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1 – 10 of over 1000Jarrod Goentzel, Timothy Russell, Henrique Ribeiro Carretti and Yuto Hashimoto
The COVID-19 pandemic has forced countries to consider how to reach vulnerable communities with extended outreach services to improve vaccination uptake. The authors created an…
Abstract
Purpose
The COVID-19 pandemic has forced countries to consider how to reach vulnerable communities with extended outreach services to improve vaccination uptake. The authors created an optimization model to align with decision-makers' objective to maximize immunization coverage within constrained budgets and deploy resources considering empirical data and endogenous demand.
Design/methodology/approach
A mixed integer program (MIP) determines the location of outreach sites and the resource deployment across health centers and outreach sites. The authors validated the model and evaluated the approach in consultation with UNICEF using a case study from The Gambia.
Findings
Results in The Gambia showed that by opening new outreach sites and optimizing resource allocation and scheduling, the Ministry of Health could increase immunization coverage from 91.0 to 97.1% under the same budget. Case study solutions informed managerial insights to drive gains in vaccine coverage even without the application of sophisticated tools.
Originality/value
The research extended resource constrained LMIC vaccine distribution modeling literature in two ways: first, endogenous calculation of demand as a function of distance to health facility location enabled the effective design of the vaccine network around convenience to the community and second, the model's resource bundle concept more accurately and flexibly represented complex requirements and costs for specific resources, which facilitated buy-in from stakeholders responsible for managing health budgets. The paper also demonstrated how to leverage empirical research and spatial analysis of publicly available demographic and geographic data to effectively represent important contextual factors.
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Vanessa Kitzie, A. Nick Vera, Valerie Lookingbill and Travis L. Wagner
This paper presents results from a participatory action research study with 46 LGBTQIA+ community leaders and 60 library workers who participated in four community forums at…
Abstract
Purpose
This paper presents results from a participatory action research study with 46 LGBTQIA+ community leaders and 60 library workers who participated in four community forums at public libraries across the US. The forums identified barriers to LGBTQIA+ communities addressing their health questions and concerns and explored strategies for public libraries to tackle them.
Design/methodology/approach
Forums followed the World Café format to facilitate collaborative knowledge development and promote participant-led change. Data sources included collaborative notes taken by participants and observational researcher notes. Data analysis consisted of emic/etic qualitative coding.
Findings
Results revealed that barriers experienced by LGBTQIA+ communities are structurally and socially entrenched and require systematic changes. Public libraries must expand their strategies beyond collection development and one-off programming to meet these requirements. Suggested strategies include outreach and community engagement and mutual aid initiatives characterized by explicit advocacy for LGBTQIA+ communities and community organizing approaches.
Research limitations/implications
Limitations include the sample's lack of racial diversity and the gap in the data collection period between forums due to COVID-19. Public libraries can readily adopt strategies overviewed in this paper for LGBTQIA+ health promotion.
Originality/value
This research used a unique methodology within the Library and Information Science (LIS) field to engage LGBTQIA+ community leaders and library workers in conversations about how public libraries can contribute to LGBTQIA+ health promotion. Prior research has often captured these perspectives separately. Uniting the groups facilitated understanding of each other's strengths and challenges, identifying strategies more relevant than asking either group alone.
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Sundeep Sahay and Esther N. Landen
The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.
Abstract
Purpose
The purpose of this paper is to understand how digital interventions are mediating the identity work of community health workers (CHWs) in the context of two African countries.
Design/methodology/approach
This paper analyzes the everyday work of CHWs in two low- and middle-income country (LMIC) contexts (Uganda and Malawi) and seeks to understand changes in collective identity and the role of Information and Communication Technologies (ICTs) in mediating this “identity work”. As CHWs conduct their everyday tasks of care giving, data reporting and maintaining social interactions, they play two primary roles. One is the care giving role oriented towards the community, and two, is reporting and administrative work by virtue of them being affiliated with the Ministry of Health, either in formal or voluntary capacity. The ambivalence which they experience as they move back and forth between these two worlds of work is significantly now mediated through ICTs. The paper analyzes these dynamics and identifies three key sets of ambivalence in identity work: (1) role embracing-institutional distancing; (2) conformist-resistant and (3) dramaturgical-transformative. The paper makes unique contributions to information systems (IS) and ICT for development (ICT4D) studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system. This contrasts with dominant research in the field which focuses on professional groups, largely based in Western business organizations.
Findings
The paper identifies identity related tensions that emerge with the mediation of digital technologies in the work world of CHWs. These include tensions of conformist-resistant; and (3) dramaturgical-transformative. These findings are relevant and unique to the field of IS and ICT4D studies in that it focuses on a nonprofessional group, which plays a fundamental role in providing care to underserved populations and also conducts data work which provides the foundation of the national health information system.
Research limitations/implications
While acknowledging identity construction and negotiation is a function of both work and social lives, in this paper we could only focus on the work lives.
Practical implications
As digital interventions in the health sector of low and middle income countries is becoming increasingly widespread, often the focus is more on the supply side (the supply of the technology) rather than on the demand side (users experiences and aspirations). Identity becomes a lens to understand these demand side dynamics, which helps provides practical guidance on implementation approaches to ensure that the technology adds value to user work processes and there is a seamless and not a disruptive transition.
Social implications
CHWs are the most neglected cadre in the health system of low and middle income countries, even though they provide the cutting edge in care provision work to the most marginalized populations, living in rural and underserved areas. By focusing on how technologies can be more effectively implemented to support these care processes, the paper provides important social implications both for practice and research.
Originality/value
Analysis of identity construction and negotiation of informal groups in the unorganized sector of low and middle income countries has not received adequate attention in IS research. The paper seeks to fill this important gap.
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Virtual organizations present numerous challenges for managers, especially in regards to organizational identity formation. This paper aims to address this gap in the extant…
Abstract
Purpose
Virtual organizations present numerous challenges for managers, especially in regards to organizational identity formation. This paper aims to address this gap in the extant literature by exploring how organizational narratives can foster identification with the virtual organization. Moreover, information technology can further catalyze the positive effects of narratives on identity formation.
Design/methodology/approach
Qualitative data from in-depth interviews with 18 members of a nonprofit, virtual organization – DiverseCS – were collected. Participants were asked about their roles in the organization, challenges and collaborative efforts. Grounded theory methodology was used to analyze the data.
Findings
Efforts to instill a sense of identity and community through the adoption of information technology was met with resistance. Rather, senior leaders encouraged and institutionalized the creation of organizational narratives. Novel use of information technology – social media and hyperlinks – became a means to amplify the positive effects of narrative creation and sharing by organizational members.
Originality/value
This study investigates how some members of a virtual organization use information technology in novel ways to further spread organizational narratives to other organizational members and also to external collaboration partners. This research contributes to the extant literature on virtual organizational identity and also proposes a research agenda.
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Gabriela Uribe, Ferdinand Mukumbang, Corey Moore, Tabitha Jones, Susan Woolfenden, Katarina Ostojic, Paul Haber, John Eastwood, James Gillespie and Carmen Huckel Schneider
Integrated health and social care initiatives are increasing and health and social care systems are aiming to improve health and social outcomes in disadvantaged groups. There is…
Abstract
Purpose
Integrated health and social care initiatives are increasing and health and social care systems are aiming to improve health and social outcomes in disadvantaged groups. There is a global dialogue surrounding improving services by shifting to an integrated health and social care approach. There is consensus of what is “health care”; however, the “social care” definition remains less explored. The authors describe the state of “social care” within the current integrated care literature and identify the depth of integration in current health and social care initiatives.
Design/methodology/approach
A narrative literature review, searching Medline, PsychINFO, CINAHL, PubMed, Scopus and Cochrane databases and grey literature (from 2016 to 2021), employing a search strategy, was conducted.
Findings
In total. 276 studies were eligible for full-text review, and 33 studies were included and categorised in types: “social care as community outreach dialogues”, “social care as addressing an ageing population”, “social care as targeting multimorbidity and corresponding social risks factors” and “social care as initiatives addressing the fragmentation of services”. Most initiatives were implemented in the United Kingdom. In total, 21 studies reported expanding integrated governance and partnerships; 27 studies reported having health and social care staff with clear integrated governance; 17 had dedicated funding and 11 used data-sharing and the integration of systems’ records.
Originality/value
The authors' demonstrate that social care approaches are expanding beyond the elderly, and these models have been used to respond to multimorbidity [including coronavirus disease 2019 (COVID-19)], targeting priority groups and individuals with complex presentations.
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According to the UN High Commission on Refugees, over 82 million people are currently displaced globally and of those nearly 25 million are refugees. Every community in the United…
Abstract
According to the UN High Commission on Refugees, over 82 million people are currently displaced globally and of those nearly 25 million are refugees. Every community in the United States – urban, suburban, and rural – is shaped by newcomers seeking safety, opportunity, and self-improvement. Libraries are often the place that feels most welcoming to refugees and newcomers, making them well positioned to offer relevant and impactful programs and services to these communities. Using the International Federation of Library Associations’ (IFLA) conceptual rubric of sanctuary, storehouse, gateway, and bridge, my research explores a variety of programs and services deployed by libraries to address the needs of refugee and newcomer populations. Based on fieldwork in the United States, the Netherlands, and Germany, this chapter describes how libraries impact refugees and newcomers in decisive and meaningful ways. From informal gatherings to national government collaborations of digital content, libraries provide an array of compassionate, effective, scalable interventions for newcomers. Such interventions also positively impact the non-displaced communities in which they operate, fostering deeper connections between newcomers and their communities. Library services to refugees and newcomers provide a broad collective impact in the global crisis of displacement and belonging.
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Unprecedented levels of investment in transit and transit-oriented development in Los Angeles County have not resulted in gains for transit-dependent populations or overall higher…
Abstract
Unprecedented levels of investment in transit and transit-oriented development in Los Angeles County have not resulted in gains for transit-dependent populations or overall higher ridership for that matter. They have instead saddled them with inordinate cost burdens and displacement pressures. Yet racialised, low-income communities that rely on transit are far from passive victims. Rather, they are participating in advocacy campaigns that penetrate decision-making venues and procedures and co-create institutional practices, policy priorities, and public and private investments that serve their interests and build a Los Angeles that is more widely accessible and affordable. This chapter presents a case study of the Alliance for Community Transit-Los Angeles (ACT-LA), a regional coalition of over 40 community-based organisations at the helm of direct-action policy campaigns and participatory planning initiatives to advance transit justice and equitable transit-oriented communities (TOC). After examining ACT-LA's origins in the LA-based movement for community benefits agreements, the analysis focuses on how ACT-LA has combined political mobilisation for ballot-box measures with participatory policy-making and planning processes to advance just, equitable, sustainable transit systems, and TOC. The concluding discussion considers the implications of the ACT-LA case for reformulating participatory policy-making and planning around transportation and land use to further equity and climate goals.
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Ellen A. Donnelly, Madeline Stenger, Daniel J. O'Connell, Adam Gavnik, Jullianne Regalado and Laura Bayona-Roman
This study explores the determinants of police officer support for pre-arrest/booking deflection programs that divert people presenting with substance use and/or mental health…
Abstract
Purpose
This study explores the determinants of police officer support for pre-arrest/booking deflection programs that divert people presenting with substance use and/or mental health disorder symptoms out of the criminal justice system and connect them to supportive services.
Design/methodology/approach
This study analyzes responses from 254 surveys fielded to police officers in Delaware. Questionnaires asked about views on leadership, approaches toward crime, training, occupational experience and officer’s personal characteristics. The study applies a new machine learning method called kernel-based regularized least squares (KRLS) for non-linearities and interactions among independent variables. Estimates from a KRLS model are compared with those from an ordinary least square regression (OLS) model.
Findings
Support for diversion is positively associated with leadership endorsing diversion and thinking of new ways to solve problems. Tough-on-crime attitudes diminish programmatic support. Tenure becomes less predictive of police attitudes in the KRLS model, suggesting interactions with other factors. The KRLS model explains a larger proportion of the variance in officer attitudes than the traditional OLS model.
Originality/value
The study demonstrates the usefulness of the KRLS method for practitioners and scholars seeking to illuminate patterns in police attitudes. It further underscores the importance of agency leadership in legitimizing deflection as a pathway to addressing behavioral health challenges in communities.
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Helen MacIntyre, Annabel Collins and Jo Stapleton
The purpose of this paper is to share a model of skilled outreach working to find and engage the hidden group of socially isolated and lonely older people who are reluctant or…
Abstract
Purpose
The purpose of this paper is to share a model of skilled outreach working to find and engage the hidden group of socially isolated and lonely older people who are reluctant or unable to access community activities, formal services or support. The model can inform the practice of community development, housing or other workers concerned with initiating behaviour change among older people to increase their social connectedness.
Design/methodology/approach
This practice-focused paper presents a description of key elements of the Ageing Better in Camden (ABC) outreach approach along with a snapshot of operational data and examples from interviews/case studies to indicate impact of the work.
Findings
ABC’s Outreach Team engaged with individuals facing significant barriers to social connection including physical and mental health problems, living alone, bereavement and caring responsibilities. A high proportion of Team engagements were with men (41%) who are typically hard to engage. In total, 23% of people who the Team met took some “Action” towards social connection. Qualitative examples indicated that encounters with the Team could be uplifting and act as a “nudge” towards “Action”. This paper discusses the need to strengthen evidence of the impact of the approach and challenges of doing so.
Originality/value
There are few descriptions in practice or research literature of outreach work with older people and the elements which make it effective. This paper addresses this gap.
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This paper presents a case study for the pilot of a peer-led service model that is centered on fostering student leadership, collaboration and advocacy. The authors, who serve as…
Abstract
Purpose
This paper presents a case study for the pilot of a peer-led service model that is centered on fostering student leadership, collaboration and advocacy. The authors, who serve as advisors to the program, discuss the Library's transition to this peer-led model for reference support, outreach, programming and campus engagement.
Design/methodology/approach
This case study examines the development and implementation of a new peer-led service at a mid-size public university aimed at centering student success, belonging and empowerment. Authors share practices, strategies and goals for training, onboarding and professional development with emphasis on student advocacy, leadership and retention in the program.
Findings
The authors found that developing the structures and opportunities to foster student-led initiatives and efforts for student success, belonging and engagement has helped the library better connect and engage with diverse student communities on campus.
Research limitations/implications
Findings of this study may be limited at the time this case study is written due to it being a new and developing library student program for reference, outreach and programming.
Practical implications
The peer-led service model for reference and student engagement presented in this article serves as a case study that may be applicable for those who wish to imagine and develop a student-centered library program at their institution.
Social implications
This case study may provide an alternative approach useful to those who wish to reimagine and innovate library student programs at their institutions.
Originality/value
Although there are many peer-led initiatives in academic libraries for outreach and programming, this program explores the approach of fostering student leadership and advocacy within library student roles to lead and facilitate library efforts for campus engagement with structured guidance and support from librarian advisors.
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