6,427 research outputs found
A Multi-level Analysis on Implementation of Low-Cost IVF in Sub-Saharan Africa: A Case Study of Uganda.
Introduction: Globally, infertility is a major reproductive disease that affects an estimated 186 million people worldwide. In Sub-Saharan Africa, the burden of infertility is considerably high, affecting one in every four couples of reproductive age. Furthermore, infertility in this context has severe psychosocial, emotional, economic and health consequences. Absence of affordable fertility services in Sub-Saharan Africa has been justified by overpopulation and limited resources, resulting in inequitable access to infertility treatment compared to developed countries. Therefore, low-cost IVF (LCIVF) initiatives have been developed to simplify IVF-related treatment, reduce costs, and improve access to treatment for individuals in low-resource contexts. However, there is a gap between the development of LCIVF initiatives and their implementation in Sub-Saharan Africa. Uganda is the first country in East and Central Africa to undergo implementation of LCIVF initiatives within its public health system at Mulago Women’s Hospital.
Methods: This was an exploratory, qualitative, single, case study conducted at Mulago Women’s Hospital in Kampala, Uganda. The objective of this study was to explore how LCIVF initiatives have been implemented within the public health system of Uganda at the macro-, meso- and micro-level. Primary qualitative data was collected using semi-structured interviews, hospital observations informal conversations, and document review. Using purposive and snowball sampling, a total of twenty-three key informants were interviewed including government officials, clinicians (doctors, nurses, technicians), hospital management, implementers, patient advocacy representatives, private sector practitioners, international organizational representatives, educational institution, and professional medical associations. Sources of secondary data included government and non-government reports, hospital records, organizational briefs, and press outputs. Using a multi-level data analysis approach, this study undertook a hybrid inductive/deductive thematic analysis, with the deductive analysis guided by the Consolidated Framework for Implementation Research (CFIR).
Findings: Factors facilitating implementation included international recognition of infertility as a reproductive disease, strong political advocacy and oversight, patient needs & advocacy, government funding, inter-organizational collaboration, tension to change, competition in the private sector, intervention adaptability & trialability, relative priority, motivation &advocacy of fertility providers and specialist training. While barriers included scarcity of embryologists, intervention complexity, insufficient knowledge, evidence strength & quality of intervention, inadequate leadership engagement & hospital autonomy, poor public knowledge, limited engagement with traditional, cultural, and religious leaders, lack of salary incentives and concerns of revenue loss associated with low-cost options.
Research contributions: This study contributes to knowledge of factors salient to implementation of LCIVF initiatives in a Sub-Saharan context. Effective implementation of these initiatives requires (1) sustained political support and favourable policy & legislation, (2) public sensitization and engagement of traditional, cultural, and religious leaders (3) strengthening local innovation and capacity building of fertility health workers, in particular embryologists (4) sustained implementor leadership engagement and inter-organizational collaboration and (5) proven clinical evidence and utilization of LCIVF initiatives in innovator countries. It also adds to the literature on the applicability of the CFIR framework in explaining factors that influence successful implementation in developing countries and offer opportunities for comparisons across studies
The Globalization of Artificial Intelligence: African Imaginaries of Technoscientific Futures
Imaginaries of artificial intelligence (AI) have transcended geographies of the Global North and become increasingly entangled with narratives of economic growth, progress, and modernity in Africa. This raises several issues such as the entanglement of AI with global technoscientific capitalism and its impact on the dissemination of AI in Africa. The lack of African perspectives on the development of AI exacerbates concerns of raciality and inclusion in the scientific research, circulation, and adoption of AI. My argument in this dissertation is that innovation in AI, in both its sociotechnical imaginaries and political economies, excludes marginalized countries, nations and communities in ways that not only bar their participation in the reception of AI, but also as being part and parcel of its creation.
Underpinned by decolonial thinking, and perspectives from science and technology studies and African studies, this dissertation looks at how AI is reconfiguring the debate about development and modernization in Africa and the implications for local sociotechnical practices of AI innovation and governance. I examined AI in international development and industry across Kenya, Ghana, and Nigeria, by tracing Canada’s AI4D Africa program and following AI start-ups at AfriLabs. I used multi-sited case studies and discourse analysis to examine the data collected from interviews, participant observations, and documents.
In the empirical chapters, I first examine how local actors understand the notion of decolonizing AI and show that it has become a sociotechnical imaginary. I then investigate the political economy of AI in Africa and argue that despite Western efforts to integrate the African AI ecosystem globally, the AI epistemic communities in the continent continue to be excluded from dominant AI innovation spaces. Finally, I examine the emergence of a Pan-African AI imaginary and argue that AI governance can be understood as a state-building experiment in post-colonial Africa. The main issue at stake is that the lack of African perspectives in AI leads to negative impacts on innovation and limits the fair distribution of the benefits of AI across nations, countries, and communities, while at the same time excludes globally marginalized epistemic communities from the imagination and creation of AI
Urbanised forested landscape: Urbanisation, timber extraction and forest care on the Vișeu Valley, northern Romania
By looking at urbanisation processes from the vantage point of the forest, and the ways in which it both constitutes our living space while having been separated from the bounded space of the urban in modern history, the thesis asks: How can we (re)imagine urbanisation beyond the limits of the urban? How can a feminine line of thinking engage with the forest beyond the capitalist-colonial paradigm and its extractive project? and How can we “think with care” (Puig de la Bellacasa 2017) towards the forest as an inhabitant of our common world, instead of perpetuating the image of the forest as a space outside the delimited boundaries of the city? Through a case study research, introducing the Vișeu Valley in northern Romania as both a site engaged in the circulation of the global timber flow, a part of what Brenner and Schmid (2014) name “planetary urbanisation”, where the extractive logging operations beginning in the late XVIIIth century have constructed it as an extractive landscape, and a more than human landscape inhabited by a multitude of beings (animal, plant, and human) the thesis argues towards the importance of forest care and indigenous knowledge in landscape management understood as a trans-generational transmission of knowledge, that is interdependent with the persistence of the landscape as such. Having a trans-scalar approach, the thesis investigates the ways in which the extractive projects of the capitalist-colonial paradigm have and still are shaping forested landscapes across the globe in order to situate the case as part of a planetary forest landscape and the contemporary debates it is engaged in. By engaging with emerging paradigms within the fields of plant communication, forestry, legal scholarship and landscape urbanism that present trees and forests as intelligent beings, and look at urbanisation as a way of inhabiting the landscape in both indigenous and modern cultures, the thesis argues towards viewing forested landscapes as more than human living spaces. Thinking urbanisation through the case of the Vișeu Valley’s urbanised forested landscape, the thesis aligns with alternate ways of viewing urbanisation as co-habitation with more than human beings, particularly those emerging from interdisciplinary research in the Amazon river basin (Tavares 2017, Heckenberger 2012) and, in light of emerging discourses on the rights of nature, proposes an expanded concept of planetary citizenship, to include non-human personhood
Antecedents of customer loyalty in the manufacturing industry
This thesis concerns the study of customer loyalty and its antecedents in the UK
manufacturing sector. It adopts a critical realist perspective to the study of customer loyalty,
locating the concept in the relationship marketing and social psychology literatures. The
findings generated by the literature review and the results of an exploratory qualitative study
leads to the development of a conceptual framework in which functional, social and
emotional relationship value, customer satisfaction, and moderator variable, relationship age,
are believed to influence the level of customer loyalty in the manufacturing industry.
The conceptual framework is tested empirically using a quantitative survey design in the
context of the UK manufacturing industry. Data is analysed through application of the partial
least squares (PLS) structural equation modelling technique.
From a theoretical perspective, the study makes a number of valuable contributions to the
relationship marketing literature. The study confirms the importance of social and emotional
relationship value aspects on customer satisfaction and loyalty outcomes in the
manufacturing industry. The findings offer a new theoretical perspective of the role social and
emotional value play in creating loyal customers and the role emotional value performs in
buyer’s feelings of satisfaction in the B2B domain. The findings also suggest that customer
satisfaction acts as a partial mediator in the relationship between customer value and
customer loyalty. Moreover, a new theoretical concept of emotional value featuring frustration
and human touch in addition to interpersonal relationships is also evidenced from the
research results. Furthermore, the study also shows that the theory of consumption values
can be applied to the B2B manufacturing domain.
The results propose that behavioural loyalty can be expressed through customer satisfaction,
and functional and emotional elements of relationship value. Whereas, attitudinal loyalty can
be conveyed by customer satisfaction, and functional and social components of relationship
value. These relationships are in turn also partially mediated through customer satisfaction.
The results also indicate that all three dimensions of functional, social and emotional value
influence customer satisfaction outcomes.
Overall, the study provides recommendations on how to maximise customer loyalty through
strategic combinations of relationship value. It also provides guidance on how to improve
customer satisfaction through different elements of relationship value in the manufacturing
industry. From a practical viewpoint, the research study findings offer suppliers important
guidelines and a toolkit for establishing, developing, and maintaining successful relationships
with their customers in the manufacturing industry
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Production networks in the cultural and creative sector: case studies from the publishing industry
The CICERONE project investigates cultural and creative industries through case study research, with a focus on production networks. This report, part of WP2, examines the publishing industry within this framework. It aims to understand the industry’s hidden aspects, address statistical issues in measurement, and explore the industry’s transformation and integration of cultural and economic values. The report provides an overview of the production network, explores statistical challenges, and presents qualitative analyses of two case studies. It concludes by highlighting the potential of the Global Production Network (GPN) approach for analyzing, researching, policymaking, and intervening in the European publishing network.
The CICERONE project’s case study research delves into the publishing industry, investigating its production networks and examining key aspects often unseen by the public. The report addresses statistical challenges in measuring the industry and sheds light on its ongoing transformations and integration of cultural and economic values. It presents an overview of the production network, explores statistical issues, and provides qualitative analyses of two case studies. The report emphasizes the potential of the GPN approach for analyzing and intervening in the European publishing network, ultimately contributing to research, policymaking, and understanding within the industry
An empirical investigation of the relationship between integration, dynamic capabilities and performance in supply chains
This research aimed to develop an empirical understanding of the relationships between integration,
dynamic capabilities and performance in the supply chain domain, based on which, two conceptual
frameworks were constructed to advance the field. The core motivation for the research was that, at
the stage of writing the thesis, the combined relationship between the three concepts had not yet
been examined, although their interrelationships have been studied individually.
To achieve this aim, deductive and inductive reasoning logics were utilised to guide the qualitative
study, which was undertaken via multiple case studies to investigate lines of enquiry that would
address the research questions formulated. This is consistent with the author’s philosophical
adoption of the ontology of relativism and the epistemology of constructionism, which was considered
appropriate to address the research questions. Empirical data and evidence were collected, and
various triangulation techniques were employed to ensure their credibility. Some key features of
grounded theory coding techniques were drawn upon for data coding and analysis, generating two
levels of findings. These revealed that whilst integration and dynamic capabilities were crucial in
improving performance, the performance also informed the former. This reflects a cyclical and
iterative approach rather than one purely based on linearity. Adopting a holistic approach towards
the relationship was key in producing complementary strategies that can deliver sustainable supply
chain performance.
The research makes theoretical, methodological and practical contributions to the field of supply
chain management. The theoretical contribution includes the development of two emerging
conceptual frameworks at the micro and macro levels. The former provides greater specificity, as it
allows meta-analytic evaluation of the three concepts and their dimensions, providing a detailed
insight into their correlations. The latter gives a holistic view of their relationships and how they are
connected, reflecting a middle-range theory that bridges theory and practice. The methodological
contribution lies in presenting models that address gaps associated with the inconsistent use of
terminologies in philosophical assumptions, and lack of rigor in deploying case study research
methods. In terms of its practical contribution, this research offers insights that practitioners could
adopt to enhance their performance. They can do so without necessarily having to forgo certain
desired outcomes using targeted integrative strategies and drawing on their dynamic capabilities
Resilience and food security in a food systems context
This open access book compiles a series of chapters written by internationally recognized experts known for their in-depth but critical views on questions of resilience and food security. The book assesses rigorously and critically the contribution of the concept of resilience in advancing our understanding and ability to design and implement development interventions in relation to food security and humanitarian crises. For this, the book departs from the narrow beaten tracks of agriculture and trade, which have influenced the mainstream debate on food security for nearly 60 years, and adopts instead a wider, more holistic perspective, framed around food systems. The foundation for this new approach is the recognition that in the current post-globalization era, the food and nutritional security of the world’s population no longer depends just on the performance of agriculture and policies on trade, but rather on the capacity of the entire (food) system to produce, process, transport and distribute safe, affordable and nutritious food for all, in ways that remain environmentally sustainable. In that context, adopting a food system perspective provides a more appropriate frame as it incites to broaden the conventional thinking and to acknowledge the systemic nature of the different processes and actors involved. This book is written for a large audience, from academics to policymakers, students to practitioners
Facilitating prosociality through technology: Design to promote digital volunteerism
Volunteerism covers many activities involving no financial rewards for volunteers but which contribute
to the common good. There is existing work in designing technology for volunteerism in HumanComputer Interaction (HCI) and related disciplines that focuses on motivation to improve
performance, but it does not account for volunteer wellbeing. Here, I investigate digital volunteerism
in three case studies with a focus on volunteer motivation, engagement, and wellbeing. My research
involved volunteers and others in the volunteering context to generate recommendations for a
volunteer-centric design for digital volunteerism. The thesis has three aims:
1. To investigate motivational aspects critical for enhancing digital volunteers’ experiences
2. To identify digital platform attributes linked to volunteer wellbeing
3. To create guidelines for effectively supporting volunteer engagement in digital volunteering
platforms
In the first case study I investigate the design of a chat widget for volunteers working in an
organisation with a view to develop a design that improves their workflow and wellbeing. The second
case study investigates the needs, motivations, and wellbeing of volunteers who help medical
students improve their medical communication skills. An initial mixed-methods study was followed by
an experiment comparing two design strategies to improve volunteer relatedness; an important
indicator of wellbeing. The third case study looks into volunteer needs, experiences, motivations, and
wellbeing with a focus on volunteer identity and meaning-making on a science-based research
platform. I then analyse my findings from these case studies using the lens of care ethics to derive
critical insights for design.
The key contributions of this thesis are design strategies and critical insights, and a volunteer-centric
design framework to enhance the motivation, wellbeing and engagement of digital volunteers
An onto-epistemological (re)framing and (re)connecting of organisations as praxeological multi-capital value systems
Organisation stands as one of humankind’s greatest inventions, and reconceptualising organisations to meet the ever-diversifying needs of the modern stakeholder community one of its most significant challenges. Historically, scientific management principles simplified the challenge through a profitable operations practice imperative, which reinforced a creation and destruction value dualism, and causal and value dead ends. However, value is contingent upon meeting needs, demanding that organisations leverage a wider and connected set of capitals to meet the diverse needs of modernity. This research seeks to understand how praxeologically inert legacy organisations can generate value by (re)connecting capitals and (re)framing as multi-capital value systems. The study’s setting is the university-led Made Smarter Leadership Development programme which provided an insightful longitudinal case study over the two-year programme life-cycle. The research surfaced rich qualitative insights on participant sense-making journeys across a diverse set of participant-researcher touchpoints, and also collected associated quantitative survey data. Analysis was conducted in three streams, and iteratively built up a complementary organisational model ontology. Stream one, a qualitative ethnographic study utilised grounded theory analysis to surface the prâxis (re)framing priorities of organisations. Analysis of such priorities yielded an onto-epistemological perspective of an organisation, and novel insights were generated on prâxis (re)framing strategies, organisational maturity, and how prâxes and frames combine as a relational onto-epistemological duality. Stream two’s quantitative analysis of respondent data identified the 20 significant prâxis-elements that form six systemically correlated and causally related capital factors. Findings indicate how multiple capitals connect as an organisational structure which orchestrates value flows between capital factors. Stream three elaborated on the prior two streams’ empirically-grounded foundations through sensemaking systems dynamics theory. This modelling produced both empirical findings and a generalisable methodology to reconceptualise organisations as a connected praxeological multi-capital value system. Specifically, findings informed how means-ends dynamics orchestrate complex capital interactions, which form pan-organisational value journeys, and ultimately form generalisable value archetypes. In summary, the research confirmed an organisation is a connected multi-capital praxeological value system, this outcome enabled by the discovery of a novel onto-epistemological perspective of organisations
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