47 research outputs found

    How SMEs Performance Drives the Exportation Ecosystem Resilience

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    Abstract: Exportation ecosystems are highly complex and can collapse when subjected to local and global disruptions. Similarly, unsuitable topology structures (network structures) and performance of SME sector can affect the growth of economic resilience. These two factors are necessary for the exportation ecosystem resilience and organizations to withstand and remain operational during economic shocks. This study investigates the conditions that shape the robust structure of exportation ecosystems. The effective exportation topology structure will thus have a capacity of absorbing and withstanding disruptive economic events triggered by the exportation. Each country has a different strategic approach to combat the risks that may arise when subjected to the perturbation. This study raised the question of why are some economies in the G20 nations much better in resilience than others during a crisis. The results show that the robust topology network of exportation and the performance of small and medium sectors enhance the exportation resilience in the G20 ecosystem. This study's results-based implications will help strengthen the system's resilience against local and global disruptions. Keywords: small and medium enterprise, ecosystem resilience, innovation, Lotka-Volterra, Dynamic Mode Decomposition, exportation resilience. Title: How SMEs Performance Drives the Exportation Ecosystem Resilience Author: ABOUBAKER ALI ELMI International Journal of Social Science and Humanities Research ISSN 2348-3156 (Print), ISSN 2348-3164 (online) Vol. 11, Issue 3, July 2023 - September 2023 Page No: 202-208 Research Publish Journals Website: www.researchpublish.com Published Date: 14-September-2023 DOI: https://doi.org/10.5281/zenodo.8344184 Paper Download Link (Source) https://www.researchpublish.com/papers/how-smes-performance-drives-the-exportation-ecosystem-resilience-International Journal of Social Science and Humanities Research, ISSN 2348-3156 (Print), ISSN 2348-3164 (online), Research Publish Journals, Website: www.researchpublish.co

    Current scientific evidence for integrated community case management (iCCM) in Africa: Findings from the iCCM Evidence Symposium

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    In March 2014, over 400 individuals from 35 countries in sub-Saharan Africa and 59 international partner organizations gathered in Accra, Ghana for an integrated Community Case Management (iCCM) Evidence Review Symposium. The objective was 2-fold: first, to review the current state of the art of iCCM implementation and second, to assist African countries to integrate lessons learned and best practices presented during the symposium into their programmes. Based on the findings from the symposium this supplement includes a comprehensive set of articles that provide the latest evidence for improving iCCM programs and ways to better monitor and evaluate such program

    Community health workers: A crucial role in newborn health care and survival

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    There is ample evidence from research and implementation to show that community health workers, when appropriately trained, supplied, supported and supervised, can identify and correctly treat most children for pneumonia, diarrhoea and malaria. Community management of childhood illness is an important contribution to the remarkable progress in reducing child mortality. Globally, the rate of under–five mortality has decreased by nearly half, from 90 deaths per 1000 live births in 1990 to 46 in 2013

    The way forward for integrated community case managementprogrammes: A summary of lessons learned to date and future priorities

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    Integrated community case management (iCCM) programming is an important and increasingly common strategy used to deliver essential health and nutrition interventions to families in sub–Saharan Africa. Between 3 and 5 March 2014, over 400 individuals from 35 countries in sub–Saharan Africa and 59 international partner organisations gathered in Accra, Ghana for an iCCM Evidence Review Symposium. The objective of the Symposium was twofold: first, to review the current state of the art of iCCM implementation by bringing together researchers, donors, government, implementers and partners to review the map of the current landscape and status of evidence in key iCCM programme areas, in order to draw out priorities, lessons and gaps for improving child and maternal–newborn health and nutrition. Second, to assist African countries to integrate and take action on key frontline iCCM findings presented during the evidence Symposium around eight thematic areas: 1) Coordination, Policy Setting and Scale up; 2) Human Resources and Deployment; 3) Supervision & Performance Quality Assurance; 4) Supply Chain Management; 5) Costs, and cost-effectiveness and financing; 6) Monitoring, Evaluation and Health Information Systems; 7) Demand generation and social mobilisation; and 8) Impact and outcome evaluations. The eight thematic areas were based on the CCM benchmark framework, a tool for iCCM program planners and managers to systematically design and implement iCCM programs from the early phases through expansion and scale up. The framework specifies key steps that should be completed for each component and phase of implementation

    Moroccan validation of the dysfunctional beliefs and attitudes about sleep (DBAS-16) scale

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    Purpose: The international DBAS-16 questionnaire is an instrument that measures dysfunctional beliefs and attitudes toward sleep in the general population. It was initially developed in English in Canada by Charles Morin's team. Objective: This study aims to translate and adapt the DBAS-16 questionnaire on beliefs and attitudes toward sleep into Moroccan languages (Tamazight and Arabic) and validate it on 174 participants. Materials and methods: From September 2019 to March 2020, 174 Moroccan participants in three cities -Fes, Kénitra, and Khémisset- participated in the adaptation and validation of DBAS-16. We translated, adapted, and validated the test into Moroccan Tamazight and Arabic according to the recommendations of “Beaton et al.” We evaluated the acceptability, reliability, central tendency, and validity of DBAS-16 in the Moroccan Arabic dialect version. Results: Acceptability and reproducibility were satisfactory. The internal coherence was strong (Cronbach α = 0.773). The average overall score (standard deviation) on the Moroccan DBAS-16 scale was 1.71. The sub-scale scores were 2.20 for Consequences, 2.07 for Worry/Helplessness, 2.75 for Sleep Expectation, and 2.23 for Medication. Conclusion: Our study's results were similar to those of other countries. Moroccan versions of DBAS-16 will facilitate further studies on sleep attitudes in Morocco and elsewhere

    Results of a multi-country exploratory survey of approaches and methods for IMCI case management training

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    Abstract Background The Integrated Management of Childhood Illness Strategy (IMCI) is effective in improving management of sick children, and thus child survival. It is currently recommended that in-service IMCI case management training (ICMT) occur over 11-days; that the participant: facilitator ratio should be ≤4:1 and that at least 30% of ICMT time be spent on clinical practice. In 2006–2007, approximately ten years after IMCI implementation, we conducted a multi-country exploratory questionnaire survey to document country experiences with ICMT, and to determine the acceptability of shortening duration of ICMT. Methods Questionnaires (QA) were sent to national IMCI focal persons in 27 purposively-selected countries. To probe further, questionnaires (QB and QC respectively) were also sent to course-directors or facilitators and IMCI trainees, selected using snowball sampling after applying pre-defined criteria, in these countries. Questionnaires gathered quantitative and qualitative data. Results Thirty-three QA, 163 QB, 272 QC and two summaries were returned from 24 countries. All countries continued to adapt course content to local disease burden. All countries offer shorter ICMT courses, ranging from 3–10 days (commonest being 5–8 days). The shorter ICMT courses offer fewer exercises, more homework, less individual feedback and reduced clinical practice ( Conclusion Whilst the 11-day ICMT course is still recommended, as efforts intensify to increase access to quality care and meet MDG4, standardized shorter ICMT courses, that include participatory methodologies and adequate clinical practice, could be acceptable globally.</p

    Management of possible serious bacterial infection in young infants closer to home when referral is not feasible: Lessons from implementation research in Himachal Pradesh, India.

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    BackgroundGovernment of India and the World Health Organization have guidelines for outpatient management of young infants 0-59 days with signs of Possible Serious Bacterial Infection (PSBI), when referral is not feasible. Implementation research was conducted to identify facilitators and barriers to operationalizing these guidelines.MethodsHimachal Pradesh government implemented the guidelines in program settings supported by Centre for Health Research and Development, Society for Applied Studies. The strategy included community sensitization, skill enhancement of Accredited Social Health Activists (ASHA), Auxiliary Nurse Midwives (ANMs) and Medical Officers (MOs) to identify PSBI and treat when referral was not feasible. The research team collected information on facilitators and barriers. A technical support unit provided training and oversight.FindingsAmong 1997 live births from June 2017 to January 2019, we identified 160 cases of PSBI in young infants resulting in a coverage of 80%, assuming an incidence of 10%. Of these,29(18.1%) had signs of critical illness (CI), 92 (57.5%) had clinical severe infection (CSI), 5 (3.1%)had severe pneumonia (only fast breathing in young infants 0-6 days), while 34 (21%) had pneumonia (only fast breathing in young infants 7-59 days). Hospital referral was accepted by 48/160 (30%), whereas 112/160 (70%) were treated with the simplified treatment regimens at primary level facilities. Of the 29 infants with CI, 18 (62%) accepted referral; 26 (90%) recovered while 3 (10%) who had accepted referral, died. Of the 92 infants who had CSI, 86 (93%) recovered, 65 (71%) received simplified treatment and one infant who had accepted referral, died. All the five infants who had severe pneumonia, recovered; 3 (60%) had received simplified treatment. Of the 34 pneumonia cases, 33 received simplified treatment of which 5 (15%) failed treatment; two out of these 5 died. Overall, 6/160 infants died (case-fatality-rate 3.4%); 2 in the simplified treatment (case-fatality-rate 1.8%) and 4 in the hospital group (case-fatality-rate 8.3%). Delayed identification and care-seeking by families and health system weaknesses like manpower gaps and interrupted supplies were challenges in implementation.ConclusionsImplementation of the guidelines in program settings is possible and acceptable. Scaling up would require creating community awareness, early identification and appropriate care-seeking, strengthening ASHA home-visitation program, building skills and confidence of MOs and ANMs, uninterrupted supplies and a dependable referral system

    Small vulnerable newborns—big potential for impact

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    Despite major achievements in child survival, the burden of neonatal mortality has remained high and even increased in some countries since 1990. Currently, most neonatal deaths are attributable to being born preterm, small for gestational age (SGA), or with low birthweight (LBW). Besides neonatal mortality, these conditions are associated with stillbirth and multiple morbidities, with short-term and long-term adverse consequences for the newborn, their families, and society, resulting in a major loss of human capital. Prevention of preterm birth, SGA, and LBW is thus critical for global child health and broader societal development. Progress has, however, been slow, largely because of the global community’s failure to agree on the definition and magnitude of newborn vulnerability and best ways to address it, to frame the problem attractively, and to build a broad coalition of actors and a suitable governance structure to implement a change. We propose a new definition and a conceptual framework, bringing preterm birth, SGA, and LBW together under a broader umbrella term of the small vulnerable newborn (SVN). Adoption of the framework and the unified definition can facilitate improved problem definition and improved programming for SVN prevention. Interventions aiming at SVN prevention would result in a healthier start for live-born infants, while also reducing the number of stillbirths, improving maternal health, and contributing to a positive economic and social development in the society
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