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.     

A qualitative case study of a Korean former addict’s existential self‐interpretation and identity transformation

This study explored the case of a former addict, focusing on his existential self‐interpretation and identity transformation process. This study began from the question of whether philosophical processes related to existential self‐interpretation could lead to the formation of the concept of bottoming out and of identity transformation. To answer this question, the study analyzed the case of a male in his mid‐forties who was addicted to drugs for approximately 30 years and has only recently maintained abstinence. The study used the phenomenological approach to determine the meaning drugs held for him in each stage, and what drug‐related identity he had in each stage. Further, this study identified the integrative implications of these meanings in terms of existential self‐interpretation and identity transformation. The four different identities the man identified for the four stages of his life were juvenile delinquent, gang member, half‐gangster, and breadwinner, and the associated meanings drugs had for him during each period were “glue,” “filthy,” “leeches,” and “abstinence,” respectively. Finally, this study elucidated the integration of these meanings through the hermeneutic circle, identified the social welfare implications of the findings, and developed educational recommendations.     

To what extent is social security spending associated with enhanced firm-level performance? A case study of SMEs in Indonesia

Although the relationship between social protection and enterprise performance is much debated in the literature, evidence is particularly limited in the case of small and medium-sized enterprises in developing economies. Using census data from 2010 to 2014, this article examines how the provision of social security influenced business performance in Indonesia. The author finds that increased social security spending of 10 per cent is associated with a per-worker revenue gain of up to 2 per cent. Moreover, profits are not found to decrease with increased social protection coverage, suggesting that increasing worker benefits may be a worthwhile business investment.     

Evaluation capacity building in the nonformal education context: Challenges and strategies

Policymakers’ demand for increased accountability has compelled organizations to pay more attention to internal evaluation capacity building (ECB). The existing literature about ECB has focused on capacity building experiences and organizational research, with limited attention on challenges that internal evaluation specialists face in building organizational evaluative capacity. To address this knowledge gap, we conducted a Delphi study with evaluation specialists in the United States’ Cooperative Extension Service and developed a consensus on the most pervasive ECB challenges as well as the most useful strategies for overcoming ECB challenges. Challenges identified in this study include limited time and resources, limited understanding of the value of evaluation, evaluation considered as an afterthought, and limited support and buy-in from administrators. Alternatively, strategies found in the study include a shift in an organizational culture where evaluation is appreciated, buy-in and support from administration, clarifying the importance of quality than quantity of evaluations, and a strategic approach to ECB. The challenges identified in this study have persisted for decades, meaning administrators must understand the persistence of these issues and make an earnest investment (financial and human resource) to make noticeable progress. The Delphi approach can be used more often to prioritize ECB efforts.     

The coevolution of trade agreements and investment treaties: Some evidence from network analysis

Regional trade agreements (RTAs) and bilateral investment treaties (BITs) are expected to promote trade and investment relationships. One critical feature of such agreements is the network, so the multiplex coevolution of RTAs and BITs should be captured by the dynamics of their two networks. Although many studies have examined the roles of RTAs and BITs, most studies do not account for crucial network properties. This study explores how RTAs and BITs coevolve by applying a stochastic actor-oriented model of multiplex network evolution. In particular, we examine the roles of (i) cross-network dyadic interinfluences and (ii) within- and cross-network preferential attachments to discuss the dynamic relationships between RTAs and BITs. The results are as follows. First, our estimation supports cross-network dyadic interinfluences. Countries that sign a BIT are willing to establish an RTA, while those that sign an RTA are reluctant to establish a BIT. Second, concerning preferential attachments, countries prefer to sign BITs with partners that have more RTA and BIT links. However, countries tend to form RTAs with partners that have more BIT links but are reluctant to form RTAs with those that have more RTA links. We discuss possible justifications for these results, including arguments regarding the benefits and costs associated with the formation of RTAs and BITs.     

A new regression model for bimodal data and applications in agriculture

We define the odd log-logistic exponential Gaussian regression with two systematic components, which extends the heteroscedastic Gaussian regression and it is suitable for bimodal data quite common in the agriculture area. We estimate the parameters by the method of maximum likelihood. Some simulations indicate that the maximum-likelihood estimators are accurate. The model assumptions are checked through case deletion and quantile residuals. The usefulness of the new regression model is illustrated by means of three real data sets in different areas of agriculture, where the data present bimodality.     

数字化时代网络信息传播秩序重构的内在逻辑与行动策略

数字技术使信息传播渠道从单一向“网络立体化”转变,信息传播主体从“中心化”向“分散化”转变,信息传播环境从“真实化”向“拟态化”转变,信息传播出现了“混沌”与“失序”现象。“坚持人本理念”是网络信息传播秩序重构的基本逻辑,“信息资源与要素的再整合”是网络信息传播秩序重构的基础条件,“智能化信息平台决策机制”是网络信息传播秩序重构的保障。在信息传播秩序重构的过程中,需要强化技术体系与网络体系的链接,搭建多层次信息流动与传播的网络空间;需要加强对社会生活空间与产业的数字化改造,促使现实世界向虚拟世界迁移;需要催生全新的元宇宙信息场域,构建与现实世界映射与交互的虚拟世界。     

网络意识形态安全研究的整体概貌

以CNKI核心论文数据库中的文献为研究对象,梳理网络意识形态安全相关研究成果,可以发现,目前学界对网络意识形态安全的研究成果多以理论分析为主,在研究范式上注重宏观和微观相结合,部分研究成果缺乏精准性和针对性,实证分析较少,研究方法单一,缺乏多学科融合视角。因此,未来应深化研究内容,拓宽研究视角,构建研究话语,以提高研究水平和增加理论供给。     

以马克思主义的科学态度学习《江泽民文选》

文章论述了学习<江泽民文选>要采取马克思主义的科学态度,即要结合时代背景和实践的历史进程,深刻领会其重大意义和精神实质;以坚持和发展相统一的观点指导理论学习;理论联系实际,结合人们所做的实际工作来学习;要反对各种不良倾向,以提高学习实效.     

On the power of goodness-of-fit tests for the exponential distribution under progressive Type-II censoring

The aim of this article is to review existing goodness-of-fit tests for the exponential distribution under progressive Type-II censoring and to provide some new ideas and adjustments. In particular, we consider two-parameter exponentially distributed random variables and adapt the proposed test procedures to our scenario if necessary. Then, we compare their power by an extensive simulation study. Furthermore, we propose five new test procedures that provide reasonable alternatives to those already known.