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Phala, Arnold Victor Mamonyane. "Service delivery at Itsoseng psychology clinic a programme evaluation /." Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-11252009-232622.
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Mlcek, Susan Huhana Elaine. "Paucity management models in community welfare service delivery." View thesis, 2008. http://handle.uws.edu.au:8081/1959.7/33647.
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Thesis (Ph.D.)--University of Western Sydney, 2008.<br>A thesis presented to the University of Western Sydney, College of Arts, Social Justice and Social Change Research Centre, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographies.
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MacNaughton, April Dawn. "Tuberculosis (TB) storytelling : improving community nursing TB program delivery." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/56178.
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This study explores the effectiveness of the traditional First Nations practice of storytelling as a tool in improving Community Health Nurse (CHN) continuing education, regarding tuberculosis (TB) programming in First Nations communities. The first part of this study involves a critical analysis of literature regarding the evolution of Canada’s First Nations policies and health care, and the use of storytelling as a learning tool in Western and First Nations contexts. Informed by critical social justice as a theoretical lens, and decolonising perspectives in health care, the analysis of the literature focuses on (a) shifting factors and societal values shaping the evolution of health care policy and regimes in First Nations health, and (b) the use of storytelling as an educational tool for CHNs working in First Nations communities. The analysis indicates that generations of inequities have resulted in First Nations mistrust of the Western health care system and a widening gap between the health status of First Nations and that of the broader Canadian population. The analysis also reveals that storytelling is an essential component of traditional First Nations education. Finally, the literature shows that there is increasing recognition by current health care policy makers that narrowing the gap in health outcomes requires that First Nations health care programming reflects First Nations input and community needs.
The second part of this study evaluates the use of storytelling in CHN TB continuing education. TB continuing education sessions for CHNs included first person accounts by First Nations Elders, as part of the TB Tapestries Project, after which 70 CHNs were invited to provide written feedback. Thematic analysis of this feedback reveals increased appreciation for First Nations traditional storytelling as an important tool in provision of First Nations health care; recognition of the effectiveness of storytelling compared to other teaching methods; and a desire to change future TB programming by including storytelling. Based on the analysis of literature and CHN responses to the TB continuing education sessions, the primary recommendation of this study is to incorporate storytelling into TB education sessions for CHNs and broader health care programming for First Nations communities.<br>Applied Science, Faculty of<br>Nursing, School of<br>Graduate
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Lau, Yit-hung Kenny, and 劉悦鴻. "The use of volunteers in community Support Service Delivery: an evaluation of the Community EscortService." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31248949.
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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.<br>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.<br>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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Culcuoglu, Mustafa U. "Reengineering Community Based Chronic Care Delivery Systems: Theory and Applications." University of Akron / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=akron1627573050496332.
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Cardno, Elizabeth Jayne. "The PlaceToBe.Net : forced delivery of a community 'health' information initiative." Thesis, University of Brighton, 2009. https://research.brighton.ac.uk/en/studentTheses/73590299-10c9-4bea-b479-d3ef2e0f812e.
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This doctoral research is propelled by a single question: when partners from public and private sectors unify with the aim of increasing access to quality community ‘health’ information, what factors shape the selection of technological platforms? In monitoring the processes of planning and decision making, the choice of platform reveals the interests, ideologies and values of groups given labels such as ‘stakeholders.’
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Malatjie, Phindile Gertrude. "Community perception of water service delivery in Greater Giyani Municipality." Thesis, University of Limpopo, 2016. http://hdl.handle.net/10386/1999.
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Thesis (M.Dev.) --University of Limpopo, 2016.<br>This study reports on water service delivery and it is a research that was undertaken in the Greater Giyani Municipality situated in Mopani District of Limpopo Province of the Republic of South Africa (RSA). The main aim of the study is to present the community’s perception on water service delivery challenges facing municipalities in the RSA and to make recommendations towards the development of both the community and the municipality. The motivation for this research was an upsurge in water delivery protests throughout South Africa and some of these protests have resulted in an unfortunate killing of citizens in the country during 2012, 2013 and 2014.
In order to accomplish the aim of the study, several objectives were addressed. In the first part of the study, a literature review and identification of the context within which water is rendered in Greater Giyani Municipality is explained. The thesis then presents findings from the survey and an evaluation of the community perceptions of the quality of water service delivery. Following the survey report are the findings from the interviews held with municipal managers. From these combined findings recommendations are made towards water service delivery improvement.
Both qualitative and quantitative research approaches were used in the study. A questionnaire collected data from eighty five (85) participants (households) of Kremetart Township. Following the community survey, interviews were held with eight (8) municipal officials within the Greater Giyani Municipality. Respondents from the community (households) were randomly sampled, while municipal officials were purposefully sampled to represent those responsible for water service delivery. The questionnaire distributed to community members comprised of both closed and open ended questions with completion duration of 30 minutes. Semi-Structured interviews were used to derive an in-depth understanding of the phenomenon from the municipal officials.
Major findings arising from the community survey are that clean water, sanitation, aging pipelines, lack of infrastructure and free basic services were the main service delivery challenges. However, from the municipal officials, issues of maladministration appeared more prevalent. The issue of maladministration emanates from the confusion of duties and functions between councillors and the council officials. Also of concern from the officials are issues of community engagement.
The last area of concern raised by both the community and the municipal officials is payment for services. Whilst the municipal issues are centred on old infrastructure, the communities’ issues weigh more on payment of inadequate and unreliable services. The study makes several recommendations to the municipality, which if addressed, may improve service delivery and lead to positive perceptions by the community and towards significant development of the town. In order to overcome the challenge of service delivery, municipalities may consider prioritising capacity building, ensure that staff are recruited and employed on the basis of merit and also ensure that public participation is not hindered, especially functionality of ward committee structures.
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Kalemba, Brenda. "Community Participation in Education Delivery: A Study of How Community Schools Target OVCs in Chipulukusu, Zambia." Thesis, Norges teknisk-naturvitenskapelige universitet, Geografisk institutt, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-22933.
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In recent years, the importance of education as a catalyst for personal, social and economic development has gained much recognition. This is evident from global commitments towards UPE at the world education declaration on EFA in 1991 as well as being the second MDG to be attained world over by 2015. In most developing countries, such recognition has increased the demand for education particularly primary schooling. However, high poverty levels and the impact of HIV/AIDS pandemic still deny many children access to primary education. In order to cater for those who are excluded, there has been an increased advocacy for community participation in education delivery. This has also helped to spread education costs among the stakeholders. However, most urban slum areas in Zambia still face inadequate education facilities. This has resulted into the growing number of community schools which target OVCs. The OVCs are mostly excluded from state schooling due to inability of their parents or guardians to meet some ‘hidden’ financial costs in government basic schools. The main objective was to find out how community schools targeted OVCs and provided them with primary education. By using a qualitative approach to research enquiry, three community schools in Chipulukusu compound are examined for this purpose. The study’s results show that through a participatory approach to education delivery, community schools delivered education to the OVCs despite their many challenges such as having fewer and untrained teachers, inadequate financial resources, limited teaching and learning materials. This study also notes that community schools’ interventions were perceived differently by various stakeholders indicating a diversity of interests among different stakeholders. None the less, the results actually showed that community schools had increased access to primary education and put the country on a right track towards achieving MDG 2. Hence community schools present a model worth emulating.
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Lau, Yit-hung Kenny. "The use of volunteers in community Support Service Delivery : an evaluation of the Community Escort Service /." [Hong Kong : University of Hong Kong], 1991. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13115716.
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McCall, Kimberly P. "Congregation for Public Health examines community engagement knowledge of Program Administrators and Community Health Advisors using social capital and community capacity." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2006. https://www.mhsl.uab.edu/dt/2007r/mccall.pdf.
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Thornley, Tracey. "Factors affecting service delivery within community pharmacy in the United Kingdom." Thesis, University of Nottingham, 2006. http://eprints.nottingham.ac.uk/10241/.
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Aims of study The overall aim of this study was to investigate factors affecting service delivery within a national pharmacy chain, from the perspective of pharmacists and consumers, using asthma services as an example. Data were collected to explore the current environment and opportunities available to pharmacy, the factors affecting service delivery, and to identify recommendations for future service models. The impact of the design and route of service implementation were studied through two different types of asthma services. Methods The brief intervention in asthma was designed centrally and implemented nationally, whilst the asthma service was designed and implemented locally by a group of pharmacists. A triangulation of qualitative and quantitative methods were used throughout this study, including an omnibus survey, audits, mystery customer research, customer and pharmacist interviews, and a review of the dispensing data. Results A total of 81 facilitators, 45 barriers and 23 motivators were identified. In addition to extending those factors that had been previously recognised within the literature, new factors were also identified. Firstly, the route and design of service implementation to promote local ownership and responsibility for delivery of services was found to be a key factor, as was having flexibility in the length and content of service delivery. Clear and visible benefits to the pharmacists delivering the service, the customers accessing the service, and the pharmacy organisation were also found to play an important role in the delivery of services. Conclusions This is the first large scale study of its kind to look at all the factors involved from the perspective of both customers and pharmacists, and many of the facilitators and barriers identified extend beyond those provided within the current literature. The motivators identified within the previous studies have been from the perspective of pharmacists only. This study has looked at the perspective of not only pharmacists, but also the motivators to customers and the service provider. Based on all the factors identified throughout this study, a number of recommendations have been made for future service delivery.
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Outram, Christine. "FriendFreight Copenhagen : sustainable goods delivery through a community-based bicycle service." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/49545.
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Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Architecture, 2009.<br>This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.<br>Page 151 blank.<br>Includes bibliographical references (p. 140-150).<br>Each day, in any given urban area, hundreds of thousands of small goods are distributed from their points-of-sale to their final destinations. The 'travel demand that is generated from this activity has a significant impact on congestion, pollution and the maintenance of infrastructure in cities. As such, and as the number of items distributed through urban areas continues to rise, city governments are showing increasing interest in strategies that can reduce these negative effects. Most of these strategies treat inner-city goods transportation as optimization issues, whereby an existing delivery system is made to operate more efficiently and effectively - oftentimes through utilizing advances in distributed digital technologies. What is proposed in this thesis, however, is an alternative approach -- a new type of service called FriendFreight, that exploits the untapped freight capacity of personal mobility vehicles, and the real-time location information of people and goods, to enable citizens to deliver items for others while moving through the city themselves. The success of such a service relies not only on the ability to transport goods in an optimal manner but also on an understanding of how and why people might deliver goods for each other. Thus, trust and reciprocity play an important role in the service design. In this thesis, the feasibility of FriendFreight is explored within the specific context of Copenhagen where I propose that the 175,000 bicycles that move through the city each day can be harnessed to deliver small items that people need regularly.<br>(cont.) The mechanisms for building trust and reciprocity are determined through examining the theories of gift and market exchange. Special attention is also paid to our current sociological condition - what Manuel Castells calls the Network Society - whereby a rapid rise in digital electronic technologies has powered a transformation in social and operational exchange networks. Lastly, in collaboration with a colleague, Francesco Calabrese of the Senseable City Lab at MIT, a Matlab computer model has been developed as a framework for understanding a best-case scenario of the FriendFreight service and its potential effect on the efficient delivery of items given a particular scenario. This work shows that digital information can be harnessed in a bottom-up way to address urban issues in cities. Additionally it uncovers how and why exchange occurs between people, which results in a single framework for the FreindFreight service that maximizes reciprocity, trust and continued growth. Finally, it is found that a significant reduction in travel demand is achievable through using FriendFreight for certain types of goods in the context of Copenhagen.<br>by Christine Outram.<br>S.M.
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Mayfield, Chyrel Ann. "The Texas Master Gardener program: an assessment of curriculum delivery and contribution to community development." Texas A&M University, 2004. http://hdl.handle.net/1969.1/3068.
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Extension programs across the nation have been given the task of education and
outreach to citizens of their respective states. Master Gardener programs have been seen
as a way to provide horticultural education, while also providing outreach using the
programÂs service requirement.
Extension professionals have used a variety of training methods throughout the
years. These methods include face-to-face workshop trainings, interactive television, and
more recently World Wide Web methodologies. This study sought to test the
effectiveness of CD-based training materials versus a traditional face-to-face training.
Turfgrass management modules chosen for testing in this study included nutrient, water,
and pest topics. Participants knowledge levels were measured using a pre-test/post-test
design. Student satisfaction with the learning materials and their perceptions of lawn
care also were measured during the study. Results indicated that CD-based materials
were more effective than were face-to- face workshops for teaching difficult turfgrass
material to the Master Gardener trainees.
Community development is one of the four focus areas for Texas Cooperative
Extension. A secondary purpose was to determine if the Master Gardener program
affected community development. Descriptive statistics were used to compare
participants past experiences with their anticipated experiences after completion of the
Master Gardener program. Results indicated that community development activities
were being completed, but the extent and type of development could not be measured.
This study revealed several surprising and far-reaching implications for extension
programming. These implications and recommendations for improvement of extension
programs are discussed further. Recommendations for additional research also are
included.
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Molapisi, Mafereka Paulus. "Exploring an integrated development plan for service delivery in a local municipality." Pretoria : [s.n.], 2009. http://upetd.up.ac.za/thesis/available/etd-07092009-180644/.
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Bendickson, Mary M. "The impact of technology on community college students' success in remedial/developmental mathematics." [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000591.
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Brown, Bruce Edward. "Analysis of performance instruction delivery methods on student achievement in principles of marketing /." This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-10032007-171716/.
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Beavers, Loretta Roberts. "A Case Study of Community College Students' Perceptions Regarding Faculty's Practice of Online Course Delivery: Virginia Community College." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etd/1842.
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This case study focused on students who had matriculated in online courses in the Business Management Program. The setting for the study was a Virginia community college. The purpose of this study was to examine the social, faculty and administrative, and technology influences on students' perceptions of online learning. Students' conveyed experiences and perceptions of the tools and practices faculty used to implement online learning were coded and categorized to generate grounded theory that may be used to govern distance learning implementation.
Data were collected through document reviews, semi-structured interviews, and field studies. The interview participants were selected from the 2008 graduates of the Business Management Program. Data from personal memos and field studies were collected through students' comments on individual courses. Interview data included descriptions of all the distance learning courses in which the interviewees had participated. The constant comparative method was used to analyze and code the data into themes that emerged and were applied to establish grounded theories that may prove to be useful in governing the tools and practices of distance learning in higher education.
The findings of the study indicated that as the number of online courses that a student successfully completed increased, so did the student's preference of distance learning over the traditional classroom environment. The study also revealed that students were reluctant to participate in distance learning if their first experiences in this method of delivery had been negative; therefore, administrators should be more supportive and evaluative in selecting online faculty. Findings also indicated that even though students enjoyed the time and place flexibility and convenience of distance learning, they still expected instructors to create and implement an environment that cultivated students' social and academic success within the educational environment.
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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, 2006<br>The 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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Cunningham, E. Ann. "Comparison of Student Success by Course Delivery Methods at an Eastern Tennessee Community College." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etd/2585.
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The purpose of this study was to compare academic success based on methods of course delivery for students in a computer applications course at an East Tennessee community college. Additionally, the researcher examined demographic relationships of age, gender, and race to student academic performance in the different delivery methods. The researcher used final course grades as a determinant of academic success. The study was focused on students who took the INFS 1010 Computer Applications course during the academic years, 2011-12, 2012-13, and 2013-14 at a southeast Tennessee community college. The population consisted of 1,177 students who took the INFS 1010 Computer Applications course over a 3-year period. The independent variable method of course delivery is generally defined as traditional, online, or blended. The dependent variable academic success is generally defined as final course grade. A student was considered an academically successful completer of the course by attaining a final course grade of A, B, C, or D. It should be noted that if a student is transferring to another institution, the receiving institution may or may not accept the course credit of a student who received a D grade in this course. However, at the studied institution students receiving final course grades of A, B, C, or D in INFS 1010 are considered successful course completers.
The research questions in this study were addressed through data analysis with Chi-Square 2-way contingency table analysis testing procedures. When areas of significance were identified, follow-up pairwise comparisons were conducted to evaluate relationships between the proportions.
The quantitative findings revealed no significant overall relationships in final course grades among the 3 delivery methods. However, some relationships were noted within delivery methods by demographic characteristics. The findings of the online delivery method indicated significant relationships among all 3 demographic categories (gender, age, and race) studied. Significant grade relationships were identified in the gender and race categories within the blended delivery method. However, within the traditionally delivered sections of this course the only demographic area with significant findings was the age category.
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Mayanja, Rehema. "Decentralized health care services delivery in selected districts in Uganda." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Decentralization of health services in Uganda, driven by the structural adjustment programme of the World Bank, was embraced by government as a means to change the health institutional structure and process delivery of health services in the country. Arising from the decentralization process, the transfer of power concerning functions from the top administrative hierachy in health service provision to lower levels, constitutes a major shift in management, philosophy, infrastructure development, communication as well as other functional roles by actors at various levels of health care. This study focused its investigation on ways and levels to which the process of decentralization of health service delivery has attained efficient and effective provision of health services. The study also examined the extent to which the shift of health service provision has influenced the role of local jurisdictions and communities. Challenges faced by local government leaders in planning and raising funds in response to decentralized health serdelivery were examined.
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Emerson, David. "A Study of a Community Franchise Business Model of Public Transport Service Delivery." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/23007.
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An unusual and unreported business model of public transport, known locally as a Community Franchise, was identified operating in a large Italian ski field. It is investigated by case study and compared to other more conventional ways of providing ski lifting services. The similarities between ski lifting and public transport are used to construct a hypothetical application of the regime to an urban setting. The study establishes the ways that the regime functions and how it differs from more conventional models of urban public transport in ownership, funding, and incentives. There is no explanation in the literature for the way that this regime undertakes network planning or the effects of franchisees owning and operating the individual lines of transport. A definition of design, broader than the dictionary definition, is suggested to bridge between the normal and the observed resource allocation processes. A computer game is used to experimentally investigate aspects of the ways a centrally directed network functions compared to one where individual lines of the network are owned by competing, profit-orientated franchisees. This experiment establishes that there is no significant difference to a measure of social welfare between the centrally planned version and one where competing franchisee providers maximize their profit. The principal study objective of evaluating the possible application of the regime to urban public transport is approached by canvassing a group of experts who provided anonymous responses to questions about its hypothetical application to the city of Sydney. There is little consensus in the expert view of the urban application of this regime, but an overall indication of its possible application to this role.
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McKee, Anne. "The business of caring : A case study of the delivery of general medical services, 1990-93." Thesis, University of East Anglia, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357372.
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Covey, Stephen. "Community policing : a model for change in service delivery in the public sector." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ59260.pdf.
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Khan, Zainunisha. "Evaluating the importance of community participation in infrastructure delivery in the Western Cape." Thesis, Cape Peninsula University of Technology, 2005. http://hdl.handle.net/20.500.11838/1055.
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Thesis (MTech (Construction Management))--Cape Peninsula University of Technology, 2005<br>There is a realisation that new emphasis and added responsibilities are heing placed on
professional consultants to involve local communities in the development process. The traditional
hierarchical 'top-down" approach which characterised the way projects were initiated and
managed by construction professionals in the past has lost favour with the Department of Public
Works (DPW). It is therefore necessary for professionals to change their thinking, react and adapt
to change. This will require a major paradigm shift on the part of the construction professional
consultants.
The World Bank advocates three measures to reform the provision of infrastructure services,
namely wider application of commercial principles to service providers, broader use of
competition, and increased involvement of users where commercial and competitive behaviour is
constrained.
The need for people involved in development to be placed in the centre also suggests the
implementation of specific and intruding shifts in emphasis. Policies and strategies directed
mainly at the control of natural settings, technological considerations, economic structures and
demographic conditions have to be replaced by policies that take full cognisance of concomitant
values, customs, social structures and political participation.
The study examined the lack of community participation in current community development
projects in South Africa which resulted in their diminished usefulness to beneficiary
communities. The study had five main objectives namely (a) To highlight the importance of
community participation in development projects through a theoretical study; (b) With the use of
surveys establish whether community development projects involve the participation of the
beneficiary community in all the stages of a project; (c) To show the Current project delivery
systems enhance community participation; (d) To highlight the effect that community dynamics
has on the process of delivering development projects and (e) Show through a survey that
beneficiary communities do not accept ownership of projects unless they participate in these
projects.
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Brown, Katrina. "Unwrapping packages: Power politics and place in the delivery of community aged care." Thesis, University of Ballarat, 2010. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/31539.
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The thesis analyses the delivery of the Community Aged Care Packages Program, revealing the flaws in the program’s design and the consequences of this programmatic design for service providers in rural Victoria<br>Doctor of Philosophy
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Sadare, Olamide Anike. "Evaluation of community engagement in the design and delivery of health promotion interventions." Thesis, University of East London, 2012. http://roar.uel.ac.uk/1523/.
Full textAbstract:
Background: Community engagement has become mainstream practice in many sectors, such that many might say that it has become another box to be ticked when planning and delivering projects. There are many potential benefits of community engagement to the residents, local stakeholders and external delivery agencies; however gaps have been identified in the evaluation of impact, barriers and facilitators of community engagement (NICE, 2008). This study prospectively looks at how the process of community engagement under the Well London programme (a five-year health promotion programme which addresses physical activity, diet and mental wellbeing) was delivered in multiple deprived neighbourhoods, and how this process influenced the different stakeholders and the health promotion projects delivered. Methods: This study used a mixed method approach to examine the process, perceptions, impacts, incentives, barriers and challenges of community engagement. Data were collected through literature review, questionnaire surveys, participant observation, qualitative interviews and evidence from documentary sources. Results: The study found that the World Café and appreciative enquiry approaches used were useful and effective tools for engaging communities; and the primary motivation for residents’ participation was the desire to belong to a community which they could help shape for the better. Key lessons from the process are the need to manage the expectations of local stakeholders and residents by effectively communicating programme goals and limitations; and the need for sufficient time to build relationships and trust for engagement. Residents’ level of engagement was influenced by past experiences of consultation processes, local politics and regeneration. There is a need to have good knowledge of the community that is being engaged, and to know the local context and peculiarities which differentiate communities. Conclusion: Residents of different ages, gender and cultures engage differently and processes should be sensitive to, and accommodate these differences. The impact of the CEP on the design and delivery of projects was inconclusive.
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Lujabe, Busisiwe Tando Tabiso. "A strategy to enhance the role of the church as a social service delivery agent in fighting poverty in contemporary South Africa." Thesis, Nelson Mandela University, 2018. http://hdl.handle.net/10948/17876.
Full textAbstract:
The possible role and involvement of the Church in social development has reemerged as an important focus of contemporary academic and religious development discourse in South Africa. There are strong voices arguing for churches and other Faith-Based Organisations to be regarded as strategic in contributing to addressing the challenge of poverty as agents of social development. Yet, as church congregations multiply throughout South Africa, they appear to be less responsive to the challenge of poverty facing South African communities, contrary to the rich history of churches in the past. The need for churches to be involved in sustainable community-driven development initiatives to fight poverty in their local communities cannot be denied nor be met with just rhetoric and scholarly dissertations by theologians and academics. The vicious cycle of poverty in our communities must be eradicated as it represents a social injustice in terms of South Africa‘s Constitution and speaks to deep structural inequalities inherent in our society. Whilst researchers have made several proposals for churches to move from social welfare and relief, there appears to be little research with a clear practical strategy which congregations can implement to enhance their social service delivery role from social relief to sustainable community development. This has left a considerable gap which the current research sought to address. This study thus responds to the call by previous research for churches to implement strategies other than mere relief. Hence, this study contributes to the religious development discourse in South Africa, by developing a strategy to enhance Church-based social service delivery initiatives from social relief efforts which are not sustainable, to community development efforts which are sustainable and which will be consistent with the current social development policy context and contextually relevant to the socio-economic challenges of poverty and its consequences in South Africa. The study was conducted in two phases. During phase one, the main purpose was to gain a deeper understanding of the historical and current involvement of the Church in providing social services which address poverty in communities, to enhance understanding of the factors which influence the provision of social services by churches, as well as to understand participants views of how church-based social service delivery can be improved in order to fight poverty. For phase two, the goal was to develop a strategy to enhance church-based social service delivery from being social relief to being community development oriented. The following objectives guided the research process: To review selected and applicable literature to gain a deeper understanding of the historical and current involvement of the Church in the delivery of social services in order to fight poverty; To explore and describe the perceptions of church leaders and congregation members of the historical and current involvement of the Church in the delivery of social services in order to fight poverty; To explore and describe the factors which influence Church-based social service delivery in fighting poverty; To explore the views of church leaders and congregation members on how church-based social service delivery can be improved in their churches to inform the development of a strategy to enhance church-based social service delivery in fighting poverty. This study employed a qualitative research approach grounded in the interpretivist social science paradigm. The qualitative research approach necessitated an exploratory, descriptive and contextual method of inquiry. A descriptive case study method was also used, with the Methodist Church of Southern Africa selected as the main case of focus. The target population in this research comprised of Christian churches with a historical involvement in social service delivery in pre-apartheid South Africa. Purposeful sampling of 5 churches was undertaken, namely; Roman Catholic Church (RCC), Anglican Church (AC), Dutch Reformed Church (DRC), KwaSizabantu Mission (KSB) and Methodist Church of Southern Africa (MCSA). Data collection was conducted in two phases. Phase one comprised a literature review; Phase two comprised gathering empirical evidence by conducting face to face semi-structured interviews with clergy and from conducting one focus group interview with congregants. The information obtained from participants was transcribed, coded and analysed using content analysis and by a computer-assisted qualitative data analysis software (CAQDAS), namely ATLAS.ti. Findings revealed a marked difference between the historical and current churchbased social service delivery suggestive of decline, accompanied by the lack of empowerment opportunities for current church leaders and congregation members in community development facilitation. Further evidence suggest the lack of cooperation between church leaders and congregation members; as well as the lack of sustainability of interventions owing to an absence of resources and the lack of capacity to create sustainable economic opportunities. Findings also revealed that church congregations are rich with people with various assets - skills, strengths, capabilities, passions, gifts, talents in various fields, which they can share with one another as congregations and communities. The discussion of findings reflected that historically, Church-based social service provision involved holistic intervention mechanisms, empowerment, collaborations and sustainability of interventions suggestive of second generation strategies of community development, while currently, Church-based social service provision involves mostly social relief and social welfare efforts suggestive of first generation strategies. The findings suggest a holistic strategy for ―reawakening the co-operativeness‖ of congregations to facilitate sustainable Church-based social service delivery towards fighting poverty in local communities. The strategy which was then developed and described with its sub-strategies, namely: Establishment of collaborative relationships Creation of empowerment opportunities Facilitation of holistic interventions The goal of the strategy is to guide church leaders and congregation members in facilitating sustainable Church-based social service programmes to fight poverty.
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Evans, Jennifer D. (Jennifer Dawn). "Service Delivery in Organizations for the Mentally Retarded." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc500356/.
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This study analyzes effective service delivery in organizations serving the mentally retarded. Qualitative organizational analyses of three community care facilities were compared to assess effectiveness. Data were gathered by systematic observations, field notes, documents, and employee interviews. Program analysis, the funding system of service delivery, and staff attitudes best indicated effective service. I concluded that effectiveness would improve by focusing on individual consumer needs and further defining service delivery.
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McLain, Michelle, Ian Palese, Eric Bergstrom, and Robert Wolk. "Activation Rates of the ADD-Vantage Medication Delivery System in a Community Teaching Hospital." The University of Arizona, 2013. http://hdl.handle.net/10150/614267.
Full textAbstract:
Class of 2013 Abstract<br>Specific Aims: The objective of this study was to describe the failure rate of activation of medications that employ the ADD-Vantage medication delivery system in one community hospital, Tucson Medical Center (TMC).
Methods: A daily, hospital-wide summary was generated identifying all patients currently receiving ADD-Vantage medications using the TMC electronic medical record system, Epic. Data collection occurred on arbitrary days and times from July 2012 to March 2013. Direct observation of a failure or a success in activation occurred by entering a patient’s room after the ADD-Vantage medication was administered by the nurse. Important data collected included: medication, frequency of administration, nursing unit, time of administration, administering nurse, the shift during which the nurse was working and whether or not the medication was or was not properly activated.
Main Results: All medications utilizing the ADD-Vantage medication delivery system at TMC were analyzed. The rate of failure across 347 total samples collected on various days and times was 6.92%. Night shift had a higher rate of failure at 11.43% versus 6.41% for day shift (χ2 = 1.23). The General Surgery and Cardiac units of the hospital had the highest rates of failure with 18.18% and 15.38% respectively. Zosyn was improperly activated with greatest frequency with 12 total failures.
Conclusion: No statistically significant difference was found between the rates of activation failure for those samples collected during nursing day shift versus night shift. The overall rates of activation failure suggest a significant opportunity for nursing education to improve outcomes.
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Lederer, John E. "Promoting lifelong learning : an analysis of community college delivery of employer-focused education and training /." Thesis, Connect to this title online; UW restricted, 2005. http://hdl.handle.net/1773/7563.
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Jobo, Qhamani Naledi. "Service delivery protests and development in Zandspruit informal settlements." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1020632.
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At the dawn of democracy, the ANC led government inherited an economy with wide spread socio-economic imbalances and geo-spatial challenges. Since 1994, policies have been put in place to try and close the gap between the haves and the have nots in society. It is twenty years on, and significant in-roads have been made towards improving the lives of the masses. Twenty years has not been enough time however, to eliminate the remnants of the oppressive regime. Since 2004, there has been a steady rise in the number of service delivery protests witnessed across the country. The masses of the poor are showing their dissatisfaction with the slow pace of change and development. Service delivery protests as they are known are community protests driven primarily by complaints around inadequate basic service provision. These protests have however been proven to be about a variety of other complaints against municipalities. These include: lack of proper housing, inadequate job opportunities, and allegations of nepotism, fraud and corruption against municipal officials and a general feeling of alienation from the structures of democracy. These inadequacies and frustrations are compounded in the case of informal settlements, where the most basic of services are scarce. The City of Johannesburg has one hundred and eighty four informal settlements, which present the city with major service provision challenges. A substantial amount of research has been done on the causes of service delivery protests and yet a gap exists in terms of literature on the impact of these on development. The main aim of this study was therefore to determine the impact of service delivery protests on development in the Zandspruit informal settlement. The research was carried out in the form of unstructured and semi-structured interviews with the Ward Councillor for Zandspruit (which is in Ward 114, Region C of the City of Johannesburg), the Ward Administrator, Ward Committee as well as members of the community. The findings of the study show a community in distress, with little or no access to basic services such as water and sanitation. The housing challenges in the area are representative of some of the worst housing challenges faced by the city. Lack of communication and a general distrust between the ward councillor and her ward committee make for very poor ward governance. The apparent apathy shown by the municipality is alarming. The pace of development in Zandspruit is incredibly slow, and not even the often violent service delivery protests witnessed in the area have improved the situation.
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Currie, Marion E. "A comparative study of the perceptions of quality service delivery in a community recreation setting." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ57231.pdf.
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Mnguni, Sabelo. "An investigation of community participation in housing delivery at the Joe Slovo Settlement in the Western Cape." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2919_1307599418.
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<p>This research endeavours to identify existing participatory structures and explore the role of local government officials, community representatives and other role players in the housing delivery process in Joe Slovo<br>indicate opportunities for the participation of beneficiaries in the housing process as well as the extent and nature of community engagement<br>highlight existing barriers to effective community participation and other problems related to housing delivery in Joe Slovo<br>draw general conclusions within the framework of the government&rsquo<br>s housing policy<br>and provide recommendations to policy makers, urban planners and other stakeholders. Consequently, this research employs qualitative methodological tools as they are most appropriate in the collection of this type of data. Semi-structured interviews were conducted with local officials, and observations were used to gather critical information. In addition, secondary data, with a special focus on newspaper articles, were used.</p>
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Li, Xiaoyan. "Clinic delivery trends : public health clinics in Cape Town Central district." Thesis, Cape Technikon, 2003. http://hdl.handle.net/20.500.11838/780.
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Thesis (MTech (Environmental Health))--Cape Technikon, 2003<br>This is a retrospective (descriptive) study ofclinic delivery trends rendered in Cape Town Central District between July 1995 and June 2002. The study describes the history of clinic service delivery in Cape Town Central District, which includes the Primary Health Care model, as well as the District Health system. Clinic delivery trends for the following three periods are determined: I:] Before the implementation ofthe New Health Plan: July 1995 - July 1996; I:] During the implementation of the New Health Plan: July 1997 - June 1998; I:] After the implementation of the New Health Plan: July 1998 - June 2002. The study also determines and compares the nature ofpublic health clinic services delivered during the study period. No official annual health reports were compiled by Cape Town Administration since July 1997. This study therefore serves to determine disease and clinic trends for the periods where no such aonual reports are available. It is important to determine health delivery trends for future strategic plaoning purposes. Changes to the nature and extent ofservices rendered by public health clinics were brought about by the following factors: Cl One approach of Primary Health Care is to refer more patients to public health clinics in order to release pressure from the major tertiary hospitals. If this Primary Health Care (PHC) model is provided appropriately, about 80% ofhealth problems should be solved without referral to another level of care; Cl A number of free public health clinic services have been introduced since the democratization of South Africa in 1994, such as free services to expectant mothers as well as free clinic services to children younger than six years; Cl New clinic services have been added, such as provision ofmedication to stabilized mental health patients; Cl HIV/AIDS has become an international pandemic over the past decade and has shown a 660.8% increase in Cape Town Central District; Cl A limited (19.8%) increase in the population for that area during the study period; Cl Clinic services have been legislated as a nurse driven service since 1997, with an additional emphasis on the curative roles of nurses (traditional roles of nurses at public health clinics were largely preventive and promotive).
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Majija, Athi. "Assessing the impact of asset-based community development in Philippi." Thesis, Cape Peninsula University of Technology, 2009. http://hdl.handle.net/20.500.11838/968.
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Thesis (MTech (Business))--Cape Peninsula University of Technology, 2009<br>The dissertation examines the levels of service delivery in Philippi through Asset
Based Community Development (ABCD) and it suggests this model as a model that
can be used to confront the challenges of underdevelopment, the mobilisation and
sustaining of local economic development.
The research investigates theoretical and practical approaches to address the
developmental problems embedded in dependency theory utilised by government and
non governmental organisations (NGOs) in the Philippi community.
The research clarifies the important role of developmental stakeholders in
depoliticising development processes and its endeavours to address issues of
development ownership in Philippi.
It suggests the employment of the Asset Based Community Development (ABCD)
approach which will focus on building Philippi from the inside out, utilising the
available human capital, people’s expertise, formal and informal talents.
The research employed both qualitative and quantitative research methodologies.
These methodologies rely on literature search, questionnaires, interviews, and
observation as methods of data collection. At the end of the study, workable
recommendations will be made informed by the research findings.
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Grover, Simran. "Racial disparities in dental care provided at community health center clinics." Thesis, Boston University, 2008. https://hdl.handle.net/2144/37812.
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Thesis (MSD)--Boston University, Henry M. Goldman School of Dental Medicine, 2008 (Dept. of Health Policy and Health Services Research).<br>Includes bibliography: leaves 44-48.<br>0bjective: The objective of this study is to detemine if there are differences by race or ethnicity in dental care provided at community health center clinics resulting in oral health disparities. This study also provides detailed information about the types of dental procedures received by patients at community health center clinics.
Methods: This was a retrospective observational study design, consisting of a convenience sample of patients seen and care provided by senior dental students during their ten-week externship at twenty one Boston University Goldman School of Dental Medicine affiliated community health center clinics. The data collected was analyzed SAS version 9.1. Frequencies for categorical variables, means for continuous variable, bivariate analyses and generalized models of logistic regression analysis were performed with the main dependent variable of interest being patient’s race/ethnicity.
Results: The total sample was 62,112 observations, of which 56% were females. Regression analysis found that Blacks were 1.23 times and Asians and others were 1.09 times more likely to get diagnostic procedures than Whites. Hispanics were just as likely to receive diagnostic procedures as Whites. Blacks, Hispanics, Asians and others were more likely to get preventive procedures when compared to Whites (p[less than or equal to]0.0001 ). Blacks were less likely to get restorative procedures than Whites (p[less than or equal to]0.0001) whereas Hispanics were as likely to get restorative procedures as Whites.
Further generalized logistic regression models to predict specific procedures were performed which indicates that Blacks were 1.99 times, Hispanics were 1.72 times, Asians and others were 1.21 times more likely to get amalgam restorations compared to composite restorations than Whites. However, Blacks were as likely to get root canal therapy compared to extractions as Whites whereas Hispanics were 27% and Asians and others were 37% more likely to get root canal therapy versus extractions than Whites (p[less than or equal to]0.0001). Blacks were 0.55 times, Asians and others were 0.37 times less likely to receive fixed partial dentures compared to removable partial dentures than Whites (p[less than or equal to]0.0001) whereas Hispanics were just as likely to receive fixed Partial dentures as Whites.
Conclusion: Disparities were seen in the receipt of dental services provided such as diagnostic, preventive, and restorative procedures based on race at community health center clinics. This surprising finding related to community health center clinics indicate the need for future research focused on reasons for these disparities as community health center clinics are primary care providers for underserved populations.
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Hartley, Sally Diane. "Development of a 'communication disability model' and its application to service delivery in less developed countries." Thesis, University College London (University of London), 1997. http://discovery.ucl.ac.uk/1317639/.
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This study began as an investigation into models of service delivery for people with communication disorders in less developed countries. To compensate for the limited data on this client group, exploration of national and international literature, together with perspectives on disability in general, were supplemented by a situation analysis of the services offered to this group of people in Oyo State, Nigeria. These revealed impairment-led activities with low coverage levels and terminology so diverse and inconsistent, that meaningful comparison among limited data available were difficult to achieve. Three groups of theoretical questions relating to people with communication disorders were developed from the review and analysis. The questions concerned disability, needs and attitudes. The explorations of these form the basis of this research. Complementary use of qualitative and quantitative methodologies enabled collection of data relevant to the questions posed, through surveys, interviews and focus group discussions, with professionals, parents and community members. Each phase of the data collection was modified to take account of the findings of the previous phase and a process of triangulation was used to validate the data. The data establishes `people with communication disorders' as part of the population of disabled people and develops a `communication disability model' as a means of understanding and developing appropriate service delivery structures. This includes adoption of the term 'people with communication disabilities' as one that expresses and encompasses the author's perception of the target population.
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Grant, Sally Jane. "Computers in the consultation in general medical practice : some effects on the delivery of health care." Thesis, University of Nottingham, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335327.
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Mengezeleli, Nomabhaca Rosamond. "Statutory local government structures to enhance service delivery : Kouga Local Municipality." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1019702.
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The purpose of this study was to review ward committee structures and the role of Community Development Workers (CDWs) in terms of service delivery, with special focus on the Kouga Local Municipality in the Cacadu district. For the study to be successful main objectives were to be highlighted. The study sought to highlight and explain the correlation between ward committee structures and Community Development Workers with regard to basic service delivery. Taken further the study will review the kind of service delivery that communities expect and an analysis was undertaken to establish if there is any link between said structures and the expected service delivery by selected communities who fall under the jurisdiction of the Kouga Local Municipality. The literature review assisted in understanding the concepts of public participation, Ward Committees, Community Development Workers and Ward Councillors and their roles and responsibilities in the Local Government Sphere. In essence, the qualitative approach applied in this study has revealed the casual relationships that may be obtained between variables or events, in order to explain or predict particular phenomena in terms of specific causes. The selection of a qualitative and interpretative approach for this research is justified. The main purpose of the study was to determine the level of effectiveness of Ward Committees, as well as the Community Development Workers in co-ordinating and facilitating public participation process in the Kouga Local Municipality. The study has revealed that there is a need for renewal of the operations of the operations of formal structures, especially the ward committees, as they represent the communities at ward level. The study has revealed that the man reason why national programmes deploying community based workers fail is because of inadequate attention to the provision of institutional support such as adequate training, technical expertise and close supervision. It is recommended that a comprehensive support structure ranging from national to local level is a pre-requisite in order for the CDW programme to succeed.
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Navarro, Jennifer Y. "SERVICE READINESS AND DELIVERY FOR COMMERCIALLY SEXUALLY EXPLOITED CHILDREN (CSEC): A CASE STUDY." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/908.
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Long dismissed as a third world issue, the commercial sexual exploitation of children (CSEC) has been a significant problem across the United States over the past two decades, causing major concerns for child welfare stakeholders. The literature has shown a broad range of adverse consequences associated with CSEC. These include—but are not limited to—malnutrition, severe trauma, physical and sexual assault, sexually transmitted diseases, unwanted pregnancy, and medical neglect. The purpose of the study is to assess the readiness level of a large county in Southern California with regards to the well-being of children with a past or current record of victimization from commercial sexual exploitation. Embracing the Community Readiness Model, this case study aimed to evaluate (a) the county’s level of knowledge about programs and services to address CSEC, (b) the county leadership’s attitude toward addressing CSEC, (c) the county’s attitude toward addressing CSEC, (d) the county’s knowledge about CSEC, and (e) explore the county’s range of resources available to address CSEC. Results indicated that the county’s overall readiness score was 4.1 out of a possible 9. That is, the county had a low readiness level with respect to addressing the challenges associated with CSEC within its boundaries. Implications of the findings for theory, research, policy, and macro social work practice were discussed.
Keywords: commercial sexual exploitation of children (CSEC), community readiness model
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Kuipers, Willem. "Community based rehabilitation (CBR) as engagement: context, parameters and potential." Thesis, Griffith University, 1998. http://hdl.handle.net/10072/366391.
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Paradigms in rehabilitation and disability service delivery in economically developed countries are currently being challenged and reviewed. An analysis of rehabilitation and disability literature arising from these countries, identified a number of issues of concern. Utilising a systems framework, adapted from the work of Urie Bronfenbrenner, the analysis indicated that certain aspects of current paradigms, may have adverse impacts on people with disabilities. It was determined that new paradigms should be explored. An analysis of current trends of relevance to the disability sector, identified a number of important directions, particularly the significance of the community paradigm.
Community Based Rehabilitation (CBR), a disability service delivery approach which has arisen in developing countries, was proposed as an approach which was consistent with the identified trends and the community paradigm, and which constituted a constructive response to the identified concerns. It was noted however, that CBR lacked a strong research base and that fundamental principles had not been clearly elucidated. Based on the current literature, a detailed description and analysis of CBR was undertaken, and strategies, benefits and limitations of the approach were documented. The description of the parameters of CBR resulted in the elucidation of an evolutionary process, and the identification of key principles. It was proposed that the defining concept of CBR is ‘engagement’ between people with disabilities and their local communities. This concept was seen as having greater import, beyond the traditional contexts in which CBR has traditionally been employed. The possible application of CBR to economically developed countries was considered at a theoretical level.
In order to explore the potential of the notion of engagement, two multi-phase, qualitative studies were devised and conducted in South East Queensland. The inductive phase of the research, which involved both studies, resulted in the development of a model consisting of five bipolar axes. This ‘model for enhancing engagement’, described the process by which engagement between users of human services (specifically people with disabilities) and their local communities might be maximised.
The subsequent deductive phase of the research consisted of an exploration of the potential utility of this model through the two studies. Within the limitations of the qualitative design, the research indicated that the model had practical utility in the current context. In order to confirm concepts within the model, and consider its congruence with the field of CBR, a final verificatory phase was employed. This phase drew data from other sources to provide a degree of confirmation of the concepts within the model.
The primary outcome of the research was the development of the ‘model for enhancing engagement’ between people with disabilities and their local communities. This model was described and its potential application was considered at a conceptual level.
Three subsidiary outcomes were also seen as contributions of the research. First, a descriptive and conceptual framework, based on the work of Urie Bronfenbrenner, developed and applied in the current studies may have further utility. Second, a detailed analysis of the CBR literature resulted in the documentation of an evolutionary process in CBR, the identification of key principles, and the proposal of the notion of engagement. Third, a comprehensive, multi-phase, qualitative research process devised for the research which meets requirements for rigour and effective data presentation.<br>Thesis (PhD Doctorate)<br>Doctor of Philosophy (PhD)<br>School of Applied Psychology (Health)<br>Griffith Health<br>Full Text
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Maher, Dermot. "Evaluation of community contribution to tuberculosis programme service delivery at district level in sub-Saharan Africa." Thesis, University of Oxford, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.400050.
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Lee, Renee Gravios. "Uneasy Tensions in Health Care Delivery in a Rural Appalachian Coal Mining Community: Envisioning Alternative Solutions." Diss., Virginia Tech, 1996. http://hdl.handle.net/10919/30555.
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Research consistently supports that some segments of society are at considerably higher risk for illness and death than the national average. While the existence and extent of poor health outcomes for these "vulnerable populations" are well documented, less research attempts to explain why such inequities persist and how they might be resolved. Thus, many vulnerable individuals fail to get adequate health care.
How can health care delivery be improved to better serve those consumers most at risk of poor health? Addressing this issue requires an in-depth understanding of the unique health and social needs of vulnerable consumers and how these needs are being met (or not met) by the health care industry. Based on field research using a variety of methods, this study examined health care delivery to one at-risk population, women in a rural Appalachian coal mining community, with the ultimate goal of envisioning service design and distribution strategies that might better serve disadvantaged populations.
Consistent with the change-oriented goal of this research, a feminist approach guided this study. Women's everyday experiences in managing their health needs were explored through an analysis of their health care stories. Health care providers were also interviewed in order to explore both sides of the service encounter dyad. The voices of the women and the providers reveal uneasy tensions in health care delivery and illuminate why the current system does not meet the actual health care needs of the women or their community. A variety of solutions are offered to improve health care delivery.<br>Ph. D.
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Booi, Mpilo Henry. "Disability and service delivery perspectives of service users in a rural community in the Eastern Cape." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10143.
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Includes bibliographical references.<br>Since the advent of democracy in South Africa rural and disabled people have lagged behind in terms of access to services, and that has implications on their enjoyment of socio-economic rights. Although exclusion from access to services is documented in literature, little research has been done to explore rural and disabled people's perspectives on inclusive service delivery. The purpose of this study was to contribute to the literature regarding inclusive service delivery in health, education and social development and citizen participation in rural areas. Insights into perspectives of rural citizens are pertinent for improved and inclusive service delivery. The aim of this study was to describe the perspectives of rural people regarding disability inclusive public sector service delivery in social development, health and education in a remote village in the Eastern Cape, South Africa.
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Underwood, William B. "Examination of the Relationship of Community College Opticianry Student Outcomes with Instructional Delivery Methods and Student Age." Thesis, University of South Florida, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3604847.
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<p> The purpose of this study was to determine whether student outcomes are a function of participation in different modes of delivery in an Opticianry program at the community college level. First, the intent was to determine whether differences in instructional delivery methods and background characteristics impact student performance in an Opticianry program. The three instructional delivery methods were traditional face-to-face instruction, online delivery, and a hybrid format where students take theory courses online and attend face-to-face laboratories on campus. A second objective was to determine the role of background variables such as student age, which was the age when entering the Opticianry program classified in three categories: Young Adults (18-24), Middle Age (25-33), and Older Adults (34 & >). </p><p> To meet the purpose of the study and its driving questions, a non-experimental explanatory research design relying on survey data collection strategies was used. Data collection was conducted during a six-week period using an online survey available through Survey Monkey. The survey was used to identify instructional delivery method, perception of job preparedness, and perception of program quality. A two-way ANOVA was used to analyze the relationship between independent variables (delivery method and age) and a dependent variable (GPA, national certification score, workplace preparation score, and quality of instruction score). Two hundred and eighty six graduates of the Hillsborough Community College Opticianry Program from 2006-2012 were contacted for participation. </p><p> One hundred and twelve graduates completed the survey representing a response rate of 39%. The results indicated no significant difference in the outcomes of Opticianry program graduates related to instructional delivery method or age. Based on the overall results in the study, the overall conclusion is that students in the Opticianry program should achieve similar outcomes whether they complete the program online, on campus, or in a hybrid format. </p><p> The results of the study provide support for the idea that it is possible to provide equivalent technician preparation using a variety of instructional delivery methods. The study adds to a limited body of knowledge about the impact of participation in online or hybrid courses compared to traditional courses in technical preparation. The outcomes provide support that distance education is a promising strategy for increasing access to adult learners seeking flexible opportunities for technical preparation. The results should also reduce the reluctance of institutions offering career and technical education programs, to offer complete programs via distance learning in fear that distance students will not achieve program outcomes equivalent to face-to-face students. The study has generated positive comparative evidence of student performance as a function of instructional method, and documented students' evaluative perspectives about their occupational readiness and program quality.</p>
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Maikudi, Abdullahi Ahmed. "Health care delivery in Nigeria in terms of distribution, access and uses with particular reference to Bauchi State." Thesis, University of Nottingham, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.281135.
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Hammers, Garfield Compton. "Transformation of service delivery in the Westcoast winelands region's hospitals: challenges and prospects." Thesis, University of the Western Cape, 2003. http://etd.uwc.ac.za/index.php?module=etd&.
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Rabali, Hahangwivhawe. "The role of multi-purpose community centre (MPCC) service and information providers towards improving quality of community life : a case of Sebokeng / Hahangwivhawe Rabali." Thesis, North-West University, 2005. http://hdl.handle.net/10394/985.
Full textAbstract:
In South Africa, certain areas are well developed with infrastructures that
compare with first world standards, while in others, people live in abject poverty
without basic services being rendered
Poverty is the single greatest burden of South Africa's people. It is defined as the
inability to meet a specified set of basic needs. This means that apart from low
income levels, malnutrition and hunger, poverty manifests itself in poor people's
lives in many other ways, including lack of access to basic social services.
Poverty is characterized by the inability of individuals, households or
communities to command sufficient resources to satisfy a socially acceptable
minimum standard of living. It is perceived by poor South Africans themselves to
include alienation from the community, food insecurity, crowded homes, usage of
unsafe and inefficient forms of energy and lack of jobs that are adequately paid
and I or secure.
Because the government doesn't want to alienate those it is trying to serve,
public services are being brought closer to people, so as to improve the quality of
community life. The underlying reason for the implementation of Multi-purpose
Community Centres (MPCCs) is to bring government services closer to people
and to provide the community with the opportunity to communicate with
government. Multi-Purpose Community Centres have been identified as the
primary approach for the implementation of development communication and
information programmes. MPCCs also serve as a base from which a wide range
of services and products can reach communities. The aim is for communities to
access such services and engage in government programmes for their own
empowerment. As a result, MPPCs are a necessary poverty alleviation strategy
that needs to be promoted for the improvement of the quality of community life.<br>Thesis (M. Development and Management)--North-West University, Potchefstroom Campus, 2006.
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Oosthuizen, Jolandie. "The role of community participation and community empowerment in the planning and delivery of low-income housing : an evaluation of housing project 59 in Paarl." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53679.
Full textAbstract:
Thesis (MS en S)--Stellenbosch University, 2003.<br>ENGLISH ABSTRACT: In the past, the policy for the provision of low-cost housing was, by and large,
ineffective because apartheid planning spatially and economically marginalised
the majority. The disenfranchisement of the majority and social engineering
denied this majority any access and voice in shaping, or influencing the shape, of
their living environment. Today, there are various pieces of legislation that
emphasise and highlight the importance of community participation in
development planning. The concept of community participation has repeatedly
appeared in the literature as an approach that empowers people to take control
over their own lives. The involvement of people in all aspects of planning and
development programmes that affect them is a fundamental requirement for
sustainable development. Satisfying basic human needs in participatory,
empowering and sustainable formats is the essence of development.
The study is descriptive and issue-orientated, limiting itself to the understanding
of the process of community participation and empowerment in low-cost housing.
Interviews were conducted with 75 respondents from male- and female-headed
households, using a semi-structured questionnaire. The study records how
respondents participated in the shaping of their living environments, and the
extent to which they were/felt empowered by the housing delivery process. The findings suggest that participation contributed to empowerment, and an
overwhelming 91% of the sample were satisfied with their level of involvement in
the project. The findings of the study further indicates that, although there had
been some effort to involve the community as a whole, as well as individual
members in the project, the level of involvement, particularly of individuals, was
not satisfactory. Beneficiaries were given information regarding the housing
development and were offered opportunities to participate, but their views were
not taken into account during the design and implementation phases.
The recommendations provide some insights on how low-income housing
delivery can be made more participatory, empowering and sustainable.<br>AFRIKAANSE OPSOMMING: In die verlede was die beleid oor lae-kostebehuising oneffektief, omdat
apartheidsbeplanning die meerderheid ruimtelik en ekonomies gemarginaliseer
het. Die ontburgering en die ruimtelike manipulasie van rasse het die
meerderheid enige toegang tot deelname in vorm, of beinvloeding van vorm, van
hulle eie omgewing ontsê. Tans bestaan daar 'n verskeidenheid van wetgewing
wat klem plaas op gemeenskapsdeelname in ontwikkelingsbeplanning en die
belangrikheid daarvan beklemtoon. Die begrip gemeenskapsdeelname het
verskeie kere in die literatuur voorgekom as 'n benadering wat mense bemagtig
om verantwoordelikheid vir hulle eie lewens te neem. Die betrokkenheid van
mense in alle aspekte van beplannings- en ontwikkelingsprogramme wat hulle
raak is 'n fundamentele vereiste van volhoubare ontwikkeling. Die bevrediging
van basiese menslike behoeftes binne 'n deelnemende, bemagtigende en
volhoubare konteks, is die essensie van ontwikkeling.
Die studie is beskrywend van aard en konteks qeorienteerd en word beperk tot 'n
verstaan van gemeenskapsdeelname en bemagtiging in die voorsiening van
laekostebehuising. Onderhoude is met 75 respondente van huishoudings
waarvan of 'n man of 'n vrou aan die hoof gestaan het gevoer deur middel van 'n
semigestruktureerde vraelys. Die studie meld hoe respondente deelgeneem het
in die vorming van hul leef omgewing, en die mate waartoe die respondente
bemagtig was/gevoel het deur die behuisings voorsienings proses. Die bevindinge suggereer dat deelname bygedra het tot bemagtiging, en dat 'n
indrukwekkende 91% van die steekproef tevrede was met hul deelname aan die
projek. Navorsing het verder gevind dat, alhoewel daar pogings aangewend is
om die gemeenskap as 'n geheel, en individueel, te betrek, deelname
onvoldoende was, veral op individuele vlak. Begunstigdes het inligting in verband
met die ontwikkeling ontvang en is die geleentheid gebied om deel te neem,
maar hul menings is nie in ag geneem tydens die ontwerp- en beplanningsfases
nie.
Die aanbevelings verskaf 'n paar insigte oor hoe die voorsiening van lae-koste
behuising meer deelnemend, bemagtigend en volhoubaar gemaak kan word.