Text in English / Background: Children living in child-headed households have health needs that require treatment and care. Matsanjeni is one of the poorest socio-economic areas of Swaziland with the high number of children orphaned by HIV and AIDS who are often living without adequate family and social supports. These conditions are known for increasing people vulnerability to diseases and hindering access and utilization of health services. However, children living in child-headed households in Matsajeni community do attend the primary health care (PHC) services on regular basis. What influence the utilization of the above services by children living in child-headed households in the Matsanjeni community is not clear and well documented. Aim of the study: To explore and describe the views of children living in child-headed households in a rural community of Swaziland regarding factors influencing their utilization of PHC services. Design: A qualitative descriptive design was used to guide the study. Purposive sampling was used to select the most senior child from child-headed households in a rural community. Semi-structured individual face-to-face interviews were used to generate data. Data saturation was reached after twenty interviews. Thematic content analysis was used to analyse data. The researcher used Andersen behavioural model was to identify and organised the emerged themes. Ethical clearance was obtained from the Ethics Committees of the University of South Africa and the Ministry of Health of Swaziland. Results: Fear to develop a deadly disease, perceived seriousness of the condition, desire for compliance to medical treatment, and community support emerged as enablers of primary health care services utilisation among children living in child-headed households. While lack of money, ignorance, shortage of healthcare personnel, negative behaviour and attitude of health professionals, long waiting hours, unreliable transportation system, and long distance emerged as inhibitors of primary health care services utilisation among children living in child-headed households. Conclusion and recommendation: The results of this study add to our understanding factors that positively and negatively influence the utilisation of primary health care services among children living in child-headed households in rural communities. The findings suggest that the utilisation of primary health care services among children living in child-headed households is influenced by need for care-enabling resources-experience of care triad. Behavioural and social welfare interventions are needed to enhance the utilisation of primary health care services among this vulnerable section of the community in Swaziland. Recommendation for further research is also articulated. / Health Studies / M.A. (Public Health)

Text in English / Background: Children living in child-headed households have health needs that require treatment and care. Matsanjeni is one of the poorest socio-economic areas of Swaziland with the high number of children orphaned by HIV and AIDS who are often living without adequate family and social supports. These conditions are known for increasing people vulnerability to diseases and hindering access and utilization of health services. However, children living in child-headed households in Matsajeni community do attend the primary health care (PHC) services on regular basis. What influence the utilization of the above services by children living in child-headed households in the Matsanjeni community is not clear and well documented. Aim of the study: To explore and describe the views of children living in child-headed households in a rural community of Swaziland regarding factors influencing their utilization of PHC services. Design: A qualitative descriptive design was used to guide the study. Purposive sampling was used to select the most senior child from child-headed households in a rural community. Semi-structured individual face-to-face interviews were used to generate data. Data saturation was reached after twenty interviews. Thematic content analysis was used to analyse data. The researcher used Andersen behavioural model was to identify and organised the emerged themes. Ethical clearance was obtained from the Ethics Committees of the University of South Africa and the Ministry of Health of Swaziland. Results: Fear to develop a deadly disease, perceived seriousness of the condition, desire for compliance to medical treatment, and community support emerged as enablers of primary health care services utilisation among children living in child-headed households. While lack of money, ignorance, shortage of healthcare personnel, negative behaviour and attitude of health professionals, long waiting hours, unreliable transportation system, and long distance emerged as inhibitors of primary health care services utilisation among children living in child-headed households. Conclusion and recommendation: The results of this study add to our understanding factors that positively and negatively influence the utilisation of primary health care services among children living in child-headed households in rural communities. The findings suggest that the utilisation of primary health care services among children living in child-headed households is influenced by need for care-enabling resources-experience of care triad. Behavioural and social welfare interventions are needed to enhance the utilisation of primary health care services among this vulnerable section of the community in Swaziland. Recommendation for further research is also articulated. / Health Studies / M.A. (Public Health)

Recent breakthroughs within technology and data science have initiated talks of a new emerging industrial revolution, being the fourth of its kind. This revolution, titled as Industry 4.0, implies further digitalization with AI and machine learning helping pave the way for improved robotic interconnection, decentralized decisions and linking the physical world with the virtual world. An important enabler for the transformation is 5G which will allow higher data speed, lower latency of communication, and improved network resilience, compared to its precursor 4G. That being said, a successful 5G rollout and adoption is not an easy task, especially for low-middle income countries. The 5G technology and the innovations it enables, could act as major economical catalysts for these countries and thus it is important to understand the potential barriers they are facing. To help clarify the matter, this study included a conduction of semi-structured interviews with some of the most important actors in the Malaysian 5G ecosystem. The ambition was to uncover the biggest barriers impeding the adoption of 5G technologies, as well as key enabling factors accelerating it. The results showed that low fibre infrastructure development, obscure pricing of 5G spectrum, high trait of complexity among 5G technology and associated innovations, customer unawareness, potential hampering of innovation due to a Single Wholesale Network approach (SWN), and a “Chicken or Egg”-dilemma between infrastructure providers and 5G application providers, represent the main barriers for a successful 5G implementation in Malaysia. At the same time, enabling factors such as a strong governmental backing, increased demand amongst end-users, high competitiveness of the telecommunication industry, and the SWN potentially mitigating the "Chicken or Egg"-dilemma were also identified and presented. An external validity assessment showed that most of the barriers could also be applied to neighbouring countries within the Southeast Asia region, providing practical implications for policy makers and industry actors working with the adoption of 5G technology within low-middle income countries. / De senaste genombrotten inom teknik och datavetenskap har föranlett diskussioner om närmandet av en ny industriell revolution, som blir den fjärde av sitt slag. Denna revolution som har fått tituleringen ”Industry 4.0”, väntas innebära ytterligare framsteg inom digitalisering med hjälp av AI och maskininlärning, vilket banar vägen för förbättrad robotkoppling, decentraliserade beslut och sammanlänkning av den fysiska och virtuella världen. En viktig delkomponent för denna transformation är 5G som väntas möjliggöra högre datahastighet, lägre kommunikationsfördröjning och förbättrad nätverkselasticitet jämfört mot sin föregångare 4G. En framgångsrik utrullning av 5G är dock inte en lätt uppgift, särskilt för låg- och medelinkomstländer. Tekniken bakom 5G och de innovationer den möjliggör, kan agera viktiga ekonomiska katalysatorer för dessa länder och därför blir det viktigt att förstå de potentiella hinder som de står inför. För att bättre förstå problemet genomfördes i den här studien semistrukturerade intervjuer med några av de viktigaste aktörerna i Malaysias 5G-ekosystem. Ambitionen var att avslöja de största hindren som hämmar införandet av 5G-teknik, samt viktiga möjliggörande faktorer som påskyndar denna process. Resultaten visade att låg fiberutveckling, oviss prissättning av 5G-spektrum, hög komplexitet bland 5G-teknik och tillhörande innovationer, kundomedvetenhet, potentiella innovationshämningar till följd av en ”Single Wholesale Network”-strategi (SWN) samt ett "Kyckling eller ägg"-dilemma mellan infrastrukturleverantörer och leverantörer av 5G-applikationer, utgör de främsta barriärerna för en framgångsrik 5G-utrullning i Malaysia. Samtidigt identifierades de viktigaste möjliggörande faktorerna som statligt stöd, ökad efterfrågan bland slutanvändare, den höga konkurrenskraften inom telekommunikationsindustrin samt SWN-strategins potentiellt positiva påverkan på "Kyckling eller ägg"-dilemmat. En extern validitetsbedömning visade att de flesta av barriärerna även kunde tillämpas på närliggande inom Sydostasien, vilket genererade praktiska implikationer för beslutsfattare och branschaktörer som arbetar med införandet av 5G-teknik inom låg-och medelinkomstländer.