Provision Of Services Research Articles

Utilization of Telehealth in Kenya During COVID-19

Abstract: The Covid-19 pandemic caused significant disruptions to healthcare systems across the world, with rising cases of coronavirus infections leading to reduced hospital visits. The IPC interventions implemented by governments, such as restrictions of movements, curfews, school closures, and limited social gatherings, also impacted the provision of medical services in hospitals. In the Kenyan case, medical facilities and non-profit organizations became innovative and utilized telehealth to conduct patient consultations, perform diagnostic procedures, and provide treatment using ICT tools.

Smartphone addiction and adolescent mental health: a cross-sectional study in West Sumatra province

In West Sumatra Province, Indonesia, approximately 13.01% of individuals aged 15 years or older are affected by mental and emotional disorders, ranking it as the third highest among the 34 provinces. Excessive smartphone use has emerged as a potential influencer of mental health, associated with social networking addiction, shyness, and low self-esteem. This study aimed to examine the relationship between smartphone addiction and mental health issues in adolescents using a cross-sectional design. The sample included 283 randomly selected students aged 15-17 years. Smartphone addiction was measured using the smartphone addiction scale-short version (SAS-SV), and mental health was assessed using the strength and difficulties questionnaire (SDQ). The study revealed a significant association (p<0.001) between smartphone addiction and mental health problems among adolescents, with 72.1% of respondents experiencing smartphone addiction and 26.9% classified as having abnormal mental health. These findings emphasize the need for increased awareness regarding the negative impact of excessive smartphone use on adolescent mental health. Schools should play a vital role in addressing this issue through the provision of guidance and counseling services. Future research should investigate causal relationships using longitudinal designs and consider diverse populations to enhance the generalizability of the results.

Ubiquitous-cloud-inspired deterministic and stochastic service provider models with mixed-integer-programming

The ubiquitous computing system is a paradigm shift from personal computing to physical integration. This study focuses on the deterministic and stochastic service provider model to provide sub-services to computing nodes to minimize rejection values. This deterministic service provider model aims to reduce the cost of sending data from one place to another by considering the processing capacity at each node and the demand for each sub-service. At the same time, stochastic service provider aims to optimize service provision in a stochastic environment where parameters such as demand and capacity may change randomly. The novelties of this research are the deterministic and stochastic service provider models and algorithms with mixed integer programming (MIP). The test results show that the solution found meets all the constraints and the smallest objective function value. Stochastic modeling minimizes denial of service problems during wireless sensor network (WSN) distribution. The model resented is the ability of wireless sensors to establish connections between distributed computing nodes. Stochastic modeling minimizes denial of service problems during WSN distribution.

Changing and unfinished narratives of the mental health impact of HIV in the UK

The mental health impacts of HIV have evolved significantly over the last four decades, in parallel with changes in the virus's overall health consequences. This study charts transformation in narratives about mental health problems associated with HIV over the course of the epidemic, as outlined by people with HIV (40%), professional carers (45%) and activists (25%) in the UK. In particular, our study examines evolving mental health impacts and changing service provision during three key periods: The early days of the epidemic; after the introduction of effective antiretroviral therapy (ART) in 1996; and in more recent times as HIV came to be regarded as a chronic manageable condition. Fifty-three participants were recruited: Male (68%), female (32%), White (90%), African/Afro Caribbean (6%) and South Asian (4%). Results indicate that despite important changes in the severity and nature of the mental health impact of HIV, there were persistent challenges, related to the long-term mental health consequences of HIV among earlier generations of people with HIV. There were additional challenges associated with ageing with HIV; the development of sexual dysfunction; and the possibility of neurocognitive impairment. The organization of mental health care for people with HIV moved from specialist teams to general practice, presenting challenges of mainstreaming care. The commissioning and delivery of mental health services need to be sensitive to this ever-changing social context and the potential for ‘left behind’ people living with HIV, despite the overall ‘naturalisation’ of HIV.

Invisible Labor, Visible Impact: A Comprehensive Study on the Role and Treatment of Domestic Maids.

Abstract: Through this platform we enhance the efficiency of hiring processes, offering users a transparent and accessible interface for finding and managing reliable maid services. Through a detailed examination of the website's functionality and user experience, through this assesses its contribution to simplifying the traditionally complex task of hiring domestic help. The study delves into the platform's role in fostering transparency, trust, and convenience, ultimately contributing to improved customer satisfaction and increased employment opportunities for domestic workers. Through an analysis of user feedback and website performance metrics, this research provides insights into the broader implications of such platforms in reshaping the dynamics of domestic service provision in contemporary contexts. This website not only prioritizes user-friendliness but also emphasizes being pocket-friendly for consumers. HOW? Here we break drown the hiring process Users can select specific tasks and timeframes, customizing the payment structure based on the work they require. We can establish a timeframe and work schedule for the position we are hiring for. We can establish a timeframe and work schedule for the position we are hiring for. This will ensure clarity and efficiency in our operations, allowing us to effectively manage tasks and save time to get the other opportunities for workers. By setting specific timeframes, we can enhance productivity and ensure that possibilities to get work efficiently. We carefully choose the tasks we hire for, ensuring we pay accordingly and avoid unnecessary expenses. We prioritize selecting tasks for which we are hiring, ensuring that we pay commensurately and avoid unnecessary expenditures. This approach allows us to maintain fiscal responsibility while efficiently allocating resources to essential projects

A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service.

Schizophreniform disorders tend to have an early onset. Early intervention in psychosis (EIP) services aim to provide early treatment, reduce long-term morbidity and improve social functioning. In 2016, changes to mental health policy in England mandated that the primarily youth-focused model should be extended to an ageless one, to prevent ageism; however, this was without strong research evidence. An inner-city London EIP service compared sociodemographic and clinical factors between the under-35 years and over-35 years caseload cohorts utilising the EIP package following the implementation of the ageless policy. Both groups received similar care, despite the younger group having significantly more clinical morbidity and needs. Our results may indicate that service provisions are being driven by policy rather than clinical needs, potentially diverting resources from younger patients. These findings have important implications for future provision of EIP services and would benefit from further exploration.

Impacts of urban sprawl on people’s livelihoods: analysis of urban fringe neighbourhoods in Dar es Salaam, Tanzania

ABSTRACT Rapid urbanization rates and weak development control machinery have led to exponential city sprawling to urban fringes. This paper examines how urban sprawl impacts livelihoods of urban fringe dwellers and their coping strategies. A multiple case strategy was deployed and a sustainable livelihoods framework was used in the analysis. Empirical data were obtained through literature review, household and key informant interviews, observations, Focus Group Discussions and analysis of satellite images. Results indicate that negatively urban sprawl has increased households’ transport expenditure to work at unaffordable levels; traffic congestion; cost of food products; and inadequate provision of essential livelihood-enhancing facilities. Positively, urban sprawl has presented new livelihood opportunities and enabled households to access minimal social amenities and services. We recommend diversification of economic activities, change of economic activities, making urban fringe livelihoods key element of policy formulation and essential infrastructure and services provision to harness positive impacts and mitigate negative ones.

Experiences of online music therapy placements in response to COVID-19 in Melbourne, Australia: Pedagogical considerations for supporting student learning

ABSTRACT Introduction At the beginning of the COVID-19 pandemic, student placements in the Master of Music Therapy at the University of Melbourne were rapidly redesigned to create alternative online opportunities. Two online placement models; a simulated practicum (or SimPrac) and telehealth placement; were arranged. With little previous literature to draw upon, data was gathered to explore student and supervisor experiences of online placements and develop understanding of pedagogical considerations to inform future planning. Methods Quantitative data were collected via an adapted Satisfaction with Simulation Experience Scale (SSES) and qualitative data via open-ended survey questions and semi-structured focus group interviews. Results SSES results indicated high satisfaction from all cohorts with the online placement experience. Qualitative analysis led to the development of four pedagogical considerations for supporting student learning: Respond to Context with Creativity and Flexibility; Scaffold Student Learning; Foster Peer Relationships; and Supplement Online Learning. Discussion Findings aligned with recent scholarship in the wider field of Work Integrated Learning (WIL) and indicate a need for questioning prevailing modes of music therapy placement delivery in line with the contemporary context. While online placements were not always understood to provide authentic music therapy experiences, this perspective may need further contemplation given the ongoing need for online music therapy service provision.

Impacts of COVID-19 on Intimate Partner Violence Service Provision.

COVID-19 policies like stay-at-home orders impacted intimate partner violence (IPV) service provision in Alberta. Using intersectionality and qualitative semi-structured interviews, this article situates IPV and access to services and supports within multiple overlapping factors such as race, gender, class, and ethnic minority status. Two main themes were identified. First, the challenges within IPV service provision reflect the sectors' traditional and binary understanding and response to violence. Second, the move to virtual services brought challenges related to access to telecommunication facilities and zoom fatigue. Thematic analysis also shows the impact of the pandemic in a sector with existing structural/institutional challenges. We conclude by recommending a multi-level intersectional approach to IPV service provision in Alberta.

Leadership in intellectual disability practice: design, development, and evaluation of a programme to support practice

BackgroundIntellectual disability services have and continue to experience changes in service provision. This has an implication for leadership in practice as the quality of leadership has a direct influence on staff practice and care provided.AimTo design, deliver, and evaluate a leadership programme for nurse and social care managers in Ireland.DesignAn accredited programme was designed based on evidence from literature, practice, and national expertise. A cross-sectional survey was used to collect information on the attitudes and behaviour of participants before commencing and after completing the programme. Data from the questionnaires were analysed using SPSS and open-ended questions were analysed using content analysis.SettingIntellectual disability services.Participants102 participants completed the programme and survey.MethodsPre-post survey and reported using the CROSS guidelines.ResultsParticipants’ expectations were rated highly, and all items scored higher in the post-survey. Qualitative data was overall positive regarding opportunities for more time to work through each aspect of the programme. The key learning was through the forum day where participants shared their group projects.ConclusionsOverall, the programme was positively evaluated and through engaging with the programme participants’ perceptions moved from seeing leadership as mostly task-oriented to realising that qualities such as good communication, person-centredness, advocacy, supporting, role modelling, and empowering are key to leadership.

Plant beta-turnover rather than nestedness shapes overall taxonomic and phylogenetic beta-diversity triggered by favorable spatial–environmental conditions in large-scale Chinese grasslands

IntroductionAlthough it is widely acknowledged that biodiversity maintains plant community assembly processes, exploring the patterns and drivers of beta-diversity (β-diversity; species variation among local plant communities) has received much less attention compared to alpha-diversity (α-diversity; species variation within a local plant community). Here, we aim to examine the patterns and spatial–environmental drivers of taxonomic and phylogenetic β-diversity, and their components such as species turnover and nestedness, in large-scale Leymus chinensis grassland communities.MethodsWe collected plant community data from 166 sites across widely distributed L. chinensis communities in northern China, and then calculated the taxonomic and phylogenetic β-diversity indices (overall, turnover and nestedness) using a pairwise dissimilarity approach. To assess the effects and to explain the variation in the patterns of β-diversity, we collected data on geospatial, climate and soil conditions. We applied descriptive statistics, Mental correlations, and multiple linear regression models to assess the patterns and spatial–environmental drivers of β-diversity.ResultsThe β-turnover, as compared to β-nestedness, exhibited a predominant influence, constituting 92.6% of the taxonomic β-diversity and 80.4% of the phylogenetic β-diversity. Most of the spatial–environmental variables were significantly positively correlated with the overall taxonomic and phylogenetic β-diversity and β-turnover, but not with β-nestedness. Climatic factors such as MAP and MAT were the strongest predictors of both taxonomic and phylogenetic β-diversity and β-turnover. The variance partitioning analysis showed that the combined effects of spatial and environmental factors accounted for 19% and 16% of the variation in the taxonomic and phylogenetic β-diversity (overall), 17% and 12% of the variation in the β-turnover, and 7% and 1% of the variation in the β-nestedness, respectively, which were higher than independent effects of either spatial or environmental factors.DiscussionAt larger spatial scales, the turnover component of β-diversity may be associated with the species complementarity effect, but dominant or functionally important species can vary among communities due to the species selection effect. By incorporating β-diversity into grassland management strategies, we can enhance the provision of vital ecosystem services that bolster human welfare, serving as a resilient barrier against the adverse effects of climate change at regional and global scales.

Socio-Economic Drivers of Agroforestry Practices in Kaiti Watershed, Makueni County, Kenya

Forests and trees are essential resources for sustainable provision of goods and services. However, trees have not only been depleted in reserved forests but also on agricultural lands. Several measures have been formulated to improve forest cover in Kenya and one of such strategies is agroforestry. This study aimed to examine agroforestry practices, tree density on farms and determine the relationship between socio-economic characteristics of households and tree density on farms in Kaiti watershed, Makueni County, Kenya. Quadrats were used to determine tree density and tree species diversity on farms while questionnaires were used to record socio-economic characteristics of households. Data files were prepared in the Microsoft Excel and SPSS version 20 software where descriptive and inferential statistics were used. The study found 8 agroforestry practices. The results of One-Way ANOVA for both Shannon Diversity Index and Simpsons’ Index of Diversity showed significant difference in species diversity in Kaiti watershed with p-value of 0.00023 and 0.00012, respectively. The mean of tree density was 104.5 trees per acre where 54% of farms had less than 40 trees per acre while 46% of farms had more than 40 trees per acre. Further, the study found significant relationship between socio-economic characteristics of households and tree density on farms. Household income was the most significant with p-value of 0.000. The study recommends sensitization of farmers about importance of trees and suitable tree species for growing in arid and semi-arid areas. Further, supply of certified seedlings close to farmers and at affordable prices would improve tree species diversity and tree density on farms. There is also need for private land ownership for households to promote sense of ownership of trees

Does the community service environment affect the willingness of older adults people to socialize for older adults care?

Population ageing is a significant trend in social development and will remain a fundamental national condition in China for the foreseeable future. Socialized older adults care has become a crucial strategy for China to address population ageing. However, the current levels of acceptance and willingness to seek socialized older adults care among older adults are relatively low. This study focuses on examining how the community environment and services influence older adults people’s willingness to engage in social activities related to older adults care. Using data from the China Longitudinal Ageing Social Survey (CLASS) (N = 9,657), this study investigated the impact of the community service environment on older adults people’s willingness to participate in social activities related to older adults care through a logit model. The study revealed that 9.15% of older adults (N = 9,657) in China are willing to engage in social activities related to older adults care. Furthermore, the individual characteristics and family support of older adults play a significant role in shaping their willingness to engage in older adults care. The provision of medical services, daily care services, and entertainment venues by the community positively influence older adults people’s willingness to participate in social activities related to older adults care (p < 0.01), whereas psychological counselling services have a negative impact (p < 0.01). The impact of community services on older adults people’s willingness to engage in social activities related to older adults care varies due to factors such as smoking and chronic diseases. These findings provide valuable insights for improving older adults’ social engagement in China.

Spatial-temporal evolution and prediction of carbon storage in Mohe city by linking the logistic-CA-Markov and InVEST models

Carbon storage plays a vital role in the provision of ecosystem services, and the alteration of land use has a profound influence on the carbon storage capacity of ecosystems. Therefore, in this study, two scenarios of natural evolution scenario (NES) and ecological conservation scenario (ECS) were set up based on the development of Mohe City,China. Meanwhile, a coupled model of LUCC and ecosystem carbon storage was established using Logistic-CA-Markov and InVEST models, as well as optimal parameters_based geographical Detector and GeoDa, to predict the distribution and change of ecosystem carbon storage based on LUCC in the future. The effects of different influencing factors on the spatial differentiation of carbon storage were also explored. The results show that: (1) From 1980 to 2020, the land use type in Mohe City was dominated by the forest and its area decreased; the area of wetland increased. From 2020 to 2040, ecological benefits will be shown under the ECS, with an increase in forest and a slower expansion of built-up. (2) Carbon loss in Mohe City from 1980 to 2020 was 4.04Tg. Under the ECS carbon storage increased slightly by 0.2Tg. Soil carbon storage was the main carbon pool in Mohe City, and forest was the largest contributor. The carbon storage of Mohe city in 2030 and 2040 has a strong positive spatial correlation. Hot spots in more than a cold spots area, the high value area is concentrated in the east, low concentrated in urban areas. (3) Apart from LUCC, mean annual precipitation was the most significant factors affecting the spatial differentiation variability of carbon storage. The interactions of mean annual precipitation and population density with other factors exhibit a non-linear enhancement,which had a coefficient of 21.91%. This study contributes to a deeper understanding of the relationship between LUCC and carbon storage.

Opportunities and Barriers to Biogas Adoption in Malawi

Malawi has the potential to explore the utilization of biogas technology. The technology has existed in the country for decades. However, the uptake has been lower than expected. Further, there has been a high rate of dis-adoption of the installed systems. To deal with the problem, this study explored the opportunities and barriers to biogas technology to enhance biogas adoption and utilization in Malawi. Qualitative research methods using key informant interviews were employed to collect the data from biogas adopters, dis-adopters, potential adopters, and experts. A total of 22 households and 6 experts were interviewed. The findings of the study show that the country has opportunities for biogas adoption and utilization. The most mentioned opportunities were livestock farming practices, constraints to access to reliable energy sources, associated benefits of biogas technology, and land holding. However, the adoption of the technology has faced several challenges. Commonly cited barriers were the high installation and maintenance costs, inadequate feedstock, inappropriate dissemination approaches, lack of training after installation services and expertise, lack of reliable water sources, absence of ownership, lack of cooperation amongst institutions involved in biogas promotion, lack of a coordinating body for institutions involved in biogas dissemination, lack of standards, and socio-cultural factors. To overcome the challenges, strategies were identified, and these include the provision of incentives, loans and subsidies, provision of technical support services, having demonstration sites, employing suitable dissemination approaches, co-digestion or diversification of raw materials, awareness campaigns, and collaboration amongst sectors involved in biogas dissemination.

Activating Co-production of Rural Service Delivery: Examining the Role of Nonprofit Organizations Using a Case Study in China

AbstractAlthough co-production between the government and society can improve service outcomes, the two parties may lack the willingness and the capacity to cooperate. Can nonprofit organizations play an active role in facilitating government–citizen co-production? If so, how? The role of nonprofits in social services co-production has received increasing attention, but studies on developing countries are limited. Therefore, this study conducts an in-depth case study of a rural social work institute in Z village, Beijing, China. Using on-site observations, semi-structured interviews, and secondhand materials, we found that social workers adopted four strategies to engage community officials and rural residents in service co-production. They established trustworthy relationships, facilitated effective communication, fostered shared motivation, and built co-productive capacity. The results showed that nonprofit organizations use third-party roles and professional skills to shape government-citizen interactions through service co-production. These findings can improve rural service provision in developing countries.

Seeing the Trees Without the Forest: What and How can Agroforestry and Urban Forestry Learn from Each Other?

Abstract Purpose of Review Agroforestry and urban forestry have evolved mainly as separate disciplines, although they share a long history of tree cultivation in man-made environments. Here, we review their common threads, exploring how trees in both systems interact with and shape their environments. We examine common themes and methodologies – ranging from tree growth dynamics to environmental stressors, ecosystem services provision, and questions of governance – and identify opportunities for synergies between these fields. Recent Findings We emphasize the potential of agroforestry and urban forestry for enhancing multifunctional landscapes. Geographical divides in research are evident, with agroforestry predominantly studied in the Global South and urban forestry receiving more attention in the Global North. However, significant research gaps provide avenues for collaboration, for instance, addressing challenges in capturing the monetary and socio-cultural value of ecosystem services and environmental justice considerations. Summary In light of the growing need for integrated approaches in addressing contemporary challenges, from climate change mitigation and adaptation to community well-being, our review explores what these research fields can learn from each other and provides recommendations for fostering greater interdisciplinary dialogue and new avenues for collaborations in a meaningful and synergistic manner, aiming to advance policy, research, and practice in agroforestry and urban forestry.

Dynamic Coalition Formation among IoT Service Providers: A Systematic Exploration of IoT Dynamics Using an Agent-Based Model

This paper introduces an Agent-Based Model (ABM) designed to investigate the dynamics of the Internet of Things (IoT) ecosystem, focusing on dynamic coalition formation among IoT Service Providers (SPs). Drawing on insights from our previous research in 5G network modeling, the ABM captures intricate interactions among devices, Mobile Network Operators (MNOs), SPs, and customers, offering a comprehensive framework for analyzing the IoT ecosystem’s complexities. In particular, to address the emerging challenge of dynamic coalition formation among SPs, we propose a distributed Multi-Agent Dynamic Coalition Formation (MA-DCF) algorithm aimed at enhancing service provision and fostering collaboration. This algorithm optimizes SP coalitions, dynamically adjusting to changing demands over time. Through extensive experimentation, we evaluate the algorithm’s performance, demonstrating its superiority in terms of both payoff and stability compared to three classical coalition formation algorithms: static coalition, non-overlapping coalition, and random coalition. This study significantly contributes to a deeper understanding of the IoT ecosystem’s dynamics and highlights the potential benefits of dynamic coalition formation among SPs, providing valuable insights and opening future avenues for exploration.

Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries.

To describe the needs for subacute inpatient rehabilitation and community-based healthcare services, rehabilitation, and social support in patients with moderate-to-severe traumatic injury in the first 6 months post-injury. Further, to explore associations between sociodemographic and clinical characteristics and unmet needs. Multicentre prospective cohort study. Of 601 persons (75% males), mean (standard deviation) age 47 (21) years, admitted to trauma centres in 2020 with moderate-to-severe injury, 501 patients responded at the 6-month follow-up and thus were included in the analyses. Sociodemographic and injury-related characteristics were recorded at inclusion. Estimation of needs was assessed with the Rehabilitation Complexity Scale Extended-Trauma and the Needs and Provision Complexity Scale on hospital discharge. Provision of services was recorded 6months post-injury. Multivariable logistic regressions explored associations between baseline variables and unmet inpatient rehabilitation and community-based service needs. In total, 20% exhibited unmet needs for subacute inpatient rehabilitation, compared with 60% for community-based services. Predictors for unmet community-based service needs included residing in less central areas, profound injury severity, severe head injury, and rehabilitation referral before returning home. Inadequate provision of healthcare and rehabilitation services, particularly in the municipalities, resulted in substantial unmet needs in the first 6 months following injury.

Projected future climatic forcing on the global distribution of vegetation types.

Most emissions scenarios suggest temperature and precipitation regimes will change dramatically across the globe over the next 500 years. These changes will have large impacts on the biosphere, with species forced to migrate to follow their preferred environmental conditions, therefore moving and fragmenting ecosystems. However, most projections of the impacts of climate change only reach 2100, limiting our understanding of the temporal scope of climate impacts, and potentially impeding suitable adaptive action. To address this data gap, we model future climate change every 20 years from 2000 to 2500 CE, under different CO2 emissions scenarios, using a general circulation model. We then apply a biome model to these modelled climate futures, to investigate shifts in climatic forcing on vegetation worldwide, the feasibility of the migration required to enact these modelled vegetation changes, and potential overlap with human land use based on modern-day anthromes. Under a business-as-usual scenario, up to 40% of terrestrial area is expected to be suited to a different biome by 2500. Cold-adapted biomes, particularly boreal forest and dry tundra, are predicted to experience the greatest losses of suitable area. Without mitigation, these changes could have severe consequences both for global biodiversity and the provision of ecosystem services. This article is part of the theme issue 'Ecological novelty and planetary stewardship: biodiversity dynamics in a transforming biosphere'.