Dissertations / Theses: 'Community service organisations'

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El-Sanady, Magdy Latif. "Performance analysis of Egyptian non-governmental organisations in primary health care." Thesis, Keele University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341301.

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Despite recent phenomenal growth of non-governmental organisations (NGOs) in the developing world, especially in the field of primary health care (PHC), their performance currently witnesses many paradoxes. For example, a paradox between their growth in size and diversity, yet increasing concerns about their impact; another paradox is that of the intense questioning of their performance in development and health, and yet the increasing flow of support from most international agencies; and, a third paradox, is that of the increasing pressures for, and acceptance of the need for, performance evaluation, and yet a lack of institutionalisation within NGOs themselves, and the scarcity of models that can guide/help NGOs in that direction. Many explanations have been suggested for these paradoxes, and are likely to include the following: first, an NGO may lack the performance system which enables it to look at its own performance and analyse in a systematic way; second, an NGO, when undertaking a selfevaluation exercise, may confine itself solely to the project level (for accountability reasons) and overlook the other levels of analysis (namely, the organisation, service delivery, and individual levels); and, third, an NGO may not hold an holistic view as to what areas should be analysed, nor may it have the analytical tools readily available which help it to undertake such an analysis. Evidence from different literature supports each of these possible explanations. Accordingly, within this thesis, to help an NGO self-analyse its performance, a performance analysis framework (PAF) has been developed. This framework is structured to analyse the performance of an NGO service provider at three main levels: organisational; project; and, service delivery. Each level addresses an area for analysis, drawing upon a set of criteria for each area, raising a group of relevant questions for each criterion, and casting light on a cluster of possible investigative tools largely, but not exclusively, qualitative in nature. Theunderlying hypothesis of this framework is that the performance of an NGO in health and social development is the outcome of an interaction of many factors within both its external and internal environments. Hence, in the PHC setting, an NGO is confronted with an external environment composed of contextual elements (political, economic, legal, and socio-cultural), as well as a cluster of relationships with different stakeholders (donors, beneficiaries, government bodies, and other NGOs). On the other hand, the internal environment of an NGO is formed of a four-fold set of inter-related elements: its identity, its strategy, its operations, and its resources. Thus, the kinds of interactions taking place in both these environments are key determinants of the overall performance of the NGO. The PAF was then field tested in Egypt through a series of investigations, including focus group interviews as well as instrumental case studies. Four cases were selected from a pool of Egyptian NGOs (ENGOs) with different histories and geographic locations, but all being Community Development Associations (CDAs); participants in umbrella capacity building (CB) programmes sponsored by intermediary NGOs and funded by one bilateral donor; and, having service provision in the area of Maternal and Child Health (MCH). While the PAF was applied at the project level, the four PHC/MCH projects have also served as entry points to the analysis of the four organisations through a participatory self-assessment approach. The PAF, therefore, served as both research tool and conceptual frame of reference against all four cases, relying upon various triangulation techniques, in pursuit of research validation and quality control. The outcome is that of robustly testing the framework: by so doing, important lessons and insights have emerged both about the external and internal environment of ENGOs; and about the levels and kinds of performance CDAs operating in health currently attain, and can attain in the future. The research concludes with recommendations for a proposed capacity-building programme for CDAs guided by the PAF

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Baulderstone, Joanne Mary, and jo baulderstone@flinders edu au. "Why Can't You Just Tell the Minister We're Doing a Good Job? Managing Accountability in Community Service Organisations." Flinders University. Political and International Studies, 2005. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20051212.163812.

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Community service organisations play a crucial role in the delivery of many social services while functioning from a strong values base often associated with a particular religion. They attempt to respond to the needs of multiple stakeholders. This creates a complex and sometimes ambiguous set of accountability relationships. Government contributes significantly to the funding of most community service organisations, and often this is reflected in close working relationships between public servants in funding departments and managers of community service organisations. The nature of this relationship was changed as a consequence of a wave of public sector reforms beginning in the 1980s. These reforms aimed to increase the efficiency, effectiveness and accountability of government departments. Strategies adopted included funder-purchaser-provider models of service delivery, leading to the contracting out of some services previously provided by government and the adoption of more contract-like agreements with existing external service providers. This led to the development of additional mechanisms for measuring and monitoring performance. These were directed both internally towards public sector staff and externally to funded programs. The community services sectors concern about the impact of reform on their functioning and survival provided the impetus for undertaking this qualitative study of the management of accountability in community service organisations in South Australia. Data were collected in 2000-2001 through interviews with community service organisation and public service staff, and through analysis of organisational documents related to accountability. Staff from twelve community service organisations, and state and federal public servants participated. While the analysis shows the costs to community service organisations and the damage to their relationship with government resulting from reform, it also identifies improvements to the management of accountability in some organisations. Governments at both state and federal levels have since adopted the language of partnership and collaboration. This occurred partly in recognition of the negative impacts of an over-zealous emphasis on distanced purchaser-provider relationships and partly from an increasing recognition of the failure of existing systems to resolve complex social issues. Follow-up data were collected in 2004 that identified changes in the relationships between the community service organisations and funding departments, and in the community service organisations management of their own accountability. Analysis of these data found a significance increase in formal relationships between community service organisations but limited change in the relationship with government. Through an analysis of the impact of public sector change on community service organisations in South Australia, this thesis contributes to the understanding of inter-sectoral relationships and the management of accountability in community service organisations.

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Williams, Dale, of Western Sydney Hawkesbury University, Faculty of Agriculture and Horticulture, and School of Agriculture and Rural Development. "A participatory approach to evaluating voluntary rural community-based organizations is an effective tool for organizational learning and ensuing rural community development, as evidenced in the participative evaluation of the Southern Riverina Rural Advisory Service." THESIS_FAH_ARD_Williams_D.xml, 1995. http://handle.uws.edu.au:8081/1959.7/69.

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The central argument of this thesis is that participative approaches to evaluating voluntary rural community-based organisations are an effective tool for organisational learning and ensuing rural community development. This proposition is explored through the evaluation and strategic planning of the Southern Riverina Rural Advisory Service, a community-based counselling organisation. The Service works with families experiencing financial hardship and associated stress. The thesis is multi-faceted and generic issues included: the importance of commitment by rural communities and organisations to creating frameworks for understanding and acting in integrated ways to the diversity, inter-relatedness and conflict of issues, wishes and needs of members, and to develop the capacity to transform contexts of dependency-oriented crisis situations to ones of self-responsible, interdependent change; the need to view contexts through integration of local, regional, national and global perspectives and to develop networks to integrate understanding and action; and to continue learning how to better enhance organisational and community-based learning.
Master of Science (Hons)

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Molefe, Sopeng Prince. "Welfare provision by selected self-help organizations : exploratory study." Thesis, University of Limpopo, 1989. http://hdl.handle.net/10386/2556.

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Ahmed, Maryan A. "Exploring the link between migrant’s community organisations and the support structures of the host country: A case study of Somali and Ethiopian migrants in Cape Town." University of Western Cape, 2020. http://hdl.handle.net/11394/7406.

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Magister Artium (Development Studies) - MA(DVS)
South Africa is a regional hub for international immigration and the main destination for many African descent, a home of high number of refugees ad asylum seekers across African continent. The refugees and asylum seekers communities in South Africa are settled and melting into the city life with the host communities.

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Ruzzene, Nora, and n/a. "A STUDY OF THE PERCEPTIONS OF PERSONNEL INVOLVED IN THE SERVICE DELIVERY IMPLEMENTATION OF MULTICULTURAL POLICIES IN THE CONTRACTUAL ENVIRONMENT OF COMMUNITY HEALTH SERVICES IN THE NORTHERN METROPOLITAN REGION OF MELBOURNE." La Trobe University. School of Social Work and Social Policy, 2002. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20050718.131455.

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This study investigated the nexus between multicultural policies and contract management within the Community Health Services in the Northern Metropolitan Region of the Victorian Department of Human Services. Access and equity of services to linguistic minority migrant groups is a central component of this study. The study drew on literature pertaining to social work theory and practice, with a particular focus on structural social work, the evolution of Australia's multicultural policy and the context of contract management. The data collection consisted of two stages. The first stage comprised of twenty-two semi-structured interviews with Chief Executive Officers and managers from the Community Health Services, government personnel from the Department of Human Services and key informants. The second stage of the study, a self administered questionnaire survey for service providers, was developed and designed from the key themes identified from the interviewee data. A total of 119 service providers responded to the questionnaire. Key findings of this study were first, that the Community Health Services have broad policies of inclusion. Secondly, that the multicultural policy may be considered a broader policy then just a policy relating to people of non-English speaking backgrounds or culture relating to ethnicity. Thirdly, funding arrangements appeared limited in their expectations regarding linguistic accessibility. Fourthly, service providers had a different perception of the quality level of service their organisation provided to English speakers and non-English speakers. Implications of this study included, first, having broad inclusive policies would require specific strategies of access. Secondly, multicultural policy as such may need to develop into a policy of 'structural cultural equity'. Thirdly, partnerships between government and Community Health Services can be further utilised to develop more innovative service delivery methods to respond to linguistic minority groups. Lastly, culturally sensitive practice modules may need to be considered as a central component in the health and welfare field of tertiary education. The study concluded that Community Health Services are ideally located to implement services, which not only address the notion of multiculturalism, but also address the issues of equity in the context of a dominant paradigm. In such an environment someone who speaks a language other than English is 'visible' and therefore, 'a woman without a word of English enters the Community Health Service' and receives the same service as an English speaker.

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Leslie, Mike (M C. ). "Exploring the developmental outcomes of service-learning in Higher Education for partner organisations : an exploratory study of two modules at Stellenbosch University." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4242.

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Thesis (MPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2010.
ENGLISH ABSTRACT: Amidst debates over the transformation of South African (SA) Higher Education (HE), the core institutional function of community engagement is a possible means of bolstering the developmental role of HE in relation to community needs. The potential for community engagement, and more specifically service-learning, to contribute to community development is yet to be fully explored in the SA context. Broad policy mandates such as the Reconstruction and Development Programme (GNU, 1994) and the White Paper on Transformation of Higher Education (DoE, 1997) have created a policy environment supportive of community engagement as an institutional function of HE advancing the state’s developmental agenda. In the course of the national reorganization of the HE system, the Joint Education Trust (JET) / Community-Higher Education- Service Partnerships (CHESP) initiative undertook feasibility studies of community engagement in SA HE and consulted widely around community engagement. The main outcome has been service-learning’s promotion as an endorsed means of knowledge-based community engagement. Concerted efforts to build the institutional capacities for service-learning nationwide have since been conducted and service-learning is now an increasingly prominent means of community engagement in HE. The conceptual origins of service-learning suggest that mutual student and community benefits are achieved in the course of service-learning programmes, with significant research substantiating student learning outcomes. However, there is limited research available on community outcomes and a lack of empirical evidence on how the community is engaged in service-learning. Conceptualizations of service-learning partnerships in SA yield the introduction of a third party, the partner organization as the host of the service-learning modules in addition to the university and the community. The Triad Partnership Model applied at Stellenbosch University (SU) provides an opportunity to explore the experience of the third party, the partner organization, in what is conceptualized as a dyadic relationship between student and community. As a former student, representative of a partner organization and co-facilitator in a servicelearning module, the author explores the experiences of representatives of partner organizations of service-learning in HE. This dissertation presents the experiences of ten site-supervisors from nine partnering organizations of Stellenbosch University as evidence of some of the developmental outcomes of two service-learning modules. The study discusses the various stages in the process of partnership as it pertains to outcomes experienced by the sitesupervisors of the partner organizations. These experiences help clarify the developmental implications of the Triad Partnership Model for the partner organizations of the two service-learning modules studied. The dissertation concludes by making recommendations for future areas of study and makes some considerations for prospective service-learning modules at SU.
AFRIKAANSE OPSOMMING: Die kern institusionele funksie van gemeenskapsbetrokkenheid is te midde van die debate oor die transformasie van Suid-Afrikaanse (SA) Hoër Onderwys (HO), ‘n moontlike wyse om die ontwikkelingsrol van HO in verhouding tot gemeenskapsbehoeftes te bevorder. Die potensiaal van gemeenskapsontwikkeling, en meer spesifiek diensleer se bydrae tot gemeenskaps-ontwikkeling, is nog nie voldoende in die SA konteks ondersoek nie. As breë beleidsmandate het die Heropbou en Ontwikkelingsprogram (GNU, 1994) en die Witskrif oor die Transformasie van Hoër Onderwys (DoE, 1997) ‘n beleidsomgewing geskep wat ondersteunend is vir gemeenskapsinteraksie as ‘n institusionele dryfkrag van HO om die Staat se ontwikkelingsagenda te bevorder. Ten tye van die nasionale herorganisering van die HO stelsel het die Joint Education Trust (JET) / Community-Higher Education- Service Partnerships (CHESP) inisiatief volhoubaarheidstudies van gemeenskapsbetrokkenheid in SA HO gedoen en ook gekonsulteer oor verskeie aspekte rondom gemeenskapsbetrokkenheid in die breë. Die belangrikste uitkoms hiervan was die bevordering van diensleer as ‘n legitieme wyse van kennisgebaseerde gemeenskapsbetrokkenheid. Doelbewuse pogings is onderneem om die institusionele kapasiteit vir diensleer op nasionale vlak uit te bou, wat vandag ‘n toenemende prominente wyse van gemeenskapsbetrokkenheid in HO is. Die konsepsuele oorsprong van diensleer veronderstel dat gemeenskaplike student- en gemeenskapsvoordele deur die verloop van diensleermodules bereik word. Alhoewel daar heelwat navorsing gedoen is wat fokus op leeruitkomste vir studente, is daar weining navorsing beskikbaar oor gemeenskapsuitkomste, sowel as ‘n tekort aan empiriese bewyse van hoe die gemeenskap betrokke is by diensleer. Konsepsualisering van diensleer vennootskappe in SA sluit ‘n derde party in, die vennootskap-organisasie waar die diensleermodule gehuisves word, bykomend dus tot die universiteit en gemeenskap. Die Triad Vennootskap Model wat by die Universiteit van Stellenbosch (US) toegepas word, bied die geleentheid om ondersoek in te stel na die ervaring van ‘n derde party, die vennootskap-organisasie, oor wat gekonseptualiseer word as ‘n diadiese verhouding tussen student en gemeenskap. As ‘n vorige student, verteenwoordiger van ‘n vennootskap-organisasie en mede-fasiliteerder in ‘n diensleermodule, stel die outeur ondersoek in na die ervarings van verteenwoordigers van vennootskaporganisasies van diensleer in HO. Hierdie verhandeling stel die ervarings van tien supervisors van nege vennootskaporganisasies van die Universiteit van Stellenbosch voor, as bewys van sommige van die potensiële uitkomste van twee diensleer modules. Die ondersoeker bespreek die fases van die proses van vennootskap-vorming soos wat dit verband hou met uitkomste wat supervisors ervaar het. Hierdie ervarings help om die ontwikkeling implikasies van die Triad Vennootskap Model vir die deelnemer-organisasies van die twee diensleermodules wat bestudeer is, te verhelder. Die verhandeling word afgesluit deur aanbevelings te maak vir toekomstige studie-areas en oorweging te skenk vir toekomstige diensleermodules by die US.

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Moss, Ncamile Edward. "The impact of community-based organisations on waste management service delivery : the case of Emfuleni Local Municipality / N.E. Moss." Thesis, North-West University, 2013. http://hdl.handle.net/10394/10619.

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Waste reprocessing is a growing trend in different communities around South Africa which has become influential to the socio-economic liberalism of the people that are recycling at source in their respective areas. The focus of the research study is on the contributions of community-based organisations involved in recycling towards the social and environmental sustainability. The study explores (i) work done by community-based organisations in recycling, (ii) how the organisations turn unwanted products in to something usable and manage to sustain themselves and provide for their families, and (iii) how unpleasant municipality policies on the management of waste are to the organisations involved in recycling. As a result a comprehensive and consistent information set comprising significant contributions from the responsible stakeholders that contribute to the national waste stream will be expressed; regarding the development of relevant statutory frameworks to address and clarify issues facing reprocessing at large. South Africa is signatory to a number of international accords, hence a comprehensive international perspective on waste re-utilisation is incorporated. The notion of partnership is emphasized as it ought to be accompanied by other measures that can unleash a practical validity and influence; hence the public-private partnership strategy towards recycling is recommended as a requisite to try and tackle the challenges facing community-based organisations and the system of managing waste especially in the Emfuleni Local Municipality. The partnerships should be determined as the principle framework between the people, the private sector and the entire administration. The more serious the community-based organisations towards the system of managing waste around an area, the better it will turn out to be for the communities concerned. Unemployment is also the biggest issue thus far and strategies have long been implemented to tackle the crisis, and yet the public is still faced and halted by means that are expensive in nature. Advanced educational facilities for instance, which are still major challenges to the people around Emfuleni. The logic of responsibility now is therefore to develop, implement and enforce recently formulated legislation to encourage the masses to be involved in the process of recycling. Indeed, the lack of co-ordination by private sector, the people and local authorities has resulted in the involvement of community-based organisations being regarded as non-existing and not being intensified in South Africa. The contributions made by waste pickers in making sure that the green environment concept is maintained in societies they live in, is in fact the actual concern in undertaking these research study. The negative stigma associated with the communities involved in recycling is endured as individuals are able to support their families and themselves through recycling ingenuities. The Emfuleni Local Municipality has some of the best strategies and plans to address the involvement of community-based organisations in their disposal, and the full implementation of this category has to prioritised in order to achieve a hospitable and sustainable environment for the area.
M Development and Management (Public Management and Governance), North-West University, Vaal Triangle Campus, 2014

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Cawood, Sally. "Collective action, service provision and urban governance : a critical exploration of Community Based Organisations (CBOs) in Dhaka's bustee (slum) settlements, Bangladesh." Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/collective-action-service-provision-and-urban-governance-a-critical-exploration-of-community-based-organisations-cbos-in-dhakas-bustee-slum-settlements-bangladesh(105b267c-be63-4168-aa8e-6d574e066014).html.

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In Dhaka, Bangladesh over five million people live in low-income, informal settlements (bustees) with limited access to basic services, secure land tenure and political voice. Whilst collective action among the urban poor is central to accessing affordable services and - when taken to scale - a broader politics of 'redistribution, recognition and representation' (Fraser 1997; 2005), little is known about how Dhaka's slum dwellers organise, and the extent to which this is (or can be) transformative. To deepen our understanding, this thesis utilises collective action theory to examine intra-group dynamics, the instrumental value of groups and broader context of urban governance that enables and/or constrains certain forms of collective action in Dhaka's bustees. Case studies of Community Based Organisations (CBOs) in three bustees are used as a lens to explore how slum dwellers organise to obtain basic services, such as water and sanitation. CBOs are disaggregated into two main types (externally or NGO-initiated and internally or leader-initiated) and sub-types (formal and informal), with three sub-themes; participation (leadership and membership), function (activities and responsibilities) and outcomes (equity and sustainability). A mixed qualitative toolkit, including in-depth observations of CBOs, interviews with CBO leaders, members, non-members and key-informant interviews with NGO, government officials and citywide urban poor groups, reveals the complex relationship between collective action, service provision and urban governance in Dhaka. Two key findings emerge. Firstly, similar patterns in participation and outcomes are observed regardless of CBO type, whereby politically-affiliated local leaders and house owners create, enter and/or use CBOs to address their strategic agendas, and reinforce their authority. This demonstrates that, as opposed to bounded groups, CBOs are in fact nodes of interconnected individuals, some of whom are better able to participate in (and benefit from) collective action, than others. Secondly, although collective action plays an increasingly important role in service provision in Dhaka (especially legal water supply), it is largely practical in nature (i.e. addressing immediate needs). In cases where it is more strategic (i.e. to access land and housing), or both practical and strategic (i.e. obtaining legal water supply to secure land), certain male local leaders seek to benefit over others. In all cases, transformative collective action is constrained. This, it is argued, relates to the broader context of urban governance that enables certain forms of collective action, while constraining others, in Dhaka's bustees. Three (interrelated) spheres of urban governance are identified as particularly important: 1) patron-centric state; 2) risk-averse and market-oriented development sector; and 3) clientelistic society. Whilst existing collective action theory has value for understanding intra-group dynamics, fieldwork suggests that the urban governance context is the overarching factor affecting collective action in Dhaka's bustees. The thesis concludes with potential ways forward.

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Bradley, Dominique K. F. "The 'Productive Community Services' programme : implementing change in a community healthcare organisation." Thesis, University of Essex, 2015. http://repository.essex.ac.uk/15475/.

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The Productive Community Services (PCS) is a change programme which aims to engage frontline healthcare staff in improving quality and productivity. PCS draws on tested improvement methodologies such as Lean, however there has been little research specifically carried out on PCS in practice. The aims of this study were to explore the perceptions of the healthcare staff that implemented the programme, to identify the enabling and constraining contexts of the programme’s mechanisms of change, and to examine the meaningfulness and reliability of quantitative data generated during a PCS implementation. It also sought to explore the implications of these findings for managers, implementation teams, and commissioners in healthcare. To achieve this, an implementation of PCS was investigated using methods of participant observation, analysis of qualitative and quantitative data, semi-structured interviews and a focus group. A mixed methods approach was taken using the principles of Realist Evaluation. The results indicate that perspectives of the implementation varied widely, and that pay-for-performance targets contributed towards staff perceiving that the programme was irrelevant. Stock value was reduced by over £42,500, the time taken to find patient information was reduced by 62%, and services spent on average 36% of their time with patients. However, these figures lacked reliability and meaningfulness as the data were not validated or were produced using apparently flawed experimental designs. Contexts that constrained or enabled the mechanisms of change included staff attitudes, available resources, the effectiveness of communication, and whether technology could be used to resolve problems identified. The findings indicate that managers in healthcare should challenge implementation teams if the purpose of an innovation is unclear, that implementation teams need to be equipped with knowledge about technological solutions to efficiency in healthcare, and Commissioners need to ensure that pay-for-performance targets promote continuous quality improvement rather than temporary solutions.

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Mahmood, Mohammad Afzal. "Local organisational and socio-political characteristics in urban community health system development /." Title page, contents and introduction only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phm2148.pdf.

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Young, Kate. "The organisation of the community health services in Norwich Health District : an evaluation of the community care group scheme." Thesis, University of East Anglia, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.303065.

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Achen, Harriet. "An investigation into the impact of diversity training on a community service organisation." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/7774.

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Includes bibliographical references.
The purpose of this study was to investigate the impact of diversity training in a Community Service Organisation in Cape Town. The impact of such training is gauged / measured by monitoring staff's perceptions towards training. A strategic sample of 31 staff was chosen, ranging across different race groups (White, Coloured, Indian and African), professional ranks (senior managers, middle managers and staff) and genders. The sample was taken exclusively from one section in the finance department (Revenue). The research methodology was qualitative, in that in-depth interviews, observation and document study was used. With the aid ofcomputer assisted software for qualitative data analysis (Nvivo), the analysis was conducted in three phases. The first phase entailed initial coding, the second phase. required focused coding and the final phase involved analytical writing. The results of this study indicated that participants had mixed perceptions about the training they had received. Many felt that the training had been an eye opener, that it had created acceptance amongst staff and that it had enlightened them about diversity issues. A good number of the participants felt that the training had its own weaknessesand that there were no visible results from the training. More specifically, the findings indicated that a major constraint of the training was, amongst others, the lack of follow up and feedback.From the responses of the participants, the researcher concluded while largely ambivalent, that the training had made a positive impact on the organisation to some extent and the majority of staff interviewed did seem to support the training and were hopeful that it would continue to bring about positive changes in the organisation. However, these findings were only applicable to the department and section of the organisation where the study was done; further research would need to be done on the other departments and sections to determine their responses. In general, the findings of this study showed no specific pattern / similarities with previous studies, althoughthere were some similarities, notably of gender playing a role in influencing the training. The main issues in the recommendations relate to the need for further research on the impact of diversity training in Comm Service.

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Miller, Audrey E. "A study of work organisation by nurses in relation to patient outcomes in geriatric hospital wards." Thesis, University of Manchester, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.290318.

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Hutton, Guy Peter Coats. "Can the costs of the World Health Organisation antenatal care programme be predicted in developing countries?" Thesis, London School of Hygiene and Tropical Medicine (University of London), 2001. http://researchonline.lshtm.ac.uk/4646512/.

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The aims of this thesis are to identify and test alternative methods for analysing and predicting health care costs, to construct a framework for guiding analysts in making better cost predictions, and to identify future areas of research in this area. The thesis uses costs collected from a multi-country trial measuring the cost-effectiveness of an evidence-based programme of antenatal care. Detailed costing studies of maternity services (antenatal care, childbirth and postpartum care) were done in two trial countries (Cuba and Thailand), and also a nontrial country, South Africa. Costs are broken down and reviewed by cost components: prices, resource use, and health service use. The review initially considers the application of economic theory to public health care institutions, to identify factors likely to cause cost variation between setting. Then the review seeks empirical evidence proving or disproving the existence of these factors from the health care literature, as well as a review of the methods for analysing health care costs. The empirical analysis first compares health service use, unit costs and cost per pregnancy between settings (between: women with different case-mix, health facilities, trial arms and 'study countries) and examines the causes of variation, before testing alternative cost prediction methods. Variations in unit cost are found to be due to several factors, including different levels of resource productivity, occupancy levels, staffing patterns, prices and exchange rates (between country), input mix and health facility size. Also, uncertainty and measurement error are considered likely to cause some variation in unit costs. Variations in health service use are due to case-mix, clinical practice, and accessibility differences. Again, not all variation is explained. Finally, a range of different cost predictions methods are tested, and their results compared with observed costs in each country. The most accurate cost prediction method is to build costs based on expected changes in resource use, health service use and morbidity rates (called the incremental cost impact approach). The direct and adjusted cross-country transfer methods (transfering costs between countries), although accurate on occasions, are less reliable. Cost predictions using predictors from a regression analysis are highly unreliable for cross-country predictions. Methodological issues and policy implications in relation to cost prediction and generalisability are discussed, including the choice of cost-prediction approach, the valuation methods (opportunity cost and currency conversion methods for cross-country predictions), the measures used for comparing the performance of cost prediction methods, and the limitations· of cost analyses to understand costs. It was concluded that caution is needed in predicting costs both within study countries due to cost variability, and in lower-resourced settings where u,nit costs and health service use are lower. Further cost analyses and testing of cost prediction methods are needed in other areas of health care to compare with the results from this thesis, and build a fuller picture of cost behaviour as well as strengths and weaknesses of alternative cost prediction methods.

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Bevan, Helen. "Managing today while creating tomorrow : actionable knowledge for organisational change in an NHS hospital." Thesis, Henley Business School, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284404.

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Murphy, Anthony Michael. "World Health Organisation's Expanded Programme on Immunization (EPI) : an in-depth study of Hillingdon and West Berkshire Health Authorities, England." Thesis, University of Oxford, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.305831.

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Leverment, Yvonne. "The implications for professional roles and occupational identities of an organisational change process in an NHS trust hospital." Thesis, Loughborough University, 2002. https://dspace.lboro.ac.uk/2134/6774.

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This thesis explores reactions to changing occupational roles and identities precipitated by a Business Process Re-engineering management change programme within a National Health Service setting. The thesis offers further understanding of the changing nature of professional roles and occupational identities within health care. Taking a qualitative approach, through the use of interviews and focus groups, the empirical core of the PhD examines professional employees' responses to changes in their own working practices. The main thrust of the argument is that work reorganisation that changes the role and scope of practice impacts on occupational identities. The empirical work demonstrates how the effects of change in working practice create a situation whereby there are clearly defined winners and losers within and between professions. This thesis links such a recognition with the multiplicity of interests and the complexities of professional occupational identities within health care. An added dimension is the extent to which disciplinary knowledge creates these professional roles and occupational identities. If health care professionalism is to be redefined there is a requirement for an agenda which addresses the issue of how knowledge and expertise are acquired.

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Summers, Michael. "Great expectations : a policy case study of four case management programs in one organisation /." Connect to thesis, 2007. http://repository.unimelb.edu.au/10187/2182.

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Four different case management programs delivered by UnitingCare Community Options (UCCO) in the eastern suburbs of Melbourne were examined against the expectations of case management as a policy solution to a range of perceived policy problems at the micro-, meso- and macro-levels. The micro-level expectations were related to client and family experiences of the service system and outcomes. At the meso-level expectations were focused on perceived service delivery problems such as poor matching of services to the needs of ‘complex’ clients including a lack of integration, flexibility and responsiveness to clients’ needs and preferences. Perceived macro-level policy problems were concerned with a variety of issues including increasing rates of institutionalisation, increasing costs to governments, lack of economic efficiency and the desire to create market or quasi-market conditions in the community care service delivery sector. (For complete abstract open document)

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Read, Susan Margaret. "Management changes in the National Health Service : nursing and organisational theory in relation to the development of a new unit of health care." Thesis, University of Sheffield, 1989. http://etheses.whiterose.ac.uk/2978/.

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This thesis gives an account of research into management changes in the English NHS following the implementation of the Griffiths' Report (1983). The research had three aims: 1. To describe and consider the effects of new management philosophies plans and practices by conducting a case study of one particular unit of health care. 2. To study theories of nursing and health care organisation. 3. To assess the relationship, if any, between experience and theory, suggesting ways to bring theory and practice closer together. The academic perspective is multidisciplinary, drawing on literature from nursing, organisational 'theory and behaviour, health service management, social science, philosophy, history, economics and policy studies. The thesis commences with a discussion of research methodology, arguing the appropriateness of an interpretive stance. An account of the development of the NHS and nursing's place within it is followed by a detailed case study of one unit, which lasted nine months and involved more than a hundred interviews. Particular characteristics of the case study are:- Data analysis utilising grounded theory methodology Inclusion of members of the organisational context A system for participants to validate data pertaining to themselves. The style is naturalistic, qualitative and processual. Presentation of the results recognises the existence of multiple interpretations of organisational reality; a metaphor likens the development of the Unit to the weaving of a tapestry, where the backing is the structure of the unit, and the pattern the perceptions, values and aspirations of its staff, patients and context members. Emerging themes in the thesis are:- the complexity of the NHS professional philosophies and their relationship to management organising as a process growth of a distinctive unit culture. A deliberate choice is made to expose the conflicts and difficulties of naturalistic inquiry, by reflecting on research method throughout the thesis, which is written in the first person.

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Russon, C. E. "Exploring staff and service users' constructions of a community organisation working with refugee people in London." Thesis, University of East London, 2008. http://roar.uel.ac.uk/3776/.

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Refugee people and the community organisations (COs) that work with them have been constructed within and by a variety of legal, social and political contexts within the UK in ways which have shaped their lives and work. Common constructions of refugee people as pathologised or threatening; and of COs as representative, integrative and also lacking have warranted a variety of social practices both comprising and governing the work of COs, and which have both empowering and disempowering effects for them and their service users. Despite the centralisation of COs in service delivery for refugee people, there is little research about them, and few accounts have either focussed on how they work or drawn on the perspectives of staff and service users of COs themselves. This study is an exploration of staff and service users' constructions of a CO working with refugee people in London. Nine people who were either staff or service users of a counsellingbased CO were interviewed and these interviews were analysed using discourse analysis drawing on the work of Foucault (e.g. 1961, 1977) and Malson (1998). Analysis of these interviews led to the identification of three main constructions of the work of the CO. These were 'Therapy 'under erasure'; 'Language and culture as currency' and 'Negotiating restrictions on agency'. Each of these constructions is discussed, together with the social practices warranted and actions made possible by them. Implications for power and agency are also addressed. In the final section, an evaluation of the research and its implications are presented.

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Knowles, Kathleen Bernardette. "An evaluation of organisational change in the community psychiatric nursing service of one district health authority." Thesis, Manchester Metropolitan University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367731.

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Adams, Ann. "Autonomy and influence : an examination of the concepts of nurse autonomy and influence in the context of the organisational environment of acute hospital wards." Thesis, University of Surrey, 1996. http://epubs.surrey.ac.uk/843745/.

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The achievement of autonomous practice has been a clearly and consistently stated aim in nursing for many years. It is one which has driven significant changes in the education and preparation of student nurses, and one which continues to shape developments in clinical practice. This near universal, and perhaps uncritical, pursuit and endorsement of autonomy as a desirable attainment for nurses has its roots in commonly held beliefs about the status and influence enjoyed by more 'traditional' professions. Yet little is understood about the relationship between autonomy and nursing in the acute sector of the National Health Service (NHS). One of the key aims of this research is to explore whether nurses perceive themselves to be autonomous, and to identify conditions within nurses' work environment which either constrain or facilitate the development of autonomy. A second aim is to elucidate the relationship between the concepts of autonomy and influence. Having influence over managerial and resource decisions made within the hospital may be more important than having autonomy vis-a-vis nurses' ability to control their practice. Empirical measures of autonomy and influence were developed from data collected from 825 nurses working in 119 acute hospital wards in 7 RHAs, related to nurses' perceptions of the ward organisational environment. Three influence scales were developed associated with distinct managerial functions: influence over ward management, influence over the timing of ward and patient events, and influence over ward human and financial resources; and an autonomy scale. These scales were analysed in conjunction with scales measuring nurses' perceptions of other features of the ward organisational environment, and objective ward data about organisational practice, staffing characteristics and clinical specialty. Nurses' perceptions of autonomy were enhanced where care organisation was characterised by a high degree of individual nurse responsibility, and where the ward ethos of care was innovative. Social aspects of the ward environment and staffing resources were also important: nurses' perceived themselves to be more autonomous when they had a cohesive working relationship with ward nursing colleagues, and when there was a high degree of collaboration with medical staff. In addition, a high nurse/bed ratio and ward staff stability enhanced perceived autonomy. Perceptions of influence were particularly associated with a high ward grade mix, and individual nurses' clinical grades however. In general, nurses perceived themselves to be autonomous in their clinical practice, but to lack influence over managerial and resource decisions affecting the care they provide. This suggests that nurses have a narrow conceptualisation of autonomy, i.e. clinical autonomy, which is derived from the work organisation process at the micro, ward level. This type of autonomy is limited in scope and value however, because it makes little difference to nurses' ability to influence higher level hospital management decisions. The researcher argues that influence represents a missing, more enigmatic aspect of autonomy, and that consideration of both are vital to developing an understanding of nurses' position within acute NHS Trust hospitals, and to enhance nursing's professional development.

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Duperré, Martine. "Constitution des acteurs collectifs et dynamique de développement régional : le cas d'une association régionale en santé et services sociaux /." Thèse, Chicoutimi : Université du Québec à Chicoutimi, 2002. http://theses.uqac.ca.

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Walker, Peter E., and n/a. "Power relationships and community law centres in Dunedin : power relationships between community organisations, their communities and their funding bodies : specifically focusing on community law centres in Dunedin and the Legal Services Board." University of Otago. Department of Social Work and Community Development, 1997. http://adt.otago.ac.nz./public/adt-NZDU20070528.124321.

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This research engages critically with major public sector accountability theories in relation to the development of law centres in Aotearoa/New Zealand (and comparative international examples) focusing on the two centres in Otago, the Ngai Tahu Maori Law Centre and the Dunedin Community Law Centre. Definitions of accountability are argued to be embedded within theoretical discourses which produce definable models of accountability corresponding to these theoretical statements. Case studies of the discourses of both law centres and their funding bodies are described and contrasted in terms of their views of the role of law centres, interaction with various interest groups and their accountability relationships. The data identifies a desire of both community law centres to engage with a communitarian, �bottom-up�, model of accountability, in contrast to the former social democratic-bureaucratic and current liberal �stakeholder� and �contract� models of the official funding agencies. The current dominance of the liberal �stakeholder� discourse is seen as based on professional power, hierarchical legal structure and control of funding. It is argued that any shift in the dominance of power relationships surrounding community law centres in Aotearoa/New Zealand would entail a strengthening of ties and links with the community, through seeking alternative power supports, a participatory structure and locally controlled funding. Keywords: accountability; power relationships; community law centres; dominance; community.

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Mitchell, Penelope Fay. "Mental health care roles and capacities of non-medical primary health and social care services : an organisational systems analysis /." Connect to thesis, 2007. http://eprints.unimelb.edu.au/archive/00003854.

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Favell, Margaret Elizabeth, and n/a. "Power, control and accountability in a voluntary organisation : the implications for professional staff and service delivery." University of Otago. Department of Social Work and Community Development, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071003.101609.

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Over the last decade government policy has transformed many aspects of the welfare state and contracted out to private or voluntary non-government organisations many of the services previously provided by the state. Currently there is very little research on the benefits or disadvantages regarding standards of professional practice and delivery of these services when controlled by voluntary organisations and this research is a case study investigating these concerns. By using the case study method it is possible to understand issues by incorporating concrete examples of practice within the context that it takes place, as it is only when seen in its proper setting that the general and conceptual significance of practice is understood. This case study explores the relationships of power, control and accountability in one such non-governmental organisation, the Royal New Zealand Plunket Society and the implications these have for professional staff in the delivery of the service. The study uses the archaeology and genealogy methods suggested by Foucault. Archival material was gained from the Minutes of the meetings of the Plunket executive (1917-1984), constitution and rules. These serve to demonstrate the historical power relationships in the organisation, Plunket nurses� working conditions and how some nurses were treated. The dominant discourse in the archaeology contains two major themes, one being volunteers� autonomous 'ownership' of the organisation, and the other, the subordination of professionalism through the discipline and management of the nursing workforce. Those same themes are also dominant in the contemporary data studied in the genealogy, which highlights the constraints imposed by volunteer 'ownership' in the contemporary period. It is a feature of the "path dependency" of the organisation that the belief that volunteers had a right to discipline and control the nursing workforce has remained largely unchanged in the contemporary period. The practice and the context are personalised through interviews with some nurses so that their real-life experiences may give an in-depth understanding of the processes going on for them as professionals. This is one of multiple sources of evidence, including reports, reviews and research, used to triangulate the findings. Through the totality of these methods, insight into Plunket�s decision-making is made possible. These serve to underline the continuing lack of accountability for service delivery of nonprofessional 'owners' of the voluntary organisation and the negative impact it can have on the delivery of professional services although the greater depth in the contemporary data also highlights two new subsidiary themes; the dominance of lay knowledge over both professional and managerial knowledge, and volunteers� motives for volunteering. The contemporary interview data demonstrated how the historical culture of the organisation enabled this process to continue through poor workplace conditions, high staff attrition and, in some cases, severe personal pressure akin to workplace bullying. This study exposes the significance of the culture of organisations, and reveals that the substance of apparent altruistic voluntary organisations may be much more complex and problematic than the ideology would lead us to believe. In a field such as this, where an NGO has sole national responsibility for such an important area and where the outcomes are so poor, change must be considered. While a path dependency explanation is pessimistic about change, it is argued that the only option for professional standards of service for this, and other NGOs, lies in much more accountability and democracy in stakeholder relationships. Recommendations are made in that direction.

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Crawford, Margaret Jane. "A study of organisations and their responses to the social needs of Mbekweni." Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/15834.

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Bibliography : pages 127-135.
This study examines Human Service Organisations and community organisations operating in Mbekweni during the period January to June 1988. These organisations were examined in order to identify the characteristics that distinguish them from each other in as far as service delivery is concerned. The community based organisations were found to be orientated towards mutual-aid and self-help model whilst the Human Service organisations were orientated towards the service model. This study will also highlight the complex nature of Mbekweni which has been approached by different organisations delivering social services. An integrated developmental model is proposed that could form the basis for private voluntary human service organisations. The model is based on: the participation by beneficiaries of services being involved in the decision making process; and the client of this approach being the group or community. The delivery of services would take place in and by groups. An important element in the model would be the inclusion of trained Developmental Workers who would act as enablers, facilitators, educators and resource persons. This model will emphasise factors that could be incorporated in the designing, planning and administration of private voluntary human service organisations operating in black urbanising communities.

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Shozi, Nobubele Angel. "Factors affecting the use of mobile devices for remote data collection in home community based care." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1012621.

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The health care systems of developing countries, which are already weak, have to carry an additional strain brought on by the burden of infectious diseases. This added strain means that the health care provided is not of the highest quality. The use of home community based care (HCBC) was introduced as an attempt to provide basic health care services to people through the services of community health care workers (CHCW). With the development of HCBC in developing countries and the CHCW playing a vital role in ensuring that the lives of people living with diseases are improved, the need for information and communication technology (ICT) solutions is increased. The information that is collected by the CHCW is paper-based and it cannot be analysed and used efficiently and effectively. This study embraces the adoption of a socio-technical perspective when an ICT solution is introduced in an environment. A socio-technical perspective focuses on three dimensions: the user, the environment and the technology used. These three need to be in coherence to ensure that the technology is used effectively by the user within the environment. Therefore the objective of this study is to identify a list of socio-technical factors that affect CHCWs when they are using mobile phones for data collection purposes in home community based care. In order to achieve this it was necessary to understand how the socio-technical subsystems of the HCBC environment are constituted. The study followed a qualitative approach, including interviews and observations, to collect the data which will best enable the researcher to understand the home community based care environment, its people and the use of the technology to collect data in this environment, in particular mobile phones. A qualitative content analysis approach was followed to analyse the data and constitute a list of factors affecting the use of mobile devices for remote data collection in home community based care. It is hoped that this research will assist to inform the design of appropriate mobile health applications to both ease the burden of CHCWs (i.e. it should be faster and easier to use than paper) and improve the healthcare service provided through enabling access to patient records to all partners in the care continuum.

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Clifton, Ross G. "An action research approach to supporting change management and associated governance strategies in a community services organisation." View thesis, 2008. http://handle.uws.edu.au:8081/1959.7/32874.

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Thesis (Ph.D.)--University of Western Sydney, 2008.
A thesis presented to the University of Western Sydney, College of Arts, School of Social Sciences, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographies.

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Gulube, Thokozile Maureen. "An investigation into Kwa Mashu Family and Child Welfare Society as it interacts with other organisations in the provisions of welfare services." Master's thesis, University of Cape Town, 1992. http://hdl.handle.net/11427/15950.

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Bibliography: pages 153-156.
The study investigates Kwa Mashu Family and Child Welfare Society, a welfare organization providing child welfare services to the community of Kwa Mashu. This organization interacts with other organizations that serve the interests of the child. The study investigates the Kwa Mashu Family and Child Welfare Society as it interacts with other organizations in the provision of Child Welfare Services. The study was motivated by the earnest desire of the organization to find out from the community of Kwa Mashu how the latter views the society in the midst of changing circumstances within the Township. The study is descriptive and exploratory, it explores and describes the child welfare field. It addresses the development of this field and demonstrates how the political priorities affected child welfare provision in South Africa. The study also gives a brief profile of Kwa Mashu Township in which the society operates. In the analysis of Kwa Mashu Family and Child Welfare Society special attention is given to the structure of the organization and the channels of communication within the organization and between the organization and the community. The study investigates the views and opinions of 50 community organizations operating within Kwa Mashu. The study discovered that these organizations had a variety of views about Kwa Mashu Family and Child Welfare Society. The major discovery was that although the community organizations are aware of Kwa Mashu Family and Child Welfare Society they are unaware of the services offered.

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Temmers, Lynette. "Factors influencing the collaboration between community health workers and the public primary health care facilities in delivering primary health care services." University of Western Cape, 2019. http://hdl.handle.net/11394/7655.

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Master of Public Health - MPH
Community health workers (CHWs) are integral to improve Primary health care (PHC) coverage, utilising their unique skills within the community to make services accessible and equitable. PHC is the cornerstone of the National Health Insurance (NHI) Bill for the provision of Universal Health Care (UHC). The Department of Health (DOH) in the Western Cape, South Africa, has set priorities and requirements for the provision of funding to Non-profit organisations (NPOs) for forming coalitions with the Health Department to deliver various aspects of health care. The post-2015 agenda of the Sustainable Development Goals (SDGs) are underscored by a strong sense of intersectoral collaboration to work together to attain sufficient and sustainable progress. Collaboration between CHWs and PHC facilities is important in aligning goals and activities to ensure a comprehensive and sustainable approach to ensuring UHC

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Liebenberg, Handri. "A description and analysis of the organisational capacity of the rehabilitation services at TC Newman Community Day Centere." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86671.

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Thesis (M Human RehabSt)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Rehabilitation services, mainly rendered by therapists employed by the Department of Health, forms a critical part of the Primary Health Care (PHC) package of care. Different policies, within the Department of Health (DOH), provide guidance on rehabilitation service delivery. However, implementation of these policies remains a challenge. The current study aimed to describe and analyse the organisational capacity of rehabilitation services at the study site and to assess how congruent the rehabilitation service at the study site was with existing rehabilitation policy. A descriptive methodology was applied making use of both quantitative and qualitative methods in analyzing the organisational capacity of this study site and the alignment of rehabilitation services offered, with the National Rehabilitation Policy (NRP). The study used the Kaplan framework, the objectives of the NRP and specific selected articles of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) to develop indicators to be used for the description and analysis of the organisational capacity of the rehabilitation services at TC Newman Community Day Centre. Questionnaires based on seven objectives from the NRP were developed to collect quantitative data from five service providers, the facility manager of TC Newman CDC and the managers of two Non- Governmental Organisations (NGO) working in the drainage site. Face to face, audio recorded, semi- structured interviews were used to collect qualitative data from the five service providers. A folder audit and document review was used to enhance quantitative findings. After analysis of the data, I still felt the need for additional information and thus developed an open ended questionnaire for participants to complete. Barriers (e.g. defaulting of clients, a lack of standard documentation, poor monitoring and evaluation) and facilitators (e.g. outreach and support, competent staff and multi-disciplinary team) were identified in implementing the NRP. Participants highlighted the importance of accessing rehabilitation services with a focus on the outreach to peripheral clinics and funded NGO’s. Intersectoral collaboration is evident, but mainly with funded NGO’s. A lack of standardised documentation, inadequate monitoring and evaluation systems and uniformed documentation were some of the challenges identified by participants. The absence of participation by persons with disabilities was noted by all participants. With reference to the organisational capacity, the participants had a good understanding of rehabilitation within the PHC context. Participants felt confident in delivering rehabilitation services and were able to identify shortcomings in service delivery. It is concluded that rehabilitation services are not delivered exactly in accordance with the objectives of the NRP. However the organisation demonstrated capacity to deliver rehabilitation services at PHC level, but there is still a need to enhance service delivery on community based level. The results of this study gave me as a manager and implementer of health policy in the District Health System the opportunity to gain deeper insight as to how rehabilitation services are currently rendered. Results from the study highlighted how coherent rehabilitation service delivery is with current policy in health and the capacity of the organisation to deliver rehabilitation services. This gave me the opportunity to adjust and review current rehabilitation service delivery and implement changes, as the study progressed.
AFRIKAANSE OPSOMMING: Rehabilitasie word hoofsaaklik deur terapeute in die departement van gesondheid gelewer binne fasiliteite en vorm ‘n belangrike deel van die Primêre Gesondheid Sorg dienste (PGS). Daar is verskillende beleid binne die Departement van Gesondheid beskikbaar, wat rehabilitasie definieer. Ten spyte van beleid, bly die implimentering van hierdie beleide ‘n uitdaging. Hierdie studie het ontstaan om the kapasiteit van die organisasie te beskryf, om rehabilitasie dienste te implimenteer en ook te bepaal hoe hierdie dienste ooreenstem met die Nasionale Rehabilitasie Beleid (NRB). ‘n Beskrywende metodologie was gebruik, wat uit ‘n kwantitatiewe en kwalitatiewe deel bestaan het. ‘n Vraelys is ontwikkel op grond van die 7 doelwitte beskryf binne die NRB. Dit is gebruik vir die versameling van kwantitatiewe data, by vyf diensversakffers, `n gesondheidsbestuurder en die bestuurders van twee nieregerings organisasies. Kwalitatiewe data is verkry deur onderhoude met die vyf diensverskaffers. ‘n Oudit van pasiënt lêers en die evaluering van dokumente het kwantitatiewe data versterk. Na die analisering van data en die behoefte vir addisionele inligting, is ‘n oop-end vraelys ontwikkel en versprei na deelnemers om te voltooi. Die studie het die organisatoriese kapasiteit van die organisasie ontleed deur gebruik te maak van Kaplan se raamwerk vir organisasie kapasiteit en die doelwitte van die NRB, asook sekere geselekteerde artikels uit die “United Nations Convention of the Rights of Persons with Disabilities” UNCRPD. Deelnemers het belangrikheid van toegang tot rehabilitasie dienste bevestig, met ‘n fokus op uitreik na perifêre klinieke in die sub distrik en befondse Nie-Regerings Organisasies (NRO). Intersektorale skakeling was beskryf, maar beperk tot befondse NRO’s. Verskillende uitdagings soos bv. gestandardiseerde dokumentasie, onvoldoende monitering en evalueringssisteme en die dokumentering van inligting was geïdentifiseer. Die afwesigheid van persone met gestremdhede en hulle deelname by terapie was genoem deur deelnemers. Verskillende uitdagings asook fasiliteerders was geïdentifiseer deur deelnemers t.o.v die implementering van bestaande beleid.

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Semler, Mirko. "Enacting a limit case of autonomous service-learning : insights from an ethnographic inquiry into a contemporary application of the pedagogy." Thesis, University of St Andrews, 2017. http://hdl.handle.net/10023/12223.

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Service-learning (SL) is a socially embedded and experience-based pedagogy that develops the link between theory and practice through community engagement. It fosters learning outcomes for students and benefits for community members. This thesis builds on recent applications of the pedagogy and advances our understanding of SL by studying a limit case of student autonomy in the absence of faculty intervention. Student-community and peer-to-peer relationships are particularly influential on students' lived experience if their interactions are unmediated by educators. This thesis firstly explores how students enact SL if left to their own devices. Secondly, by adopting a relational embeddedness perspective, it investigates the influence of student-community and peer-to-peer relations on participants' learning experience. An organisational (“at-home”) ethnography in a student-led social enterprise yielded insights into the two streams of research. The findings suggest that students' learning process consisted of a blend of emergent and deliberate micro learning processes that highlight the importance of - among other components of students' learning experience - role enactment, student autonomy, peer engagement, informal learning, and community co-education. With regards to the relationality of this limit case of SL, community and peer relations had an enabling and constraining influence on student learning. The findings further speak to the causality of such impact and suggest that the nature of inter-personal relationships determined the effects they had on students' experiential basis for learning. These findings contribute to the debate about the promise, effectiveness, and principles of SL in business and management education by problematizing student autonomy and faculty intervention. Moreover, this thesis responds to a gap in the literature and sheds light on the relationality of the pedagogy.

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Zeus, Marion. "The role of a resource centre in the empowerment of community based organisations in Cape Town's townships." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6660.

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Thesis (MPhil)--University of Stellenbosch, 2011.
ENGLISH ABSTRACT: The aim of the study was to assess the needs for a Resource Centre (RC) run by Community Connections (CC), a Non-Governmental Organisation (NGO) based in Philippi, Cape Town. The overall objective of the RC is the empowerment of Community Based Organisations (CBOs). Community Connections’ mission is to support community development in South Africa by building the capacity of CBOs to initiate, manage and sustain local empowerment and self help initiatives. Research paradigms for the study were critical theory with its aim of emancipation and an approach that favours transformative action, as well as postmodernism with its appreciation of local contextualised knowledge and value based action. The research problem was addressed through action research and a case study approach. The researcher did an internship at CC between March and November 2008. During this period data was collected through participant observation as well as interviews, namely thirteen semi-structured interviews with CBOs and four additional interviews with practitioners of the NGO and external stakeholders. The study was motivated by an approach to development that aims at transformation to increase social justice and the strengthening of vulnerable and marginalised groups. The transformative potential of development is discussed through an analysis of related concepts such as social capital, participation and empowerment. It was found that discourses and social practices can shape the way people participate and that the environment also influences participation through the availability of space for participation and debate. Empowerment needs the critical consciousness of people and takes place when the inequality in power relations is addressed. Development therefore needs to be people centred, value meaningful participation and aim at inverting existing imbalances in access to assets and resources in society. The review evaluates suggestions for civil society practice that supports a transformative, learning and partnership based approach to development. To address the research question of how an NGO Resource Centre can most effectively contribute to creating empowering linkages between CBOs and other stakeholders, their external relationships were assessed. Relevant stakeholders include CBO funders, NGOs and government departments and institutions. The findings of the research describe those relationships with a focus on the imbalances in power and how they manifest themselves in practice. The relationship between CBOs and Community Connections was assessed as well as the relevance of specific services that the RC would provide. The recommendations focus on how the RC can support the strengthening of CBOs in their specific environment, and how they can be enabled to act upon their environment through access to relevant information, knowledge and capacities. Specific recommendations for the RC focus on the learning in Community Connections through the integration of services, making the NGO more accessible for CBOs through the constant availability of certain services, and further research that can strengthen the work of Community Connections and the empowerment of CBOs.
AFRIKAANSE OPSOMMING: Hierdie studie het ten doel gehad om ondersoek in te stel na die vereistes en behoeftes van ŉ Hulpmiddel Sentrum (HS), bedryf deur Community Connections (CC), ŉ nieregeringsorganisasie (NRO) gebaseer in Philippi, Kaapstad. Die oorkoepelende doelwit van die HS is die bemagtiging van gemeenskapsgebaseerde organisasies (GGO‘s). Community Connections se missie is om gemeenskapsontwikkeling in Suid Afrika te ondersteun deur die uitbouing van die vermoë van GGO‘s om plaaslike bemagtiging en self-help inisiatiewe te inisieer, te bestuur en te onderhou. Die navorsingsparadigmas vir die studie was kritiese teorieë met hulle kenmerkende klem op emansipasie en ŉ benadering wat voorkeur gee aan transformatiewe aksie, asook postmodernisme, met waardasie van plaaslik-gekontekstualiseerde kennis en waardegedrewe aksie. Die navorsingprobleem is aangespreek deur aksie-navorsing en ŉ gevalle studie-benadering. Die outeur het ŉ internskap by Community Connections deurloop vanaf Maart tot November 2008. Gedurende hierdie tydperk is data bekom deur deelnemende waarneming asook onderhoude, naamlik dertien semigestruktureerde onderhoude met GGO‘s en vier addisionele onderhoude met praktisyns van die NRO‘s en ander eksterne belanghebbendes. Die studie is gemotiveer deur ŉ benadering tot ontwikkeling wat gerig is op transformasie ten einde sosiale geregtigheid te bevorder en kwesbare en gemarginaliseerde groepe te versterk. Die transformatiewe potensiaal van ontwikkeling word bespreek deur ŉ analise van verwante konsepte soos sosiale kapitaal, deelname en bemagtiging. Daar is bevind dat diskoerse en sosiale praktyke deelname kan beïnvloed en ook dat die omgewing ŉ impak uitoefen op deelname as gevolg van die beskikbaarheid van ruimte vir deelname en debat. Bemagtiging vra vir ŉ kritiese bewussyn by gemeenskappe en vind plaas wanneer die ongelykheid van magsverhoudings aangespreek word. Ontwikkeling moet dus gemeenskapsgesentreerd wees, erkenning gee aan betekenisvolle deelname en daarop gemik wees om die wanbalans in die toegang tot bates en hulpbronne om te keer. Die studie evalueer voorstelle vir gemeenskapsgebruike wat ŉ transformatiewe, kundigheidsvormende en vennootskapsgedrewe benadering tot ontwikkeling ondersteun. In ŉ poging om die navorsingsvraag te beantwoord van hoe ŉ NRO hulpmiddel sentrum optimaal kan bydra tot die daarstelling van brûe tussen GGO‘s en ander belanghebbendes, is hulle eksterne verhoudings geëvalueer. Relevante belanghebbendes sluit GGO-befondsers, NRO‘s en regerings-departemente en instellings in. Die bevindinge van die navorsing beskryf hierdie verhoudings en fokus op die magsongelykhede en hoe hulle in die praktyk beleef word. Die verhoudings tussen GGO‘s en Community Connections is ondersoek asook die toepaslikheid van spesifieke dienste wat die HS sou voorsien. Die aanbevelings fokus op hoe die HS kan bydra tot die versterking van GGO‘s in hulle spesifieke omgewing en op watter wyses hulle bemagtig kan word om ŉ invloed op hulle omgewing te hê deur die toegang tot relevante inligting, kennis en vaardighede. Spesifieke aanbevelings t.o.v. die HS fokus op die opleiding van CC deur die integrasie van dienste, ŉ poging om NRO‘s meer toeganklik te maak vir GGO‘s deur die konstante beskikbaarheid van sekere dienste en verdere navorsing wat die werksaamhede van Community Connections kan versterk en die GGO‘s kan bemagtig.

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Li, Zelin. "A socio-technical approach for mobile health informatics together with organisational change : case studies in community healthcare service centres in China." Thesis, Kingston University, 2011. http://eprints.kingston.ac.uk/22965/.

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This thesis addresses the theory of Socio-Technical Systems (STS) within the context of Information Systems (IS), a complicated field combining Information Technology and social shaping impacts. IS have been changing our society for some decades. From Office Automation (OA) to E-Commerce and E-government, IS are creating a new era of Mobilisation. Different industries have all been adopting Information Technology to enhance their business, from enterprises to public sectors. All these changes bring dramatic impacts for organisational behaviour and people's living, which need to be studied. According to academic literature, health informatics, being one of the important and complex fields in IS, started to employ mobile technical systems to improve healthcare service delivery for citizens at the start of the new Millennium. Comparing with other theoretical models in IS, the author argues that the Socio-Technical approach can explain comprehensively the new changes to organisations and society. Following the theories of STS, these case studies were decided by the researchers as field work in Chinese Community Healthcare Service Centres, where there are various mobile services for the citizens. Through multiple case studies, the author found that Leader Emphasis is one new social element in the field of the IS, while Participation, as another social element is essential to the context of this research project. These two social shaping elements, combining together within a model of STS, provide new decision making process, which is vital to a successful development of Mobile Health Information Systems (MHIS). The model has affected organisational behaviour, organisational structure, culture and society, following the usage of Mobile IS. Based on the result of the field work and the relevant literature of E-govemment, this research also concludes that M-govemment can be the transformation of E-govemment, as public service can be delivered efficiently by Mobile IS. A developing model is presented in this thesis.

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Robertson, Stephen Dixon. "Shobodan : an ethnographic history of Japan's community fire brigades." Thesis, University of Oxford, 2012. http://ora.ox.ac.uk/objects/uuid:1e7d92e5-97f5-4fe4-a6d3-2953c44b62ed.

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This thesis describes Japan's modern system of community fire brigades, a federated civilian paramilitary organization dedicated to localized fire prevention and response with a current active membership of over 800,000 men and women. Auxiliary firefighting institutions in Japan have had comparatively high rates of participation vis-à-vis those of other nations, but are now facing acute recruitment difficulties in the face of increased competition from alternative venues for civic engagement since the mid-1990s. This suggests both the tractability of civil society as an extra-statal sphere of institutionalized social organization as well as the inherent pluralism of its vernacular expression. I demonstrate that the nationalization of the fire brigade system in 1894 was predicated on the existence of an autonomous and normative sphere of age-graded practices of inter-household mutual aid in the villages of Tokugawa Japan. The gradual absorption and redirection of these practices into the nation-building projects of the Meiji state and its successors realized the creation of a functional emergency service organ with universal penetration at minimal expense. Nevertheless, drawing on Maurice Bloch's theory of rebounding violence, I argue that the secular rituals and state symbolism used to achieve this encompassment have conferred a legacy of structural ambivalence between civility and uncivility that continues to inform perceptions and representations of the brigade in public discourse. It follows that the phenomenon of organizational aging and questions of recruitment and succession should be seen as ideological in nature, rather than as simple indices of wider demographics or social transformation. This thesis is based on data collected during twenty months of research in Japan between 2008 and 2010, including eleven months of continuous participant observation with a brigade in Suwa District, Nagano Prefecture. Extensive ethnographic interviews with local firefighters, community members, and town officials are supplemented with data from primary and secondary historical sources, including online discussion forums. This thesis contributes to the literature on local voluntarism in Japan, as well as to the wider anthropological project of documenting non-western models of civil society.

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Shelver, Amy. "The AIDS of aid?: long-term organisation challenges of a CBO dealing with HIV/AIDS, poverty and donor aid." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1012321.

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The following treatise first frames the role of CBOs in responding to the HIV/Aids crisis in relation to their position in the global health governance system through a literature survey that moves from an analysis of the global structures down to the local. The survey covers the role of international organisations, international NGOs (INGOs), national governments, local NGOs and CBOs and outlines the context in which Masizakhe is working within the global health governance structure. Secondly the research design and methodology are outlined focusing on the longitudinal, case study and participant--‐observation approaches. Hypotheses, conceptualisation, definitions, key variables are described and data collection methods and fieldwork practice extrapolated upon. Following that data capturing, editing and analysis are discussed in conjunction with shortcomings and sources of error. In the fourth chapter the research discusses the history, structure and outlines the research findings by comparing what has changed within the organisation over time, presenting and discussing the results. The outcomes of this research have shown that existing problems in this particular CBO are very difficult to overcome without committed, sustained support from donors, government, community and the organisation’s members. CBOs are often hamstrung by a series of intersecting factors which hamper their ability to problem--‐solve, even when the route to overcoming the problem is clear, particularly when the capacity and will to do so is not always present from both within the organisation and from outside support systems. These challenges then impact on the overall quality of and ability to deliver the services the organisation is structured to deliver. The major challenge for the organisation remains the inconsistent donor cycle and resultant instability thus created within an organisation already working in a highly volatile, unstable situation marked by poverty and disease. Thus the title, The Aids of Aid?, captures the essence of Masizakhe’s struggle with its own syndrome of problems. It summarises a comment made by the project secretary said that: “Sometimes it feels like we are not only fighting for the health of our people – We are fighting for the health of our organisation. We are a sick organisation trying to help sick people. All we need is donors and funding –we can’t live without them, and when they don't give, we get sick” (Stamper, Pers Comm, 2011). The other emergent challenges were a battle internally with ‘founder syndrome’, lack of management transparency and a dysfunctional board.

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Magnusson, Annabella. "Home care of persons with long-term mental illness : nurses and mental health care workers' experiences of how changes in the organisation of psychiatric services have changed their work." Doctoral thesis, Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-638-3/.

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Boshoff, Shanie. "Kapasiteitsbou van informele gemeenskapsgebaseerde organisasies deur maatskaplike werkers van die ACVV." Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/1579.

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Thesis (M Social Work (Social Work))--University of Stellenbosch, 2007.
This research addresses the problem of how formal organisations can assist on building the capacity of informal community based organisations (CBO’s). Although informal CBO’s are being regarded as valuable resources rendering much needed services to marginalized communities, they are at present still exclude from governmental funding, because they do not meet the requirements prescribed by the state. To obtain the funds which will enable informal CBO’s to render effective and sustainable services to marginalized and poor vulnerable communities, it is from the developmental perspective in welfare crucial to build the capacity of these informal CBO’s. As a point of departure the researcher provides a general picture of the current structure of social service providers in South Africa. This is done, first of all, by conceptualizing “social service providers” within the context of general concepts such as “social welfare” and “social work”. In this respect a schematic representation provides a general picture of the various categories of social service providers involved, followed by a concise description of each, including their focuses, roles and responsibilities. This necessitates that a distinction should be drawn between the government sector, parastatal organisations, profit-yielding non-governmental organisations and non-governmental organisations without a profit-seeking motive. The concept “capacity building” is explored in accordance with the policy and legislative framework applicable to the capacity building of informal CBO’s by formal welfare organisations. This framework is supplemented by a description of other key concepts which have a bearing on the capacity building of informal CBO’s by formal welfare organisations, such as “empowerment” and “development”. Emanating from this an attempt is made to formulate the objective of the capacity building of informal CBO’s by formal welfare organisations. From the diversity of the developmental requirements and the obstacles informal CBO’s experience, aims for obtaining capacity building are deduced.

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Lienard, Laure. "L’approche communautaire dans le travail social : une perspective européenne." Thesis, Université de Lorraine, 2020. https://docnum.univ-lorraine.fr/ulprive/DDOC_T_2020_0274_LIENARD.pdf.

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Le travail social en Europe est marqué par des phénomènes de convergences, renforcées par des processus formels et informels d’européanisation au sein de l’Union Européenne, et des variables ancrées dans l’histoire et la culture des pays. La place qu’y tient le travail communautaire est l’un des points de divergence les plus visibles dans la profession de travail social entre les pays. Ces situations recouvrent d’importantes nuances dans les modalités et les formes de pratique communautaire selon les pays, dans le travail social et à sa marge. Comment comprendre et interpréter ces variations ? Quels sont les facteurs qui déterminent l’inclusion ou non du travail communautaire dans le travail social ? Cette thèse présente le travail social et le travail communautaire dans 6 pays européens (France, Pays-Bas, Angleterre, Suède, République tchèque, Italie), correspondant à des modèles distincts d’Etat-providence, à partir d’entretiens semi-directifs menés auprès d’intervenants de terrain et d’académiques dans chaque pays. L’étude socio-historique du travail communautaire dans les différents pays montre que celui-ci est importé comme pratique professionnelle après-guerre, et qu’il connaît partout un âge d’or – tout en gardant toujours une place minoritaire dans le travail social – culminant avec l’idéologie du développement et le courant radical dans les années 1960 et 1970. Le glissement vers le libéralisme dans les années 1980 redéfinit le projet politique pour le travail social et l’assigne davantage à des fonctions curatives, sur des modalités d’intervention individuelles et sectorielles. Dès lors, le travail communautaire bascule à la marge ou se développe en dehors du travail social, à l’exception des Pays-Bas, où il subsiste comme une filière du travail social en dépit d’une baisse d’effectifs. Or, depuis les années 2000, la communauté (et son corollaire, la société civile ou le tiers-secteur) revient au cœur des débats, d’abord sous l’influence du modèle politique de la Troisième Voie, puis plus généralement, dans les modes de gestion publique qui traduisent la pénétration d’un néolibéralisme idéologique et managérial partout en Europe. Ainsi, le modèle d’activation communautaire et de mise en réseau des acteurs sur le territoire à des fins d’autonomisation est davantage présent dans les pays où le tournant libéral est plus prononcé. Le paradigme de l’empowerment unifie le champ, tout en masquant une grande polysémie. Parmi les variables, certaines ont trait aux arrangements entre les différents acteurs dans le cadre de l’Etat-providence, selon la place qui y est reconnue à la société civile, et à des cultures politiques centrées sur le consensus ou sur le clivage, en fonction desquelles le travail social ajuste sa place sur la scène politique – selon qu’il recherche la neutralité pour éluder le clivage, ou se reconnaît une légitimité à porter une parole sur la scène publique (et est reconnu comme tel par la puissance publique). La préexistence de traditions professionnelles relevant de l’éducation populaire (comme l’animation en France) ou de la pédagogie sociale, qui semblent être une composante européenne spécifique, conditionne également la place que prend le travail communautaire dans le travail social : le travail social dans les pays nordiques s’est construit sur une tradition de pédagogie sociale, quand en France, les relations entre animation et travail social sont, historiquement, tumultueuses. Enfin, une autre variable est le statut de la profession de travail social, qui lui permet d’avoir une emprise sur le périmètre et la définition de ses activités
Social work in Europe is characterized by dynamics of convergence, reinforced by formal and informal processes of Europeanization within the European Union, and variables rooted in the history and culture of the countries. One of the most visible areas of divergence in the social work profession between countries is the emphasis on community work. These differences in status are compounded by nuances in the organization and forms of community practice in different countries, in social work and at its margins. How can these variations be understood and interpreted? What are the factors that determine whether or not community work is included in social work? This thesis presents social work and community work in 6 European countries (France, Netherlands, England, Sweden, Czech Republic, Italy), corresponding to distinct welfare state models, and is based on semi-structured interviews with field workers and academics in each country. The socio-historical study of community work across Europe shows that it was imported post-war as a professional practice, and that everywhere (except in Eastern Europe, where social work as a profession did not exist) it went through a golden age - while retaining a minority status in social work - culminating with the ideology of development and the radical movement in the 1960s and 1970s. The shift towards liberalism in the 1980s redefined the political project assigned to social work, towards more curative and individual interventions, focusing on target groups. From then on, community work was marginalized or grew outside of social work, with the exception of the Netherlands, where it remained as a social work branch despite a decline in numbers. However, since the 2000s, the community (and its corollary, civil society or the third sector) has returned to the center of public discussions, first under the influence of the political model of the Third Way, and then more generally following the implementation of public management principles, which reflect the penetration of ideological and managerial neoliberalism throughout Europe. Thus, models of community activation and networking towards community empowerment are more present in countries where the liberal turn is more pronounced. The empowerment paradigm, although widely polysemic, contributes to unify the field. Among the variables, some relate to the arrangements between different actors within the welfare state, depending on the role granted to civil society, and to political cultures centered on consensus or cleavage, according to which social work seeks to adjust its role in the political arena - depending on whether it seeks neutrality in order to avoid the cleavage, or whether it acknowledges its legitimacy to speak out in the public arena (and is recognized as such by the public authorities). The pre-existence of professional traditions in popular education (such as animation in France) or social pedagogy, which seem to be a specific European component, also conditions the place of community work within social work: social work in the Nordic countries was built on a tradition of social pedagogy, while in France, the relationship between animation and social work is, historically, tumultuous. Finally, another variable is the status of the social work profession, which allows it to have a hold on the scope and definition of its activities

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Rosenberg, John Patrick. "A study of the integration of health promotion principles and practice in palliative care organisations." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16586/.

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The modern hospice movement emerged in the 1960s as a grassroots social movement that attempted to restore an holistic and contextualised approach to the care of people at the end of life. This approach embraced the lived experience of the dying person at the centre of care across physical, emotional, social and spiritual domains of life. To achieve this, the care of dying people was largely removed from mainstream health care systems to promote more holistic and socially contextualised dying. In recent decades, the evolution of palliative care demonstrates the gradual return of palliative care services to the mainstream. It has been asserted that, in this process, palliative care services have progressively abandoned the social context of dying people, increasing instead an emphasis on "physical care [while] simultaneously de-emphasizing psychological, social and spiritual care" (Kellehear, 1999a, p.76). Kellehear and others have proposed that the repositioning of palliative care within mainstream health care systems has increased a focus upon illness and disease at the expense of health and wellbeing. Subsequently, conventional palliative care services have been criticised for not adequately locating end of life care within the social contexts in which death and dying take place. In an attempt to address this problem, Australian sociologist Allan Kellehear proposed an approach to end of life care that brought together the core concerns of palliative care with the principles and practices of health promotion (Kellehear, 1999b). Whilst their congruence is not immediately apparent, these two fields have been increasingly examined for their potential benefits in the provision of end of life care. In the current policy climate in Australia, there is an imperative to consider how end of life support services might be improved through adopting a health promoting palliative care approach. The aim of this study has been to investigate the integration of health promotion principles and practice by a selected palliative care service by examining the qualitative impact of this change on the organisation. Specifically, it endeavoured to identify the factors that advanced or impeded this integration by examining how the structures and processes of, and outcomes for, the organisation reflected a health promoting approach. To meet these aims, this study undertook an in-depth examination of the implementation of a health promoting palliative care model by a community based palliative care organisation. Based in a constructionist-interpretivist paradigm, a mixed-method (QUAL+quant), instrumental case study research design was utilised to capture multiple perspectives of the implementation process. Data collection comprised examination of 127 organisational documents, 32 in-depth interviews with staff, volunteers and consumers, 5 focus groups with staff and volunteers, and 25 carer questionnaires. Qualitative data were subject to thematic analysis, with supplementary quantitative data analysed to generate descriptive statistics. The findings demonstrated a large number of complex and interrelated enabling and impeding factors to the implementation in the case study site. These factors have been grouped into four key themes which have been examined in light of the aims of this study and the issues identified in a comprehensive review of the literature. This study found that: ◦ Conceptual congruence between health promotion and palliative care was a fundamental starting point in the implementation of a health promoting palliative care model. ◦ Where conceptual congruence was clear, activities associated with the model that were regarded as beyond conventional approaches to palliative care core business were viewed favourably by stakeholders and were less likely to encounter resistance within the organisation. ◦ When systematic approaches to organisational change, such as quality improvement systems, were rigorously applied, the impact of the transition upon stakeholders was qualitatively less. ◦ Where this transition had been effectively made, consumers, staff, volunteers and members of the wider community were seen to benefit. This study adds to the current discourse regarding the intersection between end of life support and health promotion, and provides insight into how palliative care organisations might undertake the transition from conventional models to a health promoting palliative care approach.

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Nählinder, Johanna. "Innovation and Employment in Services : The case of Knowledge Intensive Business Services in Sweden." Doctoral thesis, Linköpings universitet, Tema teknik och social förändring, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-4256.

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This is a study of innovation in Knowledge Intensive Business Services (KIBS) and the impact innovation has on employment. The thesis relies on theories within the fields of "innovation in services", in particular KIBS, and "innovation and employment", taking as its point of departure the taxonomy of product and process innovation. The thesis is based on a discussion of innovation in services with a focus on how innovation in services may be understood and delineated. A long discussion is dedicated to the taxonomy of product and process innovation and the extent to which these concepts may be applicable to innovation in services. The thesis also scrutinises the concept of KIBS and how this can be defined. It further discusses features commonly associated with KIBS firms. The thesis is also rooted in the broader issue of innovation as a creator and destroyer of employment and makes a contribution in applying these issues to service sectors. The empirical part of the thesis builds on a database compiled for the research project, comprised of 967 Swedish KIBS firms. The database covers issues of innovation, employment and characteristics of the firm. The findings indicate that innovation was common in Swedish KIBS firms and that innovations often had an impact on employment. However, the thesis did not detect a straightforward relation between type of innovation (technological process innovation, organisational process innovation, goods product innovation and service product innovation) and the impact on employment. Explanations other than type of innovation have to be considered to analyse the impact of innovation on employment. The thesis further suggests that although innovation in KIBS is common, innovation itself is difficult to conceptualise and delineate.

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Smidt, Hermanus Jacobus. "The use of information and communication technology by emerging commercial farmers in their development in the Western Cape, South Africa." University of the Western Cape, 2018. http://hdl.handle.net/11394/6604.

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Magister Artium (Development Studies) - MA(DVS)
Although many researchers have shown JCT can enable development it remains a great challenge to understand the link between ICT4D projects and the development of emerging commercial agriculture. There is a need to realize the potential of information and communication technologies (JCT) for emerging commercial farmer development in order to achieve agriculture expansion and transformation in South Africa. This is important in order for them to partake in the knowledge economy visualized in the 2030 National development plan of South Africa and achieving the Sustainable Development Goals in 2030. However in South Africa, it is not yet established which specific JCT are used, how they are used and the extent of deployment if used in the emerging commercial agricultural sector. Few studies have focused on the factors that influence the use of JCT in South African emerging agriculture. This study investigates and attempts to understand the usage of JCT by emerging commercial farmers and the issues that influence ICT use on the West Coast of the Western Cape Province in South Africa. The study investigates the different forms of JCT used, how they are being used, what they are used for, how important these technologies are as enablers of production and the factors that affect their use. The study involved a survey response of 42 emerging commercial farmers and 46 of their farm employees in the Matzikama and Cederberg municipalities. A literature review draws from studies globally. regionally and in South Africa on how ICTs have penetrated and contributed to delivering development in emerging commercial agriculture. Although most emerging commercial farmers cannot afford to adopt JCT fools that are essential in their farming activities almost all who were interviewed acknowledged !he importance of JCT to their businesses. However, among other JCT, mobile phones and television were found to be primarily used for social and entertainment reasons rather than for agricultural purposes. The general findings showed that occupation on farm and JCT Literacy influence the use of ICT by farm employees. On the other hand the gender, capacity of the farmer, off farm income and farm size influences the use of ICT by emerging commercial farmers. Our literature review established some examples from the studies of other researchers and the efforts of multi-lateral institutions such as the FAO and ITU to illustrate how we can improve policy. I recommend that the South African government develop an e-agriculture strategy to monitor development and validation of good practices on the use of ICTs in agriculture and rural development. This strategy will examine emerging trends on the role of ICTs and the challenges faced in reaching scaled, sustainable information service models. This can increase the sustainability of emerging commercial agriculture to contribute to the improvement of the lives of the poor in rural areas. Finally I present research questions for future research.

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Béguin, Hélène. "Héberger des migrants ou gérer des logements ? : l'Aftam et ses "foyers d'Africains noirs" (1962-2012)." Thesis, Paris Est, 2015. http://www.theses.fr/2015PEST1088/document.

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Depuis le milieu des années 1990, les foyers de travailleurs migrants sont progressivement réhabilités dans le cadre d'un Plan de traitement national et transformés en résidences sociales, dispositif de logement d'insertion destiné aux personnes défavorisées. Au cœur de ces transformations qui tendent vers une banalisation des foyers, un objet cristallise les tensions : le « foyer africain » et ses modes de fonctionnement communautaires. Que recouvrent concrètement ces transformations ? Que nous disent-elles de la gestion politique des migrants isolés et du traitement du fait communautaire dans le contexte français ? Pour répondre à ces questions, la recherche est centrée sur un organisme gestionnaire historiquement spécialisé dans l'hébergement des migrants africains : l'Aftam. L'analyse repose sur trois types d'investigation : le premier porte sur les cadres nationaux de l'action publique à travers l'analyse des textes officiels et des discours des acteurs ; le deuxième s'inscrit dans une perspective socio-historique et cherche à retracer la genèse et la trajectoire de l'Aftam ainsi que de ses « foyers africains » ; le troisième repose sur l'observation ethnographique de quatre projets de restructuration de foyers Aftam et en particulier des scènes d'interaction entre résidents et acteurs institutionnels. Cette thèse montre que les modes de vie communautaires propres aux foyers hébergeant des migrants africains, décriés par les pouvoirs publics dans la période contemporaine, ont été construits dans le temps long et dans l'interaction entre les résidents et le gestionnaire, qui les a encouragés à l'origine puis tolérés jusqu'à la période récente. Aussi, la mise en œuvre du Plan de traitement au sein de l'Aftam donne à voir les contradictions de l'action publique et les hésitations du gestionnaire face aux modes de vie communautaires et aux pratiques culturelles spécifiques, en particulier religieuses, des migrants résidant en foyer. Entre traitement spécifique et droit commun, entre approche différentialiste et modèle universaliste, des conceptions idéologiques s'opposent dans les discours. Pour autant, la mise en œuvre de la transformation des foyers, vue à travers le prisme de l'Aftam, met en évidence des positions plus hybrides et plus pragmatiques, qui tendent vers un rapprochement du droit commun, sans jamais vraiment l'atteindre, et vers la tolérance, si ce n'est la reconnaissance, des pratiques communautaires et culturelles spécifiques. Mais cette tolérance s'acquiert généralement au prix de la construction d'un rapport de force entre résidents et institutions
Since the mid-1990s, a national program has been in place in order to renovate migrant workers' hostels (known as foyers), which were built in France mainly in the 1970s. Having been renovated, these hostels are used as “social residences”, a kind of supported and temporary accommodation for “vulnerable groups”. This transformation from hostels for migrant workers to social residences has distracted from the original purpose of providing accommodation to post-colonial immigrants by opening up these residences to non-immigrants as well. What constitutes these transformations and what do they signify? What do they tell us about policies towards migrant workers and ethnic communities in France? In order to address these questions, we have focused our research on a social landlord historically specialized in managing “Black Africans' hostels”: Aftam. The analysis draws from three types of qualitative approach : first, we have analysed the framework of national public policy using official documents and semi-structured interviews with key actors; second, we have investigated Aftam's archives in order to throw new light as the origin and history of this organization and its “Black Africans' hostels”; third, we have conducted ethnographic observation of the renovation project in four different hostels managed by Aftam, focusing on observing the interaction between migrants, representatives from Aftam and representatives from local authorities. This thesis demonstrates that community life, cultural practices and informal economic activities existing in Black Africans' hostels, which are condemned by many national institutions today, have developed through a long-term process, as a consequence both of the migrants living in the hostels and the landlord (Aftam) encouraging them to do so. Moreover, the implementation of renovation projects in Aftam's hostels emphasizes the contradictions of national public policy and also the hesitations of Aftam to address the demands of the communities in question, particularly concerning their cultural and religious practices. The actors involved in the transformation of migrant workers' hostels are from between the contrasting ideologies of multiculturalism and universalism. Nevertheless, the implementation of this policy by Aftam appears more pragmatic than ideological and the collective action of the migrant residents creates a power struggle with the institutions. Ultimately, this has led to a form of tolerance, rather than a total ignorance or absolute recognition of cultural, religious and ethnic minority practices

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Rivière, Mylène. "Les (dé)connexions du développement : ethno-géographie systémique de l'aide au développement et à la conservation forestière à Amindrabe, Madagascar." Thesis, Bordeaux 3, 2017. http://www.theses.fr/2017BOR30029/document.

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Cette recherche part du constat d'un dysfonctionnement de l'aide au développement et à la conservation. Depuis les années 1980 et malgré la succession des stratégies de l'aide, les résultats restent souvent insatisfaisants, médiocres, voire contraires aux effets recherchés. Pour comprendre ce phénomène, nous partons d'un territoire forestier, Amindrabe, situé au Centre-Est de Madagascar. En nous focalisant sur ce territoire, ses habitants et les programmes d'aide qui le ciblent, nous prenons progressivement conscience des logiques sous-jacentes à ce système global du développement : qu'est-ce qui s'y passe concrètement ? Comment est-ce organisé ? Pourquoi ces dynamiques se poursuivent-elles malgré des effets décevants ? La singularité de notre proposition est de nous détacher de la littérature surplombante pour partir du perçu et du vécu des habitants et des porteurs des programmes. Cette analyse empirique et qualitative amène à poser un regard critique sur les croyances fondatrices des stratégies de l'aide. Nous mettons en lumière une organisation hiérarchisée et compartimentée en différentes sphères déconnectées entre elles et déconnectées de la réalité locale. Les croyances, illusions et intérêts de chacun participent à renforcer l'incompréhension entre sphères et à détourner les actions des objectifs initiaux, par un processus qui se répète. En décortiquant un système d'acteur particulier, ses mondes et ses dynamiques du local au global, nous invitons le lecteur à un plongeon au-delà de ces incompréhensions
This research is based on the observation of a dysfunction in aid for development and conservation. Since the 1980s and despite the succession of aid strategies, the results are often unsatisfactory, mediocre or even contrary to the desired effects. To understand this phenomenon, we begin in a forest territory, Amindrabe, located in the Central-East of Madagascar. By focusing on this territory, its inhabitants and the aid programs that target it, we gradually become aware of the underlying logic of this global development system: what is actually happening there? How is it organized? Why do these dynamics go on despite disappointing effects? The singularity of our proposal is to detach ourselves from the overhanging literature to start with the perceived experiences of the inhabitants and the bearers of the programs. This empirical and qualitative analysis leads us to take a critical look at the founding beliefs of aid strategies. We highlight a hierarchical and compartmentalized organization in different spheres: disconnected from each other and disconnected from the local reality. The beliefs, illusions and interests of each actor contribute to reinforce the incomprehension between spheres and to divert the actions from the initial objectives by a process that repeats itself. By anatomizing a particular actor system, its worlds and its dynamics from local to global, we invite the reader to a dive beyond these incomprehensions

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Vareilles, Gaëlle. "Comprendre la performance des volontaires de santé communautaire : une évaluation réaliste en lien avec la Fédération internationale des Sociétés de la Croix Rouge et du Croissant Rouge." Thesis, Rennes 1, 2016. http://www.theses.fr/2016REN1G036/document.

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L’implication des volontaires de santé communautaire, tels que les volontaires de la Fédération Internationale des Sociétés de la Croix-Rouge et du Croissant-Rouge, peut constituer un moyen approprié de s’attaquer au problème d’inégalités sociales et de santé. Pourtant, les connaissances manquent sur ce qui marche pour améliorer la performance des volontaires. Objectifs Comprendre comment, pourquoi, pour quels volontaires et dans quelles circonstances les stratégies organisationnelles mises en œuvre pour améliorer la performance des volontaires de santé communautaire marchent. Méthodes En raison de la complexité des programmes impliquant des volontaires de santé communautaire, nous avons adopté l’évaluation réaliste comme approche méthodologique et l’étude de cas comparative comme modèle d’étude. Dans un premier temps, des entretiens, une synthèse réaliste de la littérature ainsi qu’une revue des théories d’action qui sous-tendent ces programmes ont été réalisés pour développer le cadre théorique de l’évaluation. Ensuite, deux cas ont été sélectionnés sur Kampala, la capitale de l’Ouganda, ou la Société Nationale de la Croix-Rouge et du Croissant-Rouge Ougandaise développe des stratégies pour améliorer la performance des volontaires. Chaque cas correspond à une unité organisationnelle de la Société Nationale Ougandaise, responsable de la mise en place des programmes de santé au niveau d’un district du pays. Les méthodes de collecte de données ont inclus des entretiens individuels, des groupes de discussion, des observations, ainsi qu’une revue de documents. Un processus méthodologique de comparaison constante a été utilisé pour l’analyse des données. Résultats Les stratégies d’intervention, dont les pratiques managériales peuvent influencer positivement la performance lorsqu’elles favorisent la satisfaction des besoins psychologiques des volontaires (l’autonomie, la responsabilisation, la compétence et le lien social). Pour ce faire, les stratégies et leur mise en œuvre doivent s’adapter aux différentes formes de motivation des volontaires et à l’évolution de celles-ci pendant le volontariat. S’agissant du contexte, la reconnaissance communautaire et la reconnaissance organisationnelle sont deux facteurs clés qui interviennent dans la satisfaction des besoins psychologiques des volontaires. Discussion Cette recherche doctorale a des implications pour la Fédération Internationale des Sociétés de la Croix Rouge et du Croissant Rouge. Les résultats fournissent des informations utiles à l’action relative à la mise en place de programmes de volontaires de santé communautaire et l’approche évaluative a des implications générales en ce qui concerne la dynamique d’apprentissage organisationnel. Par ailleurs l’approche de l’évaluation réaliste a également contribué, à sa mesure, au développement du champ de l’évaluation de programme en santé. L’opérationnalisation des concepts de l’approche réaliste a été discutée et approfondie afin de contribuer au développement de cette approche
Context The recruitment of community health volunteers, such as the volunteers of the International Federation of Red Cross and Red Crescent Society, is an established approach to improve the health of underserved communities. However, there is a dearth of evidence about what works to improve volunteers’ performance. Objectives To understand why, how, for which volunteers and under which circumstances intervention approaches to improve volunteers’ performance is more likely to be successful. Methods Given the complexity of the intervention under study, a realist evaluation as methodological approach and a case study as study design was adopted. Firstly, a realist review together with interviews with the main stakeholders and a review of the theories underlying community health volunteers programme have been conducted to develop the theoretical basis for the evaluation. Secondly for the case study, two contrasted cases have been then selected at district level in the capital of Uganda, where the Red Cross Society is implementing a community-based programme. A case is as a Red Cross unit run by a programme manager that operate around one governmental district structures. Data collection included document review, participant observation and interviews. The constant comparative method was used for the analysis. Results Intervention approaches that include supervision supportive of autonomy, skills and knowledge enhancement and that is adapted to the different sub-groups of volunteers, leads to satisfaction of the three key drivers of volunteer motivation: feelings of autonomy, of competence and of connectedness. This contributes to volunteers’ better performance. Enabling contextual conditions include the responsiveness of the organisation to community needs and recognition from the organisation and the community of the work of the volunteers. Discussion The findings will inform the management of community health volunteers and have implication for the International Federation of Red Cross and Red Crescent Societies regrading organisational learning. It also contributed to building the field of programme evaluation in Health and led to methodological developments for doing realist evaluation

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Coady, Allison Marie. "Examining the role of preventive diplomacy in South Africa’s foreign policy towards Zimbabwe, 2000-2009." Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/25681.

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The recent political conflict in Zimbabwe has attracted the attention of policymakers, academics and the media alike in the neighbouring countries of the region, across the African continent and internationally. While the story of an ageing African liberation hero turned dictator who, through autocratic rule, has governed his country and his people to the ground in order to maintain power is captivating, a key element of the fascination is the critical diplomatic role played by South Africa from 2000 onward. Foreign policy in post-apartheid South Africa on paper is driven by human rights and democracy, conflict prevention and conflict resolution through peaceful means, and the promotion of African interests in world affairs. However, after observing South Africa’s involvement in the Zimbabwe conflict between 2000 and 2009, South Africa’s foreign policy appears to be propelled more by African solidarity and sovereignty, anti-imperialism, and a softer interpretation of preventive diplomacy than its international counterparts. Thabo Mbeki’s preventive diplomacy toward Zimbabwe during his presidency was slow to produce results, lacked transparency and frustrated many, yet, when examined under a preventive diplomacy theoretical lens, Mbeki’s policy did eventually garner success through the signing of the Global Political Agreement (GPA) and the formation of an inclusive government in Zimbabwe. This dissertation examines the role of preventive diplomacy in South Africa’s foreign policy toward Zimbabwe under Mbeki’s leadership and determines the point at which South Africa switched from an approach of preventive diplomacy to one of conflict resolution and conflict management. The concept of ‘preventive diplomacy’ is often focused on government-to-government relations or the high level diplomacy of intergovernmental organizations such as the United Nations (UN). Multi-track diplomacy expands on this traditional interpretation and considers the preventive diplomacy contributions of a variety of non-state actors to the practice of conflict prevention. This dissertation uniquely moulds the preventive diplomacy theoretical framework of Michael Lund with Kumar Rupesinghe’s concept of multi-track diplomacy to form a more comprehensive illustration of the role of preventive diplomacy in the approach of multiple actors towards the Zimbabwe conflict. The more inclusive preventive diplomacy theoretical framework is then applied to the conflict in Zimbabwe between 2000 and 2009. Through the application of a preventive diplomacy framework which incorporates the concept of multi-track diplomacy it is then possible to observe the South African government’s preventive diplomacy approach toward Zimbabwe first between 2000 and 2007 and then as mandated by SADC between 2007 and 2009 and finally compare it with the diplomacy of multi-track actors such as the UN, Zimbabwe-based and South African-based civil society organizations, the Zimbabwean Diaspora, religious groups, and financial institutions. The examination of the larger role of preventive diplomacy in the Zimbabwe conflict situation leads to the understanding that each diplomatic effort is interlinked. Therefore the culminating event of the South African government’s preventive diplomacy approach in the Global Political Agreement could not have been achieved without the preventive diplomacy efforts of a multitude of actors who were also committed to preventing violence and finding a lasting solution to the conflict in Zimbabwe.
Dissertation (MA)--University of Pretoria, 2012.
Political Sciences
unrestricted

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Daly, Marwa El. "Challenges and potentials of channeling local philanthropy towards development and aocial justice and the role of waqf (Islamic and Arab-civic endowments) in building community foundations." Doctoral thesis, Humboldt-Universität zu Berlin, Philosophische Fakultät III, 2012. http://dx.doi.org/10.18452/16511.

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Diese Arbeit bietet eine solide theoretische Grundlage zu Philanthropie und religiös motivierten Spendenaktivitäten und deren Einfluss auf Wohltätigkeitstrends, Entwicklungszusammenarbeit und einer auf dem Gedanken der sozialen Gerechtigkeit beruhenden Philanthropie. Untersucht werden dafür die Strukturen religiös motivierte Spenden, für die in der islamischen Tradition die Begriffe „zakat“, „Waqf“ oder im Plural auch „awqaf-“ oder „Sadaqa“ verwendet werden, der christliche Begriff dafür lautet „tithes“ oder „ushour“. Aufbauend auf diesem theoretischen Rahmenwerk analysiert die qualitative und quantitative Feldstudie auf nationaler Ebene, wie die ägyptische Öffentlichkeit Philanthropie, soziale Gerechtigkeit, Menschenrechte, Spenden, Freiwilligenarbeit und andere Konzepte des zivilgesellschaftlichen Engagements wahrnimmt. Um eine umfassende und repräsentative Datengrundlage zu erhalten, wurden 2000 Haushalte, 200 zivilgesellschaftliche Organisationen erfasst, sowie Spender, Empfänger, religiöse Wohltäter und andere Akteure interviewt. Die so gewonnen Erkenntnisse lassen aussagekräftige Aufschlüsse über philanthropische Trends zu. Erstmals wird so auch eine finanzielle Einschätzung und Bewertung der Aktivitäten im lokalen Wohltätigkeitsbereich möglich, die sich auf mehr als eine Billion US-Dollar beziffern lassen. Die Erhebung weist nach, dass gemessen an den Pro-Kopf-Aufwendungen die privaten Spendenaktivitäten weitaus wichtiger sind als auswärtige wirtschaftliche Hilfe für Ägypten. Das wiederum lässt Rückschlüsse zu, welche Bedeutung lokale Wohltätigkeit erlangen kann, wenn sie richtig gesteuert wird und nicht wie bislang oft im Teufelskreis von ad-hoc-Spenden oder Hilfen von Privatperson an Privatperson gefangen ist. Die Studie stellt außerdem eine Verbindung her zwischen lokalen Wohltätigkeits-Mechanismen, die meist auf religiösen und kulturellen Werten beruhen, und modernen Strukturen, wie etwa Gemeinde-Stiftungen oder Gemeinde-„waqf“, innerhalb derer die Spenden eine nachhaltige Veränderung bewirken können. Daher bietet diese Arbeit also eine umfassende wissenschaftliche Grundlage, die nicht nur ein besseres Verständnis, sondern auch den nachhaltiger Aus- und Aufbau lokaler Wohltätigkeitsstrukturen in Ägypten ermöglicht. Zentral ist dabei vor allem die Rolle lokaler, individueller Spenden, die beispielsweise für Stiftungen auf der Gemeindeebene eingesetzt, wesentlich zu einer nachhaltigen Entwicklung beitragen könnten – und das nicht nur in Ägypten, sondern in der gesamten arabischen Region. Als konkretes Ergebnis dieser Arbeit, wurde ein innovatives Modell entwickelt, dass neben den wissenschaftlichen Daten das Konzept der „waqf“ berücksichtigt. Der Wissenschaftlerin und einem engagierten Vorstand ist es auf dieser Grundlage gelungen, die Waqfeyat al Maadi Community Foundation (WMCF) zu gründen, die nicht nur ein Modell für eine Bürgerstiftung ist, sondern auch das tradierte Konzept der „waqf“ als praktikable und verbürgte Wohlstätigkeitsstruktur sinnvoll weiterentwickelt.
This work provides a solid theoretical base on philanthropy, religious giving (Islamic zakat, ‘ushour, Waqf -plural: awqaf-, Sadaqa and Christian tithes or ‘ushour), and their implications on giving trends, development work, social justice philanthropy. The field study (quantitative and qualitative) that supports the theoretical framework reflects at a national level the Egyptian public’s perceptions on philanthropy, social justice, human rights, giving and volunteering and other concepts that determine the peoples’ civic engagement. The statistics cover 2000 households, 200 Civil Society Organizations distributed all over Egypt and interviews donors, recipients, religious people and other stakeholders. The numbers reflect philanthropic trends and for the first time provide a monetary estimate of local philanthropy of over USD 1 Billion annually. The survey proves that the per capita share of philanthropy outweighs the per capita share of foreign economic assistance to Egypt, which implies the significance of local giving if properly channeled, and not as it is actually consumed in the vicious circle of ad-hoc, person to person charity. In addition, the study relates local giving mechanisms derived from religion and culture to modern actual structures, like community foundations or community waqf that could bring about sustainable change in the communities. In sum, the work provides a comprehensive scientific base to help understand- and build on local philanthropy in Egypt. It explores the role that local individual giving could play in achieving sustainable development and building a new wave of community foundations not only in Egypt but in the Arab region at large. As a tangible result of this thesis, an innovative model that revives the concept of waqf and builds on the study’s results was created by the researcher and a dedicated board of trustees who succeeded in establishing Waqfeyat al Maadi Community Foundation (WMCF) that not only introduces the community foundation model to Egypt, but revives and modernizes the waqf as a practical authentic philanthropic structure.

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Naidoo, Marie-Therese A. "Establishing and sustaining community-based youth organisations : a study of the experiences of community youth workers." Thesis, 2001. http://hdl.handle.net/10413/5809.

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Dissertations / Theses on the topic 'Community service organisations'

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