Lack of effective communication between communities and hospitals in Uganda: a qualitative exploration of missing links

<p>Abstract</p> <p>Background</p> <p>Community members are stakeholders in hospitals and have a right to participate in the improvement of quality of services rendered to them. Their views are important because they reflect the perspectives of the general public. This study explored how communities that live around hospitals pass on their views to and receive feedback from the hospitals' management and administration.</p> <p>Methods</p> <p>The study was conducted in eight hospitals and the communities around them. Four of the hospitals were from three districts from eastern Uganda and another four from two districts from western Uganda. Eight key informant interviews (KIIs) were conducted with medical superintendents of the hospitals. A member from each of three hospital management boards was also interviewed. Eight focus group discussions (FGDs) were conducted with health workers from the hospitals. Another eight FGDs (four with men and four with women) were conducted with communities within a five km radius around the hospitals. Four of the FGDs (two with men and two with women) were done in western Uganda and the other four in eastern Uganda. The focus of the KIIs and FGDs was exploring how hospitals communicated with the communities around them. Analysis was by manifest content analysis.</p> <p>Results</p> <p>Whereas health unit management committees were supposed to have community representatives, the representatives never received views from the community nor gave them any feed back from the hospitals. Messages through the mass media like radio were seen to be non specific for action. Views sent through suggestion boxes were seen as individual needs rather than community concerns. Some community members perceived they would be harassed if they complained and had reached a state of resignation preferring instead to endure the problems quietly.</p> <p>Conclusion</p> <p>There is still lack of effective communication between the communities and the hospitals that serve them in Uganda. This deprives the communities of the right to participate in the improvement of the services they receive, to assume their position as stakeholders. Various avenues could be instituted including using associations in communities, rapid appraisal methods and community meetings.</p

A Learning Networks approach to resolve conservation challenges in the Ngorongoro Conservation Area

Conservation Biolog

Introducing Spatio-Temporal Conservation Units: Models for Flexible Optimization of Species Persistence Under Climate Change

Anticipating the effects of climate change on biodiversity and integrating them in planning protocols for the future are fundamental strategies to increase the effectiveness of conservation efforts. With climate change, species require dispersal skills to follow displacements of their suitable climates and therefore, spatial conservation interventions need to consider such dynamics. In general, common planning frameworks identify networks of conservation areas seemed important for species range shifts. However, it is highly unlikely that all the areas in a network present synchronous conservation value. Furthermore, given the continuous (spatial and temporal autocorrelated) nature of threats and ecological processes, the value of each area is largely dependent on the state of the neighboring areas in the recent past. In this study, a family of three models centered on the prioritization (not of single areas but) of temporal chains of areas as conservation units is presented. These models drive the use of financial investments through time in order to maximize the persistence of biodiversity in dynamic environments. Alike the most typical approaches, the here introduced models allow investments to be transferred between areas losing conservation relevancy to the areas that gain relevancy. A fictitious (but plausible) conservation plan for ten mammal species in Iberian Peninsula up to 2080 is used to illustrate the setting-up and outputs of the models. Results evidence that the conservation effectiveness achieved in each model depends on singular spatio-temporal distribution relationships among species and between species and distinct land-uses. Planners should then investigate the sensitivity of their goals to distinct decision-support tools even when driven by similar designs and constraints

Validation and Comparison of a Model of the Effect of Sea-Level Rise on Coastal Wetlands

Models are used to project coastal wetland distribution under future sea-level rise scenarios to assist decision-making. Model validation and comparison was used to investigate error and uncertainty in the Sea Level Affecting Marshes Model, a readily available model with minimal validation, particularly for wetlands beyond North America. Accurate parameterisation is required to improve the performance of the model, and indeed any spatial model. Consideration of tidal attenuation further enhances model performance, particularly for coastal wetlands located within estuaries along wave-dominated coastlines. The model does not simulate vegetation changes that are known to occur, particularly when sedimentation exceeds rates of sea-level rise resulting in shoreline progradation. Model performance was reasonable over decadal timescales, decreasing as the time-scale of retrospection increased due to compounding of errors. Comparison with other deterministic models showed reasonable agreement by 2100. However, given the uncertainty of the future and the unpredictable nature of coastal wetlands, it is difficult to ascertain which model could be realistic enough to meet its intended purpose. Model validation and comparison are useful for assessing model efficacy and parameterisation, and should be applied before application of any spatially explicit model of coastal wetland response to sea-level rise