…

Abstract

Purpose

Migrants face some unique health-care challenges, which often remain unaddressed by the health system. The purpose of this study is to determine health-care access among migrants in Chhattisgarh, from a lens of health equity.

Design/methodology/approach

This study was conducted in a government-built tenement under the Integrated Housing and Slum Development program in Bilaspur district of Chhattisgarh state of India. It is a mixed-methods study which used a survey method, focus group discussion, in depth-interviews, semi-structured interviews and non-participant observations of health facilities in the area. Respondents included residents (migrants) and other local stakeholders like the Chief Medical Officer of the district, elected representatives of the local government and frontline health workers. This paper focuses on the findings from the qualitative component of the study.

Findings

The move to resettle the people living in the slums to the periphery of the city had a negative impact on their health-care access. They find it difficult to access public health services, given the services are concentrated in the city. Women, elderly people and disabled people grapple with additional challenges in being able to access basic reproductive health services and care for chronic illnesses. Equity in health-care access is linked to various social determinants of health including access to housing and social security. However, the authors found that the migrant community is being deprived of appropriate housing facilities and social security.

Originality/value

This paper explores the health-care access of internal migrants in Chhattisgarh state of India in the larger context of urban development with a focus on health equity.

Details

International Journal of Migration, Health and Social Care, vol. 19 no. 3/4
Type: Research Article
ISSN: 1747-9894

Keywords

Open Access
Article
Publication date: 4 September 2023

Mapheto J. Mamabolo and Oluwole Olumide Durodolu

This study aims to determine the requirements and find out the challenges for the use of digital library services for rural areas of Capricorn District Municipality, Limpopo…

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Abstract

Purpose

This study aims to determine the requirements and find out the challenges for the use of digital library services for rural areas of Capricorn District Municipality, Limpopo province. The research questions of the study are: What are the requirements for the use of digital library services in rural areas of Capricorn District Municipality? What are the challenges of accessing digital library services in rural areas?

Design/methodology/approach

Data was analysed thematically and deductively in this study, as researcher required to accomplish the purpose of the study through consistent structure (Zalaghi and Khazaei, 2016). In deductive analysis, the researcher starts with a set of categories, which are then used to categorize and organize data (Bertram and Christiansen, 2020). The researcher got familiar with data from the interviewing process and when transcribing data from audio tape. The transcription process was done for the coding purposes. Coding allows the researcher to simplify and focus on specific characteristics of data.

Findings

The study findings advocate for the establishment of digital libraries in rural areas. The library authorities are challenged to adapt digital ways of information provision. Since librarians have been providing digital content in libraries for use on users’ laptops and other gadgets, this implies that the Department of Sport, Arts and Culture has been lagging behind in finding innovative ways to provide information, especially in rural areas. To successfully keep libraries as sources of information, transformative measures have to be taken, and where possible, revisit the policies and keep drifting with the societal changes. The library authorities have to delve into new ways of providing LIS to the communities. Unquestionably, information and communication technologies have penetrated our societies and became a way of life. In addition, there are unlimited benefits which can be derived from digital technologies, especially given the lack of physical libraries in rural areas.

Originality/value

To the best of the authors’ knowledge, the academic research is original and has not been published anywhere before.

Details

Digital Library Perspectives, vol. 39 no. 4
Type: Research Article
ISSN: 2059-5816

Keywords

Article
Publication date: 26 April 2023

Anam Jamal Ansari and Naushad Ali PM

This paper aims to find out the digital services of management libraries provided during the library closure and the challenges and initiatives the libraries have taken up to…

Abstract

Purpose

This paper aims to find out the digital services of management libraries provided during the library closure and the challenges and initiatives the libraries have taken up to fulfill the need of their user community during the pandemic crisis.

Design/methodology/approach

To meet the purpose of the study, the investigators have used a survey method. An online questionnaire was devised and administered among the Indian Institutes of Management (IIMs) librarians using Microsoft Forms.

Findings

The study's findings suggested that all the libraries under investigation must avail of various digital library services in the wake of the coronavirus pandemic. Further, the investigators recommend that libraries formulate a disaster preparedness and management plan in the wake of the COVID-19 pandemic so that libraries can prepare themselves for the future.

Originality/value

The pandemic has affected every aspect of life and changed the digital library services scenario. Thus, it is essential to examine the role libraries have played during the COVID-19 pandemic and distinguish the challenges and initiatives libraries have taken to tackle the problems they faced. This study has been conducted on the digital library services that were provided by the libraries of IIMs.

Details

Digital Library Perspectives, vol. 39 no. 4
Type: Research Article
ISSN: 2059-5816

Keywords

Article
Publication date: 6 April 2022

Arian Azadnia, Amjad Mohamadi Bolbanabad, Hossein Safari, Abdorrahim Afkhamzadeh, Bakhtiar Piroozi, Darya Ghamari, Shiva Khosravi, Zhina Banafshi and Ramazan Ebrahimi

Health is one of the most basic human rights. This study aims to examine the pattern of unmet health services needs and barriers to use health services among people with…

Abstract

Purpose

Health is one of the most basic human rights. This study aims to examine the pattern of unmet health services needs and barriers to use health services among people with disabilities.

Design/methodology/approach

This cross-sectional study was conducted among people with disabilities in Sanandaj, the capital of a less economically developed province in western Iran in 2020. In total, 548 samples were selected using random sampling, and data were collected using a questionnaire. Chi-square test and Fisher's exact test were used to examine the relationship between independent variables including demographic variables and dependent variables. Statistical tests were performed using STATA software package.

Findings

About 64% and 23% of participants needed outpatient and inpatient services, respectively. The gap between the perceived need and using health services for outpatient and inpatient services was reported to be 55% and 30%, respectively. The main reasons for not seeking the required health care were “insufficient coverage of costs by insurance” and “lack of physical access.” Having supplementary insurance and better economic status were significantly correlated with using outpatient care and having supplementary insurance and type of disability had a significant relationship with using inpatient care.

Originality/value

There was a big gap between the perceived need, seeking for and receiving health services in people with disabilities. Designing and implementing appropriate interventions to reduce barriers on the way of transforming, the need for health services into demand in the population of people with disabilities should be on the agenda of policymakers and relevant managers in the country.

Details

International Journal of Human Rights in Healthcare, vol. 16 no. 4
Type: Research Article
ISSN: 2056-4902

Keywords

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