Dissertations / Theses on the topic 'Delivery (Obstetrics) Case studies'
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1
Mitchell, Veronica. "The curriculum in medical education: a case study in Obstetrics related to students' delivery experience." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/12062.
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Includes abstract.Includes bibliographical references.
In this research project, the small sample of students displays varying experiences as they engage in the practical curricular tasks in Obstetrics. Their responses indicate the challenges they face which are exacerbated by uncertainty particularly when the university’s chosen values contrast with those confronted in the broader context in which any curriculum operates.
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Poku, Alfred Boateng 1974. "Decentralization and health service delivery : Uganda case study." Thesis, Massachusetts Institute of Technology, 1998. http://hdl.handle.net/1721.1/69394.
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Gyogluu, Sylvester Yinubah. "Infrastructure delivery in rapidly urbanising communal lands : case studies in Ghana." Thesis, Cape Peninsula University of Technology, 2006. http://hdl.handle.net/20.500.11838/1448.
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Thesis (MTech (Town and Regional Planning))--Cape Peninsula University of Technology, Cape Town, 2006The research focuses on urbanising communities in the peri-urban areas of the Tamale Metropolitan Area (TAMA) of Ghana and the inability of the urban authorities to provide adequate basic infrastructure services. Using a mix of qualitative and quantitative research approaches, the author observed that the development planning paradigms practiced over the years placed urban planning and service delivery in a centralised paradigm which cannot respond adequately to the increasing pressures of urbanisation, nor offer opportunities for the involvement of communities due to this top-down planning approache. The research in fact identified that the communities, through their own initiatives have planned and executed service projects to improve their lives in some respects where the TAMA has failed. The communities have achieved this due to their spirit of social solidarity, self-help and communalism built around their traditional chiefs, which incorporates some of the principles of Local Agenda 21. The TAMA sees this development as an opportunity to henceforth forge collaboration and partnerships with the traditional authorities for improved service delivery in the urbanising communities. This represents innovative urban planning and management approaches, which in the context of low-income urban communities, includes participatory planning and service delivery. These innovative approaches have been initiated in the Habitat Agenda emanating from the UN Conference on Human Settlements in 1996. The study advocates the concept of sustainable development and Agenda 21, as a working model which presents a participatory and integrative process for local authorities and communities to work towards urban improvements. The Local Agenda 21 planning approach, it is argued, will integrate and strengthen the already existing local community initiatives and provide a basis for partnerships and improved service delivery. The case - studies examined are the Tamale Metropolitan Area and the peri-urban settlements Jusonayili and Gumah.
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Lukito, Lastyo Kuntoaji 1972. "Water service delivery in Indonesia : the case study of Greater Bandung." Thesis, Massachusetts Institute of Technology, 2000. http://hdl.handle.net/1721.1/68363.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2000.Includes bibliographical references (leaves 90-91).
Greater Bandung Area in Indonesia have taken the lead in a City Development Strategy (CDS) exercise. This exercise is supported by the World Bank and the government of Japan, and is partly aimed to improve urban planning and management capabilities of the local governments to ensure more efficient utilization of available resources. The exercise has identified water service delivery as a focus sector, thus creating the setting and background for this thesis research. Various problems faced by the two water companies (the PDAMs) in providing water service delivery to Greater Bandung are common in most PDAMs in Indonesia, leading to weak performance in water provision. The elements of substandard performance include low level of service coverage, poor reliability, low water production and the inability to meet current and future demands. Underlying these problems is a variety of technical, structural and procedural problems. These include inadequate water resource management, operation and maintenance problems (i.e. water production and unaccounted for water), and weak financial and human resource management. This study also identifies a series of legal, institutional and political factors that affect the ability and incentive for PDAMs to perform well. The alternatives to improve water service delivery in Greater Bandung involve implementation of technical reforms, management reforms and capacity building, and institutional reforms. Technical reforms include reforms in water resource management and in operations and maintenance. Management reforms include financial and human resource capacity building. Institutional restructuring, political reforms, private sector participation and improving investment strategies, are among the most important institutional reforms. Design and implementation of these reforms must be consistent with the decentralization policy that is currently evolving in Indonesia, a focal point of the CDS exercise.
by Lastyo Kuntoaji Lukito.
M.C.P.
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Ski, Samantha M. "Diffusion and Adoption of Policies for the Prevention of Mother-to-Child Transmission of HIV (PMTCT) and their Effect on the Delivery of Key PMTCT Services in Eastern and Southern Africa." Thesis, The George Washington University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10145741.
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With the goal of eliminating mother-to-child transmission by 2015, a wide range of governmental and other efforts within low- and middle-income countries have sought to provide services for the prevention of mother-to-child transmission of HIV (PMTCT) to the estimated 1.2 million pregnant women in need. In support of this goal, the World Health Organization (WHO), as the leading normative international body in the area of evidence-based clinical guidelines, issued policy recommendations on the use of antiretroviral drugs for PMTCT. Through various mechanisms, including guidance notes and dissemination workshops, WHO supports countries to adopt and adapt the guidelines within their national policy frameworks. Through three analyses, this dissertation examines the diffusion of WHO PMTCT guidelines in five Eastern and Southern African countries over a 16-year period (1998-2013) and estimates the effect of PMTCT policy adoption on delivery of key services.
The first analysis of the adoption of specific PMTCT guideline updates between 1998 and 2013 seeks to ascertain which internal factors may explain why and when countries decided to adopt new technical guidance. The policy analysis shows that the five countries adopted a majority of the key international PMTCT technical guidance updates. It can be concluded that international to national policy diffusion was taking place and that national policies converged to be more similar and more in line with international guidelines over the time period studied. Variation in adoption and in the internal determinants at play in each country was minimal, making it difficult to assess the influence of determinants qualitatively. The three internal determinants that appeared to most influence adoption of key PMTCT updates were: 1) the severity of the MTCT problem 2) governance effectiveness, and 3) prior PMTCT policy adoption. The lag between adoption and implementation in these countries is discussed. The findings indicate that in the countries studied, policies promoted by WHO and other international bodies can play a critical role in supporting national policy adoption for program advancement in the area of PMTCT.
The second and third analyses investigate whether the completeness of a country’s body of PMTCT-supporting policies was associated with the delivery of two key PMTCT services – the offer of an HIV test and the receipt of HIV counseling as a part of antenatal care (ANC) – in four of the five countries included in the first analysis. Two nationally representative surveys per country were used to conduct a quasi-experimental fixed-effects analysis of the role of policy in predicting a woman’s probability of being offered an HIV test or receiving HIV counseling in ANC, controlling for other key individual- and country-level covariates.
According to the ‘testing’ model, a one-unit increase in policy score was associated with a 0.042 (p<0.000) increase in the probability that a woman was offered an HIV test as a part of antenatal care. According to the ‘counseling’ model, a one-unit increase in policy score was associated with a 0.014 (p<0.001) increase in the probability that a woman received HIV counseling as a part of antenatal care. In both the testing and counseling models, the policy/education interaction was statistically significant in the final model, with a greater policy effect estimated at among those with higher education levels. Time statistically significantly influenced the probability of the outcome, as did government health spending, governance effectiveness, and donor health spending. Further study is needed to identify the policy elements that have the most impact on improving service delivery.
The three analyses presented here support the premise that international health policies influence national-level policy adoption, and that national-level policy adoption in turn influences national service outputs. As countries and their development partners mobilize for the Sustainable Development Goal era, policy adoption at the international level will continue to be an important influence in national policy adoption in the area of PMTCT. This research has described a number of potential internal and external determinants that will influence national adoption in this next round of global health policy advocacy. Looking forward, this study shows that countries and their development partners should continue to invest in the work of policy adoption to complement other efforts to reach health goals, including increased government health spending.
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Heslop, Liza. "An ethnography of patient and health care delivery systems : dialectics and (dis)continuity." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8764.
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Yadoo, Annabel Leonie. "Delivery models for decentralised rural electrification : case studies in Nepal, Peru and Kenya." Thesis, University of Cambridge, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.610203.
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Coffee, Joyce E. (Joyce Elena) 1971. "Innovations in municipal service delivery : the case of Vietnam's Haiphong Water Supply Company." Thesis, Massachusetts Institute of Technology, 1999. http://hdl.handle.net/1721.1/65250.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1999.Includes bibliographical references (p. 63-67).
This thesis describes a state owned municipal water supply service company, the Haiphong Water Supply Company (HPWSCo), that improved its service delivery and successfully transformed itself into a profit making utility with metered consumers willing to pay for improved service. The thesis examines how HPWSCo tackled the typical problems of a developing country's municipal water supply company and succeeded in the eyes of the consumers, the local and national governments, and the wider development community. The thesis describes how and under what conditions HPWSCo has changed itself from a poorly performing utility to a successful one. It explores the characteristics of the local level service delivery 'ward model' that underpin HPWSCo's success, including: the structure of the ward water supply sub offices; the local procedures for responding to consumer need; and the management of local employees in a way that motivates exemplary performance. The thesis examines how HPWSCo used existing resources and scaled-out improvements ward by ward, learning lessons for subsequent ward enhancements. By focusing on what HPWSCo did the thesis attempts to illustrate the reform strategy of a government agency (state owned enterprise) previously riddled with problems and poor performance that became much more effective and efficient.
by Joyce E. Coffee.
M.C.P.
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Mathema, Ashna S. (Ashna Singh) 1972, and Nayana N. 1972 Mawilmada. "Decentralization and housing delivery : lessons from the case of San Fernando, La Union, Philippines." Thesis, Massachusetts Institute of Technology, 2000. http://hdl.handle.net/1721.1/68798.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2000.Includes bibliographical references (p. 140-147).
In this thesis, we argue that national policies (of housing and decentralization) when applied indiscriminately, without regard to the political, institutional, and capacity constraints of local governments, can have negative consequences, and sometimes end up being a regressive. This is particularly true when policies, designed in response to problems of large metropolitan areas, are applied randomly across entire nations. Our study analyzes the housing sector of the city of San Fernando, in the La Union Province of the Philippines, to draw lessons about the constraints that decentralized local government units face in practice. Our findings support the arguments for the differential treatment of local governments, in the implementation decentralization and housing policies. The Philippines decentralized its governance structure in 1991, with the passage of the Local Government Code. With this law, the responsibility of implementing housing projects was devolved to the local government level. Soon thereafter, in 1992, the Urban Development and Housing Act (UDHA) was adopted with the intent of transforming the role of government in the housing sector from that of a "provider" to one of an "enabler." These reforms have been hailed as successful and revolutionary by many. Our findings challenge the alleged success of efforts to decentralize the housing sector of the Philippines. We found a conflict between some of the policies set forth in the Local Government Code and the UDHA. This conflict, combined with the limited technical and administrative capacity of local government units, such as that of San Fernando, are resulting in the implementation of housing projects reminiscent of the failed public housing schemes of the 1950s and 1960s. Through our analysis of the case, we identify the various political, social, administrative, and institutional limitations that constrain the local government of San Fernando in its approach to the housing sector. Our study suggests ways to deal with these constraints, and highlights the need for the differential treatment of local governments, in order to successfully implement decentralization, and other policy reforms in the developing world.
by Ashna S. Mathema and Nayana N. Mawilmada.
M.C.P.
10
Yin, Xiaoqi. "Resource Allocation in Smart Infrastructure: Case Studies in Video Delivery and Electric Power Networks." Research Showcase @ CMU, 2016. http://repository.cmu.edu/dissertations/861.
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Resource allocation schemes play an important role in large-scale smart infrastructures to ensure efficiency and fairness among users. However, designing good resource allocation schemes is challenging due to technical limitation, policy barriers, and cost of change. The goal of this thesis is to develop a methodology to design model-based, principled and practical resource allocation schemes. Given the diverse characteristics of infrastructures, it is difficult to design unified models and algorithms. Instead, we employ a case-study-based approach on two representative smart infrastructures: Internet video delivery and electric power networks. We further generalize the insights and develop a principled qualitative guideline to design resource allocation schemes in smart infrastructures. The Internet video delivery system employs a protocol-based resource allocation scheme: network bandwidth is implicitly allocated by transport layer protocol (TCP) while client- side video players adapt video quality based on application layer protocol (MPEG-DASH) to optimize users quality of experience (QoE).We study 1) how client-side video players improve users QoE by employing Model Predictive Control-based bitrate adaptation algorithms and 2) how to achieve multiplayer QoE fairness by router-side bandwidth allocation policies. We prototype and evaluate the algorithms in real video players. On the other hand, market-based schemes are adopted in real-time economic dispatch in electric power systems to satisfy demand by lowest-cost generation. However, such schemes can lead to power imbalances and market inefficiency when slow generators fail to follow system operators command. We study 1) how system operators can mitigate power imbalance by employing a centralized, two-stage robust dispatch and 2) how the market design can be improved by penalizing non-complying generators. Based on the lessons from the case studies, we develop a general methodology to design resource allocation schemes: First, develop a formal model capturing system objectives, dynamics, and constraints; Second, identify key practical constraints that have major impact on the choice of schemes; Finally, design model-based schemes that respect practical constraints for short-term and obtain insights to inform protocol or market improvement in the long run. We envision that a mathematical theory can significantly improve the future resource allocation ecosystems.
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Stanley, Leisa J. "Association among neonatal mortality, weekend or nighttime admissions and staffing in a Neonatal Intensive Care Unit." [Tampa, Fla.] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002421.
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Abdullah, Roohi 1970. "The role of private vending in Developing country water service delivery : the case of Karachi, Pakistan." Thesis, Massachusetts Institute of Technology, 1999. http://hdl.handle.net/1721.1/62941.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1999.Includes bibliographical references (leaves 84-85).
The private water vending industry in Karachi is an important source of water service delivery in Karachi, Pakistan. Water vending is largely a supplemental service to households with private water connections, due to limited service from the public utility. This research attempts to: i) Characterize the existing water supply situation in Karachi, with particular focus on the water vending industry; ii) Evaluate the extent to which water vending in Karachi affects households' water supply situation and generates excessive profits for vendors; and iii) Assess possible strategies for water sector reform in Karachi. The case of Karachi, where water vending coexists with a piped supply network, poses a challenge to policy makers in water supply planning. The study shows that the major clients of vended water in the city are those who have water connections, storage capacity, and the ability to buy water. The key findings of the study are: i) Karachi's water vending market may not be economically efficient. Although the vending market provides only 9% of the water consumed by city residents on a daily basis, it earns almost 50% of all revenues received from water. ii) Groundwater supplying households' wells and private hydrants is not recognized as a common property resource by the concerned public agencies. As a result, existing government policy fails to address the consequences of unregulated groundwater use by private individuals. iii) Surprisingly, a market for vended water exists even in a city where more than 3/4 of all households are served by piped water connections. When levels of the public utility's service are low - in this case an average of 3 hours of service each day - households are forced to turn to other sources to meet their water supply needs. In view of these findings, there appears to be a need for regulatory reforms. The study proposes the adoption of a dual strategy to solve the problem of rent seeking by hydrant owners in Karachi: regulation, and promotion of competition.
by Roohi Abdullah.
M.C.P.
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Treviño, Timothy J. (Timothy John). "Binational urban service delivery along the Texas-Mexico border : the case of the Laredo-Nuevo Laredo Twin-City." Thesis, Massachusetts Institute of Technology, 1996. http://hdl.handle.net/1721.1/70455.
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Shezi, Lindelani. "Service delivery protests as a catalyst for development: the case of Ethekwini municipality." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1021095.
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Many have described South Africa as a protest-rich nation. Some have defended this high level of protest as an indication that this country has a functional democracy where peoples’ right to raise their dissatisfaction with government through protesting is protected. These protests take different forms, with some displaying signs of criminality where protesters vandalise private and public property, while others proceed peacefully. This project examines and interprets the dynamics and circumstances surrounding these events and processes through empirical research, and explores their relationship to development. This dissertation attempts to establish what motivates people to engage in these protests, to assess the impact and consequences of protests in South African local communities, and to assess whether the different forms of protest were effective in compelling government to address protesters' developmental demands. The research undertaken was of a qualitative nature, and the researcher sourced the information from community members and community leaders. As the process of collecting empirical data unfolded, it became clear that the Marianridge and Umlazi Z Section case studies presented in this dissertation indicated that developmental local government without public participation is ineffective.
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Rhoda, Moegamat Faarieg. "Community empowerment through municipal service delivery : a proposed operational framework." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52168.
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Thesis (MPhil) -- Stellenbosch University, 2001.ENGLISH ABSTRACT: Legislation encourages local government! municipalitiesl local authorities in South Africa, to fulfil a development role. One of the main objectives of municipalities performing a development role is to empower communities, especially previously disadvantaged communities. This study argues that the services delivered by municipalities are an essential component of a development orientation. In view of this fact, the study proposes an operational framework, whereby community empowerment can be achieved through municipal service delivery. The operational framework suggest that for community empowerment to be achieved through municipal service delivery, requires that the empowerment enabler (municipalities or departments within municipalities) should assure that: disadvantaged communities have access to services, services must be delivered in a non-discriminatory manner, the community should understand the rationale as to why the service is delivered, opportunity should be given for community participation in the delivery process, there should be a constant information channel between the giver (enabler) and receiver of services, and human resources from the local community should be utilised where possible in the delivery process. Lastly, a descriptive evaluation is undertaken of the health department's approach (at the Stellenbosch Municipality) to the delivery of primary healthcare services and service infrastructure. The purpose of the evaluation is to ascertain whether the principles as proposed in the operational framework are present in the health department's approach to service delivery. The evaluation reveals that most of the proposed principles of the operational framework features in the health department's approach to the delivery of primary healthcare services and services infrastructure. Thereby, concluding that the health department follows to a certain extent an approach to service delivery that could ultimately lead to community empowerment.
AFRIKAANSE OPSOMMING: Wetgewing vereis dat plaaslike regering/ plaaslike owerhede/ munisipaliteite in Suid-Afrika, 'n ontwikkelingsrol moet vervul. Een van die doelstellings van 'n ontwikkelingsrol vir munisipaliteite, is om gemeenskappe te bemagtig, spesifiek gemik op agtergeblewe gemeenskappe. Hierdie studie argumenteer dat die dienste gelewer deur munisipaliteite 'n essensiële komponent vorm van 'n ontwikkelings-orientasie. Gevolglik, stel hierdie studie 'n operasionele raamwerk voor, waarvolgens gemeenskapsbemagtiging bewerkstellig kan word deur middel van munisipale dienslewering. Die operasionele raamwerk stel voor dat om gemeenskapsbemagting deur dienslewering te bewerkstellig, vereis dat die bemagtiger (munisipaliteite of departemente binne munisipaliteite) moet toesien dat: agtergeblewe gemeenskappe toegang het tot diente, dienste moet gelewer word op 'n niediskriminerende wyse, die gemeenskap moet verstaan waarom die diens gelewer word, geleentheid moet geskep word vir gemeenskapsdeelname aan die diensleweringsproses, 'n kommunikasie kanaal tussen die ontvanger en leweraar (bemagtiger) van dienste, moet geskep word en laastens moet daar van plaaslike arbeid (waar moontlik), in die diensleweringsproses gebruik word. Laastens word 'n beskrywende evaluering onderneem na die Gesondheidsdepartement (by die Stellenbosch Munisipaliteit) se benadering tot die lewering van primêre gesondheidssorgdienste asook diens infrastruktuur. Die doel van die evaluering is om te bepaal of enige van die faktore, soos beskryf in die operasionele raamwerk, teenwoordig is in die gesondheidsdepartement se benadering tot dienslewering. Die resultate van die ondersoek toon aan dat die meeste van die faktore, soos voorgestel in die operasionele raamwerk, wel teenwoordig is in die gesondheidsdepartement se benadering tot dienslewering. Gevolglik kan daar afgelei word dat die gesondheidsdepartement wel tot 'n mate, 'n benadering tot dienslewering volg, wat kan lei tot gemeenskapsbemagtiging.
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Luwaga, Lydia. "Assessing prospects for adequate service delivery in a rural South African municipality : a case stuy of Engcobo Municipality." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53297.
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Thesis (MPA)--Stellenbosch University, 2003.ENGLISH ABSTRACT: This research analyses traditional public sector delivery impediments and the resultant reforms which have emanated from these impediments, how the reforms have been implemented in the developed and developing countries and the challenges facing rural local government structures, which must implement alternative service delivery mechanisms at the grassroots level in South Africa. The research further explores external and internal issues affecting public service delivery in general, and then concludes by exploring the local government and rural development realities in South Africa. The developmental divide between developed and developing countries is increasing for various reasons, among them, the public management reforms that have enhanced performance in developed countries, but cannot do the same in developing countries due to the overwhelming constraints. Developing countries experience constraints which include vague definitions of what performance entails in a developing context, unresponsive organisational cultures, unclear performance indicators, a resilient ethos of governance, unfavourable organisational factors, incorrect use of resources and unsuccessful policy initiatives. A literature review has shown that ideological contradictions, lack of a common vision and policy process constraints are also hampering South African public sector service delivery processes. Although local government legislation and reforms have freed municipalities from many impediments to improve delivery, the huge service backlog, infrastructure neglect, lack of integration with other spheres of government, lack of capacity, the impact of HIV/AIDS and the culture of non-payment are still eroding that ability, especially in rural areas. In addition, rural areas have even greater levels of underdevelopment, poverty and service backlogs and consequently municipal structures in deep rural areas carry less legitimacy. The ethnographic research chapter focuses on a rural municipality in South Africa, Engcobo, and on how effectively it will be able to deliver the required municipal services in the absence of resources and amid a culture of non-payment for services, a huge unemployment rate and escalating HIV/AIDS in the area. Local economic development will be hard to realise because the municipality faces the constraints of finance, the prevalence of HIV/AIDS, lack of institutional skills and inadequate infrastructure to foster and drive developmental local government. The premise, that such a municipality cannot deliver the expanded local government designated services while it faces the above internal constraints and external ones that emanate from the traditional public sector context, the global economic set up and the South Africa national government constraints, is qualified in this research. Amid the magnitude of the service backlogs, delivering the basic services in Engcobo Municipality will require sustainable funds and skills currently lacking. Engcobo Municipality does not have the required capacity to deliver the designated services for local government and neither will this capacity be built up in the short term. A number of recommendations for improving on the prospects are nevertheless made. These recommendations focus on institutional development and capacity building, improving financial viability, harnessing profit in service delivery, public participation, partnership arrangements, dealing with HIV/AIDS, infrastructure development as well as waste and environmental management.
AFRIKAANSE OPSOMMING: Hierdie navorsing analiseer die tradisionele hindernisse vir openbare sektor dienslewering en die hervormings wat daaruit voortspruit, hoe die hervormings uitgevoer is in ontwikkelde en ontwikkelende lande en die uitdagings van landelike plaaslike regeringsstrukture wat die implimentering van alternatiewe diensleweringsmeganismes op voetsoolvlak in Suid Afrika in die gesig staar. Die navorsing ondersoek verder die eksterne en interne aspekte wat openbare sektor dienslewering oor die algemeen beïnvloed, en ondersoek dan plaaslike regering en landelik ontwikkelingsrealiteite. Die ontwikkelingsskeiding tussen ontwikkelde en ontwikkelende lande vergroot vir verskeie redes, insluitend die openbare bestuurshervormings wat prestasie in ontwikkelde lande verbeter het, maar wat nie dieselfde doen in ontwikkelende lande nie, weens oorweldigende beperkings. Ontwikkelende lande ondervind beperkings wat vae definisies oor wat prestasie in 'n ontwikkelende konteks behels, insluit, onresponsiewe organisatoriese kulture, onduidelike prestasie-indikatore, 'n elastiese karakter van regeerkunde, ongunstige organisatoriese faktore, verkeerde gebruik van hulpbronne en onsuksesvolle beleidsinisiatiewe. 'n Literatuuroorsig het getoon dat ideologiese teenstrydighede, gebrek aan 'n gemeenskaplike visie en beleidsproses beperkinge ook Suid Afrikaanse openbare sektor diensleweringsprosesse aan bande lê. Alhoewel die wetgewing oor plaaslike regering en hervormings munisipaliteite bevry het van baie hindernisse om lewering te verbeter, veroorsaak die enorme diensagterstand, die verwaarlosing van die infrastruktuur, die gebrek aan integrasie met ander sfere van regering, die gebrek aan kapasiteit, die impak van HIV/VIGS en die kultuur van nie-betaling nog steeds dat diensleweringsvermoë aangetas word, veral in die landelike gebiede. Boonop, het landelike gebiede nog groter vlakke van onderontwikkeling, armoede en diensagterstande en dus geniet munisipale strukture in diep landelike gebiede minder legitimiteit. Die etnografiese navorsingshoofstuk fokus op 'n landelike munisipaliteit in Suid Afrika, Engcobo, en hoe effektief die munisipaliteit in staat is om verlangde munisipale dienste te lewer te midde van die afwesigheid van hulpbronne en te midde van 'n kultuur van niebetaling vir dienste, enorme werkloosheid en stygende HIV/VIGS in die area. Plaaslike ekonomiese ontwikkeling sal moeilik wees om te realiseer omdat die munisipaliteit die beperkinge van onvoldoende fondse, HIV/VIGS, 'n gebrek aan institusionele bekwaamhede en 'n onvoldoende infrastruktuur om ontwikkelende plaaslike regering te bevorder en te bestuur, in die gesig staar. Die premis dat so 'n munisipaliteit nie die aangewese uitgebreide plaaslike regeringsdienste kan lewer terwyl dit die interne gedwongendhede en eksterne beperkinge voortspruitend uit die konteks van 'n tradisionele openbare sektor, die globale ekonomiese opset en die gedwongendhede van die Suid Afrikaanse nasionale regering in die gesig staar nie, word met hierdie navorsing gekwalifiseer. Te midde van die omvang van diensagterstande, sal die lewering van basiese dienste in Engcobo Munisipaliteit genoegsame fondse en vaardighede wat tans ontbreek, benodig. Engcobo Munisipaliteit het nie die vereiste kapasiteit om die aangewese dienste vir plaaslike regering te lewer nie en ewemin sal hierdie kapasiteit oor die korttermyn opgebou word. 'n Aantal aanbevelings ter verbetering van die vooruitsigte word nietemin gemaak. Hierdie aanbevelings fokus op institusionele ontwikkeling en kapasiteitsbou, verbetering van finansiële lewensvatbaarheid, aanwending van die winsmotief in dienslewering, publieke deelname, vennootskapsreëlings, hantering van MIV/VIGS, infrastruktuur ontwikkeling sowel as afval en omgewingsbestuur.
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Mamba, Bonginkosi. "An appraisal of basic infrastructural service delivery and community participation at the local level a case study of three municipalities in the Eastern Cape." Thesis, Rhodes University, 2008. http://hdl.handle.net/10962/d1002692.
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Housing provision plays a vital role in meeting basic needs. Dwellings provide the security required for basic functioning and are thus essential for both human development and the alleviation of poverty. This study examines the levels and quality of basic infrastructural service delivery (electricity, water and sanitation) at local government level, focusing on housing. The local government areas studied include Grahamstown Fort Beaufort and Duncan Village. This was done for the purposes of analyzing the effectiveness of the existing housing policy with regard to the adequacy of scale, its developmental logic, implementation and coordination. Justification for basic infrastructural service delivery is based on the Basic Needs Approach [BNA] which forms the cornerstone of the World Bank’s delivery framework. The paper makes use of two methods: firstly, secondary sources are used to provide an impression of the broad policy framework focusing around basic service delivery with housing as the centrepiece. Specific attention is thus given to Integrated Development Plans (IDPs) as this is the level of policy-making responsible for the delivery of these services to communities. Secondly, previously un-analysed data drawn from a household social exclusion survey (2005-2006) conducted in three Eastern Cape municipalities (Buffalo City, Makana and Nkonkobe – representing respectively urban, small town, and rural areas) are evaluated. The data are analysed two ways – graphically and through a regression analysis – to test four hypotheses regarding basic service delivery. Graphical analysis demonstrates that services differ according to housing type and location. It was found that brick houses seem more likely to have better basic services than either shacks or mud dwellings. The results also show that there are inequalities in the provision of certain basic services such as water and sanitation between Duncan Village and Grahamstown. Overall, the results of this study show that government is still faced with major challenges in addressing housing backlogs.
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Hanyabui, Akpabli, and Uche Ossai. "The Impact of Customer Care on Experiences in Service Quality Delivery(a case study of Labadi Beach Hotel-Ghana)." Thesis, Mälardalen University, School of Sustainable Development of Society and Technology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-735.
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ABSTRACT
COURSE:
Bachelor Thesis in Business Administration 15 ECTS
AUTHORS: Ossai Uche, (21st March 1980), Västerås.
Prosper Akpabli Hanyabui, (17th March 1980), Västerås.
PROBLEM STATEMENT
How can Labadi Beach Hotel improve on customer care activities in order to create a positive customer experiences in the hotel?
PURPOSE:
The purpose of this study is to describe what Labadi Beach Hotel is doing and what they could do to improve customer care. Furthermore we shall also find out the problems or complaints encountered by customers in the course of service delivery and make necessary recommendations.
METHODOLOGY:
This thesis shall be based on a qualitative method of study with information gotten from Labadi Beach Hotel. This is due to the fact that in order to fulfil the purpose, it would require an in-depth research in the form of a qualitative study. The main sources of data comprises of primary and secondary data. Primary sources of data were gotten through telephone interview with employees of the hotel as well as designed questionnaire from the hotel guest. Secondary data were gotten from articles, journals, books, websites etc.
CONCLUSION:
We observed that customer care is being implemented at Labadi Beach Hotel in order to create a positive customer experiences. This is done through the recruitment of qualified employees and conduction of training programs. In addition, Labadi Beach Hotel has developed a service oriented internal process through the use of procedures. Moreover new recruits are retained upon successfully passing an appraisal report. This has actually resulted in friendly and courteous attitudes of its employees towards hotel guest. Furthermore, Labadi Beach Hotel has internal complaint system to check service failures.
Lastly, customer complaints received were embodied around Availability, Tangibles, Reliability, Responsiveness, and Empathy. It must however be noted that despite the guest complaints received, the aspect of positive customer experience in each of the dimensions above outnumbers the complaints. In spite of what Labadi Beach Hotel is doing to improve customer care, suggested measures were recommended to help them further improve upon customer care.
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Barnhart, Tei. "Conceptual frameworks and models for effective delivery of distance education : a planning aid tool derived from multiple case studies." Thesis, Loughborough University, 2002. https://dspace.lboro.ac.uk/2134/6837.
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Ghadimi, Behshad. "Impact of Delivery Method on Stakeholder Issues and Involvement Practices in Mega Projects: Evidence from Fixed Crossing Case Studies." Diss., Virginia Tech, 2017. http://hdl.handle.net/10919/76668.
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As the scale and scope of infrastructure projects have increased, so too has the array of stakeholders either involved or impacted. Such projects often take years to come together and evolve with time through the actions of project sponsors and the engagement of various stakeholders. Stakeholders through engagement and input can help legitimize and improve large-scale project initiatives. Stakeholders can also marshal opposition that can delay or block these projects. Consequently, the significance of stakeholder involvement is critical in megaprojects.
Governments have increasingly utilized public-private partnerships (PPPs) for megaproject delivery. This method introduces characteristics that distinguish PPP megaprojects from others such as: private control, profiteering, foreign profits, and long-term concessions. This study investigates whether differences exist between PPP and non-PPP megaprojects with respect to stakeholder involvement strategies and stakeholder issues raised in such projects.
This research employed a longitudinal multiple case study approach that examined four tolled fixed crossing megaprojects; two of them were delivered as PPPs and two were delivered as design-build (i.e. non-PPP). The approach followed the design of prior studies in this area by De Schepper, Dooms, and Haezendonck (2014) and Winn (2001). Pre and post milestone event analysis captured trends and shifts in involvement strategies and stakeholder issues. Subsequently, stakeholder issue tables (organized by issue themes) and stakeholder mechanism tables (organized by mechanism type and information flow) were utilized for across case synthesis and comparison to identify similarities and differences.
Analysis of stakeholder involvements across cases showed that NEPA establishes a baseline for involvement, but its requirements are not sufficient for megaprojects; a more comprehensive strategy is necessary. Further, although participatory involvements may be beneficial particularly in complex settings, these mechanisms must be carefully managed in terms of process and criteria for evaluating stakeholder input. Additionally, when private partners/contractors are involved in megaprojects, they become part of the project team and support a coordinated involvement approach. Examination of stakeholder issues indicated that issues that are common to non-PPP and PPP projects are more prevalent than PPP specific issues. In particular, issues related to tolling are dominant; moreover, toll affordability is extremely sensitive, and its severity is predictable based on affected area demographics and past toll escalation practices.
The study provided insights about how megaprojects are shaped through actions of project sponsors as well as impacted and interested stakeholders. It also demonstrated how these projects become artifacts of aspiration for politically powerful figures. Lastly, it identified the main stakeholder issues and suggested a set of guidelines to assist future practitioners in developing better stakeholder involvement strategies, which should both enhance and legitimize megaprojects.Ph. D.
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Moolla, Nadeen. "Reconstructing educational psychology in the South African context : school systems consultation as a dimension of service delivery." Master's thesis, University of Cape Town, 1996. http://hdl.handle.net/11427/14350.
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Summary in English.Bibliography: leaves 92-99.
This study aims to illustrate, explore and argue for school systems consultation as a dimension of educational psychology service deli very which is appropriate in the South African context. It connects with the principles which guide policy development in education, and particularly, education support services in the country. A qualitative inquiry approach was adopted, in which case study methodology was employed to illuminate systems analysis and intervention at a special school in Cape Town. The participants included all adults who were employed in the school, with focus on the management, teachers and teacher-assistants. A variety of methods were used including interviews, observation, role-play and facilitation of group process. A qualitative, thematic approach was employed in the analysis and interpretation of data, extrapolating patterns, themes and relations around communication, beliefs, change and power.
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Smith, Trevor. "An evaluation of municipal service delivery against the background of local government transformation : case study : Phumlani settlement." Thesis, Peninsula Technikon, 2005. http://hdl.handle.net/20.500.11838/1646.
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Thesis (MTech (Public Management))--Peninsula Technikon, Cape Town, 2005One of the many challenges facing local government is to deliver an equitable service to the citizens of South Africa. Local government, like many other government institutions, has limited financial 'and human resources capacity to attend to these challenges. It is, therefore, important that local government strive within these constraints, to provide equitable services'to its people in terms of housing, water, electricity and sanitation. The purpose of the research is to evaluate the standard of municipal services delivered to the Phumlani settlement. The research survey included techniques such as a structured, self-administered interviews and observations. The target research population were a sample of households located in this settlement. The structured interview was designed to assess the achievement of the norms and standards as stipulated in the National Housing Code as promulgated in the Housing Act, 1997 (Act 107 of 1997) in respect of permanent residential structures for low-cost housing. The significance of the research is the evaluation of the service delivery as perceived by the previous Phumlani infonmal community. This research lists the existing shortcomings in the standard of service delivery to the Phumlani settlement evaluated in terms of the norms and standards as stipulated in the above National Housing Code.
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Paradela, Dominguez Aguilar Astridh. "Minimizing Transaction Costs in Project-Based Organizations: A case study on suppliers’ engagements in delivery projects in the Swedish Construction Industry." Thesis, Umeå University, Umeå School of Business, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-31712.
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In this changing world, companies have had to learn how to formulate and implement their strategies through projects and organizational structures in order to successfully face threats and opportunities. However, the management of multiple projects is not easy and due to this complexity, a new type of organization has emerged, called Multiproject organization. Depending to its characteristics, this new organization can be classified in project oriented (POO) or project based (PBO) (Arvidsson, 2009).
Before to execute a project, the organization needs to evaluate its resources and decide if should buy the project through contractors or make it with its own resources (Müller and Turner, 2005). A Project Based Organization (PBO) which manages multiple projects at the same time through contractors requires to keep a good monitoring and controlling project performance, and to create the best project governance structure.
About these subjects, there have been journals and books published since an academic perspective; but, not all of them have described these topics in a real organization. The aim of this research is to learn how these concepts are applied in a real project based organization, as well as the problems that can be faced and how they have solved them.
The purpose of this thesis is to show how a PBO deals with the governance of its contracts, considering how the PBO estimates the cost of the project, how it deals controlling the contractors and their projects, as well as how it minimizes the transaction‟s (i.e. the project‟s) economic and administrative costs. Based in the purpose of the study, the research question is: “How do project minimize transactions costs in supplier engagements in delivery projects in the Swedish construction industry? the construction of a railway in the north of Sweden and due to it has 130 major contracts, can be considered as a multi-project organization. The Unit of Analysis used is the transaction cost in supplier involvement in project. A single case study was chosen to present and analyze the information from the organization. It was analyzed qualitative data collected through semi-structured interviews which were applied inside and outside the company, in order to make a triangulation of the data collected.
The findings explained that the railway company analyzed, achieved to minimize its based organizations (PBOs)” In order to answer, it was selected an organization created for transaction costs on supplier‟s investments during the delivery project phase due to right selection of types of contracts, as well as those process and systems implemented in all the project offices. These process and systems helped it to detect on time potential problems as well as take decisions and covered: the selection of suppliers through the bidding process, the negotiation of contracts, the monitoring, controlling and reporting performance, the closure of the project and the last payments for contractors. The PBO tried to keep a good communication with contractors and at the same time, it developed a team work feeling in which both parts supported each other. It could be observed that : the it is possible to achieve successfully the organization‟s objectives and minimize the transactions costs during the execution through essential factors as a careful and detailed planning, team work with all the areas involved, communication and hardworking.
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Pereira, Simone Barbosa. "IMPLEMENTAÇÃO DE BOAS PRÁTICAS DE ATENÇÃO AO PARTO E NASCIMENTO EM UMA UNIDADE OBSTÉTRICA." Centro Universitário Franciscano, 2016. http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/615.
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Good practices in childbirth and birth care do not constitute a new theme. They have gained notoriety due to the excessive use of invasive technologies and a high number of cesarean sections, in which Brazil ranks first in the world scale. One of the drivers of these changes was the launch by the World Health Organization in 1985 of the document entitled "Appropriate technologies for childbirth and birth". This document has promoted the adoption of good practices in care delivery and birth, capable of breaking with traditional models of intervention at delivery and birth, through new methodologies and intervention technologies aimed at the humanization of childbirth. Based on this proposal, the present study aimed as its general objective: To implement the good practices of attention to childbirth and birth, recommended by the World Health Organization, in a medium-sized Hospital Obstetric Unit. As specific objectives, this study considered: Know the professionals' perception professionals of an obstetric hospital unit on the good practices of attention to childbirth and birth, recommended by the World Health Organization; and, Describe the construction and validation steps of a construct of good practices of attention to childbirth and birth, to be implemented in an Obstetric Unit of habitual risk. In order to meet the first specific objective, a qualitative research was carried out, using the focal group technique, with the participation of the multidisciplinary team of the Obstetric Unit of habitual risk, of a medium-sized institution, from April to June 2016. The second specific objective was taken from a methodological survey, carried out between August and October 2016, with the participation of 12 judges from the obstetric area, national level, between the first and second round Delphi. From the data resulting from the first specific objective and codified by content analysis, three thematic categories emerged: good practices and their meanings; from the biological character to the singular and multidimensional care; from the punctual and fragmented conception to the network of attention to childbirth and birth. It was concluded that good practices in childbirth care and birth, in addition to making it possible to rethink the obstetric model and contribute to the organization of the maternal and child health care network, stimulate the role of women in their multiple dimensions. In response to the second specific objective, was obtained, in the judges' analysis, a return of 12 instruments evaluated in the first round and seven instruments in the second round Delphi. In the first round, significant suggestions for changes were made in relation to the items of the dimensions of the construct, in which the judges presented convergences in relation to the mission, vision and values, but suggested changes in the item "assignments of each professional in the team". The construct was considered valid, both in content and appearance, and could contribute to subsidize good practices of attention to childbirth care and birth in local and national territory. It is concluded that, besides the governmental initiatives, it is necessary that the health professionals are responsible for and assume the good practices of attention to childbirth and birth as a possibility of transformation of the obstetric model. As a way of broadening the reflections and qualifying the good practices of attention to childbirth and birth at the Obstetric Unit, the origin institution of the principal researcher, she presented to the managers and multi professional team the validated construct, in days and at times previously scheduled. In addition, a graphical representation of the Construct of Good Practices of Attention to Childbirth and Birth, validated by the Judges of the obstetric area, was prepared, which will be exposed at the main entrance of the Obstetric Unit in question.
As boas práticas de atenção ao parto e ao nascimento não se constituem em temática nova. Elas ganharam notoriedade pelo uso excessivo das tecnologias invasivas e elevado número de cesarianas, nas quais o Brasil figura em primeiro lugar na escala mundial. Um dos propulsores dessas mudanças foi o lançamento, pela Organização Mundial da Saúde, no ano de 1985, do documento “Tecnologias apropriadas para o Parto e Nascimento”. Este documento impulsionou a adoção de boas práticas na atenção ao parto e ao nascimento, capazes de romper com modelos tradicionais de intervenção ao parto e ao nascimento, por meio de novas metodologias e tecnologias de intervenção voltadas para a humanização do parto. Com base nesta aposta, o presente estudo teve como objetivo geral: Implementar as boas práticas de atenção ao parto e ao nascimento, preconizadas pela Organização Mundial da Saúde, em uma Unidade Obstétrica Hospitalar de médio porte. Como objetivos específicos este estudo considerou: Conhecer a percepção dos profissionais de saúde de uma unidade hospitalar obstétrica sobre as boas práticas de atenção ao parto e ao nascimento, preconizadas pela Organização Mundial da Saúde; e, Descrever as etapas de construção e de validação de um construto de boas práticas de atenção ao parto e ao nascimento, a ser implementado em uma Unidade Obstétrica de risco habitual. Para atender ao primeiro objetivo específico foi realizada uma pesquisa qualitativa, por meio da técnica de grupo focal, com a participação da equipe multiprofissional da Unidade Obstétrica de risco habitual, de uma instituição de médio porte, no período de abril a junho de 2016. O segundo objetivo específico foi atendido a partir de uma pesquisa metodológica, realizada entre os meses de agosto e outubro de 2016, com a participação de 12 juízes da área obstétrica, de âmbito nacional, entre a primeira e a segunda rodada Delphi. Dos dados resultantes do primeiro objetivo específico e codificados pela análise de conteúdo resultaram três categorias temáticas: boas práticas e seus significados; do caráter biológico ao cuidado singular e multidimensional; da concepção pontual e fragmentada à rede de atenção ao parto e ao nascimento. Concluiu-se que as boas práticas de atenção ao parto e ao nascimento, além de possibilitarem o repensar do modelo obstétrico e contribuírem na organização da rede de atenção à saúde materno infantil, estimulam o protagonismo da mulher em suas múltiplas dimensões. Em resposta ao segundo objetivo específico obteve-se, na análise dos juízes, um retorno de 12 instrumentos avaliados na primeira rodada e sete instrumentos, na segunda rodada Delphi. Na primeira rodada foram realizadas sugestões significativas de mudanças em relação aos itens das dimensões do construto, nos quais os juízes apresentaram convergências em relação à missão, à visão e aos valores, mas, sugeriram mudanças no item “atribuições de cada profissional na equipe”. O construto foi considerado válido, tanto em conteúdo quanto em aparência, e poderá contribuir para subsidiar as boas práticas de atenção ao parto e ao nascimento em âmbito local e em território nacional. Considera-se que, para além das iniciativas governamentais, é preciso que os profissionais de saúde se corresponsabilizem e assumam as boas práticas de atenção ao parto e ao nascimento como possibilidade de transformação do modelo obstétrico. Como forma de ampliar as reflexões e qualificar as boas práticas de atenção ao parto e ao nascimento na Unidade Obstétrica, instituição de origem da pesquisadora principal, a mesma apresentou para os dirigentes e equipe multiprofissional o construto validado, em dias e horários previamente agendados. Salienta-se, enfim, que foi confeccionada uma representação gráfica do Construto de Boas Práticas de Atenção ao Parto e ao Nascimento, validado pelos Juízes da área obstétrica, o qual ficará exposto na entrada principal da Unidade Obstétrica em questão.
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Teufel, Lee A. "Clinical supervision of child and adolescent counselors in residential foster care : a collective case study." [Tampa, Fla] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002192.
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Monyakane, Mampolokeng Mathuso Mary-Elizabeth. "An evaluation of the transformation of public service delivery through the development of administrative justice in South Africa." Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/2208.
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Thesis (LLM (Public Law))--University of Stellenbosch, 2007.In order to test whether South African public service fulfills democratic aims and objectives, this study establishes the limits to and extent of the Promotion of Administrative Justice Act 3 of 2000 (the PAJA) in promoting the right to administrative justice as a human right (the RAJAH) and thereby transforming public service delivery. To achieve above aim the background to the entrenched right to administrative justice is analysed through a study of principles underlying administrative justice. Both South African common law and Constitutional systems are analysed against the principles underlying administrative justice. Batho Pele principles contained in the White Paper on the Transformation of the Public Service (WPTPS) are also analysed to find out how the South African Public Administration interprets its constitutional duties and to establish the relevance of these principles to administrative justice principles ensconced in the PAJA. The PAJA is then analysed in order to measure the extent to which it affirms the transformation principles ensconced in the Constitution and coinciding with Batho Pele principles. As the public service is a reflection of democracy in action, the public expects it to be professional, representative and proficient. If it does not fulfil these expectations, this may be interpreted as a fundamental failure of democracy. South African democracy in particular is development oriented because it is based on the Constitution that entrenches among others the right to administrative justice. The right to administrative justice as a development tool urges the public sector to recognise and apply constitutionally recognised procedures and processes in every delivery so that the social status of citizens may be enhanced. Such steps, if effectively followed, signify that the public sector has transformed from bad governance practices of the pre constitutional era where there was no requirement for the observance of individual rights in public service delivery. Failures to the adoption of good governance principles by the public sector show the opposite of the expected standards and signify that the public sector is not yet transformed. In the light of the problems caused by the lack of protection of human rights from abuse by the executive under the common law system of parliamentary supremacy, the constitutional era was expected to have changed the position of South African administrative law drastically through its adoption of the principles underlying administrative justice. To develop insight into the extent of the transformation towards administrative justice that is expected to have occurred in South Africa since the advent of constitutionalism the implementation of the PAJA is evaluated through an examination of a selection of cases that deals with public administration decisions in the area of social assistance as a context in which members of the public are most dependent on effective state administration. As the scope of the study limits the number of cases that can be examined, only the most informative cases on social assistance that relates to the KwaZulu-Natal and the Eastern Cape provinces are analysed. The research finds that public service is not yet transformed and identifies the causal factors. It recommends steps to be followed so that the expected culture from the public sector is attained.
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Liyanage, Lalith. "A case study of the effectiveness of the delivery of work based learning from the perspective of stakeholders in Computing, Engineering and Information Sciences at Northumbria University." Thesis, Northumbria University, 2013. http://nrl.northumbria.ac.uk/21418/.
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Work-Based Learning (WBL) has increasingly become an area of interest for the higher education sector. It can be defined as an approach to education where learning towards accredited qualifications is relevant to and draws on the student’s workplace role and situation. This education can take place via a range of delivery methods. For this study, this definition has been further narrowed down to concentrate on WBL that is delivered by the university to those in the workplace and results in accredited higher education qualifications, where the learning contract is rooted in the discipline and draws on the student’s workplace role and situation. Northumbria University is considered one of the leaders in WBL delivery in the UK. All the faculties in the university deliver WBL programmes across a number of different disciplines. These programmes encompass a wide range of delivery formats including face-to-face, correspondence distance and online delivery. The aim of this research study is to contribute to the research in this area by conducting an in depth study of the effectiveness of the delivery of WBL from the perspective of a range of stakeholders including students, programme leaders, tutors, university support services, employers and representatives of professional bodies. There is a wealth of literature that concentrates on the learner and education provider and occasionally the employer but little that has attempted to directly investigate the wider stakeholder environment in which WBL takes place and how this contributes to the effectiveness of the WBL experience. To gain the deep insights needed for such a study, the research approach adopted a case study methodology which included mixed method research techniques for data capture and analysis combining both qualitative and quantitative approaches. The study examined the perspective of stakeholders drawn from five WBL programmes across the disciplines of Engineering, Computing, and Information Sciences delivered by the Faculty of Engineering and Environment at Northumbria University. These programmes primarily use online learning delivery format with some blended learning components and comprise four postgraduate programmes and one undergraduate programme. An online survey was administered among all the students whilst in depth interviews were conducted among all the stakeholders including students. The case study explored the students’ demographic characteristics, experience of WBL and characteristics of their learning experience. Data from the other stakeholders was analysed to both cross validate the students’ feedback and to learn about their own contribution to the effectiveness of the WBL process. The analysis was performed in relation to the three main factors identified to be most influential: quality, access and support. The original contribution to knowledge and the significance of this study can be seen in three different areas. Firstly, eight main themes and three subthemes have emerged from the data analysis of this case study. These themes and sub themes were consolidated through triangulation of the qualitative and quantitative outcomes. They illustrate the key drivers and factors underpinning the effectiveness of WBL in the selected case study and have been used to classify the main strengths and issues of WBL that have emerged from the data and develop a set of recommendations to address the main key issues. For example, ‘Accreditation of Prior Learning’ and ‘Tailoring of Learning Contracts’ emerged as key attractions for students to embark on WBL programmes. The need for the use of technology in learning was highlighted by students to support the distance delivery of content, communications and assessments, whilst academics came out with the issues and challenges which prevented them from being able to use technology effectively. Thus one of the key recommendations arising from this study is the need to provide assistance and support to academics to engage with technology in learning to support WBL. ‘Student isolation’ was found to be an issue in some disciplines where mentor and peer support cannot be facilitated and thus developing approaches that reduce student isolation is another key recommendation. One final example is that a majority of students prefer ‘blended learning’ where distance online learning is combined with some face to face components compared to purely distance online learning. This is a challenge particularly where students are dispersed over a large geographical area. Secondly this research study has considered the range of key stakeholder groups: student, employer, academic and professional body, and their contribution to the effectiveness of WBL programmes. This consideration has highlighted the specific impact they have on the effectiveness of WBL. For example employers’ support was found to be particularly useful for the development of learning contracts and for onsite mentoring support during the lifetime of the students’ studies. Professional bodies contribute through the process of accreditation of WBL programmes/qualifications for students’ professional registration. In this study this proved to be a key motivational factor for the students to embark on WBL. A four pillar model has been constructed to illustrate consideration of the range of stakeholders and this has been applied to two existing WBL frameworks to show how such consideration might be applied in practice. In the first example, the researcher has taken an existing approach to online WBL course design, development and delivery practice and adapted it to include consideration of the range of stakeholders at appropriate times in the process to strengthen the WBL experience. In a second example, the researcher has taken an existing WBL maturity toolkit and shown how it could be adapted to include consideration and input from the full range of stakeholders on the readiness to engage in WBL. The study provides key recommendations to each of the stakeholders separately which should enhance the effectiveness of the WBL provision. The final contribution to knowledge that emerges from this work is focused on each of the embedded units within the case study. Each of these embedded units represents a separate WBL programme and an analysis was performed to highlight the key strengths of each of these programmes and their main deficiencies. For example, the MSc Professional Engineering programme uses 100% tailoring of workplace projects in student learning contracts which benefit the employers. The academics’ role is primarily centered on guiding those students to document the learning outcomes from those workplace projects against their individualised programme learning outcomes. In order to support them better, students felt that academics should upload online content for the more generic topics such as research methodologies which could be new to them and quite challenging to understand. In contrast, the MSc Information and Library Management programme takes a more generic approach to its learning content and has minimal tailoring. The students and employers benefit from application of this learning content to their own environment through assignments and the final MSc project. One approach to further tailor the programme to the needs of the organisation and employee would be to offer more focused module options. This analysis of the individual programmes has helped pinpoint areas for further development. This study has conducted an in depth case study of the effectiveness of the delivery of WBL across three discipline areas at one university. This has not only provided a number of key findings from the case itself but it has also demonstrated the benefits of considering the wider stakeholder contexts in such a study. It also provides exemplars of how others can build on this work to embed these wider stakeholder contexts in WBL toolkits and associated practices to provide enhanced provision.
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Odumodu, Maria Stella. "Collaborative Trust: A Case Study Of Trust Evolution in a Public/Nonprofit Partnership." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/157.
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Lack of trust between nonprofit organizations and the communities in which they are located is a well-documented problem in the academic literature. The nature of this mistrust is far less understood, and little is known how community-nonprofit collaborations can overcome these gaps in trust. Guided by Simmel's theory of trust, this study examined the role of collaborative trust between public and non-profit organizations with a focus on better understanding how trust evolves. The research questions focused on how trust was defined and the factors that enhanced and inhibited trust evolution within the context of collaborations between nonprofit organizations and communities. Data were gathered through structured, in-depth interviews with 14 staff and stakeholders, a focus group of 4 management committee members, and the examination of partnership documents.Data from the interviews and documents were inductively coded and then organized around key themes. The themes from the content analysis indicated that the 3 chief executive officers in the partnership embraced the concept of collaboration, invested time at trust building activities, and obtained stakeholder support. This study contributes to positive social change by providing information for policy makers and administrators of public and nonprofit organizations facing similar contexts about how the development of trust can remove the barriers and sustain collaboration to deliver social program services efficiently and equitably.
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Akeriwe, Miriam Linda. "The use of mobile technologies for Web 2.0 based service delivery to graduate students in Ghanaian Universities : the case of the University for Development Studies (UDS), Ghana." Diss., University of Pretoria, 2013. http://hdl.handle.net/2263/45507.
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This study attempted to find out how mobile technologies could be used to implement Web 2.0 based service delivery to graduate students based in the Graduate School of the University for Development Studies (UDS) Library. A 23 item questionnaire was administered to a sample of 155 participants who were selected by means of simple random sampling. A total of 119 questionnaires were retrieved and found to be adequate for analysis and interpretation. The collected data was analyzed and interpreted using the SPSS package and Microsoft Excel and was presented in the form of text and graphs. Findings indicated that graduate students overall had very good abilities with regards to the usage of the Web 2.0 applications; that they will like to access their library’s resources through the Web 2.0 applications using their mobile devices and the services they will like to access include reference services, circulation services, searching the OPAC, accessing library news, e-resources and subject guides in that order. There are varied kinds of mobile library services, examples of which are MOPACs, mobile reference, mobile instruction, mobile collection and mobile tours. However, the UDS Library does not provide any Web 2.0 mobile based services. The main challenges in implementing these Web 2.0 mobile based services include cost of Internet access, slow Internet connectivity and insufficient funds to acquire needed equipment. Based on these findings, some recommendations were given.Mini Dissertation (MIT)--University of Pretoria, 2014.
Information Science
MIT
Unrestricted
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Silfverdal, Lena. "Cervical cancer prevention : studies on outcome of cervical screening and on management of abnormal cytology findings." Doctoral thesis, Umeå universitet, Obstetrik och gynekologi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-39862.
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Background Screening by cytology has been highly effective in reducing the incidence and mortality from squamous invasive cervical cancer (ICC), but the effectiveness is less established regarding non-squamous ICC and regarding women above screening ages and below 30 years of age. Cervical cancer still occurs despite the presence of an organised screening programme. A substantial proportion of screened women with ICC are reported to have had previous abnormal cytology findings. The significance of negative cytology with limited evaluation is not quite determined, the most effective management of women with low-grade abnormalities is controversial, and evaluation of long-term effect of different treatment methods is limited. Aims To identify possible areas of improvements in the prevention of cervical cancer by evaluating the effectiveness of the Swedish cervical screening programme, and by exploring risk factors for ICC in the cytological screening histories and in the management of women with abnormal cytology findings. Methods The screening histories of all ICC cases in Sweden 1999-2001 (n=1230) and of five population-based control women per case were reviewed, using data from the Swedish Cancer Registry, the national population register, the Swedish national cervical screening quality register, histopathological reports and questionnaires to clinicians. The risk of cervical cancer according to screening histories 0.5-6.5 years before cancer diagnosis was estimated as odds ratios (ORs) in logistic regression models with 95% confidence interval (CI) (Paper I). Risk related to different cytological reports was assessed in women below 67 years of age with cytology (n=572, n=3569) in Paper II. The initial follow-up of women with abnormal or unsatisfactory cytology reports (n=159, n=258) was evaluated in Paper III, and further investigation and treatment of abnormalities (n=143 cases, n=176 controls) in Paper IV. Results The cancer cases were above screening ages (31%), had not been screened according to recommendations (33%), had negative cytology (23%), or had previous positive screening tests (13%). No screening within the recommended interval increased the risk of squamous (OR 2.97, 95% CI 2.51-3.50) as well as non-squamous cancer (OR 1.59, 95% CI 1.20-2.11), and increased the risk in all ages. Negative cytology with partially obscuring factors and unsatisfactory cytology increased the risk of subsequent early stage ICC. All cytological abnormalities increased the risk of ICC, and women with glandular atypia or atypia in cells of uncertain origin carried a particularly high risk (OR 11.69, 95% CI 7.02-19.46). After a low-grade squamous abnormal smear finding, further investigation with biopsy was more effective than repeated cytology (OR 0.46, 95% CI 0.24-0.89). Lack of biopsy increased the risk in women with both low-grade and high-grade squamous abnormalities. Neither repeat cytology, nor biopsy, decreased the risk in women with glandular atypia or atypia in cells of uncertain origin. Treatment decreased the risk, even when the biopsy before treatment was negative or showed low-grade atypia only. Ablative therapy was less effective than excision and laser conisation was the most effective therapy. Conclusions Improved adherence to screening recommendations and including older women at increased risk in the programme would have significant cancer preventive gains. Women with negative cytology with limited evaluation and with unsatisfactory cytology may need further evaluation. Assessment with biopsy should be recommended for women with low-grade as well as high-grade squamous abnormalities. The diagnosing of precancer lesions and the identification of women in need of treatment warrant improvements, in particular in cases of glandular or “other” atypia in cytology. Treatment techniques need further evaluation.
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Viljoen, Izana. "An investigation into organisational development and project and programme management as approaches for integrated and improved service delivery in the SAPS." Thesis, Stellenbosch : University of Stellenbosch, 2004. http://hdl.handle.net/10019.1/16457.
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Thesis (MPA)--University of Stellenbosch, 2004.ENGLISH ABSTRACT: With the democratic reform in South Africa, The Constitution of 1996 and the White Paper on Transforming Public Service Delivery of 1997 made an important contribution to a new attitude amongst public servants and citizens regarding service delivery. It is said that these two documents ushered in a period of instilling an attitude of Batho Pele, namely ‘people first’, with public servants. The South African Police Service (SAPS) as a government entity, also had to comply, and having one of the most important functions of, ‘ensuring a safer and secure environment for all’, caused the SAPS to rethink the way they would manage this new attitude. Organisational Development and Change, Project and Programme Management and Service Delivery are a few of the approaches captured within the public administration and public management discipline, which refers to a theory of the most recent paradigm change in the way the public sector must be governed. A comparative perspective is given on how these approaches could have a positive impact on the SAPS and other organisations. The foundation of this study is based on the creation of a theoretical base relating to Organisational Development and Change Management, Project and Programme-based Management as well as Service Delivery in the Public Sector. This is the point of departure for the proposed Service Delivery Improvement Model that indicates the integration of these approaches within the organisation. The background and current situation regarding service delivery within the SAPS is also discussed. Data is collected through structured interviews with SAPS managers and opinion surveys, which were completed by service members. The interviews as well as the surveys were used to motivate the aim of the proposed model. The study concludes with recommendations that were made by the researcher with the completion of the research done. The necessity, importance of implementation and the marketing of project and programme-based management within the SAPS is emphasised.
AFRIKAANSE OPSOMMING: Met die demokratiese hervorming in Suid Afrika, het die Konstitusie van 1996 en die Wit Skrif van die Transformasie van Openbare Dienslewering van 1997 ‘n belangrike bydrae gemaak tot ‘n nuwe gesindheid onder openbare amptenare ten opsigte van dieslewering. Daar word genoem dat hierdie twee dokumente ‘n periode vir die inboesem van ‘n gesindheid van Batho Pele, naamlik ‘mense eerste’, by openbare amptenare aangekondig het. Die Suid Afrikaanse Polisie Diens (SAPD) as ‘n regerings entiteit, moes ook voldoen hieraan, met die inagneming van een van die belangrikste funksies, ’om ‘n veiliger en sekureerde omgewing vir almal te verseker’, is die SAPD genoodsaak om die wyse hoe hulle hierdie nuwe gesindheid gaan bestuur, te heroorweeg. Organisasie Ontwikkeling en Verandering, Projek en Program-gebaseerde Bestuur asook Dienslewering, is ‘n paar van die benaderings vervat binne die Publieke Administrasie en Openbare Bestuur dissipline, wat verwys na ‘n teorie van die mees onlangse paradigma verandering oor hoe die openbare sektor regeer moet word. ‘n Vergelykende perspektief word weergegee oor hoe hierdie benaderings ‘n positiewe impak op die SAPD en ander organisasies kan bewerkstellig. Die fondament van hierdie studie is gebaseer op die skepping van ‘n teoretiese basis met verband tot Organisasie Ontwikkeling en Verandering, Projek en Program-gebaseerde Bestuur asook Dienslewering. Hierdie word die vertrekpunt vir die voorgestelde Dienslewerings Verbeterings Model wat die intergrasie van hierdie benaderings binne die organisasie voorstel. Verder word die agtergrond en huidige situasie in die SAPD rakende dienslewering ook bespreek. Data word versamel deur middel van gestruktureerde onderhoude met SAPD bestuurders en opinie opnames wat deur lede van die diens voltooi is. Die onderhoude sowel as die opnames is gebruik om die doel van die voorgestelde model te motiveer. Die studie word afgesluit met aanbevelings wat na afleiding van die navorsing deur die navorser gemaak is. Die toepaslikheid, noodsaaklikheid van die implimentering en die bemarking van projek en program-gebaseerde bestuur binne die SAPD word veral beklemtoon.
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Peterson, Timothy John. "The Relationship Between a Private Voluntary Organization and the Government of a Developing Country in the Delivery of Public Education: A Case Study in Rural Guatemala." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/1375.
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As government agencies face a complexity of economic and political issues the availability and utilization of resources through private voluntary organizations (PVOs) have become increasingly important. A review of the literature covering the role of PVOs in developing countries indicates the significant contribution these agencies can have in the development process. There are only a handful of situations where small organizations are working directly with a government agency in the provision of a public service. Theoretically, PVOs are adaptable to a variety of settings, are effective conduits for delivering aid to the grassroots level, and are able to initiate long term development activity. This study considers these characteristics in the midst of the relationship that exists between a foreign PVO and a host government in the delivery of public education to a rural indigenous population.
A U.S. based organization named "Adopt-A-School" has been working in 3 districts of northern Guatemala's Cuchumatanes Highlands since 1984. The focus of its work has been to provide students in selected public schools with basic supplies (e.g., paper, notebooks, pencils, and dictionaries). The organizational structure of the PVO consists of a constituency group from whom donations are received, a board of directors that manages the available resources, and field workers who implement the program. The analysis of this PVO-government relationship is based on qualitative and quantitative data collected by interviewing participants on local and national levels, distributing questionnaires to teachers (N = 156) and PVO donors (N = 32), and performing participant observations in selected communities and schools.
The decisions regarding site selection have been important factors in the effectiveness of the AAS program and has contributed to the strength of its durability. Data indicate that the longevity and replication of this program rests on the fragile relationship network that exists between the PVO, its donors, and the host-government. This study shows that foreign PVOs can play a significant role in local communities by encouraging the growth and development of new structures that link grassroots organizations with those who maintain economic and political power.
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Friedman, Nicole Lisa. "Impactful Care: Addressing Social Determinants of Health Across Health Systems." PDXScholar, 2019. https://pdxscholar.library.pdx.edu/open_access_etds/5073.
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There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse.
The goal of this applied research project is to examine Kaiser Permanente Northwest's patient navigator program as a case study for how health systems can transform into organizations that bridge clinical, social and behavioral health and redefine what it means to be a prevention-oriented delivery system. Kaiser Permanente Northwest (KPNW) provides high quality, patient-centered care to over 550,000 medical members and 240,000 dental members in Oregon and Southwest Washington. In conjunction with the Care Management Institute, KPNW created a patient navigator administered, social needs screening tool called "Your Current Life Situation" (YCLS). This thesis focuses on the data collected from this screening tool with an emphasis on operations management, workflows, and the technical tools that have been supported to do this work. The analysis also uses semi-structured qualitative interviews from patient navigators, physicians, social workers, community organizations and members to better understand the experience of social needs screening in clinical practice and its impact on members and community partners as they receive referrals for services outside the health care delivery system. Through using anthropological theory and methods, I seek to help health systems think and act differently by elevating the voice and experience of the community and translating vulnerable populations' needs into a language that can be integrated into multiple systems of care.
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Carvalho, Andreia Filipa Jesus. "Ajudantes de acção directa : percepções sobre formação profissional e impacto da formação na prestação de cuidados a idosos dependentes internados." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2012. http://hdl.handle.net/10362/7742.
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RESUMO: A transferência de indivíduos dependentes é uma das tarefas mais realizadas
pelos ajudantes de acção directa (AAD) na prestação de cuidados a idosos, sendo
crucial haver formação nesta área. No entanto, os programas de formação em
transferências raramente são avaliados em termos de desempenho na realização
deste tipo de tarefas. Objectivo: Este estudo teve como objectivos analisar o impacto da formação de AAD no desempenho da transferência de idosos internados na
Residência São João de Ávila (RSJA) e identificar as percepções dos AAD
relativamente à importância da formação profissional, formação em transferências e
dificuldade sentida na sua realização. Métodos: Realizou-se um estudo com duas
etapas: na primeira procedeu-se a um estudo descritivo exploratório (através de um
questionário auto-administrado a 25 AAD); na segunda realizou-se um estudo quase
experimental de observação com duas fases, entre as quais decorreu uma “Formação
em Princípios e Conceitos Básicos em Reabilitação Física” (observação directa de 18 AAD durante a realização da transferência “deitado-sentado-cadeira” de idosos,
através de uma grelha de observação). Resultados: O desempenho dos AAD na
transferência melhorou após a formação. Os ajudantes manifestaram ter uma percepção positiva sobre a importância da formação profissional e da formação em transferências. Aproximadamente dois terços dos AAD revelaram não sentir dificuldades na realização de transferências. Conclusões: A formação teve um impacto positivo no desempenho dos AAD na transferência de idosos. Concluiu-se que há uma sensibilização generalizada por parte dos AAD para a importância da formação na sua profissão e, especificamente, para a formação em transferências. ---------------ABSTRACT: The transfers of dependent patients by healthcare assistants are tasks commonly used in elderly care. Therefore, it is crucial that healthcare assistants are trained to perform these tasks. However, training programs are rarely evaluated in terms of performance of these tasks. Aim: The aims of this study were 1) to determine the impact of healthcare assistant training in the transfers of the Residência São João de Ávila (RSJA) elderly patients; and 2) to analyze healthcare assistant’s perceptions about their education, their specialized training on the transfer technique, and their difficulty in performing transfers. Methods: The study was divided in two parts: an exploratory and descriptive study (self-report questionnaire applied to 25 healthcare assistants); and a quasi-experimental observation study, which involved a “training session on basic concepts and principles of physical rehabilitation” (direct observation
of 18 healthcare assistants during the “bed-sitting-chair” transfer, using an observation table). Results: Healthcare assistant performance of the “bed-sitting-chair” transfer improved after training. The healthcare assistants showed positive perceptions about their education and specialized training on the transfer technique. Approximately two thirds of the assistants felt no difficulties in performing transfer tasks. Conclusions:
The training had a positive influence in healthcare assistant performance. The
healthcare assistants were aware of the importance of training in their profession and more specifically in transfer tasks.
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Lembani, Martina Esinala [Verfasser], Wilhelm [Gutachter] Löwenstein, and Christof [Gutachter] Hartmann. "Analysis of the effectiveness of Non Governmental Organizations (NGOs) in HIV and AIDS Service Delivery : the case of Antiretroviral Therapy (ART) programme in Malawi / Martina Esinala Lembani ; Gutachter: Wilhelm Löwenstein, Christof Hartmann ; IEE, International Development Studies." Bochum : Ruhr-Universität Bochum, 2013. http://d-nb.info/1239416083/34.
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Yang, Jia-Jhih, and 楊佳芷. "Case studies of the characters value delivery from perspective of fans." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/useqyy.
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碩士國立政治大學
科技管理與智慧財產研究所
107
This paper attempts to identify how the successful creators in Line-Age deliver the value of characters via fans from the fans’ point of view. Line Creators Market is developing in Taiwan since 2014. In 2018, there were 290 thousand active creators creating Line stickers and provided totally 3.6 million sets of sticker with the globally accumulating sales coming to 2 billion NTD; thus, we can expect the vigorous growth of character sticker market. To keep the characters attractive to fans, it is essential that creators keep creating new stories of chatacters and directly interacting with fans. We can’t emphasize the importance role of fans for the commercialization of characters because fans buy the character-related products, economically supporting creators. The research method, research framework, research cases and research questions will be introduced in this part. First, semi-structured interview and non-participant observation were adopted in this research to collect data; the former was to understand fans’ motivation and the latter was to observe the fans’ behaviors. Second, Innovation Diffusion Theory (Rogers,1995), Value Co-Creation Theory (Schau, Muniz & Arnould, 2009) and Word of Mouth Teory (Hennig-Thurau et al, 2004), was adopted to analyze data. Third, fans of Lan Lan Cat, Meow Zhua Zhua, and Capoo were the research cases. Finally, the research questions were raised as follows. 1.Why fans accept character creations? 2.What approaches do fans acquire character information via them? 3.How is the value of character diffused and increased by fans? From the observation and interviews, it was concluded that delightful character style, plain expression of character, suitable character products and character attraction from business collaboration are the resaons why fans accept chatacter creations. What’s more, via interpersonal communication on social media, fans interact and co-create more value of characters with creators, then recommend and deliver this value and culture of characters formed in fans community to others, impacting others’ decision of becoming fans. To sum up, all the behaviors of fans form an expanding value-transmission pattern of characters.
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Smith, Mary Eileen. "Fostering psychological safety through facework: the importance of the effective delivery of performance feedback." Thesis, 2006. http://hdl.handle.net/2152/2964.
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Madonda, Nompumelelo. "Housing delivery within local government : case studies of Ladysmith- eMnambithi and KwaDukuza municipalities." Thesis, 1998. http://hdl.handle.net/10413/2465.
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Brauns, Melody. "Healthcare reform and service delivery : a case study of Montebello Hospital." Thesis, 2013. http://hdl.handle.net/10321/2600.
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Submitted in fulfillment of the requirements for the Degree Mast in Technology: Public Management, Durban University of Technology, Durban, South Africa, 2017.The South African healthcare sector stands at the threshold of major restructuring in an attempt to address inadequacies as a result of fragmentation of health services in apartheid South Africa. The level of health services, particularly in rural areas, has decreased and has led to reduced quality and productivity of health services. For individuals residing in rural communities, access to health services can be arduous. Delivery of essential services has to meet the needs of marginalised people who live in remote areas. In light of the above, the department of health is faced with growing expectations from citizens to use resources efficiently and effectively and to ensure that healthcare is affordable and accessible to all. National Health Insurance (NHI) is intended to bring about reform that will improve service provision. The researcher undertook this study to explore healthcare challenges faced by South Africa and its people and how far progressive realisation of access to healthcare, as enshrined in the 1996 Constitution, is being implemented. A case study using a mixed method approach was adopted. The literature reviewed indicated that issues of remuneration, ageing infrastructure and general management challenges, including financial management, are among the challenges that continue to hamper the public health system in South Africa. In addition, the HIV/AIDS epidemic has created more demand for healthcare as many more people become sick. The Green Paper outlining the government’s broad policy proposals for NHI, released in August 2011, makes it clear that NHI is a long-term project that will be rolled out over 14 years. It aims to promote efficiency and equity to ensure that all South Africans have access to affordable, quality healthcare. The findings of this study are useful not only to the case study institution, but to all District Hospitals, especially the department of health and the public management sector and may assist in taking the NHI forward.
M
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Kashora, Phoebe. "Evaluation of curriculum design and delivery : a case for Zimbabwe Staff College." Thesis, 2015. http://hdl.handle.net/10500/19666.
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The major goal of the Bachelor of Adult Education degree is to equip officers with the
prerequisite skills, knowledge and attitudes to design and deliver programmed instruction to
different categories of learners as well as to equip them with skills to conduct research in the
field of adult education practice. The present study undertakes to investigate the reasons for lack of patronage for the adult education degree at Zimbabwe Staff College (ZSC) by exploring the quality of the adult education degree programme in terms of its effectiveness, relevance, value and its ability to enhance the quality of life. An adult education degree programme should reflect the sociocultural realities and experiences of adult learners. Participatory approaches should inform the development and implementation of curriculum. The aim of the study is to inform decisionmaking aimed at programme improvement. Effectiveness entails adequacy and appropriateness of teaching methods and support services. Relevance is ensured by considering the policy framework, curriculum provision, learners‟ needs and non–participation in the programme. Value constitutes the ability to improve the economic, professional, social and political aspects of life. Using the qualitative case study design, seven students and two administrators were selected
using purposeful sampling, which is informed by the non-probability theory of sampling, to
participate in individual and focus group interviews, which were subsequently conducted and
generated data for analysis. Available relevant documents were analysed.
The major finding revealed that a lack of recognition of the adult education programme by
superiors at ZSC was the major obstacle to participation. Lack of recognition was found to be
attributable to the absence of any national lifelong learning policy, ZSC policy framework,
institutional structural conditions, and non–participatory curriculum development process and
also to other associated barriers. The non-existence of the national and local policies on adult
education was found to be negatively affecting not only participation but also the quality of the
content provision because a lifelong learning policy framework is supposed to be informing
design and practice. Recommendations focus on revision of the policy framework and the way the policies are implemented at national and local levels. A review of the implementation of policy is imperative if the restrictions responsible for the invisibility of adult education in the
country and adult education programmes at ZCS are to be removed.Curriculum and Instructional Studies
D. Ed. (Curriculum Studies)
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Lin, Wen Yi, and 林文翊. "Comparison of the brand value proposition delivery —case studies of Taiwanese and Japanese lifestyle brands." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/7r736r.
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碩士國立政治大學
科技管理與智慧財產研究所
104
In recent years, Value Proposition has become a popular term extensively discussed in the major business community. Not only is it emphasized in the book《Business Model Generation》, the book《Value Proposition Design》further regards it as the core of a successful business model. Meanwhile, with the rapid transition, progress and development of the technology, people have started to pay more attention to enhance the quality of daily life and thus start to establish their own lifestyle. Advancing value therefore become more and more important and the growth of the ”Lifestyle industry" goes vigorous under this background. The Taiwanese and Japanese lifestyle brands ”MOGU” and "SOU‧SOU" share plenty of similarities in different aspects; however, ”MOGU” compared to “SOU‧SOU” seems to be facing much more challenges . Aiming at analyzing the source of the differences from the perspective of knowledge, this study is divided into two phases: how to create the brand value proposition, and how to deliver the brand value proposition. By observing and experiencing in the real environment, this study is trying to figure out the element effecting the creation and delivery of the brand value proposition. Also, it compares the present situation of the Japanese and Taiwanese lifestyle brand, and eventually concludes the lessons learned from the comparison. The final conclusion of this study shows that, lifestyle brands create the brand value proposition by five elements of cultural circuit which added cultural value to the products. They subsequently convey the value proposition by experience providers. Besides, the creation of the two lifestyle brands are throughly influenced by different articulation of the cultural circuit elements. Last but not least, the way experience providers are utilized is tremendous influence to the value proposition delivery.
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鄭乃木. "The Application of Activity-Based Costing for Health Care Organization －A Case Study for Virginal Delivery Procedure in Gyniatrics & Obstetrics Department of A Medical Center." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/77709750981325850292.
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碩士長榮大學
經營管理研究所
92
Abstract With the implementation of National Health Insurance in 1995, the health care expenditures have continuously escalated. In order to control the expenditures,The Bureau of National Health Insurance was trying to balance their expense pressure and trying to substitute the conventional “Fee for Service” system with“Case Payment”and“Global Budgets”system. Therefore, with the intense constraint on the growth of hospitals’ revenues, the more hospitals thus have to strengthen their cost control and management to obtain adequate profits. Cost management has become one of the most important issues facing hospital managers in Taiwan. The traditional cost accounting system had widely used by domestic hospitals. Due to lake of cause-effect relationships, it does not reasonably reflect the actual cost and cause cross subsidization among departments. It may thus end up leading to wrong decisions for the management. With ABC’s cause-effect basis, all costs and the relationships among products, activities, and resources could be clearly developed; therefore, such information could serve as valuable reference in making decisions. This study intends to establish an activity-based costing system for Virginal Delivery procedure in Gyniatrics & Obstetrics department of a medical center.Investigation was first conducted to analyze business processes and product lines in the department.The costs of activities and procedures were thus calculated.Management information was thus further explored in order to assist operating objectives.
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Maharaj, Nuthan. "Governance and service delivery a case-study of sanitation in Inanda, Durban." Thesis, 2012. http://hdl.handle.net/10413/10059.
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The sanitation crisis is a growing pandemic in most developing countries, globally, including
in South Africa. It is exacerbated by increasing urbanization, poverty, lack of political will,
poor institutional response and limited financial resources to address the increasing demands.
The sanitation situation in Inanda in Durban is no different. This study examines a ‘trialogue’
of governance, sanitation and service delivery in Inanda. It investigates the approach to
sanitation delivery, capturing the impact of policy implementation through the real
experiences of communities in Inanda.
The theorisation for this study is built on debates relating to governance as an analytical lens.
It also draws on Foucault’s theory of governmentality to understand how government
functions in an environment internal and external to itself to manage and distribute public
resources as a service to the governed. Government employs the ‘art of governing’ through
regulation and the rule of law to achieve its service delivery goals. In the delivery of
sanitation in South Africa the government adopts a multi-stakeholder governance approach,
requiring inter-spheral and inter-department synergy, together with cooperation from the local
communities and other sectors.
The predominant qualitative account of sanitation governance is achieved through utilising a
case-study design as a methodological approach. The case-study design allowed the
researcher to delve deeper into smaller cases employing multi-method data gathering
techniques. Triangulation increased the reliability and credibility of the findings presented.
The empirical investigation of this research concentrates on the experiences of local
communities in Inanda, exploring the impact of policy choices for sanitation delivery. In
addition, it captures the application of governance principles by practitioners to meet
sanitation demands in the varying geo-spatial formations, different housing typologies and
absence of bulk infrastructure in the peri-urban and rural settings in the study area. The study
paid special attention to imperatives such as local governance and participation; access to
basic services as a Constitutional right; access to sanitation to advance a better quality of life
through adequate facilities, improved hygiene education and access to water to complement
sanitation goals.
The study revealed that sanitation delivery in Inanda was fraught with developmental
challenges. The eThekwini Municipality’s Water and Sanitation Unit, responsible for the
provision of sanitation to the communities of Inanda is challenged with increasing
populations, unplanned settlements, weak institutional response to operations and
maintenance, limited financial resources, inadequate integrated and spatial planning, and
moving targets due to increasing demands for sanitation services in Inanda. Poor sludge
management threatens environmental integrity and community health. The Municipality’s
interim response to the sanitation needs of informal/unplanned settlements had little impact on
user satisfaction as the high cost of infrastructure limits the quantity and quality of facilities
provided. Communities find it difficult to utilise governments’ choice of sanitation facilities
provided to them due to poor quality infrastructure, inadequate of maintenance and care of
facilities, lack of effective sludge evacuation strategies for ventilated improved pit toilets, and
inability to use and maintain the eco-san innovations instituted by the eThekwini Water and
Sanitation Unit. Inadequate sanitation facilities exposed communities to the hazards of crime,
disease, indignity, perpetuation of poverty and discrimination as well as a perception that,
approximately 18 years into the democratic era, government has failed the people, as majority
of the households in Inanda still do not have their own toilet facility.Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2012.
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"Architectural experiment: testing the tube." 2008. http://library.cuhk.edu.hk/record=b5893851.
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Migliaccio, Giovanni C. (Giovanni Ciro) 1968. "Planning for strategic change in the project delivery strategy." Thesis, 2007. http://hdl.handle.net/2152/3370.
Full textAbstract:
For organizations such as state departments of transportation, other public agencies, or private companies, adopting a new approach to procure services for delivery of construction projects requires significant organizational changes; modifications to both their work processes and existing organizational structures may be needed. These adjustments, encompassing many different aspects of the organization's interests, must occur for the change initiative to be successfully put into practice. In this research, the adoption of integrated project delivery methods within the transportation project sector is investigated to better understand the dynamics of this change. In the context of this study, an Owner's project delivery strategy is defined as the set of project delivery methods that are adopted for delivering capital projects. This dissertation presents findings from a study of Public Owner organizations that have implemented the designbuild method for delivering highway projects. Using as a case study the new $1.3 billion SH-130 tolled expressway project in Central Texas, the author analyzed project documentation and conducted many interviews with individuals affiliated with owner, legal, engineering consultants, and contractors. Findings suggest that project representatives institutionalize practices and routines connected to the new approach by adapting to new challenges, rather than "overwriting" previously existing practices. Similarly, the institutionalization of innovative approaches to project delivery happens concurrently with a deinstitutionalization of the previous approaches. Building upon these findings, a conceptual framework is presented for helping Owner organizations implement change in their project delivery strategy. The proposed conceptual framework is based upon both existing published literature and interviews with managers involved in implementing a strategic change in project delivery strategy. This framework was further refined by making a comparative study of four transportation projects in the United States. In addition, a detailed implementation framework was validated and further developed through a Delphi study with representatives from several organizations whose major responsibilities and experiences include the management of change in procurement approach. Findings from these studies, including application to the construction industry and other industries are presented.
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Iyawa, Gloria Ejehiohen. "Improving health delivery in rural communities through the use of mobile phones : a case study in Windhoek." Diss., 2013. http://hdl.handle.net/10500/13763.
Full textAbstract:
Poor health care delivery in rural communities is a major problem facing the health sector in Namibia.
Patients who visit rural communities often wait on queues for several hours every day before they can
be examined by a medical practitioner. This is detrimental to the health care process and impacts
negatively on the efficiency and effectiveness of the sector. Mobile phones can however be employed
as tools to improve work processes in such hospitals and as a result improve health care delivery in
rural communities.
The purpose of this study was to investigate the health care services provided to patients at Outpatient
Departments (OPDs) in rural hospitals through the use of data collection instruments such as
interviews, questionnaires, document analysis, expert validation and photographs in order to compile a
Mobile Health Service Framework (MHSF) to improve healthcare delivery processes in OPDs. From
an interpretive paradigm perspective, the qualitative design was used together with a case study
approach. Three hospitals in rural communities were used as case studies. These were Okuryangava
Hospital, Katutura Hospital and Khomasdal Hospital. Interviews were conducted and questionnaires
distributed to the participants. The findings revealed that there is a high concentration of mobile phone
usage in rural communities and there is a high usage of the SMS feature on such mobile phones.Computing
M. Sc. (Computing)
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Brown, Louise F. (Louise Frances). "Altering patterns of delivery of periodontal services / by Louise F.Brown." 1993. http://hdl.handle.net/2440/21401.
Full textAbstract:
Bibliography: leaves 235-253.xx, 431 leaves ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Examines the association between employment of dental hygienists and the patterns of delivery of diagnostic, preventive and treatment periodontal procedures and assesses the effectiveness of a continuing education intervention in altering the delivery of diagnostic, preventive and treatment periodontal services by practices employing and not employing dental hygienists in Adelaide, South Australia.
Thesis (Ph.D.)--University of Adelaide, Dept. of Dentistry, 1994?
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Brown, Louise F. (Louise Frances). "Altering patterns of delivery of periodontal services / by Louise F.Brown." Thesis, 1993. http://hdl.handle.net/2440/21401.
Full textAbstract:
Bibliography: leaves 235-253.xx, 431 leaves ; 30 cm.
Examines the association between employment of dental hygienists and the patterns of delivery of diagnostic, preventive and treatment periodontal procedures and assesses the effectiveness of a continuing education intervention in altering the delivery of diagnostic, preventive and treatment periodontal services by practices employing and not employing dental hygienists in Adelaide, South Australia.
Thesis (Ph.D.)--University of Adelaide, Dept. of Dentistry, 1994?
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hung, lee wei, and 李威宏. "The Research of Indefinite Delivery Contracts Implementation and Case Studies for Household Sewerage Pipes Connections of Taipei City." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/98306217010520660073.
Full textAbstract:
碩士國立中央大學
營建管理研究所在職專班
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ABSTRACT The past research of indefinite delivery contracts have discovered that different project sizes and characteristics affect the application of indefinite delivery contracts to the projects. They also suggested thatgovernment organizations can establish different indefinite delivery contract structures for the projects of different characteristics. However, past researches seldom discuss and analyze such topic on indefinite delivery contracts for sewerage construction. Therefore, this research focuses on the system, administration and implementation of indefinite delivery contracts for sewerage construction from the supervision perspective. This research starts with literature reviews of the current practices of sewer systems (including sewerage fee structure) in Taiwan, United States, Japan and Singapore as well as reviews of indefinite delivery contracts.The differences between indefinite delivery contracts and traditional contracts are then analyzed and discussed to understand the major characteristics of indefinite delivery contracts for sewerage. In addition, this research collects five real cases, which consist of seven different obstacles commonly encountered in the sewerage construction. These obstacles are compensation for private land, central skylight of buildings, dangerous buildings, underground pipeline barriers, submerged existing manholes, huge ground elevation difference, and old buildings. This research introduces these obstacles, and discusses and proposes meansand solutions to deal with these obstacles. All the discussions and analyses are validated through interviews with domain experts and questionnaire surveys. This research aims to organize the practical experiences in the domain and to provide a guide for future household sewerage pipes connections using indefinite delivery contracts in order to reduce possible disputes and guarantee smoother project implementation.
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Mdluli, D. Sipho. "Ten years of democracy : a case study of service delivery and infrastructural development at Siphofu." Thesis, 2006. http://hdl.handle.net/10413/2364.
Full text