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Article
Publication date: 7 February 2020

Tamara Nadine Sancho and Michael Larkin

Undergraduates are highly susceptible to the development of mental health difficulties. Afro-Caribbean students are particularly vulnerable to the pressures of university…

Abstract

Purpose

Undergraduates are highly susceptible to the development of mental health difficulties. Afro-Caribbean students are particularly vulnerable to the pressures of university yet are less likely than other ethnic groups to receive early intervention. This paper aims to understand the barriers and facilitators that Afro-Caribbean undergraduates perceive towards accessing mental health services in the UK.

Design/methodology/approach

Critical Incident Technique was used as the qualitative method because it explores the critical factors that contribute to or detract from a specific experience. Seventeen Afro-Caribbean undergraduates participated in five focus groups. This involved engaging in a novel psychosocial activity that incorporated vignettes to encourage the identification of barriers and facilitators to service access. The data were analysed thematically to generate categories of critical incidents and wish-list items.

Findings

Analysis revealed rich data from a sub-group rarely researched within UK literature. Fifteen barriers, eleven facilitators and five wish-list items were identified. The importance of mental health literacy, social networks, cultural sensitivity and concerns surrounding services underpinned many categories.

Originality/value

Findings provide a new perspective on barriers reported in previous literature. Novel facilitators were highlighted where, although psychological and sociocultural factors were deemed valuable, structural changes were most desired. Recommended changes illustrate innovative interventions that could make services accessible for young adult Afro-Caribbean populations. Future research should explore the barriers and facilitators identified by Afro-Caribbean undergraduates across various universities who have successfully accessed and engaged with services. This could provide a holistic perspective on viable facilitators enabling access despite the presence of barriers.

Details

Journal of Public Mental Health, vol. 19 no. 1
Type: Research Article
ISSN: 1746-5729

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Article
Publication date: 15 August 2008

Lukasz Arendt

The purpose of this paper is to report findings of a study conducted on micro and small enterprises (SMEs) from selected regions of Spain, Portugal and Poland, and to…

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3357

Abstract

Purpose

The purpose of this paper is to report findings of a study conducted on micro and small enterprises (SMEs) from selected regions of Spain, Portugal and Poland, and to compare them with the results of a similar survey carried out in California (USA). The European and US research studies focus on issues regarding the use of information and communication technology (ICT) solutions by SMEs and digital divide phenomena which exist between SMEs and large corporations.

Design/methodology/approach

The data collected during face‐to‐face interviews with SMEs' owner–managers and employees from Spain, Portugal, Poland and the USA were used for making a comparative analysis based on descriptive statistical methods. Analyzing the barriers that discourage SMEs from using information and communication technology (ICT) and e‐Business solutions in their business processes made it possible to identify the reasons for SMEs being on the “wrong side” of the digital divide.

Findings

The paper argues that the main barrier to better utilization of ICT and e‐Business, and thus the main reason why SMEs face a digital divide, is not so much the lack of access to information technology (“material accessbarrier) as the lack of proper knowledge, education and skilled owner‐managers and employees within the enterprise (“skills accessbarrier). As long as European SMEs do not realize this fact, so long will the scale of the digital divide in Europe continue to grow.

Research limitations/implications

The main limitation of the approach presented in this paper is related to the sample differences between Spain, Portugal, Poland and the USA. This made it impossible to carry out precise comparative statistical analysis of the results. Despite these methodological imperfections, it was possible to put forward certain recommendations on the directions of activities focusing on enhancing e‐Business adoption in SMEs. The main conclusion is that the actions aimed at bridging the digital divide in SMEs should concentrate on overcoming the “skills access” and “usage accessbarriers within SMEs, not the material ones.

Originality/value

The comparison of the way these problems are perceived by European and US owner‐managers is an added value of the paper, which brings new content to the existing discussion on barriers to the implementation of ICTs in SMEs. This approach is a step forward in analyzing the determinants and the mechanism of the digital divide within SMEs and has the potential to diminish the scale of this problem.

Details

Journal of Systems and Information Technology, vol. 10 no. 2
Type: Research Article
ISSN: 1328-7265

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Book part
Publication date: 8 August 2016

Luma AlMasarweh and Carol Ward

This study aims to provide a better understanding of Native American women veterans’ experiences with Veteran Administration and Indian Health Services. Eighteen…

Abstract

Purpose

This study aims to provide a better understanding of Native American women veterans’ experiences with Veteran Administration and Indian Health Services. Eighteen interviews were conducted with special attention to the quality and quantity of health and mental health care services veterans accessed, the barriers and local contextual factors in accessing and utilizing services, and potential solutions to service gaps for women veterans from two Montana reservations, the Northern Cheyenne Reservation and the Confederated Salish and Kootenai Tribes of the Flathead Reservation.

Methodology/approach

We examine the barriers and needs of Native American veterans in both reservations using qualitative methods. The research analyzed 18 interviews with women veterans from the Northern Cheyenne and Flathead reservations.

Findings

Native American women veterans identified a number of barriers to accessing care, some of which include lack of information regarding eligibility and the types of services available. Women often found the application process to be confusing and difficult. Other barriers included distance, cost of travel, and conflicts with their work schedule.

Research limitations/implications

This exploratory case study served to clarify the challenges and obstacles Native American women veterans experience with accessing health and mental health services. This research revealed several patterns and themes in the experience of Native American women veterans in both reservation communities when attempting to access and seek care at Veterans Administration (VA) facilities and Indian Health Services (IHS). This research calls for policy changes and research to clarify how resources can be more efficiently and effectively distributed to rural veterans.

Originality/value

Little research has addressed the needs of Native American veterans. American Indians and Alaska Natives serve at a higher rate in the U.S. military than any other population. This research provides important information about Native American veterans who are often underrepresented in survey research, yet a rapidly growing segment of the United States military and veteran population.

Details

Special Social Groups, Social Factors and Disparities in Health and Health Care
Type: Book
ISBN: 978-1-78635-467-9

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Book part
Publication date: 17 September 2018

Mpoki Mwaikokesya

In recent years, tertiary education has been cited as a key factor in development and personal prosperity for many nations and has widely been associated with various…

Abstract

In recent years, tertiary education has been cited as a key factor in development and personal prosperity for many nations and has widely been associated with various social and private benefits in many countries. It has widely been considered to be a vehicle for individuals’ social mobility and economic prosperity, especially for students coming from poor and disadvantaged families. Despite its potential, most higher education systems have recently faced a number of challenges that have compelled them to amend their general style of functioning and ways of doing things. One of the areas affected has been the ability for educational systems to guarantee the inclusion and accessibility of the marginalized to higher education. Whereas in recent years higher education institutions have witnessed increased demands and a surge of applicants for entrance in universities; changes in the higher education systems and the emergence of trends such as privatization, cost-sharing and education budgets cuts have emerged as blockages to access for some of the students. This chapter examines trends in Tanzanian higher education and assesses the barriers to accessibility of loans and grants to students from poor families and its implications to participation and inclusion.

Details

Contexts for Diversity and Gender Identities in Higher Education: International Perspectives on Equity and Inclusion
Type: Book
ISBN: 978-1-78756-056-7

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Open Access
Article
Publication date: 2 April 2021

An Duong

This study aims to examine the impact of the preferential credit (represented by loan volume and duration) provided by the Vietnam Bank for Social Policies on household…

Abstract

Purpose

This study aims to examine the impact of the preferential credit (represented by loan volume and duration) provided by the Vietnam Bank for Social Policies on household welfare (represented by household income and consumption) in Ninh Binh province, Vietnam. It also identifies and ranks the barriers of accessing the credit.

Design/methodology/approach

The study applies fixed-effects method to handle the panel data to examine the impact of the credit on poverty reduction. It also uses face-to-face interviews and group discussions to identify and rank the barriers of accessing to the credit.

Findings

The results show that the loan volume significantly helps improve household income, but does not help improve household consumption. For example, a 1% increase in the loan volume is associated with an increase of almost 0.69% in household income, significant at the 1% level. In addition, the loan duration does not help improve household welfare. The major barriers of accessing the credit include the time spent to get to the nearest bank branch and the transparency of household poverty status assessment.

Research limitations/implications

Data are collected in three years, the number of the sample limits at 300 households. A few variables are not included in the models due to resource limitation for data collection or the nature of the study method.

Practical implications

The Vietnam Bank for Social Policies preferential credit may need to increase the loan volume to significantly help improve household welfare, hence reduce poverty. In addition, barriers of accessing the credit such as bank coverage and the household poverty status assessment should be eliminated so that more households, including poor ones, can have a better access.

Social implications

The Vietnam Bank for Social Policies preferential credit can help to improve household welfare, hence ease household poverty status. To help the credit reach more people, accessing barriers such as bank coverage and the household poverty status assessment should be eliminated.

Originality/value

This is the first study that has examined the impact of the Vietnam Bank for Social Policies preferential credit on household welfare and identified barriers of accessing the credit. The quantitative analysis uses a panel data set constructed from 300 face-to-face interviews with households located in one city and two districts in Ninh Binh province during 2016–2018 and applied the fixed-effects method to examine the impact of the credit on household welfare. The qualitative analysis uses in-depth interviews and group discussion with key persons and related parties to identify barriers of accessing the credit.

Details

Journal of Economics and Development, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1859-0020

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Article
Publication date: 1 July 2007

Sonia Kuile, Cécile Rousseau, Marie Munoz, Lucie Nadeau and Marie Ouimet

The universality of the health system in Canada is often emphasised to contrast the differences between the Canadian and American systems of access to care. However…

Abstract

The universality of the health system in Canada is often emphasised to contrast the differences between the Canadian and American systems of access to care. However, changes in migration patterns and tightening of administrative procedures around undocumented persons are beginning to challenge this Canadian image. Currently, there is a lack of data to support the existence and the consequences of this shift. This pilot project documents health care professionals' and community organisation workers' perceptions of the problems faced by recent migrants in accessing health care, and the health consequences of such barriers. Results confirm the existence of numerous health care access problems for both completely undocumented migrants and legal migrants who fall into the cracks of the provincial and federal health systems. The data suggests that these barriers may have important unrecognised morbidity and mortality consequences, and that they are a source of severe stress and psychological distress. To protect recent immigrant families, there is a need not only to revise the articulation between the provincial and federal health mandates but also to address the strong societal perception linking universality of health care to the notion of citizenship. Further research is warranted on this emerging social problem, but the institutional sensitivity of these issues may constitute an obstacle to a more comprehensive understanding.

Details

International Journal of Migration, Health and Social Care, vol. 3 no. 1
Type: Research Article
ISSN: 1747-9894

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Article
Publication date: 29 April 2021

Anshu Singh

The purpose of this study is to explore the demand side factors affecting financial inclusion in general and credit uptake in particular.

Abstract

Purpose

The purpose of this study is to explore the demand side factors affecting financial inclusion in general and credit uptake in particular.

Design/methodology/approach

The present study is descriptive and exploratory in nature and is purely based on primary data. The data collection instrument has been scientifically after thorough review of literature and seeking expert opinion. Primary data have been collected from the respondents of lower socioeconomic class in selected rural areas in the State of Maharashtra, India. Exploratory technique like factor analysis and structural equation modelling have been used to identify the inter-relations between financial inclusion and underlying barriers.

Findings

The study concludes that there are major latent issues that determine the uptake and usage of financial services, major being “operational and implementation challenges”, “financial literacy” and “affordability”. The “usage” aspect further impacts financial inclusion along with “access” variable. These are some of the most important factor for creating demand-driven approach towards financial products and services specially credit. The author concludes that the identified latent barriers with respect to the “usage” dimension of financial inclusion require greater policy attention so that it can complement the supply-side measures.

Practical implications

The study establishes that merely having “access” through bank account ownership will not fulfil the objective of financial inclusion, and it is the “usage”, which is also important to realize the full potential of financial inclusion at the bottom of the pyramid. So, policy actions should be directed toward enhancing the “usage” aspect of financial services. The “usage” dimension could be enhanced through targeted interventions to mitigate the effect of identified latent barriers.

Originality/value

Though researchers have made a mention of demand-side barriers to financial inclusion, detailed study on the topic is missing. The study is one of its kinds in exploring the severity of various demand-side barriers that determine financial inclusion. In the context of emerging economies like India, financial inclusion is often measured in terms of banking outreach and “access”. There are limited studies capturing the “usage” dimension of financial inclusion.

Details

International Journal of Social Economics, vol. 48 no. 6
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 10 June 2021

Ibraheem Khaled Abu Siam and María Rubio Gómez

Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing…

Abstract

Purpose

Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing countries. Throughout refugee’s crisis, the Jordanian Government has adopted several healthcare access policies to meet the health needs of Syrian refugees while maintaining the stability of the health-care system. The adopted health-care provision policies ranged from enabling to restricting and from affordable to unaffordable. The purpose of this paper is to identify the influence of restricted level of access to essential health services among Syrian refugees in Jordan.

Design/methodology/approach

This paper used findings of a cross-sectional surveys conducted over urban Syrian refugees in Jordan in 2017 and 2018 over two different health-care access policies. The first were inclusive and affordable, whereas the other considered very restricting policy owing to high inflation in health-care cost. Access indicators from four main thematic areas were selected including maternal health, family planning, child health and monthly access of household. A comparison between both years’ access indicators was conducted to understand access barriers and its impact.

Findings

The comparison between findings of both surveys shows a sudden shift in health-care access and utilization behaviors with increased barriers level thus increased health vulnerabilities. Additionally, the finding during implementation of restricted access policy proves the tendency among some refugees groups to adopt negative adaptation strategies to reduce health-care cost. The participants shifted to use a fragmented health-care, reduced or delayed care seeking and use drugs irrationally weather by self-medication or reduce drug intake.

Originality/value

Understanding access barriers to health services and its negative short-term and long-term impact on refugees’ health status as well as the extended risks to the host communities will help states that hosting refugees building rational access policy to protect whole community and save public health gains during and post crisis. Additionally, it will support donors to better mobilize resources according to the needs while the humanitarian actors and service providers will better contribute to the public health stability during refugee’s crisis.

Details

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

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Article
Publication date: 21 February 2011

Miriam Stewart, Edward Shizha, Edward Makwarimba, Denise Spitzer, Ernest N. Khalema and Christina D. Nsaliwa

This paper seeks to explore varied interrelated challenges and barriers experienced by immigrant seniors.

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3182

Abstract

Purpose

This paper seeks to explore varied interrelated challenges and barriers experienced by immigrant seniors.

Design/methodology/approach

Senior immigrants representing diverse ethnicities (Chinese, Afro Caribbean, Former Yugoslavian, Spanish) described their challenges, support needs, and barriers to service access. Service providers and policy makers from organizations serving immigrant seniors were interviewed to elicit their views on barriers to access and appropriateness of services for immigrant seniors. Qualitative methods were employed to enhance understanding of meanings, perceptions, beliefs, values, and behaviors of immigrant seniors, and investigate sensitive issues experienced by vulnerable groups. The qualitative data were subjected to thematic content analysis.

Findings

Seniors reported financial and language difficulties, health problems, discrimination, family conflicts, and social isolation. Although most immigrant seniors appreciated the standard of living in Canada and the services provided to seniors, most believed that support received was inadequate. Seniors encountered systemic (e.g. government policies), institutional (e.g. culturally inappropriate programs), and personal (e.g. transportation, language problems) barriers to accessing social and health services. Service providers and policy makers faced high costs of programs, inadequate financial and human resources, inadequate information about needs of immigrant seniors, inadequate geographical coverage, and lack of inter‐sectoral collaboration.

Practical implications

The challenges experienced by immigrant seniors have implications for programs and policies and can inform the development of culturally sensitive and appropriate services.

Social implications

The barriers encountered by service providers in assisting immigrant seniors point to the importance of inter‐sectoral coordination, cultural sensitivity training, and expansion of service providers' mandates.

Originality/value

This study revealed numerous unmet needs for successful acculturation of immigrant and refugee seniors in Canada. It also reveals that the most cogent and sustainable approach to close this chasm of support deficits, unattended challenges, and complex stressors is to implement a model that simultaneously addresses the three levels and use a multisectoral approach.

Details

International Journal of Migration, Health and Social Care, vol. 7 no. 1
Type: Research Article
ISSN: 1747-9894

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Article
Publication date: 7 July 2011

Marzena Świgoń

This paper seeks to organize the extensive field and to compile the complete list of information limits.

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1832

Abstract

Purpose

This paper seeks to organize the extensive field and to compile the complete list of information limits.

Design/methodology/approach

A thorough analysis of literature from the field beginning with the 1960s up to the present has been performed.

Findings

A universal typology of information limits has been proposed. A list of barriers mentioned in the literature of the subject has been compiled.

Research limitations/implications

The term “information limits” is not commonly used.

Originality/value

The complete list of information limits with bibliographical hints (helpful for future research) is presented.

Details

Aslib Proceedings, vol. 63 no. 4
Type: Research Article
ISSN: 0001-253X

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