Smart Travel Planner using Hybrid Model

Dasari, Suresh Babu; Vandana, V.; Bhharathee, A.

doi:10.1109/idciot56793.2023.10053424

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…that helps in the exploration of a phenomenon within some context. Desai and Potter [41] stressed that development study requires the use of a wide range of research methods: the mix of methods enables the different techniques and their results to be compared against each other, allowing judgements to be made as to which method (or combination of methods) is the most appropriate for any particular purpose.…”

Section: Plos Onementioning

confidence: 99%

Unpacking the challenges of fragmentation in community-based maternal newborn and child health and health system in rural Ethiopia: A qualitative study

Gebremeskel,

Udenigwe,

Etowa

et al. 2023

PLoS ONE

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Introduction In Ethiopia, country-wide community-based primary health programs have been in effect for about two decades. Despite the program’s significant contribution to advancing Maternal Newborn and Child Health (MNCH), Ethiopia’s maternal and child mortality is still one of the highest in the world. The aim of this manuscript is to critically examine the multifaceted fragmentation challenges of Ethiopia’s Community Health Workers (CHWs) program to deliver optimum MNCH and build a resilient community health system. Methods We conducted a qualitative case study in West Shewa Zone, rural Ethiopia. A purposive sampling technique was used to recruit participants. Data sources were two focus group discussions with sixteen CHWs, twelve key informant interviews with multilevel public health policy actors, and a policy document review related to the CHW program to triangulate the findings. Thematic analysis of the qualitative data was conducted. The World Health Organization’s health systems framework and socio-ecological model guided the data collection, analysis, and interpretation. Results The CHWs program has been an extended arm of Ethiopia’s primary health system and has contributed to improved health outcomes. However, the program has been facing unique systemic challenges that stem from the fragmentation of health finance; medical and equipment supply; working and living infrastructures; CHWs empowerment and motivation, monitoring, supervision, and information; coordination and governance; and community and stakeholder engagement. The ongoing COVID-19 and volatile political and security issues are exacerbating these fragmentation challenges. Conclusion This study emphasized the gap between the macro (national) level policy and the challenge during implementation at the micro (district)level. Fragmentation is a blind spot for the community-based health system in rural Ethiopia. We argue that the fragmentation challenges of the community health program are exacerbating the fragility of the health system and fragmentation of MNCH health outcomes. This is a threat to sustain the MNCH outcome gains, the realization of national health goals, and the resilience of the primary health system in rural Ethiopia. We recommend that beyond the current business-as-usual approach, it is important to emphasize an evidence-based and systemic fragmentation monitoring and responsive approach and to better understand the complexity of the community-based health system fragmentation challenges to sustain and achieve better health outcomes. The challenges can be addressed through the adoption of transformative and innovative approaches including capitalizing on multi-stakeholder engagement and health in all policies in the framework of co-production.

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Section: Plos Onementioning

confidence: 99%