<p>Background: Malaria is the leading cause of death of Uganda&rsquo / s children under 5 years of age and the number-one cause of illness in adults in Uganda. The success of malaria treatment strategies is closely linked to the behavior of patients and caretakers of young children. In the case of malaria this includes accessing appropriate treatment for&nbsp / suspected malaria in time. In Bungokho Sub County, in spite of the efforts by district health workers and the Ministry of Health to implement the malaria control, prevention and treatment strategies, pregnant women and caretakers of children under 5 years of age continue to present late for treatment in the health units resulting in possible avoidable&nbsp / death or disability. Aim and objectives: The aim of this study was to explore the factors that lead to late presentation of children and pregnant women with malaria for treatment at health units. This was done by exploring the perceptions of caregivers of children under five years and pregnant women on the community&rsquo / s knowledge and understanding of the&nbsp / symptoms and treatment of malaria / and describing perceptions of caregivers and pregnant women on health care provision at the health units and alternative treatment for malaria. Methods :The study was conducted in Bungokho Health sub-district, in Mbale district, Eastern Uganda over a two month period in 2009. It was a descriptive exploratory study using qualitative research methods. Four focus groups were carried out, two with caregivers of children under 5 years and two with pregnant women, with each focus group consisting of eight participants. Two caregivers and two pregnant women were identified from the focus groups for further indepth interviews. Four in-depth interviews were conducted with health unit staff from Bungokho HCVI. Notes were taken and observations made during the focus groups and interviews. The proceedings were audio-taped and recordings used to expand and clarify notes. Thematic content analysis was used to analyze the data and identify recurrent themes from the focus group discussions and&nbsp / interviews of the reasons for late presentation for malaria treatment. Results: All caregivers were women, a significant majority of whom were peasants who had not gone beyond the primary education. Caregivers were aware of the general symptoms of malaria but associated more serious or dangerous symptoms with other causes including&nbsp / witchcraft. Pregnant women, on the other hand, seemed to have sound knowledge of both the general and dangerous symptoms of malaria and were likely to attend the health&nbsp / units timeously for reatment. Religious beliefs and practices, particularly belief in the healing ability of prayers prevented early reporting of malaria cases to health units leading&nbsp / to late presentation. Alternative treatment of malaria from traditional herbalists was also sought by the communities particularly when the intensity of malaria was at its peak during the rainy season. Poverty in the community seemed to play a big role in shaping community preference for treatment sources, as well as early presentation to the health&nbsp / units. It was found that the anticipated cost of laboratory tests and sundries at the health units deterred caregivers from taking children under five to health units. There was therefore a strong reliance (and preference for) community medicine distributor&rsquo / s (CMDs) because of free services and easy access. Lack of support from spouses (in particular husbands) coupled with the rude behavior of health workers towards caregivers and pregnant women discouraged visits to health units. The long waiting time and intermittent drug stock-outs also created a negative perception of service at the health units. Conclusions and recommendations: There is need for further sensitization of communities on the need to seek prompt treatment for children under five years of age at the health units (that is, within 24 hours of the onset of fever). Training and supervision of CMDs should be strengthened to ensure consistent supply of drugs, correct dosage of anti-malarial medication and improvements in the referrals to the health units. In order to improve&nbsp / service delivery at the health units, there is need to review and strengthen human resource management of the health units, including staffing requirements and management&nbsp / practices, such as support and supervision, patient care standards and client feedback mechanisms. It is also important that there are adequate stocks of anti-malarial drugs&nbsp / and laboratory supplies at health units.</p>

The aim of the study on which this thesis is based was to gain an understanding of the life situation of street children in Kenya and to investigate how caring institutions care for these children.  A reflexive ethnographic approach was used to facilitate entry into the children’s sub-culture and the work contexts of the caregivers to better understand how the children live on the streets and how the caregivers work with the children. A fundamental aim of the research was to develop interventions to care; one of the reasons why we also used the interpretive description approach. Method and data source triangulation was used. Field notes, tape, video, and photography were used to record the data.  Participant observation, group discussions, individual interviews, home visits, key informant interviews, participatory workshops and clinical findings were used for data collection in Studies I and II.  In addition to observation, interviews were conducted with caregivers for study III, while written narratives from learners attending adult education developed and implemented during the research period provided data for study IV.  Study I indicated that food, shelter and education were the main concerns for the children and that they had strong social bonds and used support networks as a survival strategy.  Study II provided a deeper understanding of the street culture, revealing how the boys are organised, patterns of substance use, home spaces in the streets and networks of support. The boys indicated that they wanted to leave the streets but opposed being moved to existing institutions of care. A group home was therefore developed in collaboration with members of the category “begging boys”.  Study III indicated how the caregivers’ interactions with the children were crucial in children’s decisions to leave the streets, to be initiated into residential care, undergo rehabilitation and to be reintegrated into society.  Caregivers who attempted to use participatory approaches and took time to establish rapport were more successful with the children.  Study IV suggested that the composition of learners, course content grounded on research, caregivers’ reflections and discursive role of researchers and facilitators, all contributed to adult learning that transformed the learners’ perspectives and practice.

Construction is one of the largest industry sectors in terms of size and output in the United Kingdom (UK). The sector contributes about 10% directly to the UK's Gross Domestic Product (GDP) and drives historical GDP growth. However, Construction projects and Organisations continue to underperform at significant levels which is underpinned by actors' Information Behaviours (IBs).

Närstående som mist någon i suicid är i riskzonen för att utveckla psykisk ohälsa. Få studier har undersökt närståendes upplevelse av samhällets stödinsatser. Det är även få studier som undersökt relationen mellan närståendes grad av self-compassion och hjälpsökandebeteende. Syftet med denna studie var därför att undersöka hur närstående upplever samhällets stödinsatser, samt om det finns ett samband mellan grad av self-compassion, antalet stödinsatser de sökt och vilken stödinsats de vänt sig till. Studien bestod av 174 personer som var medlemmar i den ideella organisationen Suicidprevention och efterlevandestöd (SPES) där samtliga var över 18 år. Oberoende t-test användes för att se skillnad i medelvärde mellan olika grupper av self-compassion och antalet stödinsatser de sökt. Vidare gjordes chi-två test och ANOVA-analyser för att se om det fanns en statistisk signifikant skillnad mellan grad av self-compassion, antalet stödinsatser de sökt samt vilken typ av stöd. Resultatet visade att närstående fått mest stöd från framförallt familjemedlem/vän eller partner men även från ideell organisation och religiöst förbund. Minst stöd upplevde de att de fått från vuxenpsykiatrin, vårdcentral och privat professionell behandlare. Det fanns ett signifikant samband mellan antalet stödinsatser deltagare sökt och grad av self-compassion, där de med lägre grad av self-compassion sökte fler stödinsatser. Resultatet visade även en signifikant skillnad i skattningen mellan olika grader av self-compassion och vilka som sökt stödinsatserna vuxenpsykiatrin och familjemedlem/vän eller partner. Resultatet tyder på att det nuvarande stödet är bristande och det behövs mer forskning inom området som underlag till förbättring. / People bereaved by suicide are at risk to develop mental health problems. Few studies have aimed to research on their experience of support efforts in combination with self-compassion and how it influences help-seeking behaviour. The purpose of the study was to investigate how the bereaved experience support efforts, and whether the degree of self-compassion affects how much support they sought and which support effort they turned to. The participants were 174 persons from the non-profit organization Suicidprevention och efterlevandestöd (SPES) and all participants were over 18 years old. Independent t-test was used to see the difference in means between groups of self-compassion and the number of support efforts they sought. Chi-square test and ANOVA-analyzes were used to calculate the significant difference between groups in self-compassion, how much and what kind of support they sought. Results showed that the bereaved experienced most support from family members/friends or partners, non-profit organizations and religious associations. They experienced least support from adult psychiatry, primary care and private practicing psychologists. There was a significant association between how many support efforts bereaved sought and degree of self-compassion, where they with lower degree of self-compassion sought more support efforts. The result showed a significant difference between degree of self-compassion and those who sought help from adult psychiatry and family member/friend or partner. As the result indicates that the current support is inadequate, more research in this area is needed as a basis for improvement.

In this study health information seeking behaviour among young adults is investigated and attitudes toward available health information examined. Further, the electronic health record(EHR), ‘Journalen’, is investigated among young adults that use the health services in Sweden. The aim of this study is to gain insight in young adults’ health information seeking behaviour on the Internet.   A survey of health information seeking behaviour among young adults, 18-29 years old, reports that as well as searching for information for their own use, searching for information to help family and friends is also their practice. 95.4% say that they search for health information on the Web.   Overall, the top five categories of information searched are Personal Health, Symptoms, Healthy Diet, Mental Health and Treatment. For the Top five Information searches for themselves(’Self’), Mental Health is displaced by Disease Prevention. Health information categories sought the least by the young adults are information about Illegal Drugs, Allied Health, Alternative medicine and Support Groups. Respondents mostly report a high regard for the information they retrieve in their searches.   The majority rate the quality of health information as ‘Good’ or ‘Very Good’. Broadly speaking the young adults trust the health information found online but say that the quality of health information varies from source to source. 1177.se is often referred to as a trustworthy source among the respondents and according to them good quality information can be found there. The respondents use of support groups for themselves is reported, as well an altruistic motivation to support others. While the motivation for many searches is to avoid attending a health professional, approximately one-third report searching after their visit.   This study demonstrates that young adults are active consumers of health information on the Internet and their attitudes toward the available health information are generally positive. Of the respondents who are Swedish residents, 42% are unaware of the availability of their electronic health record in Sweden, Journalen, and of those 56.7% who know of it, 18% have never accessed their EHRs.  More research is needed to investigate the reason for the relatively low numbers of the young adults’ awareness and use of the Journelen. The aim of the study is discussed in the Introduction chapter and research questions identified. The research design is described in the methodology chapter and how data is collected through a survey. Results are presented in Tables and Figures and further analysed in the Analysis chapter in context of earlier research. Finally, the researcher concludes on the study and what could be learned from the findings.

Masters of Public Health - see Magister Public Health / Background: Malaria is the leading cause of death of Uganda's children under 5 years of age and the number-one cause of illness in adults in Uganda. The success of malaria treatment strategies is closely linked to the behavior of patients and caretakers of young children. In the case of malaria this includes accessing appropriate treatment for suspected malaria in time. In Bungokho Sub County, in spite of the efforts by district health workers and the Ministry of Health to implement the malaria control, prevention and treatment strategies, pregnant women and caretakers of children under 5 years of age continue to present late for treatment in the health units resulting in possible avoidable death or disability. Aim and objectives: The aim of this study was to explore the factors that lead to late presentation of children and pregnant women with malaria for treatment at health units. This was done by exploring the perceptions of caregivers of children under five years and pregnant women on the community knowledge and understanding of the symptoms and treatment of malaria; and describing perceptions of caregivers and pregnant women on health care provision at the health units and alternative treatment for malaria. Methods :The study was conducted in Bungokho Health sub-district, in Mbale district, Eastern Uganda over a two month period in 2009. It was a descriptive exploratory study using qualitative research methods. Four focus groups were carried out, two with caregivers of children under 5 years and two with pregnant women, with each focus group consisting of eight participants. Two caregivers and two pregnant women were identified from the focus groups for further indepth interviews. Four in-depth interviews were conducted with health unit staff from Bungokho HCVI. Notes were taken and observations made during the focus groups and interviews. The proceedings were audio-taped and recordings used to expand and clarify notes. Thematic content analysis was used to analyze the data and identify recurrent themes from the focus group discussions and&nbsp; interviews of the reasons for late presentation for malaria treatment. Results: All caregivers were women, a significant majority of whom were peasants who had not gone beyond the primary education. Caregivers were aware of the general symptoms of malaria but associated more serious or dangerous symptoms with other causes including witchcraft. Pregnant women, on the other hand, seemed to have sound knowledge of both the general and dangerous symptoms of malaria and were likely to attend the health units timeously for reatment. Religious beliefs and practices, particularly belief in the healing ability of prayers prevented early reporting of malaria cases to health units leading to late presentation. Alternative treatment of malaria from traditional herbalists was also sought by the communities particularly when the intensity of malaria was at its peak during the rainy season. Poverty in the community seemed to play a big role in shaping community preference for treatment sources, as well as early presentation to the health units. It was found that the anticipated cost of laboratory tests and sundries at the health units deterred caregivers from taking children under five to health units. There was therefore a strong reliance (and preference for) community medicine distributor's (CMDs) because of free services and easy access. Lack of support from spouses (in particular husbands) coupled with the rude behavior of health workers towards caregivers and pregnant women discouraged visits to health units. The long waiting time and intermittent drug stock-outs also created a negative perception of service at the health units. Conclusions and recommendations: There is need for further sensitization of communities on the need to seek prompt treatment for children under five years of age at the health units (that is, within 24 hours of the onset of fever). Training and supervision of CMDs should be strengthened to ensure consistent supply of drugs, correct dosage of anti-malarial medication and improvements in the referrals to the health units. In order to improve service delivery at the health units, there is need to review and strengthen human resource management of the health units, including staffing requirements and management practices, such as support and supervision, patient care standards and client feedback mechanisms. It is also important that there are adequate stocks of anti-malarial drugs&nbsp; and laboratory supplies at health units. / South Africa

Trust for health care professionals (interpersonal trust) and the health care system (institutional trust) is imperative for the performance of health care systems. However, at the same time, contemporary societies today are characterised by decreasing levels of trust and citizens today are increasingly inclined to seek health information from sources beyond health care professionals. Sociologists have argued that societal institutions, such as the health care system, are subject to individuals’ increasing mistrust, which has created a “critical distance” between lay citizens and modern medicine. In this critical distance, the health care system and its representatives are continually questioned why citizens’ trust for the medical institution can not be taken for granted. Because individuals living in the modern society are more inclined to take control over their health by engaging in health information seeking behaviour, the present study aims to examine whether there exists an association between interpersonal and institutional trust and differences in health information seeking behaviour. This study focuses on the Swedish context, where decreasing levels of trust for societal institutions - including the health care system, have been reported. Multivariate logistic regression analysis using data from European Social Survey (2004) was utilised to answer the research questions “Is the degree of trust for the health care system in Sweden associated with individuals' health information seeking behaviours?” and “Is the degree of trust for health care professionals in Sweden associated with individuals' health information seeking behaviours?”. The majority of the results from this study were not statistically significant, why the null hypothesis can not be ruled out. More recently collected data and more representative operationalisations of variables might generate more valid results. The study topic provides a potentially fruitful and valuable route for future scientific research, why it is considered important to further investigate whether mistrust for the healthcare system and its experts motivates individuals to consult alternative sources rather than health care professionals when seeking health information.

This dissertation reports on a study that investigated the functions and services that are rendered at the library of ARC-Small Grain Institute in Bethlehem. The study was directed by the research questions that included the investigation in library services and sources globally; the information seeking behaviour of the patrons of the library as well as the skills and competencies needed by librarians to render an effective service in a constant changing environment. These components served as a foundation for the development of a proposed service model, which reflects the incorporation of the changing roles of librarians in a research library. The current services and sources of the ARC-SGI library were discussed and compared to other libraries. A systematic review of the literature included the information seeking behaviour and information needs of researchers as well as the skills and competencies of librarians. A mixed-method approach, using both qualitative and quantitative methods, has been applied in the study. Data was collected through questionnaires and fifteen semi-structured interviews were held with selected patrons of ARC-SGI. The findings showed that information needs depends mostly on the different stages of research and flows directly from the type of work that they do. Attention was given to preferred source choices and problems experienced during information seeking. Training needs were addressed as well as the needs for additional information needed from the library. Based on the results, the study proposed a service model for an agricultural library. The model displays the library within the setting of an organisation as it supports the mission and vision of the parent organisation. It illustrates all the interdependent components that are essential for a successful agricultural library. The model also outlines the strategies of on-going evaluation and monitoring of the library services; the information needs and information seeking behaviour of the patrons as well as the challenges facing the library. The study concluded by making certain recommendations that can benefit the library of ARC-SGI, which will be an improvement added to the current services. A few suggestions are made for future research, which have definite advantages for an agricultural library within an organisation. / Dissertation (MIS)--University of Pretoria, 2013. / Information Science / unrestricted

To add to the understanding of the COVID-19 information landscape, the aim of this thesis was to investigate the information seeking behaviours of Swedish gymnasium students regarding the vaccination against COVID-19. The theoretical framework used to guide this study was based on  active and passive information seeking behaviour as defined by Bates (2002), and information avoidance as defined by Narayan et al. (2011). Within this context, relevant elements of the concepts of trust and decision were included as well, to see how they feature within the overall information seeking behaviour. This thesis implemented a mixed method approach to reach the aim, which was executed through an online survey for quantitative data, and semi-structured interviews for qualitative data. An analytical framework was also established to guide the study from the chosen variables to relevant research and finally for the analysis of results. The results showed that all three directions of seeking behaviour were present among the demographic but differed in execution and purpose. Passive seeking was the behaviour that occurred most often and had the strongest relation to trust and decision. A high trust in authorities, based on passive information received, combined with equally high trust in oneself proved crucial within the understanding of the information seeking behaviour regarding the topic. Information avoidance did hardly occur at all, while active information seeking existed, but not for the reason to make a well-informed decision. Rather, it was performed based on a curiosity to learn about conspiracies and experiences, not facts.

The aim of this study is to understand the information seeking of undergraduate students and use of electronic resources at KTH Royal Institute of Technology (namely KTH RIT). Four research questions were developed to guide the study. Wilson’s 1996 model of information behaviour was adopted. The survey research design was adopted. A questionnaire was used to collect data, which was administered to a group of undergraduate students through a convenience sampling technique. A total of 122 undergraduate students were sampled from different departments in different years of study (first-to-third). Several statistical tools such as frequency, percentage and Pearson's product-moment correlation coefficient were used to analyse the data. The results obtained from the data analysis revealed that undergraduate students consider all types of information provided as important. Furthermore, books were identified as the most favoured information source that best supports undergraduate students information needs. Next are websites, databases, journals, YouTube and encyclopaedias in ascending order. The study found that what constitutes the information needs of undergraduate students were university study-related tasks, learning, personal roles and research in their order of importance.