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Article
Publication date: 10 December 2019

The transformative community-based humanitarian service ecosystem

Yolanda Obaze

The purpose of this paper is to explore the humanitarian service management categories that influence long-term transformation within complex community-based service ecosystems.

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Abstract

Purpose

The purpose of this paper is to explore the humanitarian service management categories that influence long-term transformation within complex community-based service ecosystems.

Design/methodology/approach

This study utilizes mixed methods to present a dynamic model that provides insight into the complexities of supplying, distributing and transporting charitable resources to underserved communities. The interdisciplinary study draws on the theory of service-dominant logic and service science, presents critical elements of transformative service research and uses system dynamics approach to propose a visual causal loop model.

Findings

This study develops a dynamic model for studying humanitarian service and value propositions in underserved communities. This paper combines the extant literature to emphasize key humanitarian service categories that influence, and are influenced by, service exchanges within community-based contexts.

Research limitations/implications

This paper is limited in providing quantitative methods in analyzing the case study data. However, the research is still helpful in providing acumen via the causal loop diagram to specifically look into each variable and see their cause and effect relationships in the community-based ecosystem. The research represents an opportunity to model the humanitarian aid and relief scenarios to help make more effective decision-making interventions.

Practical implications

The model serves as a managerial tool to determine critical services that optimize resource utilization within the community-based service ecosystems. Insights from this research are broadly applicable to the contexts of humanitarian logistics and supply chain management (HLSCM) solutions for community-based ventures.

Originality/value

This paper conceptualizes how the management of service-for-service exchanges, logistics services and charitable donation management provides transformational humanitarian services and value propositions within underserved communities. This study further provides fundamental contributions by addressing research gaps in the HLSCM domain by supporting service research and the community-based context.

Details

Journal of Humanitarian Logistics and Supply Chain Management, vol. 9 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/JHLSCM-06-2018-0039
ISSN: 2042-6747

Keywords

  • System dynamics
  • Transformative service research
  • Service-dominant logic
  • Service ecosystems
  • Systems thinking
  • Humanitarian logistics and supply chain management

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Article
Publication date: 12 March 2018

The impacts of community-based HIV testing and counselling on testing uptake: A systematic review

Jaelan Sumo Sulat, Yayi Suryo Prabandari, Rossi Sanusi, Elsi Dwi Hapsari and Budiono Santoso

Community-based HIV testing and counselling (HTC) has been recommended for improving access to prevention, care, and treatment services in at-risk populations. Earlier…

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Abstract

Purpose

Community-based HIV testing and counselling (HTC) has been recommended for improving access to prevention, care, and treatment services in at-risk populations. Earlier systematic reviews and meta-analyses have been undertaken, but due to some methodological limitations, their findings do not yet provide a practical significance. The purpose of this paper is to re-examine the recent evidence of the efficacy of community-based HTC approaches on the uptake of HTC in at-risk populations.

Design/methodology/approach

The database of PubMed online, Science Direct, the Lancet Global Health, the Cochrane Central Register of Controlled Trials, and Google Scholar were systematically searched using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to obtain empirical papers published between March 2013 and December 2015.

Findings

Of 600 collected papers, there were 6 cluster randomized trials papers which met the inclusion criteria. Compared to the health facilities-based HTC, community-based HTC approaches have been shown to improve the uptake of HIV testing from 5.8 to 37 per cent, and improve HIV testing in men and their partners together from 6.8 to 34 per cent. The community approaches also detected lower HIV-positive cases (0.29 per cent as compared to 4 per cent), improved access to treatment services from 0.3 to 25 per cent, demonstrated higher cluster differentiation 4 count in newly diagnosed patients (median of 400-438 cells/µl), and increased the rate of first-time HIV testing from 9 to 11.8 per cent. With respect to social and behavioural outcomes, community-based HTC increased social norms for HIV testing by 6 per cent (95 per cent CI 3-9), decreased multiple sex partners by 55 per cent (95 per cent CI 42-73), lowered casual sex by 45 per cent (95 per cent CI 33-62), increased knowledge about HIV (83.2 vs 28.9 per cent), improved positive attitudes towards HIV patients (73.0 vs 34.3 per cent), and increased the use of condoms (28.0 vs 12.3 per cent).

Originality/value

Community-based HTC combined with behavioural interventions have been found to be more effective in increasing the uptake of HIV testing as well as other outcomes as compared to the conventional health facilities-based testing and counselling approaches.

Details

Journal of Health Research, vol. 32 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/JHR-01-2018-015
ISSN: 0857-4421

Keywords

  • Systematic review
  • Community-based HIV testing and counselling
  • Uptake of HIV testing
  • Cluster randomized trials

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Article
Publication date: 3 August 2019

Senior citizens’ requirements of services provided by community-based care facilities: a China study

Liqun Xiang, Ann T.W. Yu, Yongtao Tan, Xuezhu Shan and QiPing Shen

This study aims to identify senior citizens’ requirements related to “embedded retirement facilities (ERFs)”, which are small-scale, multi-functional and community-based…

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Abstract

Purpose

This study aims to identify senior citizens’ requirements related to “embedded retirement facilities (ERFs)”, which are small-scale, multi-functional and community-based care facilities for senior citizens in mainland China, and to discuss whether senior citizens’ perceptions are influenced by their backgrounds.

Design/methodology/approach

A questionnaire type of research was administrated to gain senior citizens’ rankings of services that should be provided by ERFs. Non-parametric statistical models were applied to analyse the collected data.

Findings

Results reveal that health care services for senior citizens are considered the most important. Requirements regarding rehabilitation and entertainment and daily life assistance are ranked second and third, respectively. Culture-related activities are the least important. Differences in the senior citizens’ background also influence their choices.

Research limitations/implications

This research is based on a questionnaire survey completed in northeast China. Opinions from other areas of mainland China will be collected in the future study. Furthermore, the key items identified in this research, which was completed by participants from the built environment discipline, can be further elaborated by combining interdisciplinary feedback.

Practical implications

This study explores services that are supposedly provided by ERFs. Findings will provide useful perceptions from senior citizens and will enable decision makers to prioritise services for senior citizens.

Social implications

Although senior citizens are the end users of ERFs, their needs are easily overlooked. This study calls attention to their needs from ERFs, and the results are likely to serve as references for stakeholders in building improved facilities.

Originality/value

ERFs have been provided in mainland China to cater to senior citizens’ needs since 2014. However, few studies have identified senior citizens’ requirements for provided services. The survey-based results of this work will serve as references for various stakeholders in making enhanced decisions.

Details

Facilities , vol. 38 no. 1/2
Type: Research Article
DOI: https://doi.org/10.1108/F-02-2019-0023
ISSN: 0263-2772

Keywords

  • China
  • Service
  • Briefing
  • Community-based facility
  • Senior citizen
  • Embedded retirement facility
  • ERF

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Article
Publication date: 1 June 2006

From Care Management to Case Management: What can the NHS Learn from the Social Care Experience?

Sally Jacobs, Jane Hughes, David Challis, Karen Stewart and Kate Weiner

Care management has developed in a variety of forms. This diary study explores differences in the approach taken to care management in three distinct social service…

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Abstract

Care management has developed in a variety of forms. This diary study explores differences in the approach taken to care management in three distinct social service settings: community‐based older people's teams, hospital social work teams also for older people and community‐based teams for adults with mental health problems. Conclusions are drawn both for social care and for health services developing case management for people with long‐term conditions.

Details

Journal of Integrated Care, vol. 14 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/14769018200600021
ISSN: 1476-9018

Keywords

  • Care Management
  • Older People
  • Mental Health
  • Diary Study

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Article
Publication date: 1 December 2003

User feedback from family‐planning clients in Uganda

Walter Kipp and Annette Flaherty

The objectives of this study were to determine knowledge, satisfaction and perceptions of clients of a community‐based family‐planning program in Uganda. In an interview…

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Abstract

The objectives of this study were to determine knowledge, satisfaction and perceptions of clients of a community‐based family‐planning program in Uganda. In an interview survey, male and female clients (48 female clients and one male client) were interviewed. Main outcome measures were the client knowledge score, the client satisfaction score, and the clients’ general perception of family‐planning services. Client knowledge and client satisfaction scores were high (85/100 vs 78/100). Obstacles to program improvement as perceived by clients were resistance to family planning by male sexual partners and religious leaders as well as shortages in the supply of contraceptives. In conclusion, it can be said that female clients in Kabarole were satisfied with the services they received from both male and female community‐based distributors (CBDs). Satisfaction with and acceptance of male CBDs by female clients are important for the increased recruitment of male CBDs in family planning.

Details

International Journal of Health Care Quality Assurance, vol. 16 no. 7
Type: Research Article
DOI: https://doi.org/10.1108/09526860310499990
ISSN: 0952-6862

Keywords

  • Community health services
  • Birth control
  • Customer satisfaction
  • Uganda

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Book part
Publication date: 23 June 2020

Service-Learning in Allied Health Education: Developing Ethical Practitioners Through Community-engaged Teaching and Learning

Michelle Veyvoda, Thomas J. Van Cleave and Laurette Olson

This chapter draws from the authors’ experiences with service-learning pedagogy in allied health training programs, and illustrates ways in which community-engaged…

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Abstract

This chapter draws from the authors’ experiences with service-learning pedagogy in allied health training programs, and illustrates ways in which community-engaged teaching and learning can prepare students to become ethical healthcare practitioners. The authors infuse examples from their own courses throughout the chapter, mostly from the clinical fields of speech-language pathology, audiology, and occupational therapy. However, the chapter is applicable and generalizable to faculty from a wide scope of allied health training programs. The chapter introduces considerations for establishing campus–community partnerships in an ethical manner, as well as ways to foster student self-reflection and critical thinking through an ethical lens. Principles from the codes of ethics of various allied health professions are incorporated throughout the chapter along with examples of how each can be applied in community-based clinical experiences. Through a review of relevant literature, analysis of professional codes of ethics, case-based examples, and a step-by-step guide to course development, this chapter provides readers with a mechanism to ground their courses in professional ethics in a way that is relatable and relevant to students.

Details

Civil Society and Social Responsibility in Higher Education: International Perspectives on Curriculum and Teaching Development
Type: Book
DOI: https://doi.org/10.1108/S2055-364120200000021010
ISBN: 978-1-83909-464-4

Keywords

  • Allied health
  • ethics
  • professional preparation
  • healthcare
  • healthcare education
  • experiential learning
  • service-learning
  • community-based learning
  • speech-language pathology
  • occupational therapy

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Article
Publication date: 12 March 2019

Utilizing co-design approach to identify various stakeholders’ roles in the protection of intangible place-making heritage: The case of Guchengping Village

Haorui Wu and Chaoping Hou

The protection of traditional grassroots place-making knowledge and skills that comprise valuable intangible heritage has not been attracting enough attention in the field…

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Abstract

Purpose

The protection of traditional grassroots place-making knowledge and skills that comprise valuable intangible heritage has not been attracting enough attention in the field of post-disaster reconstruction and recovery. Based on the Guchengping Village’s reconstruction that followed the Lushan earthquake (Sichuan, China), the purpose of this paper is to identify the benefits of a co-design approach for post-disaster reconstruction and recovery, in order to ascertain various stakeholders’ contributions toward the protection of community-based intangible place-making heritage.

Design/methodology/approach

A qualitative method was employed to assist the professional designers in facilitating the co-design approach by bridging governments closer together with local communities. At the governmental level, focus groups and personal interviews were conducted to discover the government’s role in preserving the communities’ intangible heritage. At the community level, community-based workshops and family-based design partnerships engaged various community stakeholders to decipher their roles and contributions toward advancing the heritage age.

Findings

As the advocates of intangible heritage, all levels of government guaranteed that intangible heritage would be safeguarded in the government strategic plans. At the community level, local residents played a fundamental role as the grassroots protectors. Professional designers utilized cutting edge technologies to improve weaknesses found in the traditional knowledge and skills, by performing the protection in practice. Community-based service agencies promoted the value of heritage to address societal issues.

Originality/value

The co-design approach offered a new method of intangible heritage protection in post-disaster reconstruction and recovery by engaging different stakeholders, in order to effectively transfer the governmental strategic plans into community-based action plans, and in turn, enabled the grassroots voice to inform the government policies.

Details

Disaster Prevention and Management: An International Journal, vol. 29 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/DPM-09-2018-0291
ISSN: 0965-3562

Keywords

  • Co-design approach
  • Intangible heritage
  • Multi-stakeholder engagement
  • Traditional place-making knowledge and skills

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Book part
Publication date: 10 December 2016

Enhancing Learning through Community-Based Partnership

Nicholas Rademacher and Alia Sheety

This chapter describes a particular course that was undertaken as part of a partnership between three community institutions: a classroom of college undergraduate…

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Abstract

This chapter describes a particular course that was undertaken as part of a partnership between three community institutions: a classroom of college undergraduate learners, residents of a local homeless outreach center, and the members of a neighboring social justice oriented Christian community. The project was an interdisciplinary endeavor, facilitated by the authors who represent the humanities, specifically Religious Studies and Education. The students in the course represented a cross-section of the institution where the authors teach: various majors, both declared and undeclared; students from different enrollment years; various ages; and mixed race and ethnicity. The first part of this chapter addresses a theoretical framework related to community-based learning and service-learning related to the role of such partnerships in higher education with specific focus on a particular course. The second part addresses the significance of the social change model and purposeful student self-reflection within such partnerships as a way to enhance student learning. The final part of the chapter includes an evaluation of the community collaboration with respect to process and student learning.

Details

University Partnerships for International Development
Type: Book
DOI: https://doi.org/10.1108/S2055-364120160000008018
ISBN: 978-1-78635-301-6

Keywords

  • Social justice
  • civic engagement
  • service-learning
  • partnerships
  • reciprocity
  • community-based partnership

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Book part
Publication date: 4 July 2016

Same Problem, Different Century: Issues in Recreating the Functions of Public Psychiatric Hospitals in Community-Based Settings

William H. Fisher, Jeffrey L. Geller and Dana L. McMannus

The purpose of this chapter is to apply structural functional theory and the concept of “unbundling” to an analysis of the deinstitutionalization and community mental…

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Abstract

Purpose

The purpose of this chapter is to apply structural functional theory and the concept of “unbundling” to an analysis of the deinstitutionalization and community mental health efforts that have shaped the current mental health services environment.

Approach

We examine the original goals of the institutional movement, the arguments supporting it, and the functions of the institutions that were created. We then examine the criticisms of that approach and the success of the subsequent deinstitutionalization process, which attempted to undo this process by recreating the hospitals’ functions in community settings. Finally, we address the question of whether the critical functions of psychiatric institutions have indeed been adequately recreated.

Findings

Our overview of outcomes from this process suggests that the unbundling of state hospital functions did not yield an adequate system of care and support, and that the functions of state hospitals, including social control and incapacitation with respect to public displays of deviance were not sufficiently recreated in the community-based settings.

Social implications

The arguments for the construction of state hospitals, the critiques of those settings, and the current criticism of efforts to replace their functions are eerily similar. Actors involved in the design of mental health services should take into account the functions of existing services and the gaps between them. Consideration of the history of efforts at functional change might also serve this process well.

Details

50 Years After Deinstitutionalization: Mental Illness in Contemporary Communities
Type: Book
DOI: https://doi.org/10.1108/S1057-629020160000017001
ISBN: 978-1-78560-403-4

Keywords

  • Deinstitutionalization
  • mental illness
  • mental health services
  • psychiatric hospitals

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Article
Publication date: 1 September 1993

Multicriteria Planning Model for Mental Health Services Delivery

Pamela Hammers Specht

Decentralization of mental health services delivery through theimplementation of community‐based mental health centres has greatlyincreased the complexity in the…

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Abstract

Decentralization of mental health services delivery through the implementation of community‐based mental health centres has greatly increased the complexity in the administration of US mental health programmes. Decision makers have to allocate limited resources between traditional hospital programmes and the community centres. Presents a goalprogramming‐planning model which allows the decision maker to analyse trade‐offs between healthcare objectives as well as to assess the budgetary and staff ramifications of various policy decisions. Illustrates the model through the use of a case example from a Midwestern US mental health services programme.

Details

International Journal of Operations & Production Management, vol. 13 no. 9
Type: Research Article
DOI: https://doi.org/10.1108/01443579310043646
ISSN: 0144-3577

Keywords

  • Decision making
  • Goals
  • Mental health
  • Policy
  • USA

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