Perspective Of Service Providers Research Articles

Utilization for Non-Communicable Diseases Management in Southeast Asia

Non-communicable diseases (NCDs) are still a morbidity and mortality problem in Southeast Asia. However, NCD in Southeast Asia still needs to be handled faster. WHO recommends the use of digital in treating NCDs in Southeast Asia. Therefore, this literature review study aims to describe how mHealth is utilized to overcome the problem of NCDs in Southeast Asian countries. The author collected articles using Google Scholar and Proquest, which were published in 2019-2023. The focus of the search was articles published in English-language Research Journals. Researchers used advanced search with the keywords NCD, Non-communicable diseases, mHealth, Mobile Health, Nursing, and Health Promotion. Keywords are combined using Boolean and/or the online database that the researcher chose. Articles that have been filtered are filtered again by selecting research locations in Southeast Asian countries. Ten articles obtained came from research in Southeast Asian countries Indonesia (n=4), Malaysia (n=1), Singapore (n=1), Vietnam (n=1), Thailand (1), Cambodia (n=1), Philippines (n=1). All articles discussed the use of mHealth for NCD management in their countries and aimed to determine the barriers (n=3), feasibility (n=1), effectiveness (n=2), impact (n=2), potential (n=1), perception (n=1), and perspective (n=1) of service providers, as well as the experience of using mHealth in remote areas (n=1). It can be concluded that mHealth can be used for independent screening for PTM, providing education about NCDs, and can be applied in rural areas as a comprehensive effort to handle NCDs.

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.

Reducing treatment delays of first episode psychosis through policy in Canada: a mixed methods analysis of service provider perspectives

IntroductionYoung people with a first episode of psychosis can achieve full remission with prompt treatment. Throughout Canada, early psychosis intervention programs are implementing policies to ensure timely delivery of services. One of Canada’s first early intervention services, the Prevention and Early Intervention for Psychosis program, set the guideline that all youth referred should receive an appointment within 72 hours. The availability of early intervention programs has increased significantly but the standards these programs have adopted to ensure timely delivery of services remains unknown.ObjectivesThis project aims to identify the policies and practices in early intervention programs that ensure timely delivery of services. Secondly, the project aims to understand the level of awareness of the 72-hour recommendation and the level of adoption of this recommendation. Thirdly, the project aims to identify the factors that facilitate and hinder a program’s ability to reach and maintain their benchmarks for timely delivery of services.MethodsParticipants included 17 service delivery providers from four early intervention programs located in socio-culturally distinct regions in Canada. Participants completed a survey about their program’s service delivery policies and practices. We led individual semi-structured interviews with seven service providers to identify the barriers and facilitators to delivering timely care. We conducted frequency analyses of the survey data and thematic analysis of the interviews to identify emerging themes.ResultsForty-one percent of survey respondents indicated that their program implemented formal policies to minimize the delay to the first appointment, with benchmarks ranging from 72 hours to 12 weeks. The majority of program managers interviewed were aware of the 72-hour benchmark, voiced satisfaction with standards, and felt that establishing standards was helpful to delivering quality services. Average time between referral and first appointment ranged from 10 days to 12 weeks; however, more than half of survey respondents were unaware of the average delay in their program. Notable barriers to implementation included patient non-responsiveness, insufficient staffing, and missing patient contact information from referrals. The service providers reported engaged staff, flexible schedules, and team-based care as facilitators to meeting service delivery benchmarks.ConclusionsBenchmarks such as the 72-hour recommendation are an excellent step in improving timeliness of delivery of early intervention services. Common barriers to meeting benchmarks, such as patient adherence and staff resources may be difficult to overcome; however, implementing standardized referral forms and processes, increasing staff engagement, providing flexible schedules, and encouraging team-based care could improve timely delivery of services.Disclosure of InterestNone Declared

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

Deterrence 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.

Exploring service provider perspectives on service user engagement across service components in coordinated specialty care programs for psychosis.

Engagement in services is a core element to successful outcomes for service users and programs. In coordinated specialty care (CSC) programs, designed for individuals experiencing first-episode psychosis, engagement has only been measured programmatically and not by service component. This qualitative study sought to explore provider perspectives on service user engagement in service components of CSC. Semistructured interviews were conducted with 20 service providers from five community-based early intervention programs for psychosis in the United States. Interviews were recorded and transcribed verbatim, and thematic analysis was used to analyze the data collected. Provider participants described barriers and facilitators that contribute to disengagement or engagement in four service components within early intervention programs: individual psychotherapy, family education and support, medication management, and vocational services. Barriers identified included substance use, stigma, trauma, and external pressures. Identified barriers to engagement in CSC were both unique to individual components and cut across them. By better understanding the complexity of barriers and their intersections within and across CSC components, there can be more effective policy and program development to reduce disengagement and hopefully increase positive outcomes for service users. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

On the Structural Conditions Shaping Implementation of Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ)-Inclusive Practices Within Intimate Partner Services in Australia

Abstract Purpose IPV constitutes a serious health concern for LGBTQ populations within Australia, yet inclusive service provision remains sparsely and unevenly accessible to victim-survivors. While poor availability and accessibility of inclusive services is widely recognized as an issue facing LGBTQ victim-survivors, few researchers have examined the structural or systemic basis of this problem. The current piece seeks to explore the structural conditions obstructing inclusive service provision to LGBTQ victim-survivors, from the perspective of service providers. Method N = 19 interviews were conducted with N = 21 key personnel with affiliations to a variety of: (i) general population service organizations, (ii) community-led service organizations and (ii) advisory or convening groups. Interviews explored the structural conditions of the IPV service sector, focusing on barriers and enablers to implementing inclusive service provision for LGBTQ populations. Results Three broad factors that obstructed or curtailed inclusive service implementation were identified. These were namely: (i) resistance from both internal and external sources around inclusive practice, (ii) accommodating keeping demands in resource constrained contexts, and (ii) political will and LGBTQ visibility within official policy. Responses to these challenges on the organizational level were sometimes sufficient to meaningfully – though only partially – ameliorate these factors, but seldom addressed the structural conditions that necessitate such responses. Conclusion Inclusive service provision is a crucial element of victim-survivor recovery. The sporadic accessibility of such services within Australia can be attributed to several core features of sector and policy landscapes, which demand a significant degree of inter-organizational collaboration and collective advocacy to overcome.