Delaying factors for maternal health service utilization in eastern Ethiopia: A qualitative exploratory study

BackgroundIn Ethiopia, maternal health service utilization is still unacceptably low. The societal and cultural factors that constrain women from attending these services have not yet been sufficiently explored. Using qualitative methods, we aimed to explore the factors that delay maternal health service utilization in eastern Ethiopia.MethodA total of 13 audio-recorded focus group discussions were conducted comprising 88 participants. We conducted separate group discussions with reproductive aged women, mothers-in-law, traditional birth attendants, husbands, and Health Extension Workers to capture their knowledge, practices, feelings, thoughts and attitudes towards maternal health service utilization. The recorded sessions were transcribed into the local language and then translated into English for analysis.ResultThe study identified a number of factors that may delay maternal health service utilization. Factors were grouped using the Three Delays model as a framework. Low level of awareness regarding need, poor involvement of husband, perceived absence of health problems, social power, community misperceptions and cultural restrictions, negative attitudes towards male midwives, acceptance of traditional birth attendants and poor social networking were Delay One factors. Lack of physical accessibility and high transportation costs were categorised as Delay Two factors for skilled birth care attendance. Perceived or experienced poor quality of care were categorised as Delay Three factors for both skilled birth and postnatal care utilization.ConclusionDespite the ongoing government measures to improve maternal health service utilization in Ethiopia, numerous factors continue to contribute to delays in service use, which in turn contribute to high maternal mortality.     

Remote Work in Library Technical Services: Connecting Historical Perspectives to Realities of the Developing COVID-19 Pandemic

Abstract

The concept and practice of remote work in library technical services is not new, but the scale and speed of the transition to remote work for many libraries due to the COVID-19 pandemic is unprecedented. This column provides an overview of pre-pandemic literature on remote work in library technical services and briefly examines the history, planning, case studies, technology and equity concerns, challenges, and potential benefits of remote work. Initial connections are drawn between existing literature and the impact of the pandemic on remote work, and future directions for research and discussion are offered.     

Abused Women in Taiwan Who Seek Religious Support

ABSTRACT

This research explores the types of religious healing that abused women use and surveys their experiences with these practices in Taiwan. Fifteen semi-structured interviews were conducted with a sample of abused women, who had been recruited from 12 agencies. The findings show that participants sought religious healing for a variety of reasons, and that they had both positive experiences (e.g., useful religious support) and negative experiences (e.g., encountering deceptive jitongs and spending a large amount of money on services) regardingr the support provided by different religions. This study also found that women who believed in traditional Eastern religions had more negative experiences than women who believed in Western religions.     

The Effects of Neighborhood Variables on Needs of Social Care: A Hierarchical Multiple Regression of Senior Residents in China

Community-based elder care has become a dominant model in the world. However, the role of community-level factors in helping or hindering the individuals concerned in obtaining the needed care has not received much attention. This research aims to investigate how community-level factors, including neighborhood disadvantage, residential instability, and social service environment affect the need for instrumental, medical, and emotional services of Chinese senior residents. Employing the hierarchical multiple regression analysis, the results show that instrumental activities of daily living impairment contributed significantly to the need for instrumental, medical and emotional services. Living alone was found to be associated with the need for medical and emotional services. Objective socioeconomic status was only significantly related to the need for medical care. The type of urban community was positively associated with the need for instrumental services and was negatively related to the need for medical care. Residential instability was positively associated with of the need for instrumental services and medical care. Social service environments had heterogeneous effects on the need for social services. However, neighborhood disadvantage had no significant impact on the need for social services. Implications for future research and policy reform were also discussed.     

National Language Capacity in Global Competition

The term national language capacity refers to the sum total of a nation’s ability to grasp linguistic resources, provide language services, deal with linguistic issues, develop the language, and related tasks. Key capacities include the possession of linguistic resources, utilization of language and language services, development and use of linguistic resources, the language of the members of the nation, reserves of linguistic talent, language management, development of language enterprises and linguistic influence. The development of informatization has made national language capacity an important part of national strength. It is hard power as well as soft power, playing a very important role in social progress and cultural inheritance, in promoting economic development and technological innovation, and in protecting a country’s national security and international development.     

When the Norwegian child-welfare services get involved: parents making sense of referrals

There is limited research exploring parents' views and understanding of referrals to the child-welfare services (CWS). This study explores parents' understanding of the circumstances leading to a child-welfare referral, and their understanding of the reporter's objectives in making the referral. Qualitative content analysis and frequency analysis was performed on open-ended survey responses from a sample of 683 Norwegian parents in contact with the CWS. The results showed that the majority (60.2%) of the parents perceived the referral to be initiated solely because of parental difficulties and multiple family life stressors. Some of the parents (22.8%) believed the referrals were initiated exclusively because of their children's problems, whereas a few (13.3%) perceived it to be a combination of parental/familial difficulties and children's problems. The findings reveal that close to half of the parents (46.4%) felt the objective of the person making the referral was to help the child, their parents and the family. Some (36.5%) saw it as a routine or mandated action by public or official services, while others (18.7%) reported that they did not know why referrals had been made, or gave no answer to the question. A small group of parents (6%) viewed the referral as an act of harassment. The main implications of these findings are discussed.     

当前我国加强和完善社区管理和服务体系研究

加强和完善社区管理和服务体系具有重要意义。目前,我国街道办事处的职能不明确,条块分割,社区居委会行政化严重,社区公共服务亟待提高和完善,城乡社区服务资源严重不足,社区工作者人数少,工作任务重,社区工作专业化水平不高。因此,要发挥基层政府的主导作用,积极推进街道管理体制创新,健全基层群众自治制度,创新社区管理模式,完善社区公共服务体系,增强街镇和社区实力,推动我国社会工作的社区化。