scholarly journals The Facilitators and Barriers of Adopting Amylase-Rich Flour to Enhance Complementary Foods in the Kersa District Community of Eastern Ethiopia

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 838
Author(s):  
Asnake Ararsa Irenso ◽  
Shiferaw Letta ◽  
Addisu S. Chemeda ◽  
Abiyot Asfaw ◽  
Gudina Egata ◽  
...  

Achieving the optimal transition to a family diet over the first two years of life has remained a challenge in Ethiopia. The use of amylase-rich flour (ARF) can improve complementary foods. However, utilisation requires an effective delivery strategy for upskilling the community to use ARF. The aim of this study was to explore facilitators and barriers of cascading ARF skills to improve complementary foods. The study was conducted in Gale Mirga kebele of Kersa district in Eastern Ethiopia in 2016. The study utilised exploratory qualitative research that used participatory action. Focus group discussions (FGDs) were conducted with the Health Development Army (HDA) leaders, religious leaders, and observation of participatory complementary food demonstrations. Cultural acceptability and the presence of HDA structure that supports skill development were identified as key facilitators to ARF use. On the other hand, the potential barriers to expanding ARF skill were lack of sustainability of external skill support for HDA leaders, perceived time constraints, unsuitable demonstration settings, cooking method, and large group size. The indigenous community’s knowledge of germination has not been used to improve complementary foods. The universal use of ARF requires integration into the Health Extension Programme (HEP) with support and supervision for HDA leaders.

Author(s):  
Anestis Divanoglou ◽  
Kenneth Chance-Larsen ◽  
Julie Fleming ◽  
Michele Wolfe

An increasing number of universities offer educational programmes across multiple campuses, as a way of facilitating access to tertiary education and filling the shortage of health professionals in rural and regional settings. Offering an equitable learning experience across all sites has been considered an important aspect in any learning and teaching approach. This qualitative study analysed data from 10 focus group discussions and 11 unit evaluations, to explore student perceptions of synchronous dual-campus delivery of a physiotherapy programme in Central Queensland, Australia. An inductive approach to thematic analysis was used. Three themes emerged: (a) Student location influences learning; (b) Videoconferencing impacts learning and teaching; and (c) Dual-campus delivery determines teaching structures and shapes teaching processes. Difficulties related to cross-campus communication, logistics, and opportunities for interaction and engagement were seen as detrimental to synchronous dual-campus delivery. Skill-based demonstrations added another level of complexity. However, students identified a potential benefit from accessing expertise from both campuses. With careful planning and consideration of the potential barriers and facilitators, synchronous dual-campus learning environments can be an effective delivery option for higher education institutions. This study builds on existing literature and suggests a number of strategies that are specific to this mode of programme delivery.


2016 ◽  
Vol 1 ◽  
pp. 328-336
Author(s):  
Abdul Basit

Based on the results of research that conducted by previous researchers suggest that the schools are the institutions most vulnerable to enter the radical religious ideology. Many factors could be cause this to happen. The lack regulation of the process of Islamic religious education in the schools, psychological conditions adolescentare unstable and looking for identity, the lack of religious comprehension in the students, and the religious organizations that entered to school institutions with a various of ideologies very easy, are part of the factors that cause vulnerability school institute from radical religious comprehension. In the respect to these conditions are required the model of the da’wa movement that can be accepted by adolescent and it be an alternative in the development of da’wa in the schools.To get the data, the authors conducted a qualitative study in the area of ​​Purwokerto using the phenomenological approach. The researchers conducted interviews and focus group discussions with the school leaders, teachers, students, activists of religious organizations, and religious leaders who understand the problems in this study. The main data is processed by combining the results of the observation and study of literature through a phenomenological approach that emphasizes the meaning behind the phrases or statements from informan.To produce the movement patterns of school da’wathat can be acceptable to all the communities in the schools, the school needs to make the movement patterns of integratif school da’wa,both intra-curricular, co-curricular and extra-curricularactivities. The religious activities and cultivation of religious values ​​are part of the process of da’wa that do not separated in the schools. In the practice of this the movement patterns, the school should pay attention to the characteristics of the school, students' backgrounds, as well as involvedstakeholders and the da’wa organizations.


2020 ◽  
Vol 8 ◽  
pp. 85-94
Author(s):  
Sudha Ghimire

Managing menstruation in a hygienic way is a challenge in most of the low and middle-income countries (LMIC) including Nepal, where normal and natural physiological process of menstruation is considered as girls’ problem which is viewed as sinful, unholy and matter of shame. This paper explores the current practice and existing difficulties that adolescents girls encounter hygienic management of menstruation (MHM) especially during school days. The study was conducted on five purposively selected community schools of Chitwan district. The study adopted Participatory Action Research (PAR) as an approach, that is encapsulated with mixed method research design. For qualitative information observation, focus group discussions (FGD) and field notes were used, whereas for quantitative data self-administrative questionnaires were used. Quantitative information was collected from 205 girls students who were present at schools on the day of data collection. The finding shows that majority of the girls (93.7%) who encounter hygienic management of menstruation were of 10-14 years old age, whereas nearly one third of them were (29%) from grade eight. Similarly, among the total 205 girls, only 79 girls have already started their menstruation; among those who have started menstruation majority (78%) had heard about menstruation form their mothers. Likewise, 35% girls used homemade cotton pads and 40.5% of them changed pad three times a day. During FGD, adolescents girls shared that lack of water and soap in toilets, stress and lack of concentration during menstruation are the major difficulties which they encounter during days of menstruation. They suggested the concerned authorities to manage pad bank, make soap and water available, and develop skills for proper disposing of used sanitary pads for MHM at schools. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalia Stern ◽  
Ilian Blanco ◽  
Lucy A. Olmos ◽  
Joel J. Valdivia ◽  
Archana Shrestha ◽  
...  

Abstract Background Worksite-based nutrition interventions can serve as access points to facilitate healthy eating and translate existing knowledge of cardiometabolic disease prevention. We explored perceptions, facilitators, and barriers for healthy eating in a cafeteria at a large worksite in Mexico City. Methods We conducted an exploratory qualitative study in a large department store in Mexico City with ~ 1500 employees. We conducted eight focus group discussions (FGD) with 63 employees stratified by job category (sales, maintenance, shipping, restaurant, cafeteria, administrative staff, and sales managers). Employees were invited to participate in the FGD if they were at the store at the day and time of the FGD for their job type. FGDs were audio-recorded, transcribed verbatim and analyzed using the thematic method. This process involved the researches´ familiarizing themselves with the data, generating initial codes, searching for themes, reviewing the themes, defining and naming themes, and then interpreting the data. Results Employees defined healthy eating as eating foods that are fresh, diverse, and prepared hygienically. The most commonly reported facilitators of healthy eating at the worksite were availability of affordable healthy food options and employees’ high health awareness. Major barriers to healthy eating included unavailability of healthy foods, unpleasant taste of food, and preference for fatty foods and meat. For lower-wage workers, affordability was a major concern. Other barriers included lack of time to eat work and long working hours. Conclusion A broad range of factors affect healthy eating at the cafeteria, some related to nutrition and some related to the employees type of job. Availability of healthy, hygienic, and tasty food at an affordable price could lead to healthier food choices in the worksite cafeteria. These strategies, along with work schedules that allow sufficient time for healthy eating, may help improve dietary behaviors and health of employees.


2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Allucia L. Shokane ◽  
Hanna Nel

Natural hazards disrupt the daily lives of people and communities. Consequently, social workers, like any other stakeholders, deal with community predicaments arising from the effects of natural hazards. The social relief distress (SRD) programme of government utilises needs-based, top-down government-driven interventions in communities affected by natural hazards, focused on what communities lack, as opposed to what communities have. This research study involved a community that experienced natural hazards, such as flooding, hail, lightning and windstorms, which destroyed property and livelihoods during the period 2014–2015. Eight experts and 12 affected community members participated in a qualitative participatory action research analysis study between 2016 and 2017. Guided by the asset-based community development (ABCD) approach, the affected community participated in a collaborative manner in the analysis of the consequences of natural hazards within the community. Data were collected through semi-structured individual interviews and focus group discussions, and analysed thematically. The findings confirmed the traumatic effects of natural hazards, such as loss of property, crops and livestock, physical injuries and even death. The main finding established that natural hazards should be managed in a collaborative way between formal experts of natural hazards and community members through ABCD principles and methods in building resilient communities.


2019 ◽  
Vol 36 (1) ◽  
pp. e4.1-e4
Author(s):  
Stephanie Armstrong ◽  
Adele Langlois ◽  
Niroshan Siriwardena

BackgroundPrehospital ambulance based research has unique ethical considerations due to urgency, time-limitations and the locations (home, ambulance) involved. We sought to explore these issues through interviews with paramedics that have research experience.MethodsWe undertook semi-structured interviews with paramedics, seeking their views and experiences of undertaking research in ambulance based clinical trials. Participants were purposively chosen because they were actively involved research and had enrolled one or more patients into a clinical trial. Participants were questioned regarding their experiences of the enrolment and consent process, and their opinions regarding the facilitators and barriers to ambulance based research. Transcripts were digitally recorded, transcribed verbatim, and analysed thematically.ResultsWe interviewed 15 paramedics. They ranged from newly qualified to experienced advanced paramedics. Mental capacity and consent were discussed and the time and complexity for undertaking these processes were highlighted. Participants discussed problems with completing paperwork due to the complexity of recording systems. Most highlighted paramedic training and experience as a potential barrier to research, stating that those that had gone through a university education in general seemed more open to research than those that had ‘learnt on the job’. It was also felt that more information on the benefits of a trial to both patients and practice were needed from the outset to allow paramedics to make an informed decision about whether to take part in research or not. Several stated that they did additional reading around the subject before signing up. All stated that the training given prior to commencing the research was good and appropriate to each trial.ConclusionsWe identified patient capacity and consent, paramedic training and experience and complexity of processes as important potential barriers to prehospital research. There is scope to improve guidance for prehospital research studies in future.


2020 ◽  
Vol 11 (3) ◽  
pp. 10-20
Author(s):  
Hien Do ◽  
Hien T Ho ◽  
Phu D Tran ◽  
Dang B Nguyen ◽  
Satoko Otsu ◽  
...  

Introduction: Hospitals are a key source of information for the early identification of emerging disease outbreaks and acute public health events for risk assessment, decision-making and public health response. The objective of this study was to identify potential facilitators and barriers for event reporting from the curative sector to the preventive medicine sector in Viet Nam. Methods: In 2016, we conducted 18 semi-structured, in-depth interviews, as well as nine focus group discussions, with representatives from the curative and preventive medicine sectors in four provinces. We transcribed the interviews and focus group discussions and used thematic analysis to identify the factors that appeared to affect public health event reporting. Results: We identified five major themes. First, the lack of a legal framework to guide reporting meant hospital staff relied on internal procedures that varied from hospital to hospital, which sometimes delayed reporting. Second, participants stated the importance of an enabling environment, such as leadership support and having focal points for reporting, to facilitate reporting. Third, participants described the potential benefits of reporting, such as support provided during outbreaks and information received about local outbreaks. Fourth, some challenges prohibited timely reporting such as not perceiving reporting to be the task of the curative sector and hesitancy to report without laboratory confirmation. Finally, limited resources and specialist capacities in remote areas hindered timely detection and reporting of unusual events. Discussion: This study identified potential opportunities to promote the detection and reporting of unusual events from health-care workers to the public health sector, and thus to improve the overall health security system in Viet Nam.


2020 ◽  
Author(s):  
Rubee Dev ◽  
Oleg Zaslavsky ◽  
Barbara Cochrane ◽  
Thomas Eagen ◽  
Nancy F Woods

Abstract Background Nearly one in every seven Americans is 65 years and older, facing day-to-day challenge of aging. Although interest in healthy aging is growing, most of the efforts are directed towards understanding the perceptions of older adults. Little is known about the perspectives of community-based practitioners who work with older adults and deliver programs to promote healthy aging. The purpose of this project was to expand knowledge on healthy aging by exploring the perspectives of community-based practitioners working directly with older adults. Methods We purposively sampled community-based practitioners (n=12, including nurses, physician, social workers, and other community services professionals), who then participated in one of three in-depth focus group discussions. Results Three core categories were identified: (1) characteristics of healthy aging; (2) healthy aging attainment; and (3) programs and activities for healthy aging. Participants identified a number of characteristics under person-specific, social, and spiritual dimensions of healthy aging. Healthy aging attainment was represented as facilitators and barriers, and programs and activities through promoting fitness and wellness. Conclusions Although practitioners’ perspectives had some overlap with traditional research and medical views on healthy aging, the unique and holistic model derived provides a more refined foundation for supporting healthy aging.


Author(s):  
N.W.A.N.Y. Wijesekara ◽  
Dimantha Jayasinghe

Religious leaders support communities in multiple ways during challenges such as disasters, emergencies, conflicts, and outbreaks. The COVID-19 Pandemic, too, has demonstrated the contribution of religious leaders in assisting communities across the world. On the other hand, a minority of religious leaders also have contributed to the aggravation of the outbreak, for example, by organizing religious mass gatherings, neglecting the warning given by health authorities. Thus, it is evident that the religious leaders have had both positive and negative roles during the Pandemic. The Resilience Research, Training and Consulting is implementing a project titled COmmunity Resilience through Religious Engagement for Community Trust during Covid-19 (CORRECT-19) through a grant supported by the Awareness with Human Action (AHA) project funded by the European Union. As a part of the CORRECT-19 project, we are conducting a series of focus group discussions and key informant interviews with the religious leaders from multiple religions, faiths, and spiritual traditions in Sri Lanka on their contributions during the COVID-19 Pandemic. We used content analysis to identify undesired behaviors, desired behaviors, and desired roles, using the evidence from the mainstream western medical and epidemiological systems as the point of reference in determining what is desired and undesired. The CORRECT-19 Model enlists eight desired roles of religious leaders during the Pandemic, namely the Faith-Setter, Health Promoter, Be-Friender, Social Worker, Community Mobilizer, Networker, Peacebuilder, and Advocate. We designed eight representative infographics to communicate the desired roles of religious leaders during the Pandemic. The CORRECT-19 Model depicting the eight desired roles is a helpful communication and advocacy tool in the active and meaningful engagement of religious leaders in managing the COVID-19 Pandemic.


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