Search results

1 – 10 of 123
To view the access options for this content please click here
Article
Publication date: 1 August 1998

S.N.M. Kopparty

Investigates leprosy as both a medical and social problem, particularly as the sufferer loses the ability to hold an economically productive role, affecting their social…

Abstract

Investigates leprosy as both a medical and social problem, particularly as the sufferer loses the ability to hold an economically productive role, affecting their social status and acceptance in the family. Surveys two areas in Tamil Nadu (India) to collect data on the extent of deformity and to assess if there is any difference in acceptance in the family depending on the individual)s deformity or non‐deformity. Suggests, from findings, that sufferers of leprosy are actually at greater risk of dehabilitation from their families, due to the social stigma of the disease affecting the family’s standing within the community. Indicates the need for prevention or correction of deformities, as it appears to be degree of physical attractiveness which influences interpersonal behaviour in the home, work place, school, health setting and other communal places. Discusses World Health Organization policies on leprosy and the economics of deformity.

Details

International Journal of Sociology and Social Policy, vol. 18 no. 7/8
Type: Research Article
ISSN: 0144-333X

Keywords

To view the access options for this content please click here
Book part
Publication date: 30 August 2019

Ignatius Uche Nwankwo

This research chapter focuses on gender issues and women’s health concerns relevant to leprosy disease and their implications for leprosy control program in Southeast…

Abstract

Purpose

This research chapter focuses on gender issues and women’s health concerns relevant to leprosy disease and their implications for leprosy control program in Southeast Nigeria. Four research questions guided the study, two of which were to ascertain the ways in which gender affect both awareness of leprosy and community support and post-treatment reintegration of persons affected by leprosy (PAL) into their communities.

Methodology/Approach

A sample size of 1,116 adults drawn through cluster and random sampling methods were the study participants from whom quantitative data were collected via questionnaire. Qualitative data were generated through focus group discussion (FGD) among PAL, and in-depth interview (IDI) of both leprosy control staff, and other stakeholders purposively drawn from the area. The Statistical Package for the Social Sciences (SPSS) software was employed to process data, while frequency tables, bar charts, and chi-square were used to present, analyze, and test the hypothesis.

Findings

The study found that level of awareness about leprosy (which has several local names in the area) was relatively high (89.6%). However, significant differences exist in levels of awareness on leprosy between males and females. Also, men were perceived as less likely to comply with treatment instructions due to their gender roles of family economic upkeep. Males affected by leprosy were also found to encounter severest forms of social discrimination and post-treatment reintegration challenges.

Research Limitations/Implications

The study scope was limited to the examination of public perception of gender issues and women’s healthcare concerns related to leprosy and their implications for leprosy control program in Southeast Nigeria. Only PAL registered with Nigeria’s Leprosy Control Programme participated with other non-patient respondents. The study focused on social aspects of leprosy (other than its biophysical component).

The implication of the research outcome includes need for deliberate strategy by leprosy control team to improve the level of awareness/knowledge as well as treatment compliance across gender. Similarly, differential mode of social reaction (to male and female gender) affected by leprosy should be addressed. Above all, aggressive public enlightenment through public, private, and local media and prohibition of sociocultural practices that promote spread of leprosy were stressed as measures to enhance leprosy control in the area.

Originality/Value of Paper

The study fills the knowledge gap with respect to gender issues and women’s healthcare concerns related to leprosy and their implications for leprosy control program in Southeast Nigeria. Findings from the concluded research set it apart and differed with earlier and similar studies elsewhere. For instance, men affected by leprosy in the area encounter severest forms of negative social reaction; are less compliant to treatment plans and less aware of leprosy when compared with females. All these affirm the position of the chapter that gender issues relevant to leprosy differ according to cultural setting, time, and place of inquiry and do not align to any universal scheme.

Details

Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials
Type: Book
ISBN: 978-1-83867-055-9

Keywords

To view the access options for this content please click here
Article
Publication date: 1 December 2001

G. Stanley Jaya Kumar, P. Venkateswarulu and E. Lalitha

Outlines the discoveries and developments in the treatment of leprosy over the last century. Looks at the progress towards the elimination of the disease. Profiles the…

Abstract

Outlines the discoveries and developments in the treatment of leprosy over the last century. Looks at the progress towards the elimination of the disease. Profiles the problems in India and the factors which hinder elimination. Looks at the position of women with this disease including age, caste, educational level, occupation, marital status, mate selection, nature of marriage and precedence of leprosy among relatives before considering knowledge and type of treatment and the present role of government. Covers the role of vaccination.

Details

International Journal of Sociology and Social Policy, vol. 21 no. 11/12
Type: Research Article
ISSN: 0144-333X

Keywords

To view the access options for this content please click here
Book part
Publication date: 30 August 2019

Abstract

Details

Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials
Type: Book
ISBN: 978-1-83867-055-9

To view the access options for this content please click here
Book part
Publication date: 30 August 2019

Abstract

Details

Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials
Type: Book
ISBN: 978-1-83867-055-9

To view the access options for this content please click here
Article
Publication date: 21 August 2017

Belete Jember Bobe, Dessalegn Getie Mihret and Degefe Duressa Obo

The purpose of this paper is to examine adoption of the balanced scorecard (BSC) by a large public-sector health organisation in an African country, Ethiopia as part of a…

Abstract

Purpose

The purpose of this paper is to examine adoption of the balanced scorecard (BSC) by a large public-sector health organisation in an African country, Ethiopia as part of a programme to implement a unified sector-wide strategic planning and performance monitoring system. The study explains how this trans-organisational role of the BSC is constituted, and explores how it operates in practice at the sector-and organisation-levels.

Design/methodology/approach

The study employs the case-study method. Semi-structured interview data and documentary evidence are analysed by drawing on the concept of translation from actor-network theory.

Findings

The case-study organisation adopted the BSC as a part of broader public-sector reforms driven by political ideology. Through a centralised government decision, the BSC was framed as a sector-wide system aimed at: aligning the health sector’s strategic policy goals with strategic priorities and operational objectives of organisations in the sector; and unifying performance-monitoring of the sector’s organisations by enabling aggregation of performance information to a sector level in a timely manner to facilitate health sector policy implementation. While the political ideology facilitated BSC adoption for trans-organisational use, it provided little organisational discretion to integrate financial administration and human resource management practices to the BSC framework. Further, inadequate piloting of information system use for the anticipated BSC model, originating from the top-down approach followed in the BSC implementation, inhibited implementation of the BSC with a balanced emphasis between the planning and performance monitoring roles of the BSC. As a result, the BSC underwent a pragmatic shift in emphasis and was reconceptualised as a system of enhancing strategic alignment through integrated planning, compared to the balanced emphasis between the planning and performance monitoring roles initially anticipated.

Originality/value

The study provides a theory-based explanation of how politico-ideological contexts might facilitate the framing of novel roles for the BSC and how the roles translate into practice.

Details

Accounting, Auditing & Accountability Journal, vol. 30 no. 6
Type: Research Article
ISSN: 0951-3574

Keywords

Content available
Article
Publication date: 19 March 2021

Fadly Syah Arsad and Noor Hassim Ismail

The purpose of this study was to assess tuberculosis (TB) treatment outcomes among new smear-positive pulmonary tuberculosis (PTB) patients and identify the risk factors…

Abstract

Purpose

The purpose of this study was to assess tuberculosis (TB) treatment outcomes among new smear-positive pulmonary tuberculosis (PTB) patients and identify the risk factors of unsuccessful treatment outcomes in Kepong district, Kuala Lumpur, Malaysia.

Design/methodology/approach

A retrospective cohort study was conducted using registry-based data from the Tuberculosis Information System (TBIS) between 2014 and 2018. Simple random sampling was used to select 734 males and 380 females from the TBIS registry. Smear-positive PTB patient's sociodemographic, clinical and behavioral characteristics were extracted and analyzed. Logistic regression was used to find the possible independent risk factors for unsuccessful treatment outcomes.

Findings

The treatment success rate was 77.20% (n = 860) which was still below the target set by the WHO (>90%). In total, 254 patients showed an unsuccessful treatment outcome: 106 died, 99 defaulted, 47 not evaluated and 2 showed treatment failure. Unsuccessful treatment outcome was significantly associated with older age, male gender, non-citizen, unemployment and being HIV positive.

Originality/value

The study focuses on all these contributing factors of unsuccessful treatment outcome for a better risk assessment and stratification of TB patients and identify effective surveillance and management strategies to strengthen the control programs of tuberculosis in Kepong district.

Details

Journal of Health Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0857-4421

Keywords

To view the access options for this content please click here
Article
Publication date: 14 October 2013

Ugochukwu Uchenna Onyeonoro, Joseph Ngozi Chukwu, Charles C. Nwafor, Anthony O. Meka and Daniel C. Oshi

In 2007, Nigeria commenced a nationwide behavioural change communication (BCC) intervention to increase uptake of tuberculosis (TB) care services. The purpose of this…

Abstract

Purpose

In 2007, Nigeria commenced a nationwide behavioural change communication (BCC) intervention to increase uptake of tuberculosis (TB) care services. The purpose of this paper is to evaluate the effect of TB BCC intervention on knowledge and perception of TB in Enugu state, southeast Nigeria.

Design/methodology/approach

This is a cross-sectional study carried out in December 2009 in which a total of 1,200 respondents (620 males and 580 females) from six local government areas (three urban and three rural), selected by multi-stage sampling technique were interviewed using a semi-structured questionnaire.

Findings

The survey showed that most of the respondents had access to radio and about half to television. Access to media was significantly higher in urban areas than rural areas. Radio and community were the commonest sources of information of TB. The majority of the respondents were aware of that there was a message, however, ability to recall the content of the message varied. Significant association was observed between knowledge of the health education message and knowledge of TB transmission, that TB is curable and of appropriate care-seeking behaviour. Access to this media health education intervention was determined by age, gender, educational status, literacy, religion and access to media.

Practical implications

The study showed that TB BCC is associated with high-level awareness of TB disease and appropriate care-seeking behaviour. Socio-demographic characteristics and locality were found to influence access to mass media communication. Therefore, consideration should be given to the appropriateness of medium of communication in the design of TB BCC. However, there is need to combine it with other strategies to reach the disadvantaged population.

Originality/value

This study is the first population-based survey to ascertain access to TB-related BCC intervention and its effect on knowledge and care-seeking behaviour of this study population.

Details

Health Education, vol. 113 no. 6
Type: Research Article
ISSN: 0965-4283

Keywords

To view the access options for this content please click here
Case study
Publication date: 20 January 2017

Daniel Diermeier, Jason Hermitage, Shail Thaker and Justin Heinze

In the 1960s thalidomide, a popular new drug considered to be safe and effective, was revealed to cause severe nerve damage and birth defects in newborn infants, prompting…

Abstract

In the 1960s thalidomide, a popular new drug considered to be safe and effective, was revealed to cause severe nerve damage and birth defects in newborn infants, prompting health officials to ban the use of the drug and tighten overall restrictions on new drugs and drug use. Twenty years later, after recognizing the positive effects of thalidomide when treating patients with leprosy and its potential role in the treatment of certain types of cancer and cases of HIV/AIDS, the Celgene corporation would be forced to contend with stringent FDA regulations, liability concerns, public skepticism, and poor mass media portrayal in order to secure the drug's approval.

To illustrate how regulators are subject to political pressure, which companies much recognize and consider when making business decisions.

Details

Kellogg School of Management Cases, vol. no.
Type: Case Study
ISSN: 2474-6568
Published by: Kellogg School of Management

Keywords

To view the access options for this content please click here
Article
Publication date: 16 June 2021

Satyam Mishra and Bikramjit Rishi

Marketing tools used in public policy may not be purely commercial but based on non-commercial marketing exchanges also. This paper aims to make a case for the practice of…

Abstract

Purpose

Marketing tools used in public policy may not be purely commercial but based on non-commercial marketing exchanges also. This paper aims to make a case for the practice of social marketing principles to aid the context of public policy.

Design/methodology/approach

The approach is to draw out the key implementable learnings (KILs) from the analysis of the five public policy initiatives in the USA, India and Sri Lanka. A case situation with the context of child labour policy in India is proposed to use these KILs.

Findings

This paper concludes that the implementation of any policy is a challenging exercise and dependent on a large number of factors. However, KILs derived from successful social marketing programs deal with umbrella campaigns, prevailing socio-cultural environment, bottom-up communication, upstream approach to engage with stakeholders and targeted media advocacy could prove useful when the objective is to induce behaviour change as a part of the policy execution.

Originality/value

This paper evaluates the learnings from social marketing campaigns and their relevance to public policy programs. It also considers a case to demonstrate the application of the concept.

Details

Social Responsibility Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1747-1117

Keywords

1 – 10 of 123