Understanding the introduction and use of a mobile device-supported health information system in Nigeria

Copyright @ 2014 The Authors.This paper presents an in-depth analysis of efforts to introduce a mobile health information system in Nigeria as part of a development initiative aimed at improving maternal and child health. Specifically, it examines the use of mobile devices to facilitate maternal health information accessibility and exchange among health practitioners in order to reducing maternal, newborn and child mortality. Further, it also looks at the challenges raised while introducing mobile devices into work practices in the healthcare sector. The study adopts a case study approach, relying on semi-structured interviews and document analysis as its main methods for collecting data. The specific case examined is a mobile phone-based information system introduced to support a national government effort in Nigeria, known as the midwives service scheme. The findings of this study show that this integrated approach of using mobile phones to support (health) information systems has vast potential; for instance increasing the timeliness of (health) data available to stakeholders for monitoring and planning purposes. However, we also find that over time, attaining the potential of development efforts such as this remains difficult as initiatives involving the use of mobile devices is not just about getting the technical aspect right. It is equally dependent on deep seated social-cultural influences such as poor political and financial commitment. These two mutually reinforcing influences have been identified in this study as significant impediments to efforts of this kind. Therefore, this paper argues for, first a strong political commitment across all levels of government whereby their words are backed with action. Second it is important that the government maintains financial integrity by releasing the funds budgeted to support the smooth running of these efforts, for such initiatives to thrive and ultimately contribute to development

Looking back to see the future: building nuclear power plants in Europe

The so-called ‘nuclear renaissance’ in Europe is promulgated by the execution of two large engineering projects involving the construction of two European Pressurized Reactors (EPRs) in Flamanville, France and Olkiluoto in Finland. As both projects have faced budget overruns and delays, this paper analyses their governance and history to derive lessons useful for the construction of future projects. Analysis indicates that the reasons for these poor outcomes are: overoptimistic estimations, first-of-a-kind (FOAK) issues and undervaluation of regulation requirements. These pitfalls have the potential to impact on many other engineering construction projects and highlight fruitful areas of further research into project performance

On the road to carbon reduction in a food supply network: a complex adaptive systems perspective

Purpose: In acknowledging the reality of climate change, large firms have set internal and external (supplier oriented) targets to reduce their greenhouse gas (GHG) emissions. This study explores the complex processes behind the evolution and diffusion of carbon reduction strategies in supply networks. Design/methodology/approach: The research uses complex adaptive systems (CAS) as a theoretical framework and presents a single case study of a focal buying firm and its supply network in the food sector. A longitudinal and multilevel analysis is used to discuss the dynamics between the focal firm, the supply network and external environment. Findings: Rather than being a linear and controlled process of adoption-implementation-outcomes, the transition to reduce carbon in a supply network is much more dynamic, emerging as a result of a number of factors at the individual, organizational, supply network and environmental levels. Research limitations/implications: The research considers the emergence of a carbon reduction strategy in the food sector, driven by a dominant buying firm. Future research should seek to investigate the diffusion of environmental strategies more broadly and in other contexts. Practical implications: Findings from the research reveal the limits of the control that a buying firm can exert over behaviours in its network and show the positive influence of consortia initiatives on transitioning to sustainability in supply networks. Originality: CAS is a fairly novel theoretical lens for researching environmental supply network dynamics. The paper offers fresh multilevel insights into the emergent and systemic nature of the diffusion of environmental practices in supply networks

ICT and environmental sustainability : a case study of a grassroots initiative

Increasingly, local communities develop projects and grassroots initiatives that address climate change and other environmental sustainability issues. These projects often commence informally and adopt web-based free information and communication technologies (ICT) applications to support their functioning. ICT applications are used to promote the goals of the project, to recruit more supporters and to facilitate debate among citizens sympathetic to the cause of environmental stewardship. However, as some of these projects evolve they become more complex. Struggling with lack of funding, the solution is to imaginatively combine free web-based ICT applications, to adapt existing open source applications, and even to develop customized solutions to address the project’s needs. We present the results of an exploratory case study of a grassroots initiative with environmental sustainability goals. The study shows some evidence of innovative practices in the appropriation of ICTs and in the communication campaign. Implications of this research for online communities and society are also discussed.Fundação para a Ciência e a Tecnologia (FCT

Development and Evaluation of an Undergraduate Science Communication Module

This paper describes the design and evaluation of an undergraduate final year science communication module for the Science Faculty at the University of East Anglia. The module focuses specifically on science communication and aims to bring an understanding of how science is disseminated to the public. Students on the module are made aware of the models surrounding science communication and investigate how the science culture interfaces with the public. During the module they learn how to adapt science concepts for different audiences and how to talk confidently about science to a lay-audience. Student motivation for module choice centres on the acquisition of transferable skills and students develop these skills through designing, running and evaluating a public outreach event at a school or in a public area. These transferable skills acquired include communication, interaction with different organisations such as museums and science centres, developing understanding of both the needs of different audiences and the importance of time management. They also develop skills relating to self-reflection and how to use this as a tool for future self development. The majority of students completing the module go on to further study, either a PhD, MSc or teacher training. The module can be sustained in its present formed if capped at 40 students, however it is recognised that to increase cohort size, further investment of faculty time and resources would be required

Business Value Is not only Dollars - Results from Case Study Research on Agile Software Projects

Business value is a key concept in agile software development. This paper presents results of a case study on how business value and its creation is perceived in the context of agile projects. Our overall conclusion is that the project participants almost never use an explicit and structured approach to guide the value creation throughout the project. Still, the application of agile methods in the studied cases leads to satisfied clients. An interesting result of the study represents the fact that the agile process of many projects differs significantly from what is described in the agile practitioners’ books as best practices. The key implication for research and practice is that we have an incentive to pursue the study of value creation in agile projects and to complement it by providing guidelines for better client’s involvement, as well as by developing structured methods that will enhance the value-creation in a project

Understanding supply chain management from a main contractor's perspective

The emergence of supply chain management (SCM) in construction was predominantly driven by major clients that began to adopt procurement arrangements such as prime contracting, partnering, and framework agreements. These were major clients that had the power leverage to mobilise construction firms for projects that spanned a considerable timeframe. Despite such early efforts towards SCM adoption, it increasingly became apparent that numerous subcontractors and suppliers were not fully integrated into these supply chain driven collaborative approaches. This has remained a key shortcoming of such collaborative efforts in the construction sector (Kumaraswamy et al. 2010). This situation has now provided main contractors with the enormous responsibility of coordinating and managing multi-layered tiers of suppliers and subcontractors for production and value addition across multiple projects. Main contractors have taken an interest in SCM as an approach for coordinating upstream linkages with demand-side organisations, in addition to the downstream tiers of supply chain firms assembled to deliver projects. However, empirical evidence of SCM initiatives and practices that have been implemented by main contractors to manage the lower tiers of the supply chain remain scarce (Pala et al. 2014, Broft et al. 2016). In this chapter, the multi-layered nature of subcontracting in construction will be discussed, together with its ramifications, before reviewing literature on SCM principles and practices that can be adopted by main contractors. A case study of SCM practices implemented by a large UK main contractor is then used to provide some empirical evidence of SCM adoption from a main contractor’s perspective. This case study focuses on the ‘dyadic’ relationship between a Tier-1 main contractor and Tier-2 subcontractors

Preparing potential teachers for the transition from employment to teacher training: an evaluative case study of a Maths Enhancement Course

In response to a UK government drive to improve maths teaching in schools, the South West London Maths Enhancement Course (MEC) has been set up though collaboration between three Higher Education institutions (HEIs) to provide an efficient route for non maths graduates in employment to upgrade their subject knowledge and give a smooth transition into teacher training (PGCE). An evaluation of the scheme, measured against Teacher Development Agency (TDA) objectives and success criteria agreed by university staff, involved thematic analysis of focus group discussions and interviews with students and staff during both the MEC and PGCE courses. This has revealed a high level of satisfaction and success related to a number of underlying issues, particularly around student recruitment, curriculum design, peer support and staff collaboration. The model offers an example of practice transferable to a range of programmes aimed at supporting students in the transition between levels and institutions

A review of selected neighbourhood sustainability assessment frameworks using the Bellagio STAMP

Purpose The neighbourhood sustainability assessment frameworks through which a proposed neighbourhood development can be evaluated against an array of sustainability indicators began to gain prominence in the first decade of the twenty-first century. However, how these frameworks align with the Bellagio STAMP is an area yet to be examined by existing studies to inform their better development and usage in the delivery of sustainable neighbourhoods. The purpose of this paper is to review selected neighbourhood sustainability assessment frameworks using the Bellagio STAMP with the aim of identifying areas for improvement, while also exploring the possibilities of adopting the Bellagio STAMP as a consensus approach and reference to sustainability assessment at the neighbourhood level. Design/methodology/approach Adopting document analysis as a data collection method, the paper reviews BREEAM communities, LEED Neighbourhood Development, Pearl community rating system and Green Star communities using the Bellagio STAMP. Findings Findings from the study revealed that some of the selected assessment frameworks align partially with the Bellagio STAMP in their development, while areas for improvement were identified. Research limitations/implications The study recommends that the Bellagio STAMP could offer helpful guidelines and procedure in conceptualising sustainability assessment at the neighbourhood level especially in developing countries where such a framework is yet to be conceived. Originality/value This study adds to the sustainability assessment literature by operationalising the Bellagio STAMP leading to its better understanding and application in sustainability assessment either in practice or in theory

Water Management Decision Making in the Face of Multiple Forms of Uncertainty and Risk

In the Wasatch Range Metropolitan Area of Northern Utah, water management decision makers confront multiple forms of uncertainty and risk. Adapting to these uncertainties and risks is critical for maintaining the long‐term sustainability of the region\u27s water supply. This study draws on interview data to assess the major challenges climatic and social changes pose to Utah\u27s water future, as well as potential solutions. The study identifies the water management adaptation decision‐making space shaped by the interacting institutional, social, economic, political, and biophysical processes that enable and constrain sustainable water management. The study finds water managers and other water actors see challenges related to reallocating water, including equitable water transfers and stakeholder cooperation, addressing population growth, and locating additional water supplies, as more problematic than the challenges posed by climate change. Furthermore, there is significant disagreement between water actors over how to best adapt to both climatic and social changes. This study concludes with a discussion of the path dependencies that present challenges to adaptive water management decision making, as well as opportunities for the pursuit of a new water management paradigm based on soft‐path solutions. Such knowledge is useful for understanding the institutional and social adaptations needed for water management to successfully address future uncertainties and risks