Total Service Research Articles

Sustainability of the Service Sector of India

The paper examined the linear and non-linear trends of the share of the service sector as a percentage of GDP in India during 1960-2021 using the Regression Analysis and the Hamilton Regression Filter Model. It also studied the relationship between the service sector share and FDI, trade, total debt service and Inflation in India during 1970-2021. The paper verified the convergence of net state value added in services of Indian states from 2004/05-2021/22. The paper found a significant upward linear trend, and in nonlinear cases, the share of the services showed cycles, cyclical trends and seasonal variations. The share of the service sector positively affects trade, total debt service, inflation of the economy and FDI. The net state value added in services showed significant Sigma convergence and insignificant Beta convergence from 2004/05- 2021/22.

The Influence of Total Service Quality Strategy (TQS) and Pharmacy Service Quality on Patient Satisfaction and Patient Family Involvement in the Blud Pharmacy Installation at Tamiang Layang Regional General Hospital, East Barito Regency

The Influence of Total Service Quality Strategy (TQS) and Pharmacy Service Quality on Patient Satisfaction and Patient Family Involvement in the BLUD Pharmacy Installation at Tamiang Layang Regional General Hospital, East Barito Regency. This study aims to examine the influence of Total Service Quality Strategy (TQS) and Pharmacy Service Quality on Patient Satisfaction and Patient Family Involvement as intervening variables in the Family of Patients Installed in the BLUD Pharmacy Installation at Tamiang Layang Regional General Hospital, East Barito Regency. The population in this study was 118 people, data was taken from questionnaires distributed to respondents. Data were analyzed using SmartPLS Version 3. The results of the study explained that the Total Service Quality Strategy (TQS) had a positive and significant effect on patient satisfaction, Pharmacy Service Quality had a positive and significant effect on patient satisfaction, the Total Service Quality Strategy (TQS) had a positive and significant effect on patient family involvement, Pharmacy Service Quality has a positive and significant influence on patient family involvement, Patient satisfaction has a positive and significant influence on patient family involvement, patient satisfaction mediates the influence of Total Service Quality Strategy (TQS) on patient family involvement, Patient satisfaction mediates the influence of service quality pharmacy towards the involvement of patient families in the BLUD pharmacy installation at Tamiang Layang Regional General Hospital, East Barito Regency.

DISP-06. EXAMINING THE INFLUENCE OF NEUROSURGICAL ONCOLOGY PROVIDER ACCESS ON DIFFUSE GLIOMA SURVIVAL OUTCOMES: A NATIONWIDE COUNTY-LEVEL APPROACH

Abstract Neuro-oncology as a field has markedly improved understanding of the molecular underpinnings of brain cancer, yet fundamental concepts driving patient outcomes such as access to neuro-oncology subspecialty care remain poorly understood. The aim of this study was to determine the density of neuro-oncologist in the US and correlate disease-specific mortality with provider density. The data was calculated from two national data registries: Centers for Medicare & Medicaid Services (CMS) and Surveillance, Epidemiology, and End RESULTS: (SEER) database. Linear regression modeled three primary outcomes of interest: neurosurgical oncologist per capita, average distance to subspecialist care, and incidence-based mortality of diffuse glioma. Neurosurgical oncologists were classified as providers who billed for CPT code “61510” with at least 10 total services per year over the 5-year duration. In the US, a total of 113 catchment areas were constructed. Mean number of subspecialty providers per capita was 1.80 and the average distance traveled to the nearest provider across the US was 49.9 miles (range 5–151 mi). The mean age-adjusted incidence-based mortality rate among all catchment areas represented was 5.42 deaths per 1000 person-years. Catchment areas with a higher average income were associated with a greater number of subspecialty providers (95% CI 2.13 to 3.44, p < 0.027). Among all US regions, there was no correlation between mortality and provider density or average distance to care. However, Hispanic ethnicity displayed highest incidence-based mortality (r = 0.601, 95% CI -5.02 to -0.944, p < 0.0051). US regions associated with higher poverty and lower average income were associated with greatest mortality (r = 0.45, p < 0.0058). This population study illustrates differences in provider density throughout the United States. Additional research is needed to devise strategies that ensure equitable geographic access in order to optimize patient care and reduce disease burden.

Examining the Relationship Between Screening for Postpartum Depression and Associated Child Health Service Utilization and Costs: A Study Using the All Our Families Cohort and Administrative Data

IntroductionDespite a recognized association between maternal postpartum depression (PPD) and adverse child health outcomes, evidence examining the relationship between PPD symptoms and associated child health service utilization and costs remains unclear. In addition, there is a paucity of evidence describing the relationship between early identification of maternal PPD and associated health service utilization and costs for children. This study aims to address this gap by describing the secondary associations of screening for maternal PPD and annual health service utilization and costs for children over their first five years of life.MethodsMothers and children enrolled in the prospective All Our Families cohort were linked to provincial administrative data in Alberta, Canada. Multivariable generalized linear models were used to estimate the average annual inpatient, outpatient, physician, and total health service utilization and costs from a public health system perspective for children of mothers screened high risk for PPD, low/moderate risk for PPD, or unscreened.ResultsTotal mean costs were greatest for children during their first year of life than other years. Those whose mothers were not screened had significantly lower costs compared to those whose mothers were screened low/moderate risk, despite equivalent health service utilization.DiscussionFindings from this study describe the secondary associations of screening for maternal PPD using a public health system perspective. More research is required to fully understand variations in health costs for children across maternal PPD screening categories.

Evaluating urban park ecosystem services and modeling improvement scenarios

Three ecosystem services of the 25 public parks in Bangkok, including carbon sequestration, avoided runoff, four air pollutant removals (CO, NO2, PM10, and PM2.5), and the relevant monetary values, were determined using i-Tree Eco software. Two modeling scenarios (MS) including MS1 (no greening improvement) and MS2 (improvement by increasing either green area or tree planting, or both in the parks) with tree annual mortality rates (AMR) of 1 and 3% were developed to forecast the parks' ecosystem services for 50 years after 2020 (2021–2071). The results revealed the synergistic interactions of the different tree planting specifications (MS1 and MS2) and tree mortality rates on the parks' ecosystem services. For MC2 with the assigned 1% AMR, the parks’ optimal ecosystem services were obtained and the average annual monetary value (0.55 million USD) of the total ecosystem services of the 25 parks over the 50-year forecast was 150% higher than that (0.22 million USD) in 2020. Based on MS1 and MS2, tree rotations should be conducted in the parks after 2057 and 2065, respectively, for the low tree AMR (≤1%) but not later than 2041 and 2043, respectively, for the higher tree AMR.

Cooperative Computing Offloading Scheme via Artificial Neural Networks for Underwater Sensor Networks

Aiming at the problem of being unable to meet some high computing power, high-precision applications due to the limited capacity of underwater sensor nodes, and the difficulty of low computation power, in this paper, we introduce the edge servers, known as base stations for underwater sensor nodes, and propose a scheme to process the computational tasks based on coalition game theory. This scheme provides functions such as cooperation among different base stations within the coalition, the smart division of tasks, and efficient computational offloading. In order to reduce the complexity of the algorithm, the artificial neural network model is introduced into the method. Each task is divided into sub-parts and fed to an artificial neural network for training, testing, and validation. In addition, the scheme delivers the computed task from base stations back to sink nodes via a shortened path to enhance the service reliability. Due to the mobility of the base station in the ocean, our proposed scheme takes into account the dynamic environment at the same time. The simulation results show that, compared with the existing state-of-the-art methods, the success rate of our proposed approach improves by 30% compared with the Greedy method. The total service time of our proposed approach decreases by 12.6% compared with the Greedy method and 31.2% compared with the Always-Migrate method.

Evaluating the impact of land use and land cover changes on forest ecosystem service values using landsat dataset in the Atwima Nwabiagya North, Ghana

This study investigated land use and land cover (LULC) changes and its impact on forest ecosystem service values for 20 years in the Atwima Nwabaiagya North District using Landsat images of 2002, 2012 and 2022. Supervised classification with Maximum Likelihood Algorithm was used to classify the Landsat images. Five LULC types (high-dense forest, low-dense forest, water, bare-ground, and Built-up area) were successfully classified, with overall accuracies of 99.0 % and Kappa coefficients of 0.99. The result of the study showed a reduction of high-dense forest to 23.87 %, low-dense forest to 26.53 %, and water areas as 1.16 % whereas built-up (21.44 %) and bare-ground (27 %) experienced an expansion in their land areas. Related literatures and ecological assets value table with adjusted price value were used to evaluate ecosystem service values in response to LULC changes. The study discovered that ecosystem service value for high and low-dense forests have declined from USD 22.68 million and USD 8.75 million to USD 14.56 million and USD 5.2 million respectively. The overall total ecosystem service value declined by USD 33.73 million in 2002 to USD 21.91 million in 2022. It was revealed that the most notable feature to changes in forest ecosystem service values was the expansion of built-up and bare-grounds. There is a need to curb the current drivers of LULC changes in the Atwima Nwabiagya North to stop further forest degradation for optimum delivery of forest ecosystem service values in the district. For land use planners and decision makers who need site-specific information on the effects of LULC alterations on values of forest ecosystem services, the study's findings are essential. This will make it easier to track past environmental changes and obtain quick, accurate results for use in decision-making.

Cruising to Success: Unveiling the Financial Harmony of Container Shipping Firms through Total Quality Management and Service Excellence

Background: This paper revolves around a meticulous exploration aimed at discerning the impact of total quality management (TQM) and service quality (SQ) practices upon the financial performance (FP) of firms within the container shipping industry. Our pursuit extends further, delving into the intricacies of SQ as a potential mediating factor in the TQM–FP relationship. This distinctive study investigated six TQM practices in conjunction with five SQ factors, analyzing their impact on firm FP. Methods: This study used a quantitative research approach. Data were collected through a structured questionnaire from logistics specialists and experts in the shipping field. Results: The findings were interesting and showed that two TQM practices—managerial leadership and employee involvement—have a significant positive effect on SQ levels, and one SQ dimension, namely responsiveness, has the biggest and most significant effect on the FP of container shipping companies. Furthermore, SQ mediates the relationship between TQM and FP. Conclusions: This study provides a theoretical contribution by developing a conceptual model that elucidates the correlation between TQM practices and the degree of SQ on the FP of container shipping firms. Moreover, this study provides managers with a tool for identifying, prioritizing, and improving key TQM and SQ practices that contribute significantly to financial success.

The Influence Of Total Quality Management And Service Innovation On The Quality Of Skkh-Skphh Service Department Of Food Security And Livestock, Kediri Regency

This research aimed to know the influence of total quality management and service innovation on service quality at Dinas Ketahanan Pangan and Peternakan Kabupaten Kediri. This research is quantitative. The method used in this research were interviews, questionnaires, and library studies. The populations in this research were 36 respondents and the samples used in this research were also 36 respondents. The sampling technique used was census sampling. The sample in this research consisted of two types of respondents, namely 36 employees and 36 customers. The data analysis method used was multiple linear regression. This technique is used to determine the influence of total quality management (TQM) and discipline to service quality. The result showed that total quality management (TQM) and service innovation have a significant influence either simultaneously or partially on the quality of service at Dinas Ketahanan Pangan and Peternakan Kabupaten Kediri. So the hypothesis could be acceptable. The variable most dominant influence is the service innovation.

Post-natal care: a vital chance to save mothers and infants! Exploring barriers and factors associated with it: a mixed study.

The most effective maternal health intervention for enhancing mother and baby survival is postnatal care, yet it is also the most neglected service in Ethiopia. Less is known about postnatal care despite earlier studies concentrating on pregnancy and delivery service utilization. Postnatal care is the subject of few national and local area studies. Therefore this research aims to evaluate postnatal care utilization and barriers and associated characteristics among women in Ilubabor Zone and Buno Bedele Zone. A mixed-methods study involving women who visited immunization clinics was conducted in Southwest Ethiopia. For the quantitative part, a cross-sectional survey was conducted between June 12 and July 12, 2022. The data collected through interviews was analyzed using SPSS version 26. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) and p-value was constructed to evaluate the associations between postnatal care service utilization and explanatory variables. The usage of postnatal care services was determined to be significantly correlated with explanatory variables in multivariable logistic regression with a p-value less than 0.05. This qualitative study used two focused group discussions and two in-depth interviews to gather data from purposely selected mothers, and thematic analysis was used to analyze the data. A total of 422 participants with a 100% response rate were included in the analysis. 234 (55.5%) of these underwent postnatal checks. In the quantitative section, postnatal care counseling and appointment setting, counseling on danger signs, and prior postnatal care utilization all demonstrated a statistically significant association with the use of postnatal care services (AOR = 3.6, 95% CI (1.47-7.23)), [AOR = 2, 95% CI (1.05-3.64)], and [AOR = 3, 95% CI (1.36-58), respectively). At the qualitative level, it was determined that the themes of knowledge and access were obstacles to the use of postpartum care services. Generally this study revealed that the Ilubabor Zone and Buno Bedele Zone have a poor total PNC service utilization rate. Furthermore, ignorance, conventional wisdom, religious activity, distance from facilities, environmental exposure, and waiting time were identified as barriers to postnatal care service utilization. To optimize this service, all parties involved should address these factors.

Light grazing intensity enhances ecosystem services in semi-arid grasslands through plant trait associations

Grasslands provide multiple ecosystem services (ESs) including provisioning, regulating, supporting, and cultural services that are largely affected by livestock grazing. Linking plant functional traits (PFTs) to ecosystem processes and functions has attracted extensive ecological research to explore the responses and inter-relations of ecosystem services to environmental and management changes. However, little information is available on the links between PFTs and ESs in most ecosystems. We conducted a grazing experiment to investigate the response of PFTs at different levels, including in plant organs (leaves and stems), individual plants, and the overall community in a typical steppe region of Inner Mongolia. Additionally, we examined the effect of animal grazing at four intensities (nil, light, moderate, and heavy) and explored the dynamic interconnections between PFTs and ecosystem services in grasslands. Our analysis revealed that the highest total ecosystem service and provisioning service were achieved under light- and moderate-grazing treatments, respectively. Heavy grazing also increased provisioning service but with a large decline in regulating and total ecosystem services. These changes in ESs were closely associated with grazing-induced variations in PFTs. Compared to no grazing, light grazing increased plant size-related functional traits, such as height, leaf length, leaf area, stem length, and the ratio of stem length to diameter. In contrast, heavy grazing decreased these PFTs. Provisioning and regulating services were determined by plant above-ground community function and structural properties, while supporting service was jointly affected by the below-ground community and soil properties. Our results indicate that light grazing should be recommended for the best total ESs, although moderate grazing may lead to high short-term economic benefits. Moreover, PFTs are powerful indicators for provisioning and regulating services. These findings provide a valuable reference for developing effective management practices to achieve targeted ESs using PFTs as indicators.

Exploring the historical and future spatial interaction relationship between urbanization and ecosystem services in the Yangtze River Basin, China

Diagnosing the spatial interaction between urbanization and ecosystem services (ES) is of guiding significance for regional sustainable development. The complex spatial interactions mechanism between different types of urbanization and ES during historical and future periods were rarely explored at the whole watershed scale. To fill this gap, we systematically evaluated, predicted and compared the complex spatial interaction relationship between different types of urbanization and ES in the Yangtze River Basin (YRB) during 1990–2019 and in 2050 under different Shared Socioeconomic Pathways (SSPs) and Representative Concentration Pathways (RCPs) scenarios. Results showed that economic and land urbanization in the YRB will increase sharply during 1990–2050, while the population urbanization will drop slightly during 2019–2050. More than 59% of the YRB will experience an increase in total ecosystem services (TES) in SSP1-2.6 and SSP2-4.5 scenarios during 2019–2050. The average coupling coordination degree (CCD) between urbanization and TES in the YRB ranged 0.16–0.61 during 1990–2050, with a gradual increase from severe uncoordinated to basic coordination, and experienced a transition from lagging urbanization to lagging TES. More than 64% and 38% of the YRB will achieve strong decoupling between economic and population urbanization and TES during 1990–2050, respectively, which largely occur in the upper reaches, while over 34% of the YRB belong to weak decoupling between land urbanization and TES except for SSP1-2.6, which cluster in the middle and lower reaches. Moreover, we found that SSP1-2.6 will be the most promising scenario to achieve a win-win situation between different types of urbanization and TES, while prominent conflict between them will likely emerge in SSP5-8.5 scenario. The findings can contribute to further understanding the spatial interaction relationship between urbanization and ES, and provide support for ecosystem protection and sustainable urban planning.

Developing a composite index for urban ecosystem services (Hyrcanian forests-Gorgan).

The current era has been termed the "Anthropocene," because of the irreversible impact of human activities. Land use change and urban growth are examples of these disturbances leading to the reduction in many ecosystem services (ESs). The subject of this study, Gorgan, has undergone significant changes that significantly affected the area. Studying these changes and understanding their effects on the ecosystem is essential. An integrated method was used to investigate the process of changing the urban ESs over 35 years, considering the physical and ecological characteristics of the area. This marks the first time such a study has been conducted using the hexagonal unit. Then, the composite total ecosystem services (TESs) index was calculated from the modeled and quantified combination of six ESs, including water yield, flood volume, net primary production, soil retention, carbon sequestration, and air pollution removal. Thereafter, the ESs were mapped and evaluated across time and space. The TES is proposed as an appropriate measure for quantifying ES supply and can indicate the overall function of ESs. According to the findings, the TES value declined from 0.427 in 1985 to 0.247 in 2005 and declined to 0.192 in 2020. Moreover, the Hyrcanian forests were the main source of the highest TES in Gorgan city, whereas urban areas had the lowest levels. The shortage of ESs in the study area has resulted in various crises. These include reduced air quality, heightened flood risk, soil erosion, and ecological imbalances in urban regions. Integr Environ Assess Manag 2024;20:465-480. © 2023 Society of Environmental Toxicology & Chemistry (SETAC).

Estimating Environmental and Economic Impacts of Hermetic Bag Storage Technology

Hermetic bag storage is a growing innovative technology that can effectively mitigate insect activity in stored grain and preserve quality without pesticides. This study aimed to estimate the environmental and economic impacts of hermetic storage bags as the basis for the sustainable adoption of the technology. This study demonstrated an approach to estimate the environmental impact of using hermetic bags and their superior economic benefits for storing maize at the 1-ton scale over three years. The life cycle assessment (LCA) of six commercially available hermetic bags (AgroZ®, GrainPro, Storezo, ZeroFly®, Elite, and PICS™) from cradle to grave was evaluated and compared using the Sustainable Minds LCA software. The gas barrier liners were analyzed for structure and polymer composition using confocal microscopy and Raman spectroscopy. The results showed that bag manufacturing had the highest environmental impact contribution, with 84.6% to 90.8% of the total impacts (mPt). The carbon footprint contribution of the total service life delivered for one hermetic bag ranged from 1.1 to 1.7 kg CO2eq. The economic benefits of using hermetic bags were calculated and compared with traditional storage bag methods for one smallholder farmer using ten (10) hermetic bags storing 100 kg/bag (1 ton) of maize. The results found that using hermetic bags exhibited the highest profit of 1130 USD when used for nine months over three years, while storage loss was maintained at less than 1%.

The contribution and influence of total external debt, FDI, and HCI on economic growth in Indonesia, Thailand, Vietnam, and Philippines

The goal of this research is to ascertain how much foreign debt, foreign investment, and HCI have contributed to the growth of the economies of the four ASEAN nations. This research uses the Panel Vector AutoRegression Model (PVAR). The PVAR method is a method used to analyze the relationship between several variables that change over time. This method combines two approaches, namely Vector Autoregression (VAR) and panel data. The type of data used in this research is secondary data, an annual time series with a time range from 2000 to 2020 for all cross-section variables taken from four countries in ASEAN, namely Indonesia, Thailand, Vietnam and the Philippines. The World Bank provided the data for this study. The variables examined in this study are GDP, total foreign debt, foreign debt, FDI, and HCI which are represented by education and health variables. From this study, we find that the relationship between variables varies, such as gross domestic product which has a significant negative relationship with FDI but has a significant positive relationship with debt service. In addition, there is a significant and negative relationship between GDP and total foreign debt, GDP is also negatively and significantly related to education and health variables, which means that GDP is also negatively and significantly related to HCI. It can be concluded that in the four countries we studied, an increase in debt service will increase people's consumption capacity which will lead to an increase in economic growth, but in this study total foreign debt and debt service have a negative relationship with gross domestic product. This research shows that foreign direct investment (FDI) has a significant positive relationship with the gross domestic product (GDP) of ASEAN member countries, especially Indonesia, Thailand, Vietnam and the Philippines. Therefore, it is recommended that the governments of ASEAN member countries jointly determine foreign investment policies and manage their foreign debt to increase economic growth in the Southeast Asia region. In addition, it is recommended that the governments of ASEAN member countries pay more attention to their fiscal policies, because increasing debt service costs can reduce economic growth. This can be seen when there is a surge in foreign debt which is disproportionate to the ability to pay ASEAN member countries.

Determinants of intra‐COMESA trade in services

AbstractThis paper analyzes intra‐Common Market for Eastern and Southern Africa (COMESA) trade in services by establishing its determinants and exploring the role of trade facilitation on the same. The study relies on the Poisson Pseudo Maximum Likelihood (PPML) estimator of the gravity model on bilateral services trade data for total services and eight categories of services in 17 COMESA countries from 2005 to 2019. Results reveal that several factors determine intra‐COMESA services trade, the salient ones being GDP (exporter's and importer's), distance, contiguity, and time zone differences. Trading under a service‐specific trade agreement affects a few services: transport and other business services exports. The effect is positive for transport services and negative for other business services exports. Trade facilitation measures, especially broadband technologies, significantly improve services trade across various sectors. A key policy implication of our results is that service trade is more likely to grow through digital, information, and communication infrastructure development. Thus, policy should prioritize increasing access and usage of broadband technologies.

Advancing spatial decision-making in a transboundary catchment through multidimensional ecosystem services assessment

Global change has led to significant impacts on ecosystem services, posing a threat to the livelihoods of local communities worldwide. It is essential to assess these services to integrate them into regional planning, and policy design. We conduct ecosystem services assessments to inform spatial decision-making in a transboundary catchment. We focus on Mira-Mataje (11617 km2) transboundary catchment as an example of a natural unit, rich in natural resources that hosts an important cultural heritage of Indigenous and Afro-descendant ethnic groups.We utilize three dimensions to evaluate ecosystem services: Firstly, the monetary dimension; secondly, the biophysical relevance, including current pressures and future threats; and thirdly, the social dimension. We combine globally available economic and remotely sensed datasets with the spatial ecosystem services modeling and mapping tool, Co$tingNature, and local knowledge and worldviews from community leaders.Our results show that the total valuation of ecosystem services in the catchment is USD 2013344397 per year, with pixel values ranging from 3.7 to 4905783. High values concentrated near cities and main roads. We found that monetary values and current pressures on ecosystems services are correlated to total potential services for the entire catchment (-0.58 and −0.4 respectively). In addition, with our multidimensional assessment, we distinguish areas that require different types of management due to their specificities. For instance, the Awá territories hosts the largest total potential services, and will face greater threats in the future. This demonstrates the community's capacity to maintain the natural resources, but a more efficient control of illegal and unsustainable external activities is necessary. Afro-descendant territories on the highlands show overexploitation of its natural resources. Territories and land ownership must be recognized and to promote the transition to sustainable production. We provide advances in the research on the services valuation for potential integration into differentiated regional planning and sustainable policies.

Rising use of diagnostic imaging in Australia: An analysis of Medicare-funded radiology services between 2000 and 2021.

The use of diagnostic imaging services is increasing worldwide. This has important impacts on healthcare resource allocation and potential risks to the population. This study aimed to quantify trends in medical imaging in Australia over the past two decades. Data were extracted from the Australian Medicare Benefits Schedule (MBS) between 2000 and 2021. Simple linear regression analyses were performed to assess changes in absolute utilisation and utilisation rate per 100,000 population of total imaging services as well as by each imaging modality. Logistic regression analysis was performed to assess changes in total imaging services as a proportion of total Medicare services over time. Chi-squared test was used to assess for change in modality composition of imaging services. There were 436,255,500 imaging studies performed between 2000 and 2021. The absolute utilisation of total imaging services increased annually by an average of 864,404 (95% CI: 808,235-920,573, p < 0.001). For each consecutive year, the proportion of total Medicare services attributed to total imaging services increased by 0.01% (95% CI: 0.01-0.01, p < 0.01). There was also a statistically significant increase in the utilisation rates of imaging services per 100,000 population for each imaging modality. The number of imaging services per radiologist increased on average by 74 (95% CI: 26-122, p < 0.05) annually. The utilisation of diagnostic imaging services has increased in Australia between 2000 and 2021, outpacing the population growth, total healthcare services, and the radiologist workforce.

376 Impact of total care pharmacy services provided by a health system specialty pharmacy on long-term medication adherence in peoplewith cystic fibrosis

376 Impact of total care pharmacy services provided by a health system specialty pharmacy on long-term medication adherence in peoplewith cystic fibrosis

IMPACT OF COVID - 19 PANDEMIC ON WOMEN STREET VENDORS WITH SPECIAL REFFERENCE IN COIMBATORE CITY

In developing countries like India, the informal sector including street vending absorbs the majority of the urban unemployed growing labour force. It creates a wide employment opportunity; it is a means for income generation for the marginalized groups, and the urban poor especially for those who migrate from the rural area. However, despite its increasing importance in the total economy(especially for urban poor in the city), policies, regulations, services, infrastructure facilities and institutional support programme are not available for the street vending and the environment under which the vendor operate their business are not suitable for their health and wellbeing. In addition to this, there is no proper attention, which is given to street vending by policy makers, decision makers, and planners. Currently, there is even strong negative measures and view prevailing against street vending both by the local government and by the formal business operators. In addition, street vendors face many problems in the course of running their activities. It is therefore, the focus of this study is to assess the survival of street vendors During covid-19 in Coimbatore City.