Academic literature on the topic 'Barriers to service access'

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Journal articles on the topic "Barriers to service access"

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Puckett, Lisa Morrison. "Barriers to access." International Social Work 48, no. 5 (September 2005): 621–31. http://dx.doi.org/10.1177/0020872805055327.

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Despite the small size of the Polish Romani population, the status and treatment of this group deserve special attention. This descriptive study identifies potential disconnects between the Roma and social services in the community and suggests practices to strengthen the connections between the marginalized Roma and the social service community. French Nonobstant la faible population Roma en Pologne, le statut et le traitement accordé à ce groupe mérite l'attention. Cette étude descriptive identifie des coupures potentielles entre les Roma et les services sociaux dans la communauté et suggère des pratiques visant à renforcer les liens entre les Roma marginalisés et les services sociaux. Spanish A pesar de la pequeña población de los Roma en Polonia, el estatus y tratamiento de este grupo merece especial atención. Este estudio descriptivo identifica la potencial desconexión entre los Roma y los servicios sociales en la comunidad; y sugiere prácticas para fortalecer las conexiones entre los Roma marginalizada y los servicios sociales comunitarios.
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Norman, Wendy V., Barbara Hestrin, and Royce Dueck. "Access to Complex Abortion Care Service and Planning Improved through a Toll-Free Telephone Resource Line." Obstetrics and Gynecology International 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/913241.

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Background. Providing equitable access to the full range of reproductive health services over wide geographic areas presents significant challenges to any health system. We present a review of a service provision model which has provided improved access to abortion care; support for complex issues experienced by women seeking nonjudgmental family planning health services; and a mechanism to collect information on access barriers. The toll-free pregnancy options service (POS) of British Columbia Women’s Hospital and Health Centre sought to improve access to services and overcome barriers experienced by women seeking abortion.Methods. We describe the development and implementation of a province-wide toll-free telephone counseling and access facilitation service, including establishment of a provincial network of local abortion service providers in the Canadian province of British Columbia from 1998 to 2010.Results. Over 2000 women annually access service via the POS line, networks of care providers are established and linked to central support, and central program planners receive timely information on new service gaps and access barriers.Conclusion. This novel service has been successful in addressing inequities and access barriers identified as priorities before service establishment. The service provided unanticipated benefits to health care planning and monitoring of provincial health care related service delivery and gaps. This model for low cost health service delivery may realize similar benefits when applied to other health care systems where access and referral barriers exist.
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Rodríguez-Echeverría, María Alejandra, and Angélica María Páez-Castro. "Access barriers to visual health." Ciencia & Tecnología para la Salud Visual y Ocular 16, no. 1 (March 20, 2018): 95–109. http://dx.doi.org/10.19052/sv.5057.

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A number of factors and conditions hinder and restrict access to the health care system and its different services; these barriers to access put at risk the health of people by affecting adequate processes. Objective: To carry out a literature review on barriers to access to the health care system and visual health services in Colombia and around the world. Methodology: A literature review was carried out based on a search of the Medline, ScienceDirect, and Pubmed databases, as well as indexed public health journals and the websites of the Local Health Authority, the World Health Organization, the Pan American Health Organization, the UNESCO, and the Brien Holden Vision Institute. Results: The main barriers related to demand, both in general services and in visual health, are the lack of perception on the need for service and lack of economic resources; at the offer level, the existing policies constitute a real obstacle. Conclusions: Awareness-raising in the population, together with the implementation of health policies that grant equal access to health care services, are fundamental to prevent people from being affected, to a large extent, by barriers related to demand or offer, regardless of their location or level of income.
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Hawley, Pippa. "Barriers to Access to Palliative Care." Palliative Care: Research and Treatment 10 (January 1, 2017): 117822421668888. http://dx.doi.org/10.1177/1178224216688887.

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Despite significant advances in understanding the benefits of early integration of palliative care with disease management, many people living with a chronic life-threatening illness either do not receive any palliative care service or receive services only in the last phase of their illness. In this article, I explore some of the reasons for failure to provide palliative care services and recommend some strategies to overcome these barriers, emphasizing the importance of describing palliative care accurately. I provide language which I hope will help health care professionals of all disciplines explain what palliative care has to offer and ensure wider access to palliative care, early in the course of their illness.
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Sangeetha and Lakshmana Govindappa. "Service Providers' Perception of Barriers to Access Mental Health Services." Indian Journal of Psychiatric Social Work 10, no. 1 (January 26, 2019): 3. http://dx.doi.org/10.29120/ijpsw.2019.v10.i1.124.

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Stefaniak, Joanna. "Barriers for service providers in the EU internal market." Współczesna Gospodarka, no. 1 (April 18, 2018): 1–10. http://dx.doi.org/10.26881/wg.2018.1.01.

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The free provision of services in the European Internal Market is still being prevented from coming into fruition by serious obstacles. The crucial step to the elimination of barriers and liberalization of market access for service providers was to be the implementation of the Services Directive in 2009. However, the provision of services across the EU is still subject to restrictions stemming mostly from differences in the Member States’ national regulations and, therefore, service providers cannot exploit the potential of the EU Internal Market to the full extent. The aim of the paper is to identify barriers preventing service providers from free access to the European Internal Market and to present the most important ones. The paper is based on an analysis of the literature, especially of documents and reports of the EU institutions and other European research bodies. The obstacles facing service providers in the European Internal Market are mainly of a regulatory nature. The most significant ones include differences in legislation and a lack of initiative to simplify it, problems with access to information, differences in the recognitionm of qualifications resulting in restrictions on access to service activities, divergent and disproportionate regulations of service professions and, last but not least, problems with civil liability insurance for service providers.
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Zuza, Ines, Beatriz Pérez Bernabé, Sanjay Kumar, Sophie Woodhead, Eleanor Rogers, Jose Luis Alvarez Moran, and Clara Ituero. "Gender-Related Barriers to Service Access and uptake in nutrition programmes." World Nutrition 8, no. 2 (December 8, 2017): 251. http://dx.doi.org/10.26596/wn.201782251-260.

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Background Approximately 17 million children under five years suffer from Severe Acute Malnutrition (SAM). Although the most frequent barriers to service access in Community Management of Acute Malnutrition (CMAM) programmes have already been identified, there has been no analysis of the relationship between gender-related barriers and access to treatment. Approach The main objective is to review the key gender barriers to service access and uptake of treatment in CMAM programmes based on evidence gathered from coverage assessments carried out in Sub-Saharan Africa and Asia. A retrospective review of twenty-five coverage assessments was undertaken in 2013. Main findings Gender-related barriers were detected in 24 of the 25 coverage assessments. The main barriers detected were related to traditional gender roles: Women busy with duties (27.8%) followed by men control household expenditures and decision-making in the family (16.7%) and women sick (15.3%). Principal conclusions Gender-related barriers are present in the majority of the nutrition programs, so if the aim is universal coverage, gender should be considered during the coverage assessment Initiatives contributing to gender equality would contribute to overcoming coverage barriers in CMAM programmes The traditional use of the CMAM model considered gender with regards to the impact that the intervention could have on gender relations. However gender is now shown to also be a key factor contributing to poor nutrition. Further research and assessments should include Gender Based Violence as a single barrier, or as a component of other barriers
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Schiwal, Alex T., and Elizabeth B. Fauth. "BARRIERS AND SOLUTIONS TO IMPROVE AGE-RELATED SERVICE ACCESS IN UTAH: A QUALITATIVE STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S884—S885. http://dx.doi.org/10.1093/geroni/igz038.3238.

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Abstract Utah is projected to be in the top 10 states for growth in the aging population, but it is among the most rural. Local and regional contexts guide policy and practice, and these perspectives will inform solutions as more older adults require services in rural and other under-served areas in the coming decades. Guided by Bronfenbrenner’s Process-Person-Context-Time model, this study used a qualitative participatory research orientation involving stakeholders in Utah’s aging service system in order to identify local barriers and solutions to accessing rural aging services. The stakeholders included service providers, caregivers, older adults, state-administrators, and other community members. There were 3 male and 7 female participants ranging in age from 40 to 80. Thematic analysis revealed that communities faced barriers common to rural areas (local service insufficiencies, distance and time concerns, systemic issues such as healthcare and ageism, finances - both personal and programmatic were deemed a recurrent barrier, in addition to transportation issues. However, participants reported assets in rural areas, such as a strong sense of belonging in the community and creative problem solving. Solutions for improving access to age-related services included strategies for making information more available, publicized, and centralized and increasing access to telehealth or internet-delivered services and health information. These barriers and solutions were nested across the levels of context in Bronfenbrenner’s model, with both person, time, and in interactions (processes) having influence, but localized analysis of the barriers is necessary to ensure that the solutions are appropriate in a specific context.
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Sweeney, Leigh-Ann, Leonard Taylor, and Michal Molcho. "Sex workers access to health and social care services: A social justice response." Irish Journal of Sociology 28, no. 3 (July 14, 2020): 333–48. http://dx.doi.org/10.1177/0791603520937279.

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This research explores service providers’ views on the barriers that prevent women in the sex work industry in Ireland from accessing co-ordinated health services. A purposive sample of eight service providers in the field of women’s health and social care in the West of Ireland were selected and interviewed for this study. The service providers were asked about their perception of the barriers of sex workers accessing health and social care services. Using thematic analysis, three key themes were identified: (1) lack of knowledge of women’s involvement in sex work; (2) identified barriers to health services; and (3) legislative and policy barriers to providing supportive services. While the service providers acknowledged that they do not knowingly provide services for sex workers, they all recognise that some of their service users are at risk of, and potentially are, involved in sex work. Yet, they were able to identify some of the barriers sex workers face when accessing their services. All these barriers were the result to the services’ limited capacity to support women engaging in sex work. At the time of data collection, the legislative context meant that selling sex under certain conditions was outside the law. This study highlights the consequences that criminalisation can have on the health of sex workers and the need for a paradigm shift in existing health and social care services. In this paper, we propose that a social justice rather than a criminal justice approach has the potential to address sex workers’ right to access appropriate health care. This paper gives due recognition to marginalised women, and advocates for better provision of services for women in the sex industry, while considering the new legislation of 2017.
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Zablotska, I., A. Frankland, J. Imrie, P. Adam, R. Westacott, P. Canavan, and G. Prestage. "Current issues in care and support for HIV-positive gay men in Sydney." International Journal of STD & AIDS 20, no. 9 (September 2009): 628–33. http://dx.doi.org/10.1258/ijsa.2008.008432.

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We explored current access to care among HIV-positive people in Australia. In 2006, 270 HIV-positive gay men from a community-based Positive Health cohort in Sydney were asked about their health (including medical and social) service needs and, subsequently, about difficulty in accessing services. We report the prevalence of specific needs, barriers and associated factors. Participants most commonly used general practitioners (64%) for HIV management and needed at least one HIV-related medical service (usually several: doctors experienced in HIV management, dentists and hospital pharmacies). Most participants were able to access them. Barriers in accessing services were related to their convenience rather than lack or quality. Cost emerged as a substantial barrier to dental care and psychological counselling (91% and 48% respectively of those in need). Need for an HIV-related social service was reported by 46% of respondents. Difficulties in accessing these related to poor services and staff attitudes. Income was associated with limited access to multiple services. In Australia, HIV-related medical service needs outweigh those for social services. Complex health services remain essential to HIV-positive people, but some services are currently not meeting their needs. To remain adequate, services need to understand and constantly adapt to the changing needs of HIV-positive people.
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Dissertations / Theses on the topic "Barriers to service access"

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Schiwal, Alexandra T. "Rural Aging: The Geographic Reach of Service Access in Utah, Identifying Barriers and Solutions." DigitalCommons@USU, 2019. https://digitalcommons.usu.edu/etd/7639.

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This dissertation includes two studies of rural age-related services in the state of Utah. The first study combines geospatial, demographic data (number of people over 55) and age-related services (hospitals, hospice providers, nursing homes, senior centers, and Areas Agencies on Aging) at the county level and census-tract level to determine localized differences in proportional access to age-related services. Higher and lower proportions are then predicted by contextual factors including rural/urban gradient, economic industry, and broadband access. Results demonstrate that broadband access was significantly associated with higher access to age-related services, but being a retirement destination (increase in people over 65 in county from 2000-2010) was associated with lower spatial access to age-related services. The second study involved in-depth interviews with stakeholders from communities across Utah, and qualitative analysis to identify specific barriers to age-related service access in their communities. This approach generated knowledge about challenges to accessing services and stakeholder-supported starting points and solutions for overcoming some of the identified barriers to age-related services in these communities. Taken together, the spatial data and responses from persons living and serving older adults in rural communities complement an understanding of facilitators and barriers to service access, paired with solutions.
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MacRae, Jayden. "Using a natural experiment to assess the effect of spatial barriers on health service utilization." Thesis, University of Canterbury. Geography, 2014. http://hdl.handle.net/10092/9346.

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The closure of the Manawatu Gorge in August 2011 caused a change in the travel time for patients living in the eastern area of the MidCentral Health District to their main hospital and health services located in Palmerston North. This presented an opportunity to study the effect a change in travel time and spatial access had on a population before and after such an event. This study used a retrospective cohort design, using routinely collected data from general practice, emergency department, hospital admissions and outpatient services. The investigation was completed using novel geospatial information systems methods to produce high fidelity data for analysis with free and open source software by developing and validating two new methods of improving geocoding data quality and a new travel time prediction model. Potential and realised spatial accessibility measures were calculated for 101,456 patients over 3.5 years while the gorge was both open and closed. Catchment sensitivity analysis and two-step floating catchment area using distance decays presented complimentary evidence of accessibility change during the Manawatu Gorge closure. Analysis of utilisation measures in both primary and secondary care were correlated with travel time. Utilisation of general practice services appeared to be negatively impacted by increased travel time when comparing realised accessibility in a control and intervention group during the gorge closure. It appeared as though other factors affected access to health services to a greater degree than an increase of up to fifteen minutes travel time.
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Finger, Robert [Verfasser]. "Barriers to Access Cataract Surgery Services in India / Robert Finger." Aachen : Shaker, 2006. http://d-nb.info/1170533736/34.

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Jamerson, Dianne. "Breast Cancer Disparities among African American Women Corresponding to Health Service Barriers." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5483.

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African American women tend to experience higher health disparities in cancer-related illness than any other female population in the United States. The purpose of this qualitative case study was to identify and examine access-related barriers that play a significant role in the decision-making process of this population when seeking breast cancer health services. The central research question explored the effect that barriers to health care have on African American women in the Southeastern region of the United States. Secondary research questions explored the role the Patient Protection and Affordable Care Act of 2010 has on improving access to affordable, quality breast cancer screening services for the sample population. A critical theory lens of racism and ethnicity provided conceptual framework for this case study. Significant findings identified barriers to accessing breast cancer related health services as personal, community, social, systemic, and institutional. Personal barriers identified were related to access, autonomy, and benefits of the Affordable Care Act. Social barriers corresponded to cultural, financial burden, funding, health conditions, insurance, role within the family self-discovery, and spirituality. Community barriers included access, advocacy, and autonomy. Systemic and institutional barriers consisted of doctor listening, doctor's rapport, doctor treatment, lack of trust, and benefits of the Affordable Care Act. Implications for social change included bringing awareness of the need to establish a Breast Cancer Resource Center in the region to engage this population in preventive measures, improve health outcome and reduce health disparities.
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Jallow, M., Melanie Haith-Cooper, Jae Hargan, and M.-C. Balaam. "A systematic review to identify key elements of effective public health interventions that address barriers to health services for refugees." Springer, 2021. http://hdl.handle.net/10454/18444.

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Yes
Aim: Refugees often face barriers to accessing health services, especially after resettlement. The aim of this study is to identify key elements of effective public health interventions that address barriers to health services for refugees. Methods: Key online databases were searched to identify studies published between 2010 and 2019. Six studies met the inclusion criteria: two qualitative, one quantitative and three mixed-methods studies. An adapted narrative synthesis framework was used which included thematic analysis for systematic reviews. Results: Five themes were identified: peer support, translation services, accessible intervention, health education and a multidisciplinary approach. Conclusion: These key elements identified from this review could be incorporated into public health interventions to support refugees’ access to health services. They could be useful for services targeting refugees generally, but also supporting services targeting refugee resettlement programmes such as the Syrian resettled refugees in the UK. Future research is needed to evaluate the impact of public health interventions where these elements have been integrated into the intervention.
The full-text of this article will be released for public view at the end of the publisher embargo on 23 Mar 2022.
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Ngobi, John Baptist. "Access Barriers to Reaching Human Immunodeficiency Virus Testing Services in Ottawa: Mixed Methods Study." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39635.

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Barriers to reaching human immunodeficiency virus (HIV) testing prevent Canada from achieving The Joint United Nations Programme on HIV and AIDS (UNAIDS) target of 90 percent of undiagnosed people living with HIV knowing their HIV status by 2020 and receive treatment.(1) Fourteen percent (9,090 of 63,100) of Canadians living with HIV were unaware of their status by the end of 2016.(1)(p.9)Individuals exposed to HIV through heterosexual contact are overrepresented (28%) among the undiagnosed people living with HIV in Canada compared to other groups, such as men who have sex with men (18%) and people who inject drugs (20%).(2)(par.15)The reasons preventing this population to present themselves for testing in Ottawa, Ontario, remain poorly understood in the literature. Most of the literature on barriers to accessing HIV testing focuses on the traditional key groups who are likely to test, and limits analysis of these barriers on one or two levels. Equally, health service providers rarely understand challenges behind HIV testing for particularly young heterosexual African migrant men. These challenges may be contributing key barriers to HIV testing. On other hand, late presentation to treatment remains a global issue. Psychosocial outcomes especially after a new positive diagnosis can delay reaching early treatment and prevention services. Indeed, all test results negative or positive have consequences. Even those with a new negative test can return to risk taking behaviour if they delay accessing prevention education. Yet no systematic study exists in this area essential for quality improvement. Programming more equitable HIV testing services will require more comprehensive evidence about challenges and barriers behind accessing HIV testing and treatment to achieve UNAIDS target of 90 percent of undiagnosed people living with HIV knowing their status and receive treatment. This research aimed to contribute to this evidence through two phases. Phase 1 used the Joanna Briggs Institute methods to implement a scoping review on psychosocial outcomes and their measurements immediately following a new HIV diagnosis. This review considered all participants who tested for HIV – whether their results were positive or negative, as any test results have consequences, and regardless of age, sex, or setting – reported in published articles between 2007 -to the present date. Paper 1 presents the scoping review. Phase 2 relied on a qualitative methodology using Grounded Theory informed by a socio-ecological framework and a framework of access to healthcare to understand experiences of accessing HIV testing services in two parts: 1) to examine barriers to reaching HIV testing among young heterosexual African migrants, focusing on young men, in Ottawa (Paper 2); and 2) to identify challenges experienced by health service providers who make accessible HIV testing services to this population in Ottawa (Paper 3). There is some ambiguity in the use of the terms “first generation immigrants” and “second generation immigrants” (or children of first immigrants). In this study, the term migrants referred to both. Selecting participants from both groups (first and second generation) was important to include a wide variety of experiences and interpretations that reflect the study population. Furthermore, the term “health service providers” was used to refer to both healthcare providers and frontline service providers. Healthcare providers referred to those who conduct HIV testing in health facilities, whereas frontline service providers referred to those who provide care and support services needed by members in their communities before and after testing within AIDS organizations and community-based organizations.
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Ritter, Regina [Verfasser]. "Access and Barriers to Health Care Services in rural Malawi / Regina Ritter." Bonn : Universitäts- und Landesbibliothek Bonn, 2021. http://d-nb.info/1230878580/34.

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Miller, Paige Lynn. "Barriers Preventing Access to Health Care Services for Women in Rural Samoa." Ohio University / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1136389101.

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Kohlenberger, Judith, Isabella Buber-Ennser, Bernhard Rengs, Sebastian Leitner, and Michael Landesmann. "Barriers to health care access and service utilization of refugees in Austria: Evidence from a cross-sectional survey." Elsevier, 2019. http://dx.doi.org/10.1016/j.healthpol.2019.01.014.

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This paper provides evidence on (1) refugees' subjective well-being, (2) their access and barriers to health care utilization and (3) their perception of health care provision in Austria, one of the countries most heavily affected by the European "refugee crisis". It is based on primary data from the Refugee Health and Integration Survey (ReHIS), a cross-sectional survey of roughly five hundred Syrian, Iraqi and Afghan refugees. Results indicate that refugees' self-rated health falls below the resident population's, in particular for female and Afghan refugees. Whereas respondents state overall high satisfaction with the Austrian health system, two in ten male and four in ten female refugees report unmet health needs. Most frequently cited barriers include scheduling conflicts, long waiting lists, lack of knowledge about doctors, and language. Although treatment costs were not frequently considered as barriers, consultation of specialist medical services frequently associated with co-payment by patients, in particular dental care, are significantly less often consulted by refugees than by Austrians. Refugees reported comparably high utilization of hospital services, with daycare treatment more common than inpatient stays. We recommend to improve refugees' access to health care in Austria by a) improving the information flow about available treatment, in particular specialists, b) fostering dental health care for refugees, and c) addressing language barriers by providing (web-based) interpretation services.
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Li, Longwei. "A Study on International Cultural Sensitivity: How to Eliminate Barriers of Chinese International Students at DAAP to Access Better Mental Healthcare." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin156199649507075.

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Books on the topic "Barriers to service access"

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Solutions, Independent Research. Barriers to access to essential services. Belfast: Office of the First & Deputy First Minister, 2001.

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McHugh, Kyle E. The government we lose: Increasing access or creating barriers? [Boston, Mass: Massachusetts Human Services Coalition], 1996.

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Barkat, Abul. Barriers in poor people's access to public health facilities in Bangladesh. Dhaka: Human Development Research Centre, 2006.

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Hanson, Charlene M. Access to rural health care: Barriers to practice for non-physician providers. Rockville, MD: Health Resources and Services Administration, 1992.

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Champagne, Cheryl. Creating access for women with disabilities: A plan for eliminating barriers to service at the London Battered Women's Advocacy Centre. [London, Ont: London Battered Women's Advocacy Centre, 1993.

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Institute of Medicine (U.S.). Committee on HIV Screening and Access to Care, ed. HIV screening and access to care: Exploring barriers and facilitators to expanded HIV testing. Washington, D.C: National Academies Press, 2010.

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Alliance, India HIV/AIDS. Barriers to sustainable access of children and families to ART centres in rural India: A report on operations research conducted in Maharashtra and Manipur. New Delhi: India HIV/AIDS Alliance, 2009.

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United States. Congress. Senate. Special Committee on Aging. Home care and community-based services: Overcoming barriers to access : hearing before the Special Committee on Aging, United States Senate, One Hundred Third Congress, second session, Kalispell, MT, March 30, 1994. Washington: U.S. G.P.O., 1994.

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US GOVERNMENT. Laws concerning the Access Board: Architectural Barriers Act of 1968, section 502 of the Rehabilition Act of 1973, section 504 of the American with Disabilities Act of 1990. Washington, DC (1331 F St., N.W., Washington 20004-1111): The Board, 1994.

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American Association for the Advancement of Science. Barrier free in brief: Access to science literacy. Washington, D.C: The Association, 1991.

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Book chapters on the topic "Barriers to service access"

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Arkorful, Vincent Ekow. "Foreign Students’ Health Service Access Barriers." In Global Encyclopedia of Public Administration, Public Policy, and Governance, 1–15. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-31816-5_4277-1.

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St. Amant, Helaine, and Douglas Vanderbilt. "Language Barriers Impact on Access to Services." In Encyclopedia of Autism Spectrum Disorders, 1–2. New York, NY: Springer New York, 2019. http://dx.doi.org/10.1007/978-1-4614-6435-8_102426-1.

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St. Amant, Helaine, and Douglas Vanderbilt. "Language Barriers Impact on Access to Services." In Encyclopedia of Autism Spectrum Disorders, 2629–31. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-91280-6_102426.

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Jabour, Abdulrahman, and Josette F. Jones. "Facilitators and Barriers to Patients’ Engagements with Personal Health Records: Systematic Review." In Universal Access in Human-Computer Interaction. Applications and Services for Quality of Life, 472–81. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39194-1_55.

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Vergara, Ximena, Alejandra Carmona, and Laura Nahuelhual. "Looking Beyond Ecosystem Services Supply: Co-production and Access Barriers in Marine Ecosystems of the Chilean Patagonia." In Ecosystem Services in Patagonia, 307–33. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69166-0_15.

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Nkuba, Michael Robert, Raban Chanda, Gagoitseope Mmopelwa, Akintayo Adedoyin, Margaret Najjingo Mangheni, David Lesolle, and Edward Kato. "Barriers to Climate Change Adaptation Among Pastoralists: Rwenzori Region, Western Uganda." In African Handbook of Climate Change Adaptation, 659–76. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-45106-6_99.

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AbstractThis chapter discusses the barriers to climate change adaptation among pastoralists in the Rwenzori region in Western Uganda. Despite the implementation of adaptation programs by public and private agencies, pastoralists still have impediments to adapting to climate change. Data was collected using a household survey involving 269 pastoralists. The results revealed that the main barriers were poor access to climate change information, poor access to extension services, high cost of adaptation measures, poor access to credit, and insecure land tenure. There is need to improve capacity building of extension workers and other stakeholders in the dissemination of climate change information. Land tenure and land rights issues should be given high consideration in climate change adaptation policies and programs. Climate finance programs should be made more effective in addressing the high cost of adaptation.
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Mason, David, Barry Ingham, and Jeremy Parr. "Barriers and Facilitators that Prevent and Enable Physical Healthcare Services Access for Autistic Adults." In Encyclopedia of Autism Spectrum Disorders, 1–2. New York, NY: Springer New York, 2019. http://dx.doi.org/10.1007/978-1-4614-6435-8_102450-1.

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Loue, Sana. "Sandplay Therapy and Access to Mental Health Care Services: Present Barriers and Future Promise." In SpringerBriefs in Social Work, 23–33. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-14118-3_3.

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Mason, David, Barry Ingham, and Jeremy Parr. "Barriers and Facilitators that Prevent and Enable Physical Healthcare Services Access for Autistic Adults." In Encyclopedia of Autism Spectrum Disorders, 592–93. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-91280-6_102450.

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Akpo, Essegbemon, Chris O. Ojiewo, Issoufou Kapran, Lucky O. Omoigui, Agathe Diama, and Rajeev K. Varshney. "Innovation Platform for Catalyzing Access to Seed of Improved Legume Varieties to Smallholder Farmers." In Enhancing Smallholder Farmers' Access to Seed of Improved Legume Varieties Through Multi-stakeholder Platforms, 199–205. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-8014-7_14.

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AbstractInnovation platform resolves systemic problems and unlock opportunities for farmers and other stakeholders along commodity value chains. It brokers change in a wide variety of areas involving technological barriers for increased on-farm genetic gains, financial services and privileges for smooth running of seed business and other farming activities, social change and gender equality in society, new commodity market opportunities, increased interactions between stakeholders, e-services for increased crop productivity and production, sustainability of seed production and delivery systems through a variety of stakeholders for various seed classes.
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Conference papers on the topic "Barriers to service access"

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Halim, Binarwan, Ermi Girsang, Sri Lestari R. Nasution, and Chrismis Novalinda Ginting. "Access Barriers of Infertility Services for Urban and Rural Patients." In International Conference on Health Informatics, Medical, Biological Engineering, and Pharmaceutical. SCITEPRESS - Science and Technology Publications, 2020. http://dx.doi.org/10.5220/0010291901490157.

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Faizah, Umu. "Interprofesional Collaborative Practice in Healthcare of Low-Birth-Weight Cases." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.37.

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ABSTRACT Background: Inter-professional health care providers play an essential role in the treatment of Low Birth Weight (LBW) cases. Collaboration between doctors, nurses, midwives and social service providers is significant for the care of LBW. This study aimed to find out the role and barriers of inter-professional health practice collaboration in LBW care cases. Subjects and Method: A scoping review was conducted by selecting published articles years 2004-2019, from PubMed, EBSCO, Willey, Science Direct databases. The inclusion criteria were full text and using English or Indonesian language. Keywords used low birth weight, delay of referral, health workers, and inter-professional collaboration. The data were analyzed by PRISMA flow diagram. Results: 9 articles were selected from 2,407. There were 2 main issues related to low birth weight management, including role and barrier of inter-professional collaboration. Common barriers to inter-professional collaboration were lack of knowledge, health personnel abstinence, delay of referral, and poor access to health service. Conclusion: Role and low barrier of inter-professional collaboration are essential to provide good LBW management. Keywords: inter-professional collaboration, barriers, role, low birth weight Correspondence: Umu Faizah. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Area Sawah, Nogotirto, Gamping, Sleman district, Yogyakarta 55592. Email: aiezahfarizi300916@gmail.com Mobile: 081217831458 DOI: https://doi.org/10.26911/the7thicph.03.37
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Mays, Antje, and Oya Y. Rieger. "Legacy Missions in Times of Change: Defining and Shaping Collections in the 21st Century." In Charleston Library Conference. Purdue Univeristy, 2020. http://dx.doi.org/10.5703/1288284317167.

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Despite the rapidly changing information and technology landscape, collections remain at the heart of academic libraries, signifying their enduring importance in providing access to our cultural heritage. Given broader trends in research and the current information ecology of an increasingly networked, distributed, and licensed environment, building collections and developing collection polices is increasingly ambiguous. These trends impact librarians in form of ever-expanding portfolios, diffusion of effort, weakened sense of focus, and a rising sense of persistent yet unmet needs for developing new skills. This paper outlines current research on collection trends and summarizes the interactive exchanges from the 2019 Charleston Conference Lively Session (https://sched.co/UZR5). Through live polling, session participants identified key trends in libraries and collections: Key trends included business models, budget constraints, consortium deals, continued importance of subscribed content, access vs. ownership, digitization of unique local collections, digital humanities, digital scholarship, library publishing projects, growing library investments in Open Access (OA), and collection diversification efforts with a view to equity and social justice. Among emerging library services, data services and digitization ranked highest in importance. The most-cited wish-list items included transformative deals, stronger campus partnerships, more OA projects, reduced copyright barriers in sharing homegrown digitized video content, as well as skill development in Counter 5 and data analysis. Existing physical and digital preservation programs received only lower-middle strength ratings. Among long-established library characteristics, collection policies, subscribed content, interlibrary loan, and consortial borrowing and lending retained enduring value and high rankings in importance. Tensions continue between ownership, borrowing, and access.
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Daaland, Alf, Ragnvald Soldal, Svein Are Loetveit, and Christian Hagemann. "TomX: High-Energy Tomographic X-Ray for In-Service Inspection of Flexible Pipeline Systems." In ASME 2003 22nd International Conference on Offshore Mechanics and Arctic Engineering. ASMEDC, 2003. http://dx.doi.org/10.1115/omae2003-37378.

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The applications of flexible pipes are increasing, and so is the demand for good inspection methods and integrity assessment tools, both from Operators and Authorities. Leakage or damage to the pipe on topsides could lead to an increased safety risk, uncontrolled shutdowns, longer system downtime and major financial loss. For several years, the Norwegian oil company, Statoil, has investigated the feasibility of developing x-ray computed tomography (CT) systems for on-site inspection of flexible pipelines. Special consideration has been given to the end fitting area on topsides. The development led to the foundation of the company TomX AS in 2001. With contributions from Statoil, Aker Kvaerner and NUI, the company has focused on studies and tests to confirm the feasibility of CT technology for inspection of flexible pipes. Much effort has been concentrated on proving that it is possible to get high quality CT images of flexible pipes and end fittings on topsides. The detection criteria are defined as flaws in the pressure barrier, as defined by the Statoil R&D group. The flaw size gives an estimate of the remaining lifetime of the flexible pipes. Until now, no non-destructive, non-intrusive inspection method has been able to inspect the pressure barrier. Tests with computed tomography show that this can become a unique way of getting reliable information about all layers in a flexible pipe, including the pressure barrier. Results from these tests are presented and discussed in this paper. Furthermore, possible analysis methods are introduced. ACT inspection tool is made up of a high-energy x-ray source, a detector array and a highly accurate mechanical system. Limited access on offshore installations, high demands for accuracy and radiation safety put strict requirements on the design of the tool. Prototype design for offshore inspection and inspection in conjunction with the Factory Acceptance Test (FAT) of the flexible pipe end fitting is presented and operational challenges are assessed.
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"An Examination of the Barriers to Leadership for Faculty of Color at U.S. Universities." In InSITE 2019: Informing Science + IT Education Conferences: Jerusalem. Informing Science Institute, 2019. http://dx.doi.org/10.28945/4344.

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[This Proceedings paper was revised and published in the 2019 issue of the journal Issues in Informing Science and Information Technology, Volume 16] Aim/Purpose: The aim and purpose of this study is to understand why there is a dearth of faculty of color ascending to senior levels of leadership in higher education institutions, and to identify strategies to increase the representation of faculty of color in university senior administrative positions. Background: There is a lack of faculty of color in senior level academic administrative position in the United States. Although there is clear evidence that faculty of color have not been promoted to senior level positions at the same rate as their White col-leagues, besides racism there has been little evidence regarding the cause of such disparities. This is becoming an issue of increased importance as the student bodies of most U.S. higher educational institutions are becoming increasingly more inclusive of people of various racial and ethnic backgrounds. Methodology: Qualitative interviews were used. Contribution: This study adds to the research and information made previously available regarding the status of non-White higher educational members in the U.S. by contributing insights from faculty of color who have encountered and are currently encountering forms of discrimination within various institutions. These additions include personal experiences and suggestions regarding the barriers to diversification and implications of the lack of diversity at higher educational institutions. Given the few diverse administrative or executive leaders in service today in higher education, these personal insights provide seldom-heard perspectives for both scholars and practitioners in the field of higher education. Findings: Limited diversity among faculty at higher educational institutions correlates with persistent underrepresentation and difficulty in finding candidates for leadership positions who are diverse, highly experienced, and highly ranked. This lack of diversity among leaders has negative implications like reduced access to mentor-ship, scholarship, and other promotional and networking opportunities for other faculty of color. While it is true that representation of faculty of color at certain U.S. colleges and programs has shown slight improvements in the last decade, nationwide statistics still demonstrate the persistence of this issue. Participants perceived that the White boys club found to some extent in nearly all higher educational institutions, consistently offers greater recognition, attention, and support for those who most resemble the norm and creates an adverse environment for minorities. However, in these findings and interviews, certain solutions for breaking through such barriers are revealed, suggesting progress is possible and gaining momentum at institutions nationwide. Recommendations for Practitioners: To recruit and sustain diverse members of the academic community, institutions should prioritize policies and procedures which allocate a fair share of responsibilities between faculty members and ensure equity in all forms of compensation. In addition, institutional leaders should foster a climate of mutual respect and understanding between members of the educational community to increase confidence of people of color and allow for fresh perspectives and creativity to flourish. Where policies for diversification exist but are not being applied, leaders have the responsibility to enforce and set the example for other members of the organization. Assimilation of diverse members occurs when leaders create an inclusive environment for various cultures and advocate for social and promotional opportunities for all members of the organization. Recommendations for Researchers: Significant research remains on understanding barriers to the preparation of faculty of color for leadership in higher education. While this research has provided first-hand qualitative perspectives from faculties of color, additional quantitative study is necessary to understand what significant differences in underrepresentation exist by race and ethnicity. Further research is also needed on the compound effects of race and gender due to the historic underrepresentation of women in leadership positions. At the institutional and departmental level, the study validates the need to look at both the implicit and explicit enforcement of policies regarding diversity in the workplace. Future Research: Higher education researchers may extend the findings of this study to explore how faculty of color have ascended to specific leadership roles within the academy such as department chair, academic dean, provost, and president.
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Reynolds, John. "The Vital Role of the Corrosion/Materials Engineer in the Life Cycle Management of Pressure Equipment." In ASME 2011 Pressure Vessels and Piping Conference. ASMEDC, 2011. http://dx.doi.org/10.1115/pvp2011-57012.

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In my 40 years of experience I’ve come to firmly believe that nearly every operating site processing hydrocarbons needs the services, to some extent, of a competent, experienced corrosion/materials (C/M) engineer in order to achieve excellence in pressure equipment integrity and reliability (PEI&R). Without such services there are many PEI traps to fall into caused by lack of knowledge of corrosion and materials degradation issues. This paper outlines those traps that can lead not only to avoidable cost issues, but unanticipated breaches of containment and the ensuing undesirable safety and environmental consequences. The most well rounded C/M engineer should be knowledgeable, not just in metallurgy and materials selection, but also in process chemistry, corrosion and degradation mechanisms, corrosion barriers, materials degradation prevention, repair and replacement decisions and cost-effective mitigation practices. In this paper, I will indicate how a competent C/M engineer could easily save the company the cost of his/her services ten times over while recognizing that not all small sites may need a full time C/M engineer on staff, but should at least have access to one through contractual agreements. I will show how proactive corrosion control activities in the top ten vital C/M engineering aspects are necessary to achieve excellence (and avoid pressure equipment failures) in PEI&R.
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Junek, Lubomír. "Normative Technical Documentation of Association of Mechanical Engineers, Czech National Code of Equipment and Piping of Nuclear Power Plants of WWER Type." In ASME 2018 Pressure Vessels and Piping Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/pvp2018-85155.

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The Standard Technical Documentation of the Association of Mechanical Engineers is elaborated by a team of experts on the base of an actual knowledge and practice as a part of a row of recommendations for an assessment of strength and reliability, choice of materials and solution of service problems of the Czech nuclear power plants. It was elaborated by the Association of Mechanical Engineers as an important help for a practice. This issue is published from the following main reasons: 1. The criteria for an assessment of reliability and safety of technical tasks have changed in a last decades by influence of development of fracture mechanics and a diagnostics of an actual components of the nuclear power plants, exposed to a static and dynamic strength in a service and to effects of an aggressive environment, leading to an origin of integrity failure. The access is changed now from an assessment of an original strength to a long-term operation and service reliability. A conception of a choice of suitable materials has changed, especially about an influence of production technology on barriers against a degradation of material mechanical characteristics. Imaginations also changed about increasing of a resistance against a damage of material components in complex service conditions. New scientific knowledge it is necessary to apply responsibly just in a construction of as important equipment as nuclear power plants are. 2. A social responsibility is increasing for economic and ecological behavior and hence manners of service control are always innovated. A problematic of a residual lifetime of those tasks is connected with. A prolongation of a lifetime without a risk of equipment failure hereto is a principal demand of capital-intensive units. 3. In a last decades a possibility of efficient use either an automatic service diagnostics or an inspection of component state in service brakes has deepened. It is necessary to enable a right engagement of this instrumentation and to interpret in a right way obtained information. 4. An international cooperation in this important region is developed, an elaboration of information and their common deepening has a substantial importance for a future of a nuclear energetic. A dissembling of service obstacles, an objective analysis of failure situations and a method of their control is today’s obvious duty of an international cooperation. Programs of all variants of a possible damage and its control must be prepared. It is impossible at once to apply all those aspects in provisions and recommendations. Issued provisions however must be constantly improved and complemented.
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Montuori, Lina, Manuel Alcázar-Ortega, Carlos Vargas-Salgado, and Paula Bastida-Molina. "Methodology for the implementation of e-learning class during the COVID-19." In INNODOCT 2020. Valencia: Editorial Universitat Politècnica de València, 2020. http://dx.doi.org/10.4995/inn2020.2020.11877.

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The serious situation caused by the coronavirus has forced Authorities to take drastic decisions that have affected the normal functioning of the entire society. One of the most impactful measures taken has been the self-discipline of the social distancing as the entire society has been obliged to stay at home. At the education level, restrictions ordered by the Authorities have limited the access to all professors and students at the academic centers. In Spain, the state of alarm decreed by the Government has affected the entire Academic course and therefore, in order to be able to preserve the public service, the Polytechnic University of Valencia, in just a week, has been asked to revise the entire programs and settle on-line courses for more than 35.000 students in multiples disciplines. Within this framework, a methodology has been developed for the implementation of on-line learning courses in a period of crisis within a short time. On-line learning has been demonstrated to be effective as face-to-face education, becoming one of the most popular higher education alternatives. However, students engaged in on-line classes result to be less engaged in collaborative learning, student-faculty interactions, and discussions with their classmates if compared to the traditional system. In this context, the barriers of on-line teaching classes have been investigated and tools to overcome them have been proposed. Finally, a real application to the Polytechnic University of Valencia is presented.
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Lim, ia Yen, and Haruka Ono. "Exploring inclusive developments of water supply management in urban informal areas. Case studies from Mumbai and Nairobi." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/sxej2100.

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This study examines how the development of water supply management happens over time in distinct types of informal areas in Mumbai and Nairobi. The financial differences and political barriers in both cities, together with the vast diversity factors, development patterns, and challenges of each study area show that reconsidering different approaches is significant in developing more inclusive paradigms in water provision in informal areas. Relevant to these concerns, this study aims to clarify water practices and explore inclusive ways of developing water supply management through the analyses of water provision modes and network systems in each study area. A series of field studies on the type of water sources and facilities, parties involved in water practices, and characteristics of water development was performed in six case studies (i.e., three in Mumbai and three in Nairobi) from 2014 to 2019. The main findings of this study show that an unconventional informal tenure system constrains the settlement typology and development of the physical access of service facilities in study areas. Moreover, the different measures taken by Mumbai and Nairobi in providing water supply to informal areas result in an unequal path for water development and various vulnerability levels. Therefore, we argue that the mixtures of policy- and practice-rooted practices ensure a more inclusive water development because they would lead to the sociotechnical arrangements of the technical system and institutional arrangements that better fit the local conditions characterized by different spatial structures and social variables.
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Harahap, Sarah Geltri, Cicylia Candi, and Adang Bachtiar. "Acceptance and Barrier in Using Telemedicine Health Services of Hospitals among Paediatric Outpatients: A Systematic Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.31.

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ABSTRACT Background: Utilization of the telemedicine application is an alternative option for paediatric health services without a direct visit to hospitals, especially in pandemic or disease outbreak conditions. The important telemedicine services, especially for paediatric patients, need to be tackled by stakeholders and hospital management teams. This study aimed to investigate the acceptance and barrier in using telemedicine health services of hospitals among paediatric outpatients. Subjects and Method: A systematic review was conducted by searching from Science­Direct and Scopus databases. The keywords were “telemedicine OR patient paediatric”. The in­clusion criteria were open accessed and English-language articles published between 2019 to 2020. The data were reported by PRISMA flow chart. Results: Nine articles met the inclusion criteria. Feasibility and the easiness to use of the application, cost-effectiveness, less travel time, easy access to medicine, and effective health services were the optimal services received by paediatric outpatients in using telemedicine. The limitations of telemedicine services were lack of physical and diagnostic examinations, information for socio-demographic and socioeconomic status, patient insurance coverage, direct care services, and privacy and confidentiality of patients. Conclusion: Not all the conditions of paediatric outpatients receive optimal health services through telemedicine. An innovative approach is needed to improve telemedicine’s available health services, especially for paediatric outpatients who need direct health care without visiting the hospitals. Keywords: telemedicine, paediatric outpatients, health services Correspondence: Sarah Geltri Harahap. Master Program of Policy and Health Administration, Faculty of Public Health, University of Indonesia. Email: sarah.geltri@ui.ac.id. Mobile: +628137598­5375. DOI: https://doi.org/10.26911/the7thicph.04.31
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Reports on the topic "Barriers to service access"

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Braun, Lindsay, Jesus Barajas, Bumsoo Lee, Rebecca Martin, Rafsun Mashraky, Shubhangi Rathor, and Manika Shrivastava. Construction of Pedestrian Infrastructure along Transit Corridors. Illinois Center for Transportation, March 2021. http://dx.doi.org/10.36501/0197-9191/21-004.

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The availability and quality of pedestrian infrastructure play key roles in enabling access to transit. Many transit operators face challenges in facilitating this access, however, because they lack land use authority and encounter other institutional and programmatic impediments to effecting changes in the pedestrian environment. This report identifies the barriers to pedestrian access to transit in suburban communities located in the Pace Suburban Bus service area in northeastern Illinois and suggests potential solutions to overcome these barriers. The research team led several activities to collect data, including: conducting an academic literature review; reviewing pedestrian plans, policies, and programs in the region; surveying and interviewing key stakeholders; reviewing pedestrian funding sources; surveying and conducting case studies of peer transit agencies; conducting physical audits of pedestrian infrastructure; and interviewing residents of six municipalities about their transit access experiences. Lack of adequate funding, difficulties planning across jurisdictional boundaries, and conflicts in transportation priorities are major impediments to building pedestrian infrastructure. While planners and decision-makers tend to value pedestrian planning, challenges such as funding constraints and the need to retrofit suburban infrastructure are key barriers to implementation. Peer transit agencies face similar barriers to Pace and use strategies such as plan and policy development, diverse funding opportunities, and collaborative partnerships with stakeholder agencies and advocacy groups to overcome these barriers. Transit riders generally reported positive experiences with pedestrian access to transit in their communities. Many locations had robust infrastructure, but common deficiencies included poor sidewalk connectivity, incomplete crossings, lack of lighting and transit shelters, and deficiencies in Americans with Disabilities Act (ADA) infrastructure. A suite of policy recommendations for Pace and other partners that focus on planning, policy, funding, interagency coordination, education and training, infrastructure prioritization, and transit amenities address the full range of physical and institutional barriers identified in the research.
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Sturzenegger, Germán, Cecilia Vidal, and Sebastián Martínez. The Last Mile Challenge of Sewage Services in Latin America and the Caribbean. Edited by Anastasiya Yarygina. Inter-American Development Bank, November 2020. http://dx.doi.org/10.18235/0002878.

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Access to piped sewage in Latin America and the Caribbean (LAC) cities has been on the rise in recent decades. Yet achieving high rates of end-user connection between dwellings and sewage pipelines remains a challenge for water and sanitation utilities. Governments throughout the region are investing millions in increasing access to sewage services but are failing in the last mile. When households do not connect to the sewage system, the full health and social benefits of sanitation investments fail to accrue, and utilities can face lost revenue and higher operating costs. Barriers to connect are diverse, including low willingness to pay for connection costs and/or the associated tariffs, liquidity and credit constrains to cover the cost of upgrades or repairs, information gaps on the benefits of connecting, behavioral obstacles, and collective action failures. In contexts of weak regulation and strong social pressure, utilities typically lack the ability to enforce connection through fines and legal action. This paper explores the scope of the connectivity problem, identifies potential connection barriers, and discusses policy solutions. A research agenda is proposed in support of evidence-based interventions that have the potential to achieve higher effective sanitation coverage more rapidly and cost-effectively in LAC. This research agenda must focus on: i) quantifying the scope of the problem; ii) understanding the barriers that trigger it; and iii) identifying the most cost-effective policy and market-based solutions.
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Rose, M., G. Klyne, and D. Crocker. The Application Exchange (APEX) Access Service. RFC Editor, July 2002. http://dx.doi.org/10.17487/rfc3341.

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Hjort, Jonas, Vinayak Iyer, and Golvine de Rochambeau. Informational Barriers to Market Access: Experimental Evidence from Liberian Firms. Cambridge, MA: National Bureau of Economic Research, August 2020. http://dx.doi.org/10.3386/w27662.

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Idris, Iffat. Increasing Birth Registration for Children of Marginalised Groups in Pakistan. Institute of Development Studies (IDS), July 2021. http://dx.doi.org/10.19088/k4d.2021.102.

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This review looks at approaches to promote birth registration among marginalised groups, in order to inform programming in Pakistan. It draws on a mixture of academic and grey literature, in particular reports by international development organizations. While there is extensive literature on rates of birth registration and the barriers to this, and consensus on approaches to promote registration, the review found less evidence of measures specifically aimed at marginalised groups. Gender issues are addressed to some extent, particularly in understanding barriers to registration, but the literature was largely disability-blind. The literature notes that birth registration is considered as a fundamental human right, allowing access to services such as healthcare and education; it is the basis for obtaining other identity documents, e.g. driving licenses and passports; it protects children, e.g. from child marriage; and it enables production of vital statistics to support government planning and resource allocation. Registration rates are generally lower than average for vulnerable children, e.g. from minority groups, migrants, refugees, children with disabilities. Discriminatory policies against minorities, restrictions on movement, lack of resources, and lack of trust in government are among the ‘additional’ barriers affecting the most marginalised. Women, especially unmarried women, also face greater challenges in getting births registered. General approaches to promoting birth registration include legal and policy reform, awareness-raising activities, capacity building of registration offices, integration of birth registration with health services/education/social safety nets, and the use of digital technology to increase efficiency and accessibility.
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Page, Lindsay, and Judith Scott-Clayton. Improving College Access in the United States: Barriers and Policy Responses. Cambridge, MA: National Bureau of Economic Research, December 2015. http://dx.doi.org/10.3386/w21781.

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Shirasaki, Y., S. Miyakawa, T. Yamasaki, and A. Takenouchi. A Model of IPv6/IPv4 Dual Stack Internet Access Service. RFC Editor, December 2005. http://dx.doi.org/10.17487/rfc4241.

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Rashida, Gul, Iram Kamran, Muhammad Khalil, Zeba Tasneem, Rehan Niazi, Mumraiz Khan, and Tahira Parveen. Increasing access to reproductive health care through improved service delivery. Population Council, 2017. http://dx.doi.org/10.31899/rh7.1027.

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Sartain, Lauren, and Lisa Barrow. The Pathway to Enrolling in a High-Performance High School: Understanding Barriers to Access. Federal Reserve Bank of Chicago, 2020. http://dx.doi.org/10.21033/wp-2020-32.

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Schonfeld, Roger. Barriers to Discovery of and Access to the Scientific Literature in the Corporate Sector. Ithaka S+R, June 2016. http://dx.doi.org/10.18665/sr.283028.

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