Perspective Of Service Providers Research Articles

UAV-rider coordinated dispatching for the on-demand delivery service provider

Fast response is critical to the success of the on-demand delivery service providers. Recently, more and more on-demand delivery service providers have started trying to use UAVs/drones to cope with the increasing challenges due to delivery service-sensitive demand. In this study, we propose a novel UAV-rider coordinated on-demand delivery model from the perspective of the on-demand delivery service provider. The objective aims to provide cost-effective delivery solutions by introducing the UAV/drone fleets into the current rider-only on-demand delivery system. A mixed integer linear programming (MILP) model is formulated to solve the problem, which is verified by the solver Cplex. To further analyze the impacts of the integration of UAVs on the riders’ deployment in practice, we develop a modified adaptive large neighborhood search (ALNS) algorithm to solve real business large-scale instances. The mechanism of how to improve the operational efficiency of the delivery service provider by integrating UAVs and the best-coordinated mode between UAVs and riders is discussed by conducting real-data-based numerical experiments. The results show that, for the case with a small number of orders in a dispatch cycle, the pure UAV model is best for the on-demand delivery service provider. When there are a large number of orders received in one dispatch cycle, the UAV-rider coordinated model is the best one to achieve cost-effective solutions. Some useful managerial insights are obtained through extensive experiments.

Service Provider Perspectives on Advance Care Planning Use in Rural Dementia Patients and Caregivers: A Qualitative Study

ABSTRACT Advanced care planning (ACP) utilization remains very limited in rural communities compared to urban areas. ACP earlier in the disease trajectory is particularly important for people with dementia (PWD) due to its progressive nature affecting their decision-making ability. Considering the well-documented benefits of ACP in improving the quality of end-of-life (EOL) care, the rural vs. urban disparity may indicate poorer EOL quality for rural PWD. This study aimed to explore barriers and current resources for ACP of PWD from the perspectives of health or social service providers serving rural communities. Using a qualitative approach, semi-structured face-to-face interviews were conducted with 11 health or social service professionals serving older adults and their caregivers in rural Alabama. Thematic analysis revealed three major barriers: (1) lack of knowledge, (2) psychosocial barriers, and (3) limited access to healthcare. Participants also showed misconception that a lawyer or a notary is required for ACP. Two themes arose in the participants’ recommendations to address the barriers: (1) providing ACP-relevant information and (2) addressing psychosocial stressors about ACP. This study highlighted an urgent need for social policy in ACP education for caregivers and service providers in rural settings.

The importance of self-management for better treatment outcomes for HIV patients in a low-income setting: perspectives of HIV experts and service providers

BackgroundSelf-management is the most important strategy to improve quality of life in patients with a chronic disease. Despite the increasing number of people living with HIV (PLWH) in low-income countries, very little research on self-management is conducted in this setting. The aim of this research is to understand the perspectives of service providers and experts on the importance of self-management for PLWH.MethodsA systematizing expert interview type of qualitative methodology was used to gain the perspectives of experts and service providers. The study participants had experience in researching, managing, or providing HIV service in east and southern African (ESA) countries. All the interviews were audio recorded, transcribed, and translated to English. The quality of the transcripts was ensured by randomly checking the texts against the audio record. A thematic analysis approach supported by Atlas TI version 9 software.ResultPLWH face a variety of multi-dimensional problems thematized under contextual and process dimensions. The problems identified under the contextual dimension include disease-specific, facility-related, and social environment-related. Problems with individual origin, such as ignorance, outweighing beliefs over scientific issues, low self-esteem, and a lack of social support, were mostly highlighted under the process dimensions. Those problems have a deleterious impact on self-management, treatment outcomes, and the quality of life of PLWH. Low self-management is also a result of professional-centered service delivery in healthcare facilities and health service providers’ incapacity to comprehend a patient’s need beyond the medical concerns. Participants in the study asserted that patients have a significant stake in enhancing treatment results and quality of life through enhancing self-management.Conclusion and recommendationHIV patients face multifaceted problems beyond their medical issues. The success of medical treatment for HIV is strongly contingent upon patients’ self-management practices and the supportive roles of their family, society, and health service providers. The development and integration of self-management practices into clinical care will benefit patients, their families, and the health system.

A qualitative study exploring the opportunities and challenges of providing digital community pharmacy services for older people in England

Abstract Introduction Digital healthcare can be an innovative, cost-effective solution for the growing healthcare needs of an ageing population, enhancing service accessibility.[1] Older individuals tend to rely more on community pharmacy services, supported by research indicating positive health outcomes.[2] However, scant evidence exists regarding the impact of digital community pharmacy services on this demographic, emphasising the need for crucial investigations into their effectiveness. Aim Identify challenges and opportunities in delivering digital pharmacy services for older population in community pharmacies in England, from perspectives of policymakers and pharmacy service providers. Methods Between November 2022 and May 2023, online/telephone interviews were conducted with stakeholders including policymakers/commissioners and pharmacy service providers. Recruitment involved purposive and convenience sampling, with commissioners sourced through networks and pharmacy providers via gatekeepers in industry associations. Topics covered the current state of digital pharmacy services in England, implementation opportunities and challenges, and suggestions for enhancement. Audio-recorded interviews were transcribed verbatim and analysed using both inductive and deductive thematic approaches, assisted by NVivo 12 Plus. Themes comprised challenges and solutions in digital pharmacy service delivery and factors influencing user acceptance. Deductive analysis shaped the coding framework based on Davis’s Technology Acceptance Model (TAM). Results Twelve interviews (three policy makers/commissioners [PM], four senior managers of community pharmacy [SM], five front-line community pharmacists [CP]) were completed. One of the interviewees was a female and all others were male. Their length of relevant employment in the field of community pharmacy ranged from three to seventeen years. The key findings indicated challenges in implementing digital pharmacy services to older populations may be due to unclear health policies and limited financial support for digital reforms to community pharmacy: “as a pharmacy we’ll take care of that, but we need to know that there will be funding for that before we go and do it all. I think there’s amazing things that can be done, but at local, small level, like a little community pharmacy, they just can’t afford to do the development” [SM1], and “so the majority of independent pharmacies, … they have paper prescriptions, so they’re not as technology based. I believe one, that’s because it’s money, so it’s funding. They get less funding” [CP4]. Interviewees highlighted that community pharmacists facing high workloads and time constraints, often prioritise other responsibilities over adopting new technologies: “unfortunately, there are a fair few demands on pharmacy team’s time at the moment, so where does promoting a digital priority fit on that long list of priorities and probably quite low down” [PM3]. They also expressed a need for additional technical training to effectively navigate digital pharmacy services. Conclusion This study provides insights into challenges in implementing digital pharmacy services for older people through diverse stakeholder perspectives, offering practical considerations for policy decisions, service design, and implementation strategies. Nevertheless, this study observes a deficient emphasis on deploying digital pharmacy services for older people. It is orientated towards a broader demographic, while those with specific medical conditions may receive pharmacy services more precisely. The applicability of this study may be limited, requiring region-specific research. Further research would be focusing on those over 50 in Greater Manchester aligns with the local community’s emphasis on ageing-related research, technology, and innovative ideas supported by academic institutions.

Childhood disabilities and the cost of developmental therapies: the service provider perspective

ABSTRACT Purpose For children with neurodevelopmental disabilities (CWNDs), early diagnosis that leads to early intervention with regular targeted therapies is critical. In Qatar, private therapy centres that address this demand often have highly exclusive prices restricting families from availing them. This paper examines the challenges faced by families with CWNDs, as well as various financial and systemic obstacles, from the vantage point of these centres, all of which culminate in an extraordinarily high disability price tag for disability families in Qatar. Methods This study is based on qualitative, semi-structured, and in-depth interviews with private therapy centres and developmental paediatricians. Results Therapy centre representatives expressed common struggles in lengthy and cumbersome administration and licencing procedures, difficulty in hiring and retaining high quality staff, and expenses that need to be paid to the state. From their experience, families largely struggle with delayed diagnoses that significantly slow down intervention plans and therapies as well as staggeringly high financial costs with a dearth of funding options. Conclusions We recommend sincere engagement, dialogue, and cooperation between multiple stakeholders; a supportive ecosystem to balance and distribute the demand that includes schools and parents; as well more efficient administrative procedures and recruitment strategies.

Examining the potential use of technology in permanent supportive housing

ABSTRACT Introduction Research on using technology in permanent supportive housing (PSH) has been limited. This study conducted formative work on understanding how technology might benefit PSH tenants. Method Focus groups were conducted at five PSH sites in Southern California, with 42 tenants participating. Thematic analysis was carried out in which data were analyzed both deductively and inductively using the unified theory of acceptance and use of technology. Thematic findings were organized using the theory's constructs. Results Participants generally acknowledged that technology can improve the health and well-being of PSH tenants but noted that many barriers to uptake exist. Tenants identified that PSH programs could play a more active role in facilitating technology uptake by providing universal Wi-Fi access in buildings and assigning a staff member to help residents become more familiar with new technology. Limited expectations that residents should or will use technology, however, may impede programs from playing this role. Conclusion The unified theory of acceptance and use of technology proved useful in studying how technology could be used to improve the lives of PSH tenants. Future work should include the perspectives of service providers that will need to be considered during the development and piloting of specific technologies.

Examining The Influence of Fintech Adoption on Customer Behavior from The Perspective of Service Providers in Jordanian Bank: An Empirical Study

Examining The Influence of Fintech Adoption on Customer Behavior from The Perspective of Service Providers in Jordanian Bank: An Empirical Study

Community integration, quality of life, thriving, and mental health among refugees and asylum seekers. A London service provider perspective.

This article explores how systemic injustices and social inequalities affect refugee and asylum seeker integration, thriving, and mental health in London. This is pertinent as the United Kingdom currently operates a 'broken' asylum system with unfair policies and a 'tough' immigration rhetoric which makes it extraordinarily difficult for asylum seekers and refugees to achieve community integration, have a good quality of life, be able to thrive, and have good health including mental health. Paradoxically, the United Kingdom Home Office also features an Indicators for Integration Framework to provide practical ways to design more effective strategies, monitor services and evaluated integration interventions. This study employed a qualitative research design including semi-structured interviews with 19 mental health and psychosocial support service providers working in third-sector organizations in London. The study results show that the current asylum system severely undermines efforts to support asylum seekers and refugees with their integration. All participants highlighted that asylum seekers and refugees lacked experienced poor quality of life and faced structural challenges to build meaningful social connections; to have access education, fair employment and good work; to achieve good mental health and wellbeing; and to be able to thrive. To improve community integration, quality of life, thriving, and mental health for asylum seekers and refugees in London and, beyond, the United Kingdom, four recommendations are made on structural and service-levels: (1) reform of the current asylum system by centering human rights; (2) implement and carry out needs assessments among asylum seekers and refugees focussing on key social determinants; (3) ensure asylum seekers and refugees benefit from the NHS Inclusion Health framework; and (4) extend the NHS Patient and Carer Race Equality framework beyond England. To be effective, all four initiatives need to be grounded in a participatory approach that meaningfully involves diverse groups of stakeholders including asylum seekers and refugees.

From exploitation and exploration to exaptation? A logistics service provider's (LSP) perspective on building supply chain resilience capabilities during disruptions

PurposeDuring the supply chain disruptions caused by COVID-19, logistics service providers (LSPs) have invested heavily in innovations to enhance their supply chain resilience capabilities. However, only little attention has been given so far to the nature of these innovative capabilities, in particular to what extent LSPs were able to repurpose capabilities to build supply chain resilience. In response, using the concept of exaptation, this study identifies to what extent LSPs have discovered and utilized latent functions to build supply chain resilience capabilities during a disruptive event of high impact and low probability.Design/methodology/approachThis conceptual paper uses a theory building approach to advance the literature on supply chain resilience by delineating the relationship between exaptation and supply chain resilience capabilities in the context of COVID-19. To do so, we propose two frameworks: (1) to clarify the role of exaptation for supply chain resilience capabilities and (2) to depict four different exaptation dimensions for the supply chain resilience capabilities of LSPs.FindingsWe illustrate how LSPs have repurposed original functions into new products or services to build their supply chain resilience capabilities and combine the two critical concepts of exploitation and exploration capabilities to identify four exaptation dimensions in the context of LSPs, namely impeded exaptation, configurative exaptation, transformative exaptation and ambidextrous exaptation.Originality/valueAs one of the first studies linking exaptation and supply chain resilience, the framework and subsequent categorization advance the understanding of how LSPs can build exapt-driven supply chain resilience capabilities and synthesize the current literature to offer conceptual clarity regarding the varied implications and outcomes linked to the repurposing of capabilities.

USER CENTRIC APPROACH TO IDENTITY MANAGEMENT IN CLOUD COMPUTING ENVIRONMENT: AN EMPIRICALLY TESTED FRAMEWORK

Most of the commercial identity management models have focused on the perspective of service providers and given a preference to the challenges faced by the service providers. However, with the growing number of concerns, an identity management system with strong focus on the user’s concerns is required. A User Centric Approach for Identity Management (UCAId) for Cloud Computing in SaaS Environment has been presented in this paper. The proposed UCAId model considers user at the central position to improve their experience and increase adaptability of the cloud. Comprehensive literature review has been carried out to identify the most important parameters of the User Centric Identity management. Provisioning, privacy, security, scalability and trust have been identified as the five most parameters and further the model presents these parameters built-up on the strength of eight components each, individually. The model has been empirically tested to see its user adoption on a set Indian users with varied demographics. Data has been collected using a structured questionnaire and Principal Component Analysis has been used to analyze this primary data.

Perspectives of Male Service Providers on Responding to Intimate Partner Violence in Rural Zimbabwe: Findings From Qualitative Interviews

Despite efforts made in Zimbabwe to address intimate partner violence (IPV), critical gaps still exist regarding the efficacy of IPV service provision in rural areas. This study examines male service providers’ perceptions of IPV in Chimanimani Rural District in Zimbabwe to provide guidance for policy and practice on IPV intervention in rural areas. A qualitative study was conducted with six male service providers using in-depth interviews and thematic analysis. Our findings revealed how the intersection of social norms and the geographical location of rural areas influence service providers’ perceptions of IPV and service provision. Most of the service providers interviewed had a general understanding of IPV and regarded it as unacceptable social behavior. However, constraints to service delivery typical in rural areas negatively impacted their IPV intervention, including having limited intervention resources, limited male participation, and conflicting identities (professional versus cultural identity). We conclude that service provision in rural areas is essential to respond to and prevent the occurrence of IPV, yet how service providers perceive IPV affects the quality of services rendered to victims.

A qualitative exploration of the experiences of transdermal alcohol sensor devices amongst alcohol service practitioners (South London, UK)

Background A qualitative exploration into the views of alcohol service staff on transdermal alcohol sensors (TAS) within three alcohol services in South London, UK. This study aims to assess the acceptability and feasibility of TAS implementation in alcohol services to provide treatment in clinical settings and identify potential challenges and solutions from the perspective of service providers. Methods Ten participants, in a patient-facing role with alcohol-related treatment, completed a semi-structured interview. Results Three core theoretical themes guided the analysis: perceived usefulness, perceived ease of use and attitudes toward use. Participants thought TAS could be useful as part of alcohol treatment in their service. They thought their service users may face some challenges using the TAS, (such as wearing the device; misplacing it, and/or remembering to remove and replace it for bathing). In general, participant attitudes toward TAS tended to be positive but there were some concerns about the cost and staff training. Participants believed their service users would be skeptical about wearing it, but that it could complement their treatment and motivate them toward their treatment goals. Conclusion Results support the acceptability and feasibility of TAS within alcohol services. Participants suggested potential methods of implementing TAS within their treatment plans which could benefit both staff and users. Participants were agreeable and willing to learn more about TAS including the practicalities of implementing TAS. TAS were seen as a potentially useful treatment facilitator, if implemented correctly with sufficiently motivated service users and if specific challenges were addressed.

Downtime Data Center: Memahami Penyebab, Dampak, dan Solusi Efektif

This research focuses on the management of downtime risks in Data Centers from a service provider perspective. Utilizing the systematic literature review method, it investigates the impacts of small yet significant downtimes in Data Centers, along with the strategies employed by service providers to address these issues. Key findings highlight that even brief downtimes can lead to substantial financial losses and operational disruptions. Strategies for downtime prevention and recovery are explored, including multi-server optimization, early risk detection, and efficient resource management. This study offers crucial insights for Indonesian Data Center providers to enhance their services and security, aiding them in competing in the global market.

Unveiling the sustainability level of indigenous tourism initiatives: The perspective of tourism service providers in the municipality of Puerto Nariño, Amazonas

Purpose: This study aims to provide valuable insights for stakeholders in Puerto Nariño, Amazonas enabling them to develop strategies tailored to their needs. Particularly, it assessed the sustainability of indigenous tourism initiatives in the municipality of Puerto Nariño, Amazonas.
 Design/Methodology/Approach: This qualitative study involved pioneering indigenous family tourism initiatives and a sustainability framework with a set of 12 sustainability indicators to explore the perceptions of tourism service providers. Convenience sampling was used to collect data through questionnaires.
 Findings: According to the findings, families are aware of the advantages of tourist activities with the culture-society component having the highest average score (3.13/5.00). However, it can be inferred that factors encompassing economic, governance and environmental dimensions such as employment and income generation (average 2.00/5.00), encouragement and convening spaces to promote participatory community decision-making mechanisms (average 1.75/5.00), reliable energy supply and enhancing knowledge of local wildlife, vegetation and sporting activities (average 1.70/5.00) remain critical in this indigenous context. Additionally, the initiative's governance component has been evaluated as having the lowest average (2.19/5.00).
 Practical Implications: These findings contribute to the existing body of knowledge on ecotourism practices in indigenous settings particularly in South American ethnic communities.
 Contribution to the Literature: These findings offer valuable insights for institutions seeking a deeper understanding of tourism practices within protected areas.

Services for Latino Family Dementia Caregivers: Is the Workforce Prepared?

The American healthcare system is ill-fitted to meet the needs of the growing population with Alzheimer's and Related Dementias (ADRD) and their caregivers, which disproportionately affects Latinos. This paper describes the caregiving process for Latino patients with ADRD from the perspective of caregivers and service providers to reveal service areas in need of improvement. Ten providers and 24 Latino caregivers were interviewed through the Miami-Dade County Aging Network. Interviews were analyzed using a grounded theory approach. Five themes emerged: lack of social service connectivity, case management challenges, unmet mental health needs, language barriers, and the need for alternative service models. Our analysis indicates insufficient training and the need to improve dementia competencies, support strategies, and understanding of cultural nuances among service providers. These findings can help inform the development of a required ADRD provider education curriculum that incorporates cultural competency training to improve the quality and effectiveness of care.

Exploring the barriers to mental health service utilization in the Bolgatanga Municipality: the perspectives of family caregivers, service providers, and mental health administrators

BackgroundMental health service utilization remains a challenge in developing countries, with numerous barriers affecting access to care. Albeit data suggest poor utilization of mental health services in the Bolgatanga Municipality in Ghana, no studies have explored the barriers to the utilization of mental health services. Therefore, this study explored the perspectives of family caregivers, service providers, and mental health service administrators on the barriers to mental health service utilization in the Bolgatanga Municipality, Ghana.MethodsA qualitative descriptive design was employed for the study. Nineteen participants were purposively sampled from two hospitals including fifteen family caregivers, two service providers, and two mental health administrators. Data were collected through individual in-depth interviews using a semi-structured interview guide. Audio-recorded interviews were transcribed verbatim and thematically analyzed using NVivo 12 pro software.ResultsFive main themes emerged including individual-level barriers, interpersonal barriers, community-level barriers, organizational-level barriers, and policy-level barriers. At the individual level, lack of insight, poor treatment compliance, and financial challenges were prominent barriers. Interpersonal barriers included family pressure influenced by cultural and spiritual beliefs. At the community level, stigma and mental health illiteracy were identified as significant barriers. At the organizational level, barriers encompassed inadequate staffing, limited space, and staff attitudes. Policy-level barriers included the neglect of mental health in policies and the non-inclusion of mental health services in the National Health Insurance Scheme.ConclusionThis study highlights the complexity of barriers to mental health service utilization and underscores the need for a comprehensive approach to address them. Collaborative efforts involving healthcare providers, policymakers, communities, and families are essential to mitigate these barriers. It is imperative to consider these barriers when developing strategies to improve the utilization of mental health services in Ghana.

An attachment theory perspective of professional service providers' social bonds with their clients

Social bonds developed by professional service providers have received limited research attention. Yet how individuals in these roles build social bonds with their clients can have a significant impact on the business outcomes achieved by the professional services firm. Attachment theory is one of the most influential psychology theories which supports the development of affectionate bonds but has not, so far, been applied to professional service providers' social bonds with their clients. We conduct in-depth interviews with professional service providers to capture their experiences of developing social bonds. Our findings identify three distinct relationship roles adopted by professional service providers with their clients (manager, caregiver and partner) and uncover two social bonds: the closeness bond and the security bond, based on different characteristics. We find that relationship roles and social bonds are inter-related and that social bonds can develop authentically or be developed strategically by the professional services provider. We propose how professional services firms can benefit from this knowledge in improving their business outcomes.

Research on the Key Influencing Goals for Visual Design Sustainability: A Dual Perspective

The United Nations established 17 sustainable development goals (SDGs) in 2015, but research on these goals in the visual design industry remains limited. This study introduces a hybrid approach, combining fuzzy analytical hierarchy process (FAHP) and grey rational analysis (GRA) to assess sustainable factors from the perspectives of both service providers and consumers. In the FAHP model, consumers and visual design professionals had similar views on the ranking of dimensions and indicators. Both reported that the most important dimension for visual design sustainability is the environment. However, the perspective of consumers differed from that of visual design practitioners in the GRA model, as consumers argued that the social aspect has the greatest impact on visual design sustainability, while practitioners believed that the environmental aspect is the most important. The main contribution of the study is to emphasise that the hybrid multi-criteria decision-making (MCDM) mode can help the visual design industry align its services to consumer expectations. A systematic and objective model that presents practical insights relevant to industry is offered by this model. It also serves as a valuable reference for future research in similar areas.

Estimating the costs and perceived benefits of oral pre-exposure prophylaxis (PrEP) delivery in ten counties of Kenya: a costing and a contingent valuation study.

Kenya included oral PrEP in the national guidelines as part of combination HIV prevention, and subsequently began providing PrEP to individuals who are at elevated risk of HIV infection in 2017. However, as scale-up continued, there was a recognized gap in knowledge on the cost of delivering oral PrEP. This gap limited the ability of the Government of Kenya to budget for its PrEP scale-up and to evaluate PrEP relative to other HIV prevention strategies. The following study calculated the actual costs of oral PrEP scale-up as it was being delivered in ten counties in Kenya. This costing also allowed for a comparison of various models of service delivery in different geographic regions from the perspective of service providers in Kenya. In addition, the analysis was also conducted to understand factors that indicate why some individuals place a greater value on PrEP than others, using a contingent valuation technique. Data collection was completed between November 2017 and September 2018. Costing data was collected from 44 Kenyan health facilities, consisting of 23 public facilities, 5 private facilities and 16 drop-in centers (DICEs) through a cross-sectional survey in ten counties. Financial and programmatic data were collected from financial and asset records and through interviewer administered questionnaires. The costs associated with PrEP provision were calculated using an ingredients-based costing approach which involved identification and costing of all the economic inputs (both direct and indirect) used in PrEP service delivery. In addition, a contingent valuation study was conducted at the same 44 facilities to understand factors that reveal why some individuals place a greater value on PrEP than others. Interviews were conducted with 2,258 individuals (1,940 current PrEP clients and 318 non-PrEP clients). A contingent valuation method using a "payment card approach" was used to determine the maximum willingness to pay (WTP) of respondents regarding obtaining access to oral PrEP services. The weighted cost of providing PrEP was $253 per person year, ranging from $217 at health centers to $283 at dispensaries. Drop-in centers (DICEs), which served about two-thirds of the client volume at surveyed facilities, had a unit cost of $276. The unit cost was highest for facilities targeting MSM ($355), while it was lowest for those targeting FSW ($248). The unit cost for facilities targeting AGYW was $323 per person year. The largest percentage of costs were attributable to personnel (58.5%), followed by the cost of drugs, which represented 25% of all costs. The median WTP for PrEP was $2 per month (mean was $4.07 per month). This covers only one-third of the monthly cost of the medication (approximately $6 per month) and less than 10% of the full cost of delivering PrEP ($21 per month). A sizable proportion of current clients (27%) were unwilling to pay anything for PrEP. Certain populations put a higher value on PrEP services, including: FSW and MSM, Muslims, individuals with higher education, persons between the ages of 20 and 35, and households with a higher income and expenditures. This is the most recent and comprehensive study on the cost of PrEP delivery in Kenya. These results will be used in determining resource requirements and for resource mobilization to facilitate sustainable PrEP scale-up in Kenya and beyond. This contingent valuation study does have important implications for Kenya's PrEP program. First, it indicates that some populations are more motivated to adopt oral PrEP, as indicated by their higher WTP for the service. MSM and FSW, for example, placed a higher value on PrEP than AGYW. Higher educated individuals, in turn, put a much higher value on PrEP than those with less education (which may also reflect the higher "ability to pay" among those with more education). This suggests that any attempt to increase demand or improve PrEP continuation should consider these differences in client populations. Cost recovery from existing PrEP clients would have potentially negative consequences for uptake and continuation.

Supporting People Seeking Asylum in the Australian Community: A Service Provider Perspective

AbstractDeterrence of asylum seekers, including via restrictive refugee determination processes, is increasingly common in many countries. In Australia, people who sought asylum by sea between 13 August 2012 and 1 January 2014 (the ‘legacy caseload’), have been subject to increasing restrictions on their social and economic rights. As a result, these people rely on support from non-government organisations, whilst they progress through Australia’s refugee determination process. This research explored service providers’ role in mediating the impacts of asylum policy on the legacy caseload. Findings from 20 in-depth, semi-structured interviews, conducted between December 2018 and February 2020, highlight how service providers in both statutory and community sectors in Victoria challenge and subvert deterrence policies, even as the policy environment constrains their ability to support people seeking asylum. To redress these constraints, increased availability of social supports for people seeking asylum, continuing and additional funding for non-government organisations, and increased support for workers across sectors are recommended by this study. Service providers play a crucial role in enabling the effective engagement of people seeking asylum with the refugee determination process. These findings serve as a further warning from countries seeking to emulate the ‘Australian model’ of harm.