Suchergebnisse

AbstractThis article details how a council service established an integrated management system (IMS) within a wider corporate framework. In this context, an IMS was used as a tool to improve (i) Performance, (ii) Quality, (iii) Environment, and (iv) Health and Safety Management. A key factor was that the IMS had to be appropriate for accreditation and integratible with an emerging corporate management framework. In this case study, the authors provided a literature review before considering the issues facing the management team in implementing the IMS. Next, the discussion reflected on how the IMS has delivered improvements before concluding with recommendations on how to implement an IMS within similar services. These points of learning may be relevant beyond local government. This article therefore provides a summary of action research and the steps taken to deliver an IMS within a broader context.

PurposeThe aim of this paper is to investigate the links and relationships between strategy and operations in local government improvement efforts under the umbrella of the Local Government Modernisation Agenda (LGMA) in England. More specifically, it explores the implementation of structured change methods and performance measurement and management initiatives that claim to have a linked strategic and operational focus through to stakeholder impact.Design/methodology/approachThis research adopts an interpretive multiple case approach (n=5), using in‐depth semi‐structured interviews and focus groups, as well as substantive archive information.FindingsThe structured integration of strategic level policy‐setting and its associated operational level activity in local authorities is often obscure and lacking in cohesiveness. Performance measurement and management at the strategic level is, for the most part, driven by emerging legislation and the need for compliance rather than improving service effectiveness. This has led to discontinuity, delays in implementing policy, and criticism of performance measures from service delivery staff.Practical implicationsThere is a need for improved integration across the strategic‐operational divide, which requires improved understanding and translation approaches. Methods adopted from other sectors should be assessed critically and tailored to suit this need rather than adopting an off‐the‐shelf provision.Originality/valueThere is a paucity of in‐depth studies relating to performance measurement and management across the strategic‐operational span in the public sector in general, and local government in particular. Increased understanding in this area is of critical importance in relation to implementing effectively the current and future modernisation and reform initiatives.

Digital technology is seen as a panacea to meeting the financial and operational challenges faced by voluntary and community sector organisations (VCSOs), through delivering efficiencies and cost-saving, alongside improving quality of service. However, according to recent assessments in the UK, the rate of digital adoption is slow compared with other sectors. This article identifies how a VCSO in a period of austerity prioritises its social mission over functionality and efficiency gains from digital technology. Employing the heuristic of phronesis, we argue that VCSOs seeking to implement digital innovations need to strike a balance between instrumental rationality (that is, what is possible to achieve with technology) and value rationality (that is, what is desirable to pursue by VCSOs). Our key argument is that theories of value rationality provide a new explanation for the slow adoption of digital technology among VCSOs.

BACKGROUND: Ebola Virus Disease (EVD) is a deadly and feared infectious disease, which can be responsible of debilitating physical and psychological sequelae in survivors including depression and anxiety disorders. Unfortunately, there are scarce data on survivor sequelae in Democratic Republic of the Congo. So this study assessed PTSD, depression and anxiety symptoms among EVD survivors enrolled in the follow-up program of the psychosocial care team of Beni town's general hospital. METHODS: A cross-sectional study used consecutive sampling to recruit 144 Ebola virus disease survivors who came for follow up from October 23 to November 13; 2019. Basic socio-demographic data, presence of headache and short-term memory function were assessed. The Post-traumatic Checklist Scale and Hospital Anxiety and Depression Scale were used to assess psychological burden among participants. Descriptive statistics were used to summarized data and Pearson's or likelihood chi-square were used to test association between psychiatric disorders and associated factors. RESULTS: The prevalence of PTSD, depression and anxiety was 24.3, 24.3 and 33.3% respectively. Being male (OR = 0.42, 95% CI: 0.16, 0.95, p = 0.049), suffering from persistent headache (OR = 2.62, 95% CI: 1.12, 6.14, p = 0.014), losing a loved one because of EVD (OR: 2.60, 95% CI: 1.11, 6.15, p = 0. 015) and being young − 18-24 years - (OR: 0. 261, 95% CI: 0. 08, 0.82, p = 0,026) were statistically associated with PTSD diagnosis. Having short-term memory impairment and suffering from persistent headache were statistically associated with depression and anxiety diagnoses (OR = 2.44, 95% CI: 1.03, 5.82, p = 0.026); (OR = 2.24, 95% CI: 1.04, 4.85, p = 0.025); (OR = 2.62, 95% CI: 1.12, 6.14, p = 0.014); (OR = 2.31, 95% CI: 1.06, 5.01, p = 0.020). CONCLUSION: The prevalence of PTSD, depression and anxiety is high among EVD survivors. Development of specialized psychiatric services to sustain psychiatric and psychological health amongst survivors in the cultural context of ...

AbstractIn general, research demonstrates that deprivation, education, health, and well-being are determinants of volunteering, and that volunteering can play an important role in building stronger communities and provides many benefits for individual health and well-being. This study concentrates on the effects of physical and mental health and well-being as predictors when the aspect of socio-economic impact has been minimised. It utilises a unique data set from a UK Housing Association community with generally high levels of deprivation. Data were analysed using bivariate probit regression. In contrast to previous findings, physical health and mental health were not significantly related to volunteering. The key finding was that mental well-being was significantly related to informal volunteering.

The Smartline project is receiving up to £4,188,318 of funding from the England European Regional Development Fund (Grant No. 05R16P00305) as part of the European Structural and Investment Funds Growth Programme 2014–2020. The Ministry of Housing, Communities and Local Government (and in London the intermediate body Greater London Authority) is the Managing Authority for European Regional Development Fund. Additional funding is from the South West Academic Health Science Network. ; In general research demonstrates that deprivation, education, health, and well-being are determinants of volunteering, and that volunteering can play an important role in building stronger communities and provides many benefits for individual health and well-being. This study concentrates on the effects of physical and mental health and well-being as predictors when the aspect of socioeconomic impact has been minimised. It utilises a unique data-set from a UK Housing Association community with generally high levels of deprivation. Data were analysed using bivariate probit regression. In contrast to previous findings, physical health and mental health were not significantly related to volunteering. The key finding was that mental well-being was significantly related to informal volunteering. ; Publisher PDF ; Peer reviewed

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download ; Viral hepatitis is a leading cause of morbidity and mortality worldwide, but has long been neglected by national and international policymakers. Recent modelling studies suggest that investing in the global elimination of viral hepatitis is feasible and cost-effective. In 2016, all 194 member states of the World Health Organization endorsed the goal to eliminate viral hepatitis as a public health threat by 2030, but complex systemic and social realities hamper implementation efforts. This paper presents eight case studies from a diverse range of countries that have invested in responses to viral hepatitis and adopted innovative approaches to tackle their respective epidemics. Based on an investment framework developed to build a global investment case for the elimination of viral hepatitis by 2030, national activities and key enablers are highlighted that showcase the feasibility and impact of concerted hepatitis responses across a range of settings, with different levels of available resources and infrastructural development. These case studies demonstrate the utility of taking a multipronged, public health approach to: (a) evidence-gathering and planning; (b) implementation; and (c) integration of viral hepatitis services into the Agenda for Sustainable Development. They provide models for planning, investment and implementation strategies for other countries facing similar challenges and resource constraints. ; Department of Health and Human Services, Victoria State Government Qatar Foundation