Identifying interventions to reduce peripartum haemorrhage associated with caesarean delivery in Africa : A Delphi consensus study

Funding: SM acknowledges the South African Medical Research Council Mid-career Scientist Award. EHT acknowledges the Africa Oxford Initiative (AfiOx-188). The funders had no role in study design, data collection, data analysis, decision to publish, or preparation of the manuscript.Peer reviewedPublisher PD

Service delivery

Nottingham Business School reports on its involvement in a county-wide review of community risk and frontline fire service cover, involving public consultation

An analysis of delivery services at Hell Pizza

The main purpose of this research is to study the delivery problem of Hell Pizza, Dinsdale, Hamilton. This research will help the organisation to improve delivery patterns and overcome delivery problems faced in Hell Pizza. Various methods should be used to overcome these problems as the delivery pattern is completely different from other pizza shops. For this research, qualitative methods were used. Data was obtained from staff and the franchise owner. How to retain customers and achieve customer satisfaction is an important aspect of the research. Time management is an important factor for delivery drivers at Hell Pizza. Efficient food delivery can help in increasing sales and retain customers. Providing free delivery for orders above $70 can make customers happy. The introduction of special promotions of free delivery on nonpeak days can help increase sales and delivery orders. The other recommendation is employing new staff who are experienced in the food industry and planning the staff roster in advance

Alternative project delivery in rural Alaska: experiences, quality and claims

Master's Project (M.S.) University of Alaska Fairbanks, 2015The popularity of alternative project delivery systems has expanded beyond the private sector and into the public sector. Alaska embodies unique challenges that may present obstacles while using alternative project delivery systems. This analysis will provide an understanding of alternative project delivery systems in Alaska and how local experiences, quality and claims are affected. Alaska's unique characteristics present both challenges and opportunities for implementing alternative project delivery systems. This report begins with a discussion of experiences from several rural Alaska projects, and how alternative project delivery systems can be utilized. Some impacts that alternative project delivery systems have on quality are then presented, including a perspective on quality and recommendations for achieving customer satisfaction. A treatment of construction claims is then provided, followed by conclusions and recommendations for stakeholders in selecting an appropriate project delivery system. Alternative project delivery systems were researched by means of scholarly literature reviews, professional interviews and seminars. The report of these findings is intended to provide owners and contractors with a concise presentation of the challenges and advantages for using alternative project delivery systems in Alaska

Delivery Time Reduction for Order-Constrained Applications using Binary Network Codes

Consider a radio access network wherein a base-station is required to deliver a set of order-constrained messages to a set of users over independent erasure channels. This paper studies the delivery time reduction problem using instantly decodable network coding (IDNC). Motivated by time-critical and order-constrained applications, the delivery time is defined, at each transmission, as the number of undelivered messages. The delivery time minimization problem being computationally intractable, most of the existing literature on IDNC propose sub-optimal online solutions. This paper suggests a novel method for solving the problem by introducing the delivery delay as a measure of distance to optimality. An expression characterizing the delivery time using the delivery delay is derived, allowing the approximation of the delivery time minimization problem by an optimization problem involving the delivery delay. The problem is, then, formulated as a maximum weight clique selection problem over the IDNC graph wherein the weight of each vertex reflects its corresponding user and message's delay. Simulation results suggest that the proposed solution achieves lower delivery and completion times as compared to the best-known heuristics for delivery time reduction

Uncoded Caching and Cross-level Coded Delivery for Non-uniform File Popularity

Proactive content caching at user devices and coded delivery is studied considering a non-uniform file popularity distribution. A novel centralized uncoded caching and coded delivery scheme, which can be applied to large file libraries, is proposed. The proposed cross-level coded delivery (CLCD) scheme is shown to achieve a lower average delivery rate than the state of art. In the proposed CLCD scheme, the same subpacketization is used for all the files in the library in order to prevent additional zero-padding in the delivery phase, and unlike the existing schemes in the literature, two users requesting files from different popularity groups can be served by the same multicast message in order to reduce the delivery rate. Simulation results indicate significant reduction in the average delivery rate for typical Zipf distribution parameter values.Comment: A shorter version of this paper has been presented at IEEE International Conference on Communications (ICC) 201

Skilled Care at Birth among Rural Women in Nepal: Practice and Challenges

In Nepal, most births take place at home, and many, particularly in rural areas, are not attended by a skilled birth attendant. The main objectives of the study were to assess the use of skilled delivery care and barriers to access such care in a rural community and to assess health problems during delivery and seeking care. This cross-sectional study was carried out in two Village Development Committees in Nepal in 2006. In total, 150 women who had a live birth in the 24 months preceding the survey were interviewed using a structured questionnaire. The sample population included married women aged 15-49 years. Forty-six (31%) women delivered their babies at hospital, and 104 (69%) delivered at home. The cost of delivery at hospital was significantly (p<0.001) higher than that of a delivery at home. Results of univariate analysis showed that women from Brahmin-Chhetri ethnicity, women with higher education or who were more skilled, whose husbands had higher education and more skilled jobs, had first or second childbirth, and having adverse previous obstetric history were associated with institutional delivery while women with higher education and having an adverse history of pregnancy outcome predicted the uptake of skilled delivery care in Nepal. The main perceived problems to access skilled delivery care were: distance to hospital, lack of transportation, lack of awareness on delivery care, and cost. The main reasons for seeking intrapartum care were long labour, retained placenta, and excessive bleeding. Only a quarter of women sought care immediately after problems occurred. The main reasons seeking care late were: the woman or her family not perceiving that there was a serious problem, distance to health facility, and lack of transport. The use of skilled birth attendants at delivery among rural women in Nepal is very poor. Home delivery by unskilled birth attendants is still a common practice among them. Many associated factors relating to the use of skilled delivery care that were identified included age, education and occupation of women, and education and occupation of husbands. Therefore, the availability of skilled delivery care services at the community, initiation of a primary health centre with skilled staff for delivery, and increasing awareness among women to seek skilled delivery care are the best solution