Children Displaced: Deinstitutionalisation of Child Care Institutions in Tibetan Exile Settlements in Dharamshala, India

2020 ◽  
Vol 7 (1) ◽  
pp. 56-64
Author(s):  
Pradeep Nair

This study assesses the present situation of the deinstitutionalisation and alternative care arrangements in exile settlements concerning various cultural and socio-structural factors. It explores how elements of social structure and culture operate to transform the residential care institutions to community-based alternative care arrangements for 10,000 young Tibetans uprooted from Tibet and presently settled in India. Their day-to-day problems of repatriation and resettlement in an unfamiliar demography with distinct ethnic values are pushing them to the margins. The dependence of these children on their exile government, the host community and the uncertainty of going back to their country makes them depressed, dependent and vulnerable to trauma and negligence. The study uses cross-sectional, descriptive, exploratory and qualitative methods. Primary data were collected through in-depth, semi-structured interviews. Open-ended questions were used for interviews in order to gain in-depth information from the respondents. Twenty-five informants were selected on a purposive basis to facilitate a focus on information-rich cases that illuminate the research questions. The selection criteria of informants apply to their professional experience of deinstitutionalisation in Tibetan settlements, professionals having experience of heading care institutions, officials of the Central Tibetan Administration, people from non-government organisations, development agencies and government officials who were a part of the interventions. Respondents from both state and non-state agencies were selected for the study to avoid bias.

2020 ◽  
Vol 15 (1) ◽  
pp. 131-143
Author(s):  
Muhammad Zaheer ◽  
Saba Munir

PurposeThe purpose of this study is to explore and highlight the issues and challenges teachers face while supervising thesis and projects in distance/online learning mode.Design/methodology/approachThis is a cross-sectional qualitative study. Grounded theory approach using Gioia methodology has been applied. Semi-structured interviews of 16 research supervisors have been conducted to explore the issues and challenges faced by the supervisors in guiding research students. Purposive sampling is used to select the subjects for data collection.FindingsResults of the study reveal that the time constraints, official restrictions, irregular contacts and technology are the main issues faced by supervisors. Whereas student–supervisor interaction, diversity, perceptions, virtual communities and academic collaboration are the biggest challenges for the supervisors in distance learning. Lastly, it is found that students' attitude and supervisors' mindset are the key success factors in distance research supervision.Practical implicationsFindings of this paper will help institutions particularly in Asia, to strategically review their research programs to make these programs more effective. Effectiveness will encompass two things, timely completion and novel research. If these two things are addressed efficiently, comparison of distance learning with conventional learning will be more favorable for distance learning.Originality/valueThis study will be helpful for the top management of distance/online learning institutes to better equip their teachers and students to complete their research endeavors accordingly. This is an empirical research based on primary data collected from the research supervisors currently supervising thesis/projects at Virtual University of Pakistan.


2018 ◽  
Vol 9 (1) ◽  
pp. 73-95 ◽  
Author(s):  
Odhiambo Odera ◽  
Albert Scott ◽  
Jeff Gow

Purpose This paper aims to identify factors influencing and shaping community perceptions of oil companies which present fertile ground for a better understanding of their actions. Design/methodology/approach A qualitative methodology is adopted where primary data were collected through semi-structured interviews from members of three communities in the Niger Delta: Ogbunabali community in Port Harcourt (Rivers State), Biogbolo community in Yenagoa (Bayelsa State) and Ogunu community in Warri (Delta State). The interview data were recorded, transcribed and qualitatively analysed using content analysis with NVivo software. Findings Perceptions regarding negative and positive aspects of the oil companies were identified. These included environmental concerns; lack of compensation; health effects; lack of social development; neglect of communities; not creating employment opportunities; and providing community and educational support. Research limitations/implications A major limitation regards the small number of respondents selected from the communities. The sample of the interviewees was constrained by their availability and accessibility, which might have injected some bias. Gathering data from other stakeholders such as non-governmental organisations, consumers, investors and creditors may provide a deeper understanding of social and environmental practices. Another approach would be to extend this study by examining the perceptions of relevant government officials towards social and environmental concerns in developing countries. Originality/value The qualitative research methodology utilised in this study uses content analysis to examine views of communities about oil companies’ commitments to their social and environmental concerns. An understanding of social and environmental commitments allows diverse stakeholders such as communities to become more engaged with issues affecting them.


2021 ◽  
Vol 9 (B) ◽  
pp. 1701-1704
Author(s):  
Merry Merry ◽  
I Gusti Agung Gede Utara Hartawan ◽  
I Wayan Aryabiantara ◽  
Dewa Ayu Mas Shintya Dewi

BACKGROUND: Primary data regarding sepsis patients in Indonesia, especially in Denpasar, are still limited in number in reporting. The lack of information about sepsis made the authors interested in conducting this study. AIM: The aim of the study was to obtain more in-depth information about the profile of sepsis patients treated in Sanglah Hospital, Denpasar. MATERIALS AND METHODS: This was a cross-sectional descriptive research. Target population in this study are data on patient registers that are included in the inclusion criteria from June 1, 2019 to June 30, 2021, at intensive care unit Sanglah Hospital, Denpasar. The variables in this study included: Demographic conditions such as age, gender, and address, qSOFA score, comorbidities, ventilator, and patient’s outcome (survival or non-survival). RESULTS: A total samples were 173 patients. The average age of patients in this study was 54 years old with 56.6% male and 32.9% lived in Denpasar. Patients suspected of having early sepsis had a qSOFA 0 score of 35.3%, qSOFA 1 was 33.5%, qSOFA 2 was 23.7%, and qSOFA 3 was 7.5%. Patients with sepsis and suspected sepsis with comorbidities were 96% and 79.8% of patients were on a ventilator. The mortality rate in this study was 67.1%. CONCLUSION: These primary data hopefully become references for the future research.


2017 ◽  
Vol 2 (6) ◽  
pp. 79
Author(s):  
Zulekha Ndurukia ◽  
Dr. Agnes W. Njeru ◽  
Dr. Esther Waiganjo

Purpose: The purpose of this study was to determine the factors which influence the demand for micro insurance services in the insurance industry in Kenya.Methodology: The study adopted cross sectional survey design. The target population was insurance service providers in Kenya licensed by the Insurance Regulatory Authority (IRA). Sampling technique was stratified random sampling. A questionnaire was used in the collection of primary data which was analyzed using Statistical Package of Social Sciences (SPSS). Analysis of data was done using descriptive and inferential statistics. Regression and correlation analysis was done to test the relationship between the study variables.Results: The study findings indicated that risk exposure, price, access to credit and income level are significant determinants of micro insurance demand. Gender, age and level of education were found to have a positive and significant influence on the demand for micro insurance. The study concluded that micro insurance demand is affected by economical and structural factors and that the potential is yet to be exploited.Unique contribution to theory, practice and policy: The study recommended that awareness and education be conducted to the public; flexible and convenient payment option be availed; easy access to credit; the regulator to put in place a framework for micro insurance and the government to offer subsidies and incentives towards micro insurance services.


2021 ◽  
Vol 56 (3) ◽  
pp. 499-518
Author(s):  
Jabulani C. Nyawo ◽  
B.C. Mubangizi

The government’s inability in South Africa to ensure that formulated programs, structures, and policies adequately accommodate smallholder farmers hinders the sector’s ability to grow and develop. This study examines the agricultural smallholder farmers’ perception of the service delivered by the extension and advisory officers. The researchers obtained the primary data from fifteen focus group discussions with the smallholder farmers and three senior government officials under the Department of Agriculture & Rural Development who willingly responded to face-to-face semi-structured interviews. Using thematic analysis, the authors found that the public extension &advisory Officers do not provide substantial support to smallholder farmers seeking access to markets. The study results also show that the agricultural smallholder farmers are dissatisfied with the public extension and advisory officers’ services. Smallholder farmers continue to experience numerous challenges, although the extension and advisory program was implemented to help farmers deal with some challenges for growth and sustainability. New results are expected to provide empirical evidence regarding the performance of extension and advisory officers on smallholder sectors’ development. Furthermore, study results can be used as guidelines for the government when considering the best approaches and capacity building for smallholder farmers.


2013 ◽  
Vol 41 (4) ◽  
Author(s):  
Jelle Mast

The ethics of ‘reality show’ production(s): Issues, dimensions, and discourses of program-makers and participants The ethics of ‘reality show’ production(s): Issues, dimensions, and discourses of program-makers and participants In this article we elaborate the ethical issues of ‘intrusion’, ‘humiliation’, and ‘misrepresentation’ as related to the production of ‘reality shows’. Our focus is on dilemmas between moral and professional values or loyalties, and the (potentially) harmful treatments and responsibilities emerging from the power differential between program-makers and participants. The present study is grounded in insights drawn from the literature on documentary, media and image ethics, and cultural production studies. These are integrated with primary data obtained through semi-structured interviews with 12 television professionals and 25 participants of ‘reality shows’, (co-)produced in Flanders (and the Netherlands). We argue for a position that touches a middle ground between an ‘incident-centered ethics’ and an all-encompassing critique, pointing out structural factors, while allowing for measures of agency and differentiation. It is also concluded that ethical considerations need to be brought more squarely into the day-to-day calculations of ‘reality’-program-makers.


2021 ◽  
Vol 9 ◽  
Author(s):  
Coline Van Everdingen ◽  
Peter Bob Peerenboom ◽  
Koos Van Der Velden ◽  
Philippe A. E. G. Delespaul

Background: Homelessness is an increasing problem in Western European countries. In the Netherlands, policy reforms and austerity measures induced an urgent need for management information on local homeless citizens. Municipal authorities initiated cross-sectional reviews of Homeless Service (HS) users. The resulting Homeless People Treatment and Recovery (HOP-TR) study developed a health and needs assessment strategy over different domains to comprehensively assess individuals and care networks with the perspective on recovery.Methods: Dutch HS users were selected using a naturalistic meta-snowball sampling. Semi-structured interviews provided the primary data source. The interview content was partly derived from the InterRAI Community Mental Health questionnaire and the “Homelessness Supplement.” Using the raw interview data, algorithmic summary scores were computed and integrating clinical parameters assessed. The data describe health and needs in a rights-based, recovery-oriented frame of reference. The mental health approach is transdiagnostic. The positive health framework is used for structuring health and needs aspects in relation to the symptomatic (physical and mental health), social (daily living, social participation), and personal (quality of life, meaning) dimensions of recovery.Results: Recruitment (between 2015 and 2017) resulted in a saturated sample of 436 HS users in 16 facilities and seven cities. Most participants were long-term or intermittently homeless. The sample characteristics reveal the multi domain character of needs and the relevance of a broad, comprehensive approach. Local authorities used the reports to reflect and discuss needs, care provision, access, and network cooperation. These dialogs incited to improve the quality of care at various ecosystem levels.Discussion: This paper describes new recruitment strategies and data collections of comprehensive data domains, to improve our knowledge in the field of homelessness. Traditional epidemiological literature on homelessness is often domain specific and relies on administrative sources. The HOP-TR study uses an analytical epidemiological approach. It shifts the assessment focus from problem-centered marginalization processes toward a comprehensive, three-dimensional recovery-oriented vision of health. Different perspectives are integrated to explore the interaction of homeless people with care networks.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Marsela Liwe ◽  
Christy N. Mintjelungan ◽  
Paulina N. Gunawan

Abstract: In children, caries occurs mostly at the age of 6 to 9 years. At the age of 6 years permanent molar teeth begin to erupt, therefore, they are more susceptible to caries. Moreover, at the age of 9 years, a period of mingled teeth where the number of permanent teeth and of the milk teeth are nearly the same. This study aimed to obtain the prevalence of dental caries of the first permanent molar among students of elementary schools in South Tomohon. This was a descriptive study with a cross-sectional design. The population of this study was 72 students aged 6-9 years old. Samples were obtained by using total sampling method. Primary data were obtained by examination of the teeth and mouth. The results showed that the prevalence of caries among students of elementary schools in South Tomohon was 68.1% (49 students). Based on gender, caries were most frequent among males (68.4%). Based on age, caries were most frequent among students of 8 years old (79.2%). Based on tooth element, tooth 36 had the highest incidence of caries (37.2%). Based on the severity of caries, dentine caries was the most frequent (46.51%).Keywords: dental caries, the first permanent molarAbstrak: Karies merupakan penyakit yang banyak menyerang anak-anak terutama umur 6 sampai 9 tahun. Pada umur 6 tahun gigi molar permanen sudah mulai tumbuh sehingga lebih rentan terkena karies dan umur 9 tahun merupakan periode gigi bercampur dimana jumlah gigi permanen dan gigi sulung dalam rongga mulut hampir sama. Penelitian ini bertujuan untuk mengetahui prevalensi karies gigi molar satu permanen pada anak di SD kecamatan Tomohon Selatan. Penelitian ini menggunakan metode deskriptif observasional dengan pendekatan potong lintang. Populasi penelitian yaitu anak umur 6 - 9 tahun di SD kecamatan Tomohon Selatan dengan jumlah 72 orang. Sampel penelitian digunakan total sampling. Metode pengambilan data secara primer yaitu dengan pemeriksaan gigi dan mulut. Hasil penelitian menunjukkan prevalensi karies pada anak-anak di SD kecamatan Tomohon Selatan mencapai 68,1% dengan jumlah 49 anak. Berdasarkan jenis kelamin angka kejadian karies tertinggi didapatkan pada anak laki-laki mencapai 26 anak (68,4%). Berdasarkan usia angka kejadian karies tertinggi didapatkan pada usia 8 tahun mencapai 19 anak (79,2%). Berdasarkan elemen gigi, gigi 36 merupakan yang paling tinggi angka kejadian kariesnya yaitu 32 gigi (37,2%) dan berdasarkan tingkat keparahan karies kejadian karies dentin yang paling tinggi yaitu mencapai 40 gigi (46,51%).Kata kunci: karies gigi, molar satu permanen


RSBO ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 41 ◽  
Author(s):  
Elisabete Rabaldo Bottan ◽  
Iara Fiorentin Comunello ◽  
Constanza Marín ◽  
Eduardo Mazzetti Subtil

Introduction and Objective: To evaluate the level of knowledge about oral cancer of students attending public school in one city of Santa Catarina (Brasil). Material and methods: A descriptive cross-sectional study, using primary data collection. Students of last year of elementary school and first year of high school, enrolled in public schools in the city of Itajaí (SC), in 2012, were the target population. The non-probability sample was obtained by convenience. Data were collected through a self-administered questionnaire structured with 13 questions divided into three fields. The level of knowledge was made based on pre-established scores. Results: 1149 instruments were analyzed (80.8% of the target population). The average age of the group was 15.5 years and 54.5% were female. The majority (78%) never had received information about oral cancer. Only 27.9% had cognizance about self-examination of the oral cavity. With regard to knowledge, 87.5% classified as unsatisfactory. For most issues the cognitive field did not identify a significant correlation between knowledge and the variables gender and education. When asked if they would like to participate in educational and preventive activitiesabout oral cancer and other issues related to health, 72.6% expressed interest. Conclusion: The group did not have adequate knowledge on the subject of oral cancer. Facing this reality, and the positive attitude of respondents, the researchers designed and offered an educational program to the research subjects.


1970 ◽  
Vol 6 (1) ◽  
pp. 52-58
Author(s):  
Fellipe Afonso de Azevedo ◽  
Noé D’jalma Araújo ◽  
Néliton Célio de Novais ◽  
José Vítor da Silva ◽  
Renato Augusto Passos

RESUMOObjetivo: o presente trabalho teve como objetivo identificar os significados de morte emergentes das equipes de enfermagem que atuam nas unidades de Pronto Socorro e Unidade de Terapia Intensiva (UTI) em uma entidade de médio porte situada no Sul de Minas Gerais. Materiais e métodos: estudo de abordagem qualitativa, do tipo descritivo, de campo e transversal. A amostra estudada foi composta de oito enfermeiros, 22 técnicos e quatro auxiliares de enfermagem, totalizando 34 profissionais, sendo utilizado o instrumento de caracterização pessoal e profissional da equipe de enfermagem e o roteiro de entrevista semiestruturada. A amostragem foi proposital. A coleta de dados foi realizada através de entrevista semiestruturada, gravada e transcrita. As diretrizes metodológicas do Discurso do Sujeito Coletivo foram utilizadas para a seleção das ideias centrais e expressões-chave correspondentes, a partir das quais foram extraídos os discursos dos sujeitos, no cenário da instituição hospitalar. Resultados e Discussão: ao analisar o tema “significados de morte”, obtiveram-se as seguintes ideias centrais: “passagem”, “diversos significados”, “fim da vida” e “fim e começo de outra vida”. Conclusão: As concepções acerca do tema morte para os profissionais participantes deste trabalho reforça a necessidade de estudos sobre o tema durante a formação acadêmica. Certos de que irão vivenciar este tipo de situação no dia-a-dia profissional, é preciso prepará-los psicologicamente para isso.Palavras-chave: Morte, Equipe de enfermagem, Assistência ao paciente.ABSTRACTObjective: This study aimed to identify the meanings of emerging death of the nursing staff working in the Emergency Units and Intensive Care Unit (ICU) in a medium-sized entity located in southern Minas Gerais. Materials and methods: A cross-sectional qualitative field research. The sample was composed of 8 nurses, 22 technicians and 4 nursing assistants, totaling 34 professionals. It was used a tool of personal and professional characterization of the nursing team and a semi-structured interview. Sampling was intentional. Data collection was conducted through semi-structured interviews, that were recorded and transcribed. The methodological guidelines of the Collective Subject Speech were used for the selection of the central ideas and corresponding key expressions, from which the speeches of the subjects were taken, in the hospital setting. Results and discussion: to examine the topic "death meanings" yielded the following core ideas: "pass", "different meanings", "end of life" and "end and beginning of another life." Conclusion: The conceptions about the death theme for the professional participants of this study reinforces the need for studies on the subject during their academic training. It is certain that they will experience this type of situation on their daily professional routine, therefore there is a need to prepare them psychologically for this.Keywords: Death, Nursing staff, Patient care.


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