Delivery Satisfaction Research Articles

Digital Transformation Strategies and Practices for Corporates

Under the wave of global digital transformation, enterprises are facing great challenges and opportunities. Digital transformation is not only a technological innovation, but also an all-round upgrade of business model and organizational structure. This thesis studies the core value of enterprise digital transformation and redefines the connotation of digital transformation. It analyzes the reasons for enterprise digital transformation and points out the core strategy and path of enterprise digital transformation. Taking the automobile manufacturing industry as an example to analyze the practice and thinking of the digital transformation process, it is concluded that digital transformation also helps multi-factory collaboration, supply chain information opening, global transparent management, cost reduction, improving the order delivery satisfaction rate, and supporting the complex production requirements and diversified production modes. However, digital transformation also faces challenges such as data security, technology risks, and organizational changes. Enterprises need to strengthen security measures and build a digital ecosystem to adapt to the development needs of the digital economy and achieve sustainable development.

INTEGRATION OF QUALITY, CUSTOMER SATISFACTION, AND MANAGEMENT IN THE PROVISION OF TOURISM SERVICES

In recent years, the tourism industry has undergone significant changes amidst intense competition and the rapid evolution of customer preferences. In this dynamic context, the quality of tourism services, customer satisfaction, and managerial involvement are crucial aspects for the success of economic entities in this field. The purpose of this study is to investigate the interdependencies among these three aspects and their impact on organizational performance in the provision of tourism services. By integrating empirical data and relevant theory, this article aims to provide a deeper understanding of the dynamic relationships between quality, satisfaction, and management in the specific context of the tourism industry. This article will outline the fundamental theoretical basis, highlighting previous research and relevant theories, detail the methodology used to investigate the relationships between quality, satisfaction, and management in tourism service delivery, present the findings obtained, and finally, draw conclusions and discuss the implications of this study for managerial practice and future research in the field of tourism service provision.

Integrated Hepatitis C–Opioid Use Disorder Care Through Facilitated Telemedicine

Facilitated telemedicine may promote hepatitis C virus elimination by mitigating geographic and temporal barriers. To compare sustained virologic responses for hepatitis C virus among persons with opioid use disorder treated through facilitated telemedicine integrated into opioid treatment programs compared with off-site hepatitis specialist referral. Prospective, cluster randomized clinical trial using a stepped wedge design. Twelve programs throughout New York State included hepatitis C-infected participants (n = 602) enrolled between March 1, 2017, and February 29, 2020. Data were analyzed from December 1, 2022, through September 1, 2023. Hepatitis C treatment with direct-acting antivirals through comanagement with a hepatitis specialist either through facilitated telemedicine integrated into opioid treatment programs (n = 290) or standard-of-care off-site referral (n = 312). The primary outcome was hepatitis C virus cure. Twelve programs began with off-site referral, and every 9 months, 4 randomly selected sites transitioned to facilitated telemedicine during 3 steps without participant crossover. Participants completed 2-year follow-up for reinfection assessment. Inclusion criteria required 6-month enrollment in opioid treatment and insurance coverage of hepatitis C medications. Generalized linear mixed-effects models were used to test for the intervention effect, adjusted for time, clustering, and effect modification in individual-based intention-to-treat analysis. Among 602 participants, 369 were male (61.3%); 296 (49.2%) were American Indian or Alaska Native, Asian, Black or African American, multiracial, or other (ie, no race category was selected, with race data collected according to the 5 standard National Institutes of Health categories); and 306 (50.8%) were White. The mean (SD) age of the enrolled participants in the telemedicine group was 47.1 (13.1) years; that of the referral group was 48.9 (12.8) years. In telemedicine, 268 of 290 participants (92.4%) initiated treatment compared with 126 of 312 participants (40.4%) in referral. Intention-to-treat cure percentages were 90.3% (262 of 290) in telemedicine and 39.4% (123 of 312) in referral, with an estimated logarithmic odds ratio of the study group effect of 2.9 (95% CI, 2.0-3.5; P < .001) with no effect modification. Observed cure percentages were 246 of 290 participants (84.8%) in telemedicine vs 106 of 312 participants (34.0%) in referral. Subgroup effects were not significant, including fibrosis stage, urban or rural participant residence location, or mental health (anxiety or depression) comorbid conditions. Illicit drug use decreased significantly (referral: 95% CI, 1.2-4.8; P = .001; telemedicine: 95% CI, 0.3-1.0; P < .001) among cured participants. Minimal reinfections (n = 13) occurred, with hepatitis C virus reinfection incidence of 2.5 per 100 person-years. Participants in both groups rated health care delivery satisfaction as high or very high. Opioid treatment program-integrated facilitated telemedicine resulted in significantly higher hepatitis C virus cure rates compared with off-site referral, with high participant satisfaction. Illicit drug use declined significantly among cured participants with minimal reinfections. ClinicalTrials.gov Identifier: NCT02933970.

Key Points for Quality Control of Fine Decoration Delivery in Real Estate Enterprise

With the increasingly development of real estate in China, coupled with the strong promotion of the delivery of fine decoration products for commercial housing in developed cities in China, the delivery of fine decoration products for commercial housing has become the mainstream of residential development developed cities in China. Due to the late start of real estate development in China, there is relatively little experience in delivering finished products for fine decoration of commercial residential buildings. At the same time, homeowners have high requirements for fine decoration delivery, and there is a situation of "making trouble every time" in some cities, which puts Chinese real estate development enterprises in a disadvantaged position in delivering fine decoration houses. How to strengthen the quality of interior decoration projects for commercial residential buildings and improve delivery satisfaction is an urgent problem that real estate enterprises are facing.

Analyzing the Role of Language and Religion in Culturally Competent Healthcare: An Interdisciplinary Perspective

Cultural competence in healthcare refers to the ability of providers and organizations to effectively deliver healthcare services that meet the social, cultural, and linguistic needs of patients. The current interdisciplinary approach aims to elucidate the critical roles of language and religion in healthcare, focusing on their impact on communication, patient satisfaction, health literacy, and cultural competence in healthcare delivery. Through meticulous analysis of academic databases, health organization reports, and religious institution publications, this literature review consolidates findings from few peer-reviewed articles published in English. Findings reveal that effective healthcare communication is significantly hampered by language barriers, leading to risks of misdiagnoses, improper treatments, and diminished patient satisfaction. The review highlights the indispensable roles of language and religious competence in healthcare, advocating for their integration into healthcare practice, education, and policy to enhance the quality and cultural competence of healthcare delivery for diverse patient populations. Future research should continue to explore and expand on these findings, contributing to the development of practical strategies and theoretical frameworks supporting culturally competent healthcare.

Nurse practitioner satisfaction with in-person versus telehealth chronic care delivery.

The widespread use of telehealth and regulatory changes that enhanced nurse practitioner (NP) practice authority because of the SARS-CoV-2 pandemic offers an opportunity to assess postpandemic NP satisfaction with telehealth care delivery and perceptions of its feasibility compared with in-person visits. Outpatient chronic care delivery satisfaction and preference were compared among NPs who provide care to adults through in-person and/or telehealth visits and examined NP demographic and clinical characteristics associated with overall satisfaction by care delivery type. Data were collected using a cross-sectional, descriptive design through online dissemination of The Care Delivery Satisfaction Survey to a nationally representative sample of 586 NPs. Compared with NPs using both visit types to deliver care, NPs delivering care in-person only had significantly lower satisfaction scores for interpersonal manner ( p = .0076) and communication ( p = .0108). NPs using telehealth only had significantly higher overall satisfaction and satisfaction subscale scores (all p < .01) compared with NPs using both visit types. Overall, 77% of NPs using both visit types preferred in-person delivery. NPs delivering telehealth care only were more satisfied with chronic care delivery than NPs using both delivery types. NPs using both types were more satisfied with interpersonal manner and communication compared with NPs delivering in-person care only. Most NPs using both types preferred in-person care delivery. Given increased telehealth use, health systems, academic institutions, and insurance companies can use these study findings to inform policy on telehealth resources and infrastructure.

Factors influencing the choice of caesarean delivery and their satisfaction among pregnant women attending maternity hospital in Eastern Uttar Pradesh

Introduction: The birth of a baby through the vaginal route is a traditional way of delivery. But, at times normal vaginal delivery is not desirable due to various reasons. Under such circumstances, Lower section caesarean section (LSCS) is carried out to deliver the baby safely. There are rising concerns about the increasing rate of caesarean sections with wide variations in rates across the globe. Factors that influence the decision to perform a LSCS are often complex and multifactorial. Understanding these complexities is one of many steps to help stop the rise of any unnecessary LSCSs or prevent their over-use. Aim: To find out factors influencing the choice of caesarean delivery among recently delivered mothers through caesarean section and within puerperium. Method: A cross-sectional survey using pretested, self-administered, semi-structured questionnaire was done between December 2022 to February 2023 among patients recently delivered through caesarean section and within puerperium. Result: A total of 250 participants were approached over a three-month period. Among them, 211 completed the survey. The majority of participants were in the age group 25 to 30 years, Hindu by religion, and residents of rural areas. Sixty-four participants perceived that LSCS was done for the safety of the baby. Educational status (p&lt;0.001), place of previous delivery (p&lt;0.001), and count of current LSCS (p=0.016) were the factors associated with caesarean delivery satisfaction and it was found to be statistically significant. Conclusion: About one-third of the participants perceived that LSCS was done for the safety of the baby. The majority of participants were satisfied with the decision of LSCS.

What scholarly practice means to respiratory therapists: An interpretive description study.

Engagement in scholarly practice has been associated with professional empowerment, role satisfaction and improvements in care delivery and patient outcomes across many healthcare professions. However, in evolving professions like respiratory therapy, scholarly practice is excluded from competency frameworks, resulting in a gap in education and subsequent application of this competency in practice. An exploration of scholarly practice in respiratory therapy may provide insights into evolving professions that face tensions between meeting competency requirements as outlined in frameworks and providing quality healthcare to the populations they serve. The aim of the study was to explore what scholarly practice means, and how it manifests in practice from respiratory therapists' (RTs) perspectives. We used interpretive description methodology. We purposively sampled participants to obtain varied perspectives of scholarly practice in respiratory therapy. We conducted 26 semistructured interviews with RTs in different roles (clinicians, educators, researchers, leaders and managers) across Canada and analysed the data using inductive analysis. Data collection and analysis proceeded concurrently. We developed five main themes: (i) the identity of a scholarly practitioner in RTs; (ii) factors influencing scholarly practice; (iii) one's impression of their professional self-image; (iv) scholarly practice as a vehicle for changing practice and (v) the complex interconnections between knowledges and practices. Scholarly practice appears to be a multifaceted phenomenon encompassing a wide range of activities and skills including conducting research, reflective practice, application of research to practice, and contributing to the advancement of the profession and healthcare. Scholarly practice is influenced by organisational context and culture, available resources, intrinsic motivation and external political context. We identified similarities between professional identity and the description of the scholarly practitioner, suggesting that these two phenomena may be interconnected. Furthermore, participants believed that scholarly practice could enhance the image, credibility, legitimacy and professionalisation of the profession.

An improved quantum particle swarm algorithm for solving multi-objective fuzzy flexible job shop scheduling problem

Due to the dynamic nature of work conditions in the manufacturing plant, it is difficult to obtain accurate information on process processing time and energy consumption, affecting the implementation of scheduling solutions. The fuzzy flexible job shop scheduling problem with uncertain production parameters has not yet been well studied. In this paper, a scheduling optimization model with the objectives of maximum completion time, production cost and delivery satisfaction loss is developed using fuzzy triangular numbers to characterize the time parameters, and an improved quantum particle swarm algorithm is proposed to solve it. The innovations of this paper lie in designing a neighborhood search strategy based on machine code variation for deep search; using cross-maintaining the diversity of elite individuals, and combining it with a simulated annealing strategy for local search. Based on giving full play to the global search capability of the quantum particle swarm algorithm, the comprehensive search capability of the algorithm is enhanced by improving the average optimal position of particles. In addition, a gray target decision model is introduced to make the optimal decision on the scheduling scheme by comprehensively considering the fuzzy production cost. Finally, simulation experiments are conducted for test and engineering cases and compared with various advanced algorithms. The experimental results show that the proposed algorithm significantly outperforms the compared ones regarding convergence speed and precision in optimal-searching. The method provides a more reliable solution to the problem and has some application value.

Psychosocial Outcomes with the Omnipod® 5 Automated Insulin Delivery System in Children and Adolescents with Type 1 Diabetes and Their Caregivers

Objective. While automated insulin delivery (AID) systems aim to improve glycemic outcomes, the opportunity to improve psychosocial outcomes is also of critical importance for children and adolescents with type 1 diabetes and their caregivers. We evaluated psychosocial outcomes in these groups during a clinical trial of a tubeless AID system, the Omnipod® 5 Automated Insulin Delivery System. Methods. This single-arm, multicenter, prospective study enrolled 83 children (6.0–11.9 years) and 42 adolescents (12.0–17.9 years) with type 1 diabetes to use a tubeless AID system for 3 months. Participants and their caregivers completed age- and role-appropriate validated questionnaires to assess changes in psychosocial outcomes—diabetes distress (PAID), hypoglycemia confidence (HCS), well-being (WHO-5), sleep quality (PSQI), insulin delivery satisfaction (IDSS), and system usability (SUS)—before and after 3 months of AID system use. Associations between participant characteristics and glycemic outcomes with psychosocial measures were evaluated using linear regression analyses. Results. Improvements were found for children, adolescents, and/or their caregivers for diabetes-related distress, insulin delivery satisfaction, and system usability (all P &lt; 0.05 ). Caregivers of children saw additional benefits of improved general well-being, confidence in managing hypoglycemia, and sleep quality (all P &lt; 0.05 ). Regression analyses showed that improvements in psychosocial outcomes were generally independent of baseline characteristics and changes in glycemic outcomes. Conclusions. The tubeless AID system was associated with significant improvements in a number of psychosocial outcomes for children, adolescents, and their caregivers. Trial registration: This trial is registered with NCT04196140.

Satisfaction of Women with Labor and Delivery in Rural Punjab, Pakistan: A Cross-sectional Study

Women’s satisfaction with the quality of care during pregnancy and childbirth can impact their access to and utilization of healthcare services. Since many women live in rural regions in developing nations, it is crucial to secure their access to and use of basic healthcare services to reduce maternal and newborn morbidity and mortality. This cross-sectional study is part of a first-time, sizeable, mixed-method study involving women and midwives’ quantitative and qualitative perspectives on the quality of mid- wifery care in rural Pakistan. The aim was to describe women’s satisfaction with the quality of midwifery care during labor and delivery at basic health units in rural Punjab, Pakistan. Simple random sampling was used to select 328 women from 96 basic health units. Data were collected between December 2020-March 2021. The Labor and Delivery Satisfaction Index measured women’s satisfaction with childbirth. Data were analyzed using descriptive statistics and presented in frequencies and percentages. Results indicated that the majority, 277 (84.5%), were satisfied with the quality of midwifery care during labor and delivery, whereas the remaining 51 (15.5%) were unsatisfied. Appropriate tools to monitor labor and delivery and non-pharmacological pain management during labor need much improvement. The women must also be treated with respect, given accurate information about their labor status, and given control over it. Midwives and other health service providers and administrators can use the findings of this study to improve services available to rural women.

How do different childbirth experience scales predict childbirth-related posttraumatic stress symptoms and disorder?

Purpose Post-traumatic stress disorder (PTSD) after childbirth causes severe and lasting effects. Screening of childbirth experience may expedite early PTSD recognition. Systematic reviews have not provided consensus on how and when to measure childbirth experience and the clinical implications of such measurements. We aimed to identify a reliable and simple scale for screening the childbirth experience with minimum risk of missing PTSD. Materials and methods This cohort study evaluated the childbirth experience of 1527 unselected women with Wijma Delivery Experience Questionnaire (W-DEQ-B), Delivery Satisfaction Scale (DSS), and Visual Analogue Scale (VAS). VAS was measured first <1 week (VAS1) and then, together with the other scales, a few months after childbirth (VAS2). The scales’ ability to identify PTSD (measured with Traumatic Event Scale) was evaluated and compared with receiver operating characteristic (ROC) analysis. Diagnostic accuracy and clinical usefulness were used to suggest cutoff values for scales. Results W-DEQ-B showed highest recognition of partial or full PTSD (area under the ROC curve 0.96 in W-DEQ-B, 0.92 in VAS2, 0.91 in DSS and 0.82 in VAS1). Conclusions All included scales recognized partial or full PTSD well. Although W-DEQ-B performed best, VAS (measured twice) with cutoff value of 50 mm is most suitable for screening in clinical circumstances.

Maternal Satisfaction on Delivery Service and Its Associated Factors in Public Health Facilities at West Shewa Zone, Ethiopia.

Maternal delivery satisfaction could be assessed to improve the quality and effectiveness. Thus, this study aimed to assess maternal satisfaction with delivery services and associated factors in public health facilities in West Shewa Zone, Ethiopia. An institution-based cross-sectional study was conducted on maternal satisfaction delivery services. Systematic and stratified sampling techniques were used to select mothers by using their delivery registration number and to select health facilities. A binary logistic regression model was used to identify associated factors. Among mothers, the overall satisfaction with delivery service was 584 (87%). Shower service availability (39.8%), toilet cleanliness (32.6%), and waiting area cleanliness (31.1%) were significant areas of mothers' dissatisfaction with delivery services. Uneducated mothers, mothers of 1-6 education level, monthly income of mothers less than 500 Birr, mothers who followed antenatal care, mothers who had actual fetal outcome, mothers who admitted from 6:00 AM to 12:00, and mothers who admitted from 12:00 AM to 6:00 PM were satisfied with delivery services. The age of the mother, mother's education level, monthly income of mother, antenatal care, fetal outcome, place of delivery, and admission time of the mother were significantly associated factors for mothers' satisfaction with delivery services. Therefore, regional health bureaus and zonal health offices should work collaboratively on maternal care to improve maternal satisfaction during delivery.

Comparison of Efficacy and Safety of Different Doses of Dexmedetomidine for Epidural Labor Analgesia.

To explore the efficacy and safety of different doses of dexmedetomidine (DEX) for epidural labor analgesia (ELA). From June 2021 to June 2022, 147 parturients who underwent ELA in our hospital were selected and divided into low- (0.5 μg/kg DEX), medium- (0.75 μg/kg DEX), and high-dose (1.0 μg/kg DEX) groups (n = 49 for each) according to the random number table method. The analgesic effect was assessed using the Ramsay sedation score and Visual Analogue Scale (VAS), and the labor duration, mean arterial pressure (MAP), and heart rate (HR) before and after analgesia, vaginal bleeding within 2 h postpartum, and delivery outcomes (the cesarean section conversion rate and the neonatal Apgar score) were statistically analyzed. Furthermore, the incidence of adverse reactions was calculated, and maternal satisfaction with delivery was investigated. After analgesia, the the Ramsay and labor duration were higher in the high-dose group than those in the low- and medium-dose groups, and the VAS scores was lowerin the high-dose group than those in the low- and medium-dose groups(P < 0.05), while no difference was identified among the three groups in terms of the cesarean section conversion rate and the neonatal Apgar score (P > 0.05). The high-dose group had the greatest fluctuations in MAP and HR levels before and after analgesia than the other two groups, with a higher incidence of adverse reactions (P < 0.05). Finally, the survey of delivery satisfaction showed no significant difference in delivery satisfaction among the three groups (P > 0.05). DEX has excellent performance in ELA, which can effectively relieve the pain of puerperae and shorten the labor process. Among them, low-dose DEX has higher safety and is recommended as the first choice. Trial Registrations. This trial is registered with ML2021073.

AN ANALYSIS OF THE FACTORS THAT IMPACT THE CUSTOMERS’ SATISFACTION ON ONLINE FOOD DELIVERY SERVICES IN PETALING JAYA, SELANGOR, MALAYSIA

Gender equality in education has been an issue of interest in developing strategies for This research focuses on customer satisfaction with Malaysia's online food delivery (OFD) services. In this decade, the number of individuals who frequently purchased meals online climbed dramatically. People nowadays prefer their meals to be delivered instead of dining in a restaurant. Hence, it is crucial to understand the customers' expectations to manage a successful meal delivery business. People used to have to dine at restaurants or order takeout, but today OFD businesses provide convenience and have transformed customer behavior. This study also investigates the intrinsic and extrinsic factors influencing Malaysian's meal delivery satisfaction. Questionnaires were distributed to consumers in Petaling Jaya metropolitan area to collect and analyze data for this study. 384 respondents contributed to this study's findings, discussion, and conclusion. This study tested three independent variables that influence customers' satisfaction: hedonic motivation, price-saving orientation, and time-saving orientation. As a result, this study's three independent variables were statistically significant in satisfying customers. In conclusion, this study can be used to increase the usage of OFD services in the future. However, there are many factors to consider, as it was proven that the three independent factors positively contribute to customer satisfaction. Thus, the OFD service developers must create a solid impression that using OFD services is engaging and intriguing. Additionally, marketers must foster the idea that OFD services are integral to the user's lifestyle.&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/edu_01/0098/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Investigating the Role of Meal Quality and Food Look, Smell, and Taste on Perceived Health Improvement for Clients of Meals on Wheels of Central Indiana

Meals on Wheels organizations across the country have the common goal of ending hunger among the elderly, malnourished, and disabled population. Meals on Wheels of Central Indiana (MOWCI) primarily serves Marion County and the rest of the state through one of its programs. The organization offers daily hot and cold meals Monday through Friday, frozen meal deliveries, and pantry boxes. Minus the pantry boxes, meals are assembled at one of nine participating health corporations: Community Health Network, Eskenazi Health, IU Health- Methodist, Marquette, Franciscan Health, Ascension St. Vincent, and Westminster Village. MOWCI offers traditional or Medicaid subsidized hot and cold meals (for Marion County clients), Ryan’s Meals for Life (HIV/AIDS clients), and Embrace Cancer programs (low-income cancer treatment clients from Eskenazi). In this study, phone surveys were conducted investigating food quality and delivery satisfaction for daily hot and cold clients (n=149). Results were analyzed in Excel using a Chi-Square analysis of independence (alpha 0.05, 3 degrees of freedom). It was found that overall food quality and food smell, taste, and appearance were associated with perceived health improvements in a significantly significant manner with a p-value of 0.0000113 and 0.0198 respectively. There are 248 clients who as of July 7th have not been evaluated and thus, is still an active area of focus for MOWCI. A model has been created and shared with the organization that continues to allow them to collect data on future clients and input the data in order to determine what effect meals have on all of their client population as opposed to the 37.5% of clients that have been evaluated in this project. These efforts will be used in the future to aid in writing grants to allow for the expansion of current and future programs.

A study of logistics service quality dimensions impacting customer satisfaction in instant food delivery: the Indian perspective

A study of logistics service quality dimensions impacting customer satisfaction in instant food delivery: the Indian perspective

The relationship between service quality and customer satisfaction: a case study at Nh Beji Pharmacy

Customer satisfaction is a critical indicator of the quality of pharmaceutical services and products pharmacies provide. It holds strategic importance in the pharmacy sector, significantly influencing repeat patronage and referrals. Satisfied customers are more likely to recommend the pharmacy to others, which can substantially contribute to the business's long-term growth. This study identifies service variables at Nh Beji Pharmacy that enhance customer satisfaction and evaluates their impact on patients' loyalty and their propensity to refer new customers. By exploring the link between customer satisfaction, repeat business, and referrals, the study aims to highlight the value of customer-focused services in pharmacies. Through interviews with 55 patients randomly selected from service records and provided informed consent for the 2019-2020 period, the study identified seven service variables that significantly boost customer satisfaction at Nh Beji Pharmacy. The findings demonstrate a notable correlation between customer satisfaction and patients' willingness to return and recommend the pharmacy, underscoring the importance of prioritizing customer satisfaction in pharmaceutical service delivery.

Job satisfaction of local extension agents for fisheries: Insights from farm level survey in Bangladesh

The present study was conducted to assess job satisfaction of local extension agents for fisheries (from here and later in LEAFs) in Melandaha and Islampur sub-districts under Jamalpur district of Bangladesh. Data were collected by the researchers from LEAFs during September to November 2021 through face-to-face interviews by using a structured interview schedule. Descriptive statistics, rank order, and coefficient of correlation were used to analyze the data. Almost all of LEAFs (97.8 percent) had low to medium job satisfaction in extension service delivery. Among fifteen job satisfaction indicators, ‘supervisor’s guidance’ was identified as the most important one. The least ranked indicator was ‘job security’. Correlation analysis showed that age, level of education, job experience, training exposure, and organizational participation of LEAFs are significantly associated with their job satisfaction. All of the LEAFs (100 percent) faced medium to high problems in the research area. The most severe of the fourteen problems was ‘farmers’ reluctance to accept new technologies,’ followed by ‘shortage of manpower’. The least important problem of LEAFs was ‘farmers are non–cooperative’. Therefore, it is highly recommended that if an advance training program for LEAFs could be organized to solve their problems, it would be great to get quality extension services and build a well-organized fisheries sector in Bangladesh which will finally help to enhance nutritional security and poverty reduction in the country.

Socioeconomic determinants of water delivery satisfaction in a medium sub-Saharan Africa city: A case of Kisumu, Kenya

Abstract The African Commission on Human and Peoples' Rights (Resolution 300) recognizes accessibility to water services as a legal entitlement rather than commodities provided on a charitable basis. However, in Kenya, only 60% of the urban population use safely managed drinking water. This low accessibility of potable water can be linked to socioeconomic disparities among urban dwellers. This article examines how household socioeconomic factors influence water delivery satisfaction in Kisumu city, Kenya. The article is based on a descriptive research design where 384 households were surveyed and ordinal regression was used in data analysis. Water delivery in Kisumu city is characterized by duality where the formal city is supplied by conventional delivery, while the informal settlements are through a pro-poor model. The results of ordinal logistic regression show that significantly (p &amp;lt; 0.01) water affordability is determined by household income (β = 2.10 ∗ 10−5), water accessibility is determined by tenancy (β = 0.483) and household income (β = 2.90 ∗ 10−5), while water reliability is influenced by household income (β = 1.35 ∗ 10−5). Water quality is significantly (p &amp;lt; 0.05) influenced by the level of education (β = 0.260). Gender does not have significant influence on water delivery satisfaction, but the socioeconomic variables are significant predictors of water service delivery in Kisumu city. Therefore, socioeconomic factors should be considered by water utility agencies during water service delivery in the city.