Organizational Framework Research Articles

District-level monitoring of universal health coverage, India.

To develop a framework and index for measuring universal health coverage (UHC) at the district level in India and to assess progress towards UHC in the districts. We adapted the framework of the World Health Organization and World Bank to develop a district-level UHC index (UHC d ). We used routinely collected health survey and programme data in India to calculate UHC d for 687 districts from geometric means of 24 tracer indicators in five tracer domains: reproductive, maternal, newborn and child health; infectious diseases; noncommunicable diseases; service capacity and access; and financial risk protection. UHC d is on a scale of 0% to 100%, with higher scores indicating better performance. We also assessed the degree of inequality within districts using a subset of 14 tracer indicators. The disadvantaged subgroups were based on four inequality dimensions: wealth quintile, urban-rural location, religion and social group. The median UHC d was 43.9% (range: 26.4 to 69.4). Substantial geographical differences existed, with districts in southern states having higher UHC d than elsewhere in India. Service coverage indicator levels were greater than 60%, except for noncommunicable diseases and for service capacity and access. Health insurance coverage was limited, with about 10% of the population facing catastrophic and impoverishing health expenditure. Substantial wealth-based disparities in UHC were seen within districts. Our study shows that UHC can be measured at the local level and can help national and subnational government develop prioritization frameworks by identifying health-care delivery and geographic hotspots where limited progress towards UHC is being made.

Assessing organizational framework conditions for the successful, human-centered introduction of AI applications

AbstractAs part of WIRKsam Competence Center, the authors aim to identify and improve organizational conditions in companies that are conducive to the successful introduction of AI technologies in the workplace. This paper examines various factors that are considered crucial for effective AI integration, including technology acceptance, access to IT infrastructure, workforce structure, organizational culture and participatory practices. Using a mixed-methods approach, WIRKsam relates the initial organizational conditions to the researchers’ assessments and experiences of the first 24 months of the study. The analysis uses both qualitative and quantitative data and provides a robust framework for identifying the respective organizational prerequisites.It aims to map these factors and provide insights. Our results show the application partners involved in WIRKsam as companies with individual characteristics of technology and AI affinity as well as different organizational cultures. The workforce is predominantly male. Slightly more than half of the employees are 45 years and older. Overall, the research activities in WIRKsam are met with openness to electronic devices and AI. However, the fears of the employees are somewhat underestimated by the researchers. Employees rate their knowledge and experience with regard to AI as low and need support here in order to be able to participate in the participatory design of work systems in a more informed way. Management support is a key aspect of technology adoption that employees find important. Their absence is accompanied by worries about the job and lower expectations of positive changes in work, among other things. The knowledge gained will be incorporated into the development of tailor-made action plans to optimize conditions in similar environments.Practical relevance: Using the example of the application companies in WIRKsam Competence Center, the results show that there are very different combinations of framework conditions for the successful introduction of AI into operational practice in companies. Action plans can be derived to individually adapt the integrated approach according to the WIRKsam procedure model. The applied mix of methods allows a very comprehensive analysis and contributes to the validity of the results. In particular, the survey of researchers contributes to new findings, the importance of which lies on the one hand in complementing the perspective of employees and the company as a whole, and on the other hand in providing the researchers themselves with a basis for reflecting on their basic assumptions as an entire research team.

Implementation of an Acute Pain Service in the Orthopedic Traumatology Department of the University Hospital of Batna.

Background and Objectives. Effective management of postoperative acute pain (POP) in surgical settings requires well-organized approaches. Our goal was to establish an economic model of the Acute Pain Service (APS), to ensure appropriate treatment of POP in adults undergoing orthopedic and traumatological surgery at the University Hospital Center of Batna between 2015 and 2017. Materials and Methods. A descriptive and evaluative study was conducted as part of a quality assurance initiative to establish a acute pain service (APS) between 2015 and 2017. This study focused on organization, training, information dissemination, and pain assessment. Participants included five medical practitioners, 37 paramedical professionals, as well as 104 patients audited before the PAS implementation and 136 patients audited after its establishment. All patients underwent orthopedic and traumatological surgeries. Results. The survey involved 5 physicians and 37 healthcare providers. The results of the reevaluation audit showed that practitioners acquired skills in 86% of cases, common protocols for managing postoperative pain (DPO) were present in 100% of cases, patient information was provided in 77% of cases, and the quality of DPO management was rated as good in 54% of cases. Conclusion. Implementing an organizational framework based on quality assurance principles led to a significant enhancement in postoperative pain management following the introduction of a functional analgesia unit of the acute pain service (APS).

Impact of Pictorial Health Warnings on Cigarette Packs among Current Smokers of Sub-Metropolitan City of Nepal: A Descriptive Cross-sectional Study

Introduction: Pictorial health warning on cigarette packs is one of the strategies undertaken by Nepal Government as per the directive of World Health Organization Framework Convention on Tobacco Control to control smoking. It has been more than a decade since the introduction of pictorial health warnings on cigarette packs in Nepal. The objective of this study was to assess the impact of the pictorial warnings among current smokers of Dharan, Nepal.Methods: A descriptive cross-sectional study was conducted among current smokers visiting local shops located near ward offices of Dharan after obtaining ethical approval from Institutional Review Committee (Reference number: 204/080/01 -IRC). A structured and validated Nepali questionnaire was used to interview the smokers about the impact of the pictorial warnings based on their noticeability, behavioural and cognitive responses. Statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 20.0. The responses of the participants were tabulated in frequencies and percentages.Results: The pictorial warnings were noticed by 277 (98.93%) participants in past one month out of which 11 (3.93%) smokers had always read or looked closely at them. Smoking less frequently was the behaviour change reported by 70 (25%) participants and smoking less around others was reported by and 56 (20%) participants. In total, 189 (67.50%) smokers had thought about the harms of smoking and 160 (57.14%) had intention to quit smoking due to the pictorial warnings.Conclusions: The pictorial health warnings were not so effective in bringing about changes in smoking behaviour of smokers.

Organizational culture as social control mechanism

Beyond sharing values and beliefs, organizational culture can serve as a powerful social control framework. This study aims to examine how cultural norms and expectations impact employee behavior within an organization. The study looked at the concepts of organizational culture, social control, and the influence of organizational culture on employees. This study employs Schein's model of the organization, to better understand the research problem. The model focused on three layers of culture in an organization: artifacts, espoused values, and basic underlying assumptions, and how these elements influence the behaviors and performances of employees in an organization. A qualitative desk review research method was employed, and relevant materials for the study were sourced from academic databases (Google Scholar, ResearchGate, and Academia) websites and gray literature. Based on the relevant literature reviewed, the study revealed that organizational culture is an important recipe in organizations and a potent mechanism for social control. Furthermore, organizational leaders and managers leverage the power of culture to achieve either beneficial or harmful organizational goals. Based on this review, this study recommends ethical consideration in leveraging the power of culture as a social control framework in organizations.

Review on Potential Urban Development Site Selection Using Geospatial-Based Multi-Criteria Decision Analysis (MCDA) Techniques in the Context of Ethiopia

This review paper provides a comprehensive assessment of the opportunities and challenges in leveraging geospatial-based technologies, particularly Multi-Criteria Decision Analysis (MCDA) techniques, to enhance the effectiveness of urban development site selection in Ethiopia. The overarching findings highlight several critical focus areas for improvement. Firstly, the review emphasizes the need to strengthen the availability, quality, and accessibility of geospatial data through the development of robust data infrastructures and innovative data collection methods. Secondly, it recommends adopting a more inclusive and collaborative approach to stakeholder engagement, coupled with targeted capacity-building initiatives to enhance the technical skills and knowledge of urban planners, GIS experts, and local stakeholders. Thirdly, the paper suggests incorporating advanced spatial modeling and simulation techniques to capture the dynamic nature of urban growth patterns, as well as integrating climate change impact assessments and disaster risk analyses into the decision-making framework. Fourthly, it emphasizes the importance of strengthening institutional and organizational frameworks to promote cross-sectoral collaboration, data sharing, and integrated decision-making processes. Finally, the review underscores the significance of designing user-friendly and customizable Spatial Decision Support Systems (SDSS) that cater to the specific needs and constraints of the Ethiopian urban development context. The review concludes that the use of geospatial-based MCDA approaches holds immense potential in addressing Ethiopia's complex urban development challenges, as it enables a comprehensive evaluation of suitability factors and the exploration of alternative urban development strategies.

Теоретико-правовые основы информирования о фактах коррупции: сравнительно-правовое исследование

The anti-corruption policy of a number of states testifies to systematic activities aimed at combating corruption. The analysis of the legislation of the Russian Federation showed that, despite the active formation of a legal and organizational framework that allows citizens to interact with state authorities and local governments in the field of anti-corruption, many issues have not yet been resolved, for example, in the case of protection of persons informing about facts of corruption. A study of the experience of foreign countries has shown that most countries are moving away from a staged approach to whistleblower protection to separate legislation covering various aspects of such protection. Finally, the authors conclude that the issues of protecting of persons who report on corruption cases and incentive measures (for example, payment of remuneration) will help to improve the efficiency of such activity.

Theory building and technical innovations for spatial planning of China's metropolitan areas: insights from planning of Greater Shanghai Metropolitan Area

Based on limited theoretical applicability of metropolitan area concept under China’s circumstances and the planning practice in Greater Shanghai Metropolitan Area, this article proposes a Chinese understanding on the concept of “Metropolitan Area”, which extends its core connotation from a commuting area to a multi-functional area. It further proposes to utilize the preparation of spatial plans as means to promote high-quality development of metropolitan areas and to achieve coordinated regional development. Metropolitan area planning takes spatial planning as its basic attribute, and simultaneously embodies the contents of economic and social arrangements. It could become a binding contract based on consensus among member cities. In terms of technical innovations in planning practice, this article firstly suggests using a “problem-based, goal-targeted, action-driven, space-oriented and implementation-guided” approach to form a framework of “objective (indicator)-strategy-action-mechanism” to realize collaborative goals. Secondly, the spatial plan should focus on “bottom line factors” as well as “collaborative factors”, establishing a technical framework for regional spatial organization from multiple dimensions such as ecological pattern, city function, spatial structure, and conduction mechanism which drive transformations in regional governance modes.

Professional Health Literacy of General Practitioners - Results of the HLS-PROF

To date, there are only a few studies analyzing health professionals' health literacy (HL). Mostly, the focus has been on personal rather than professional HL. To bridge this gap, a new concept and an associated survey instrument have been developed in a three-country consortium. The aim of this article was to examine the professional HL of general practitioners (GPs) in Germany. The survey instrument used consists of 34 items and assesses subjective difficulties in four dimensions to be addressed in promoting patients' HL: "information and knowledge management", "conveying information and knowledge", "patient-centred communication", "professional digital HL". A total of 297 GPs and internists working in general practice were surveyed online over the summer of 2022. The professional HL (score from 0 to 100) was analyzed descriptively and examined in relation to gender, selected job-related, and organizational characteristics, using multiple linear regression. Depending on the four areas, GPs achieved approximately half to almost three-quarters of the highest possible score. The dimension "patient-centred communication" was perceived as the easiest, followed by "information and knowledge management", and "conveying information and knowledge". The most challenging dimension was "professional digital HL". According to the multivariate analysis, professional HL shows a relation to gender, organizational framework and training conditions, job duration, and coping with the diversity of digital information. The strength of correlation varies by area and is rather weak in some instances. The results demonstrate the importance of promoting professional HL of GPs and provide numerous indications of where to start. They also indicate that the regression models should be extended by additional determinants, since the included variables can explain only a small amount of variance.

Validation of a quantitative instrument measuring critical success factors and acceptance of Casemix system implementation in the total hospital information system in Malaysia

ObjectivesThis study aims to address the significant knowledge gap in the literature on the implementation of Casemix system in total hospital information systems (THIS). The research focuses on validating a...

Outreach in coordinated individual events: the GCS format of CNR Italy

Abstract Global Conversation on Sustainability (GCS) 2023 was enthusiastically welcomed by researchers of the National Research Council of Italy (CNR). Highly committed to international organizations such as IUPAC and ISC, the promoters participated to the 2023 edition of the Global Conversation on Sustainability hosting a local in person event held in one of the major CNR institute for chemistry research. The format was a round-table discussion involving colleagues of different age, gender, experience, and area of expertise, who participated to an informal dialogue with the aim of reflecting and sharing aspects of the respective research activities contributing to sustainable development goals. From many chemistry research areas, it emerged a wide range of subjects, which stimulated an interesting and purpose-oriented discussion. Therefore, GCS 2023 at CNR prompted a reflection on how improving chemists’ impact on sustainability including laboratories’ practises and on considering communication becoming part of scientific process. Transformation requires continuous investment in research and innovation and evolving scientific activities, but also requires synergies, collaborations and policy making on cross-cutting issues that can make this successful. Global initiatives as GCS, in the framework of international scientific organizations, represent a key global vehicle for enhancing the big area of science communication. Overcoming time and spatial limitations, these initiatives enable to link global and locally tailored in person events.

Applying the "SOTEC" framework of sociotechnical risk analysis to the development of an autonomous robot swarm for a public cloakroom.

The past decade has seen efforts to develop new forms of autonomous systems with varying applications in different domains, from underwater search and rescue to clinical diagnosis. All of these applications require risk analyses, but such analyses often focus on technical sources of risk without acknowledging its wider systemic and organizational dimensions. In this article, we illustrate this deficit and a way of redressing it by offering a more systematic analysis of the sociotechnical sources of risk in an autonomous system. To this end, the article explores the development, deployment, and operation of an autonomous robot swarm for use in a public cloakroom in light of Macrae's structural, organizational, technological, epistemic, and cultural framework of sociotechnical risk. We argue that this framework provides a useful tool for capturing the complex "nontechnical" dimensions of risk in this domain that might otherwise be overlooked in the more conventional risk analyses that inform regulation and policymaking.

Moral Purpose in Performative Times: Do School leaders’ Values Matter?

ABSTRACT School leaders are expected to act with integrity, but values are always contested: one person’s ‘moral purpose’ is not the same as another’s. Researchers have explored these issues from different angles. One approach focusses on individual leaders, seeking to understand how their values inform their practice. Other work highlights that individual values are only part of the story: values are embedded within professional norms and organisational cultures, while policy and governance frameworks serve to structure and constrain individual agency, particularly in marketised and performative systems. This paper draws on examples from recent research in England to argue that leadership responses to structural constraints should be seen on a spectrum in terms of how far they reflect individual agency and values, proposing four possible categories – ‘toxic leadership’, ‘pragmatic compliance’, ‘principled infidelity’ and ‘authentic agency’. It also discusses the question of how values operate at locality and national levels as well as within individual schools and draws the analysis together into a conceptual frame.

Sustainability in Participatory Health: Applying WHO's Operational Framework.

The World Health Organization's Operational Framework for Climate Resilient and Low Carbon Health Systems outlines 10 broad components for the development and maintenance of health systems that respond effectively to climate-related challenges. This work analyses the WHO framework from a participatory health informatics perspective and identifies specific initiatives involving non-professionals that align with the framework. Citizen and patient participation in the development of climate-resilient health systems is not only possible but also necessary to maximize climate resiliency at the community and global levels.

Adapting the primary care assessment tool for sub-saharan Africa.

The World Health Organization's (WHO) measurement framework for primary health care includes the core functions of primary care: first contact access, comprehensiveness, coordination, continuity, and person-centredness. The Primary Care Assessment Tool (PCAT), originally developed in the United States, was adapted for use by four African countries, and can measure the core functions of primary care. To face and content validate a sub-Saharan PCAT that measures the core functions of primary care. Twenty countries within the Primary Care and Family Medicine (PRIMAFAMED) network for sub-Saharan Africa participated in a validation study. Two stages included a PRIMAFAMED workshop to assess face validity and a Delphi study to reach consensus on content validity amongst an expert panel as well as key stakeholders. Thirteen countries participated in the workshop and suggested re-phrasing 39 items, deleting 6 and adding 4. Twenty countries participated in the Delphi and all panel members reached consensus (>70%) on including the items as written. Seven experts and stakeholders reviewed the PCAT and suggested re-phrasing 23 items, deleting 1 and adding 1. The final Sub-Saharan PCAT (PCAT-SSA) consists of 85 items that measure affiliation with the primary care facility, first contact access and utilisation, comprehensiveness, continuity, coordination, and person-centredness, as well as health, demographic and socio-economic status. The PCAT-SSA will now be piloted in Benin, Uganda, and South Africa. Further psychometric evaluation will be possible followed by more widespread use by researchers, district managers and policymakers in the region.

Singlestick purchases: a comparative cross-country analysis in 10 African countries, Global Adult Tobacco Survey, 2012-21.

We utilized Global Adult Tobacco Survey data to examine singlestick purchases and related demographic characteristics in 10 African countries (Botswana, Cameroon, Ethiopia, Kenya, Nigeria, Mauritania, Senegal, South Africa, Uganda and Tanzania). Results show the weighted percentages and prevalence ratios with predicted marginal means to evaluate significant differences between groups (P < 0.05). The prevalence of singlestick purchases among the 10 African countries ranged from 48.4% in South Africa to 92.0% in Tanzania. Across countries, the incidence of singlestick purchases was higher in urban areas than rural areas in Kenya; among those aged 15-24 years versus those aged 45 years and older in Botswana, Ethiopia, Mauritania, Nigeria and South Africa; and among those aged 25-44 years versus those aged 45 years and older in Botswana, South Africa and Tanzania. The incidence in Botswana was higher among adults with no formal or primary education than among those with secondary or higher education. In South Africa, the incidence was higher among adults in the middle or lower wealth index than among those in the high or highest wealth index. The findings suggest opportunities for strengthening efforts to prevent singlestick purchases through effective legislation and enforcement in line with Article 16 of the World Health Organization Framework Convention on Tobacco Control.

Pathway to ‘creating shared value’ in destination management organizations: Insights from literature review

Responsible tourism development has become a critical component of destination governance. Creating Shared Value (CSV) has demonstrated enormous potential for enhancing the value propositions of several industries by creating sustainable and socially responsible value for stakeholders. However, its effective implementation in the tourism industry has made little progress primarily due to the lack of information supporting its implementation and outcomes. Reflecting on how CSV is implemented across industries, the present study seeks to develop a framework for Destination Management Organizations (DMOs). We identify the building blocks of CSV through a systematic literature review and arrange them to create a conceptual framework. The findings demonstrate that a DMO-specific CSV framework is a powerful differentiator and offers several economic, social, and environmental benefits for society, the tourism industry, and stakeholders. The study extends the application of CSV to the tourism and hospitality industry and provides tourism managers and practitioners with guidelines for developing shared value-creation strategies.

Organizational and legal basis for the participation of higher education institutions of Ukraine in the implementation of the state’s anti-corruption policy

The present paper reveals the organisational and legal framework for participation of higher education institutions of Ukraine in the implementation of the state’s anti-corruption policy. Based on the analysis of current legislative and subordinate legal acts on combating corruption in Ukraine, as well as legislation on education, the author highlights the legal capabilities of higher education institutions in terms of implementing national anti-corruption policy measures. It is determined that higher education institutions shall organise educational and awareness-raising campaigns with anti-corruption content, carry out activities to ensure the integration of anti-corruption topics into the content of higher education, work to form an attitude of intolerance to corruption in all its manifestations among students, introduce their own forms of activity to cultivate respect for corruption whistleblowers, implement measures to eradicate corruption risks in the internal activities of educational institutions and participants in the educational process, prevent conflicts of interest in the field of education and science, etc. The author proposes the classification of anti-corruption measures initiated and implemented by higher education institutions at the local level. In particular, such measures, depending on the specifics of the subject matter, are grouped into several groups: measures to create and introduce special educational components on anti-corruption into the educational process, organisation of special scientific research on the most pressing issues of anti-corruption and participation in targeted grant programmes on the prevention of corruption, development, adoption and implementation of local regulations on anti-corruption, introduction of a position of a responsible person for anti-corruption activities, and establishment of a special unit for anti-corruption activities. The author substantiates the existing organisational and legal problems of ensuring a high level of efficiency higher education institutions’ participation in the implementation of the state’s anti-corruption policy. In particular, these include legal uncertainty of the criteria and methods for assessing the effectiveness of higher education institutions’ participation in the state’s anti-corruption policy, insufficient legal regulation of preventive anti-corruption measures taken by higher education institutions in the academic environment, and the lack of algorithmisation of the introduction of foreign experience in anti-corruption activities of foreign academies and universities into national practice. The author substantiates the expediency of creating a special international inter-academic platform for borrowing the best foreign experience of anti-corruption activities among participants in educational processes.

Growth hacking business analytical tools for small and medium enterprises

ABSTRACT This study focuses on the growth hacking business analytical tools for small and medium enterprises to improve their business operations. The study analysed 11 prominent sectors, namely retail, e-commerce, travel, finance, telecom, healthcare, customer support, sales review, project management, insurance and manufacturing industries, to identify the critical challenges and propose solutions using predictive business analytics. The Triangulation approach has been employed through literature review, interview with SME startups incubated in IIT Madras Research Park and other SMEs in Chennai to provide an organized framework using an “Industry outlook Analysis” that suggest business analytical tools to overcome their challenges due to lack of resources. The study suggests that affordable predictive analytics can help SMEs overcome these challenges by providing insights into customer behaviour, operational efficiency and market trends. Overall, the study highlights the importance of data-driven decision-making tools that are available for SMEs to remain more competitive in the market environment.

KEMUDI’s Pursuance of Muslim Identity and its Implications to Malaysian Muslims

KEMUDI or Persatuan Kesedaran Melayu dan Islam (The Malay and Islamic Awareness Association) is a Malaysian based non-governmental organization (NGO) established in 2013. The organization aims to embrace and uphold a discreet Malay-Arab Muslim identity believed as being degraded by colonialism that introduces liberal democracy and capitalism to replace Malay monarchy. This qualitative study involves data collection from social media platforms, library research and semi-structured interviews. The descriptive analytical approach is applied within the organizational framework of Objective, Leadership Structure, Membership, Resource, Strategy and Tactic. The aim is to investigate KEMUDI’s origin, strategy and tactic as well as its variant of Muslim identity. It follows that KEMUDI’s pursuit of Muslim identity incorporates upholding a hybrid Arab ancestry (read: prophetic, ahl al-baytness) as the prerogative of Malay Muslim identity using strategical alliances and tactical series of lectures, publications as well as cultural activities. The Malay Arab Muslim identity is being pursued and maintained, symbiotically, as religiously significant and ethnically privileged to serve political, religious and social pursuits. The implication of KEMUDI’s ethno-religious identity to Malaysian Muslims focuses on three sectors of the National Integrity Plan (NIP); politics, civil society organization (CSO) and religion. It is found that the discreet dual Malay Arab Muslim identity adopted by KEMUDI has its share of commendatory and condemnatory implications on Malaysian Muslims.