The use of external providers for the provision of information and communication technology (ICT) in small and medium-sized enterprises (SMEs) is expected to increase. At the end of the 1990s the concept of Application Service Provision (ASP) and Application Service Providers (ASPs) was introduced. This is described as one way for SMEs to provide themselves with software applications. However, it can be stated that the concept has not taken off. This study examines what reasons influence the decision-making when deciding to use or not use ASP. The research question is: How do SMEs decide on using an Application Service Provider for the provision and maintenance of ICT? In order to answer the question decision-making processes in SMEs have been investigated in an interpretive case study. This study consisted of mainly semi-structured interviews that were done with three different ASPs and customers related to them. It also consisted of a questionnaire to the customers of one of the service providers. The analysis was then made as a withincase analysis, consisting of detailed write-ups for each site. The interviews and a literature survey of the ASP concept and theories that have been used to explain the ASP decision-making process generated seven constructs. From the presented and discussed theories, models and proposed constructs seven propositions were formulated. These propositions were used for the analysis and presentation of the findings in the study. The main conclusion of the study is the disparate view of what affects the adoption or non-adoption of the ASP concept. The service providers express the decision as a wish from the prospective customer to decrease costs and increase the predictability of costs. The customers on the other hand express it as a wish to increase accessibility; the cost perspective is found to be secondary.

Although a relatively new research field, many quantitative studies have over the past decade been undertaken examining rebel governance as an insurgent practice in intrastate conflicts around the globe. Nevertheless, gaps persist in the understanding of how common aspects of rebel governance, such as inclusive service provision, affect competing non-state actors in multi-rebel group conflict landscapes. Hitherto, this is the research puzzle of interest. This study asks the question: how is rebel group violence against civilians affected by a rival rebel group practising inclusive service provision? The hypothesis is that the level of violence against civilians practised by a rebel group decreases if a rival rebel group engages in inclusive service provision. The applied research method is a qualitative structured focused comparison between ELN in Colombia and GIA in Algeria from 1994 to 1999. The study does not find support for the hypothesised causal relationship, although forms of attempted emulation and outbidding of rival actors seem present in both studied cases. Further research is needed to fully dismiss the possibility of rival rebel group inclusive service provision sharing a negative variable relationship with rebel group violence against civilians.

Text in Afrikaans / This study was aimed at the development of a multicultural counselling model for tertiary education with the emphasis on experiential learning and integration on all levels. Although the South African Qualifications Authority (SAQA) is prescriptive about the outcomes concerning multicultural involvement it does not clearly prescribe experiential learning - causing educational institutions to underplay experiential learning. Ignorance exists about multiculturalism in training programmes. Educational institutions often implement programmes randomly without proper consideration of the multicultural needs of the student population. People from different cultures often experience the caregiver as having little understanding and respect for diverse cultures, often leading to the early termination and inaccessibility of professional services. To provide guidelines to educational institutions about multicultural counselling training, the researcher provided a paradigmatic perspective as foundation to the drafting of a counselling model for training. The Grounded Theory was used to obtain scientifically based information about the multicultural counselling training phenomenon in South Africa as well as the development of a multicultural counselling model for tertiary education. People in professional services were interviewed and compared to literature, whereafter all applicable concepts, principles, processes and elements grounded in the paradigmatic perspective were examined, identified and coded as components of the multicultural counselling model, with the aid of a core category, categories and subcategories. Henceforth a multicultural counselling model for training was developed. The central thesis of the research is that the multicultural counsellor has certain skills that stem from the training received at South African educational institutions, which does not necessarily encompass the concept of multiculturalism. It therefore does not equip the student to successfully help patients from a diverse culture. This problem can be intercepted through a training model with appropriate components of multiculturalism in the curriculum of educational institutions in South Africa. Conclusions and recommendations were made according to the Grounded Theory. The findings of the scientific procedure were evaluated according to reliability as well as the criteria of Chinn en Kramer (1991). Answers were obtained through scientific reasoning and empirical research to produce a model for the implementation of multicultural training within the context of South African educational institutions. / Social Work / D. Diac. (Play Therapy)

Text in Afrikaans / This study was aimed at the development of a multicultural counselling model for tertiary education with the emphasis on experiential learning and integration on all levels. Although the South African Qualifications Authority (SAQA) is prescriptive about the outcomes concerning multicultural involvement it does not clearly prescribe experiential learning - causing educational institutions to underplay experiential learning. Ignorance exists about multiculturalism in training programmes. Educational institutions often implement programmes randomly without proper consideration of the multicultural needs of the student population. People from different cultures often experience the caregiver as having little understanding and respect for diverse cultures, often leading to the early termination and inaccessibility of professional services. To provide guidelines to educational institutions about multicultural counselling training, the researcher provided a paradigmatic perspective as foundation to the drafting of a counselling model for training. The Grounded Theory was used to obtain scientifically based information about the multicultural counselling training phenomenon in South Africa as well as the development of a multicultural counselling model for tertiary education. People in professional services were interviewed and compared to literature, whereafter all applicable concepts, principles, processes and elements grounded in the paradigmatic perspective were examined, identified and coded as components of the multicultural counselling model, with the aid of a core category, categories and subcategories. Henceforth a multicultural counselling model for training was developed. The central thesis of the research is that the multicultural counsellor has certain skills that stem from the training received at South African educational institutions, which does not necessarily encompass the concept of multiculturalism. It therefore does not equip the student to successfully help patients from a diverse culture. This problem can be intercepted through a training model with appropriate components of multiculturalism in the curriculum of educational institutions in South Africa. Conclusions and recommendations were made according to the Grounded Theory. The findings of the scientific procedure were evaluated according to reliability as well as the criteria of Chinn en Kramer (1991). Answers were obtained through scientific reasoning and empirical research to produce a model for the implementation of multicultural training within the context of South African educational institutions. / Social Work / D. Diac. (Play Therapy)

Abstract Peer-to-Peer (P2P) networks have been applied in many applications for sharing resources such as storage space, media files or network bandwidth. Their main benefits include decentralization, self-organization, and scalability. Moreover, P2P technologies are evolving towards hybrid systems, where P2P networks are used in those parts of a larger system to leverage the decentralization most efficiently. The examples include cloud computing, where P2P networks are used in sharing computing resources, and Machine-to-Machine communication, where P2P networks are used for resource discovery. In super-peer overlays, the nodes are either regular nodes or super nodes that are located higher in the node hierarchy. This type of overlay explores the heterogeneity of peers in the overlay network to enable applications to run more efficiently. Leveraging the advantage of a super-peer overlay for service provision is an important issue. This thesis contributes to the research and development of super-peer-based coordination service provision from three aspects. Firstly, a super-peer-based coordinated service provision framework is proposed to coordinate different service groups and service peers in resource sharing, aiming to enable service groups to adapt to dynamic service demands. The proposed framework is evaluated using the following performance metrics: service response time, scalability, robustness, and communication traffic, in comparison to related work. Secondly, an efficient algorithm for rapidly constructing a robust super-peer overlay is proposed. The algorithm introduces a super-peer candidate based method for super-peer selection and a two-hop search method for finding client peers. Performance evaluation takes into account the convergence time of building a super-peer overlay, communication overhead, scalability, robustness. A comparison to related work is also conducted. Thirdly, the architecture of distributed resource discovery based on P2P overlay for Machine-to-Machine service provision is proposed. The architecture supports heterogeneous devices using different communication protocols in resource registration and discovery for achieving interoperability. As a part of the thesis, a functional real-world prototype is implemented and verified with a simple demonstration. Preliminary evaluation on the prototype indicates that caching can improve the response time of resource lookup dramatically. / Tiivistelmä Vertaisverkkoja on hyödynnetty resurssien kuten tallennustilan, mediasisältöjen ja tietoliikennekapasiteetin jakamisessa. Niiden etuja perinteisiin keskitettyihin järjestelmiin verrattuna ovat hajautettu arkkitehtuuri, itseorganisoituvuus ja skaalautuvuus. Vertaisverkkoja käytetään yhä useammin järjestelmän osien toteuttamisessa, joissa hajautettujen resurssien hyödyntämisellä saavutetaan suurimmat edut. Esimerkkeinä ovat pilvilaskenta, jossa vertaisverkkoa käytetään laskentaresurssien jakamiseen, sekä laitteidenvälinen kommunikaatio, jossa vertaisverkkoja käytetään resurssien löytämiseen. Hierarkkisissa vertaisverkoissa niihin kytkeytyneet laitteet jaotellaan laitteiden kapasiteetin mukaan tavallisiin noodeihin ja näiden yläpuolella hierarkiassa toimiviin ylinoodeihin. Ylinoodeihin perustuva vertaisverkon kuoriverkko hyödyntää yksittäisten verkon noodien eli laitteiden erilaisuutta, jotta verkko voisi toimia tehokkaammin. Tämän ominaisuuden hyödyntäminen on erityisen tärkeää palvelun tarjonnassa. Tässä työssä on tutkittu ylinoodeihin perustuvan vertaisverkon palvelun tarjontaa kolmesta näkökulmasta. Ensimmäiseksi, työssä ehdotetaan ylinoodien koordinoimaa palveluntarjonnan toimintamallia resurssien jakamisessa. Toimintamallissa palveluryhmät ja palvelunoodit adaptoituvat dynaamisesti palvelupyyntöjen tarpeisiin. Tämän ratkaisun suorituskykyä arvioidaan palvelun vasteajan, skaalautuvuuden, robustisuuden ja tietoliikennemäärän suhteen verrattuna aiempiin ratkaisuihin. Toiseksi, työssä esitellään tehokas algoritmi robustin ylinoodikuoriverkon nopeaan muodostamiseen. Algoritmi käyttää ylinoodiehdokasmenetelmää ja kahden hypyn hakumetodia asiakasnoodien etsimisessä. Suorituskyvyn arvioinnissa otetaan huomioon ylinoodikuoriverkon konvergoitumisaika, tietoliikenneviestinnän aiheuttama ylimääräinen kuormitus, sekä järjestelmän skaalautuvuus ja robustisuus. Esitetyn algoritmin tehokkuutta arvioidaan vertaamalla näitä suorituskykymittareita aiempiin ratkaisuihin. Kolmanneksi, työssä esitellään hajautettu resurssihakemiston arkkitehtuuri, joka perustuu laitteiden välisen kuoriverkon palveluntarjontaan. Arkkitehtuuri tukee erilaisten laitteiden ja niiden käyttämien protokollien resurssien rekisteröintiä ja löytämistä yhteensopivuuden saavuttamiseksi. Väitöskirjatyön osana on toteutettu toimiva prototyyppi, jonka toimivuus on todennettu demonstraation avulla. Prototyypillä tehdyt mittaukset antavat perustellun syyn olettaa, että esitetyn ratkaisun mukainen välimuistin käyttö voi merkittävästi lyhentää resurssien etsimisen vasteaikaa.

Nach Befunden des Bundes-Gesundheitssurveys 1998/99 (Zusatzsurvey „Psychische Störungen“) litten im Jahr der Erhebung 32% (=15,6 Millionen) der erwachsenen deutschen Bevölkerung im Alter von 18–65 unter einer oder mehreren psychischen Störungen. Jeder dritte Betroffene (36%) steht oder stand im Jahr vor der Erhebung wegen der psychischen Störung in Kontakt mit ambulanten oder stationären psychiatrisch/psychotherapeutischen Diensten oder seinem Hausarzt. Der Anteil von Betroffenen, die eine im weitesten Sinne adäquate Therapie nach modernen wissenschaftlichen Kriterien erhalten, kann konservativ auf ca.10% geschätzt werden. Die niedrige Versorgungsquote betrifft dabei nicht alle spezifischen Störungsgruppen in gleichem Ausmaß; niedrige Versorgungsraten ergaben sich insbesondere für somatoforme und Suchterkrankungen. Ferner ergaben sich zum Teil markante regionale Unterschiede (z.B. besonders schlechte Versorgungslage in Regionen, die weder über eine nahe Universität noch über psychotherapeutische Weiterbildungsinstitutionen verfügen).Ungeachtet unterschiedlich weiter oder enger Definitionen des Begriffs Behandlungsbedarf, zeigt sich eine gravierende Unterversorgung von Personen mit psychischen Erkrankungen. Quantitativ bedeutsame Hinweise auf eine Fehl- oder Überversorgung von Betroffenen lassen sich nicht aufzeigen. / Data from the German Health Interview and Examination Survey, Mental Health Supplement (N=4181) reveal that 32% (15,6 million people) of the adult population between 18 and 65 years of age suffer from one or more mental disorders. Among those only 36% receive treatment which also varies in type, duration, and adequacy. The proportion of cases receiving “adequate evidence- based treatments” was estimated to be about 10%.Lowest treatment rates were found for somatoform disorders and substance abuses, highest for psychotic disorders, panic disorder, generalised anxiety disorder, and dysthymia. The data reveal substantial regional differences with regard to treatment rates (e.g. lower rates in regions without universities or institutions offering postgraduate mental health education).The paper concludes that, depending on the diagnosis, a considerable degree of unmet medical needs exist for the majority of people affected by mental disorders. No evidence was found for an excessive supply of health care for the patients suffering from mental disorders or for treatments without an existing clinical need.

В диссертационном исследовании проанализирован рынок услуг обучающих мероприятий в сфере реализации Комплекса ГТО в г. Екатеринбурге и исследованы потребительские предпочтения целевой аудитории. Разработанный обучающий тренинг может быть использован в ходе работы других муниципальных образований с целью освоения обучающимися на данном тренинге новых инструментов по привлечению широких слоев населения к выполнению нормативов Комплекса ГТО. / The dissertation research analyses the market of training services in the sphere of Ready for Labor and Defense complex implementation in Ekaterinburg and studies consumer preferences of the target audience. The developed training session can be used in the course of work of other municipal structures with the purpose of mastering by the trainees of this training course of new tools on attraction of general population to meet the requirements of the Ready for Labor and Defense complex.

Aujourd’hui, la satisfaction des utilisateurs des services de santé est reconnue comme une mesure de la qualité des soins. Au Québec, le congé précoce en obstétrique constitue la norme pour les mères ayant donné naissance à un bébé en santé. Selon la littérature, cette pratique n’entraîne pas de répercussions négatives pour la santé des mères et de leur nouveau-né à condition qu’un suivi adéquat soit assuré. D’autre part, bien qu’il semble que la diminution de la durée du séjour hospitalier soit appréciée par les mères, peu de données sont disponibles relativement aux caractéristiques menant à l’appréciation du suivi postnatal. Objectifs : Cette étude s’intéresse principalement à la première visite à domicile effectuée par une infirmière suite au congé précoce en obstétrique. Dans un premier temps, elle vise à tracer un portrait des mères en fonction du délai de la première visite à domicile et, dans un second temps, à connaître les facteurs associés à l’appréciation, par les mères, du délai de cette visite. Méthode : Les données de cette étude ont été recueillies au Québec, entre janvier 2002 et janvier 2003, lors d’une enquête téléphonique effectuée auprès de mères de bébés nés en santé, un mois suivant leur accouchement vaginal sans complication (n=1548). Pour nos analyses, nous avons retranché les mères ayant eu une durée de séjour de plus de 60 heures, une grossesse de moins de 37semaines et un bébé pesant moins de 2500 g à la naissance. Notre échantillon se compose donc de 1351 mères. Résultats : 86,2 % des mères ont reçu une offre de visite à domicile. La majorité (80.2 %) des mères ont reçu la visite dans les trois premiers jours suivant leur retour à la maison, dont près du tiers (28,1 %), dans les 24 premières heures. Comparativement aux mères visitées au deuxième ou troisième jour suivant le congé, celles visitées dans les 24 premières heures ont jugé la durée de séjour hospitalier trop courte (p=0,018) et reçu un appel de l’infirmière qui a duré plus longtemps (p=0, 009). De plus, au moment du congé, elles perçoivent leur bébé en moins bonne santé (p=0,029). Elles ont aussi accouché d’un bébé plus petit (p=0,052) qui a tendance à avoir présenté des signes d’ictères pendant le séjour hospitalier (p=0,100). D’autre part, la majorité des mères (86,4 %) disent que le délai de la première visite à domicile est adéquat alors que 11,6 % le jugent trop court et 2,3 % trop long. Pour les mères visitées au premier jour, l’analyse multivariée révèle que certaines caractéristiques et certains besoins sont associés à la perception que le délai de la visite est trop court : une seule visite postnatale, un revenu familial de plus de 40 000 $, la perception que la durée de séjour est trop longue et le fait de ne pas allaiter. Pour les mères qui reçoivent la visite au deuxième et troisième jour, ce sont, seulement, le fait d’avoir été au rendez-vous médical et le fait d’avoir reçu une seule visite qui sont associés à la perception que le délai de la visite est trop court. Pour conclure, au Québec, le programme de suivi postnatal universel semble en mesure d’offrir une visite à domicile dans les délais prescrits à une majorité de mères. Les résultats de cette étude suggèrent que le délai de la première visite à domicile n’est pas optimal pour toutes les mères et permettent d’envisager que certaines mères auraient souhaité recevoir une seconde visite plus tardivement au cours de la période postnatale. D’autres recherches devront être effectuées afin de parfaire nos connaissances relativement au moment idéal pour réaliser les interventions postnatales.Mots clefs : Satisfaction, appréciation des utilisateurs, qualité des soins, programme universel, suivi postnatal, congé précoce en obstétrique, visite à domicile, délai de la visite, provision des services. / Patient satisfaction is now recognized as part of a measure of quality of care. In Québec, early discharge following normal delivery is common practice. Early discharge was proven to have no impact on the mother’s and baby’s health status when adequate follow-up is ensure. Women’s seems to appreciate early discharge but few studies have explored the factors contributing to the expression of satisfaction regarding home visits in the context of postnatal early discharge. Objectives: This study as two main objectives. First, we want to identify which characteristics are associated with the delay of the first postnatal visit. Second, we want to determine which factors are contributing to the appreciation of the visit’s delay. Methods : Data were obtained through a telephone survey conducted in the province of Quebec between January 2002 and January 2003. Mothers that had a normal vaginal delivery and a healthy baby were reached one month after giving birth (n=1548). For analysis purposes, mothers with length of stay above 60 hours, less than 37 week of pregnancy and a newborn weighing less than 2500 g at birth were cut off leaving a sample of 1351 mothers. Results: 86.2% of the mothers have been offered a postnatal visit. Most women (80.2%) received a home visit within three days and almost a third (28.1%) within the first 24 hours after hospital discharge. When compared to the mothers who received the visit within 2 or 3 days, mothers that received a visit within the first 24 hours found the hospital stay too short (p=0.018) but received a longer telephone call by the nurse (p=0.009). These mothers gave birth to smaller babies (p=0.052) whom also presented jaundiced while being in the hospital (p=0.100). Finally, at discharge, these mothers perceive their baby to be less healthy (p=0.029). On the other end, 86.4 % of all mothers are satisfied with the delay of the first postnatal visit, while 11.6% of them found it too short and 2.3% too long. For the mothers visited the first day, logistic regression analysis reveals that some characteristics as: having only one postnatal visit, a family income of more than 40 000$, perceived hospital stay as too long and not breastfeeding, are significantly associated with the perception of having a visit too soon after hospital discharge. For mothers visited on the second or third day after discharge, the perception that the delay was too short is only significantly associated with having a baby’s medical appointment within the first two weeks and one postnatal visit. Conclusion: Quebec’s postnatal visit program seems to offer a visit within an adequate length of time for the majority of mothers. Results of this study suggest that the time after the hospital discharge for the first visit might not be optimal for all mothers. This allows us to consider that some mothers would have appreciated a second postnatal visit. Further studies are needed to pursue analysis of the delays between discharge and the first visit in order to better meet the needs of mothers. Keywords :Satisfaction, user evaluation, quality of care, universal program, postnatal care, postpartum early discharge, home visit, timing, service provision

Aujourd’hui, la satisfaction des utilisateurs des services de santé est reconnue comme une mesure de la qualité des soins. Au Québec, le congé précoce en obstétrique constitue la norme pour les mères ayant donné naissance à un bébé en santé. Selon la littérature, cette pratique n’entraîne pas de répercussions négatives pour la santé des mères et de leur nouveau-né à condition qu’un suivi adéquat soit assuré. D’autre part, bien qu’il semble que la diminution de la durée du séjour hospitalier soit appréciée par les mères, peu de données sont disponibles relativement aux caractéristiques menant à l’appréciation du suivi postnatal. Objectifs : Cette étude s’intéresse principalement à la première visite à domicile effectuée par une infirmière suite au congé précoce en obstétrique. Dans un premier temps, elle vise à tracer un portrait des mères en fonction du délai de la première visite à domicile et, dans un second temps, à connaître les facteurs associés à l’appréciation, par les mères, du délai de cette visite. Méthode : Les données de cette étude ont été recueillies au Québec, entre janvier 2002 et janvier 2003, lors d’une enquête téléphonique effectuée auprès de mères de bébés nés en santé, un mois suivant leur accouchement vaginal sans complication (n=1548). Pour nos analyses, nous avons retranché les mères ayant eu une durée de séjour de plus de 60 heures, une grossesse de moins de 37semaines et un bébé pesant moins de 2500 g à la naissance. Notre échantillon se compose donc de 1351 mères. Résultats : 86,2 % des mères ont reçu une offre de visite à domicile. La majorité (80.2 %) des mères ont reçu la visite dans les trois premiers jours suivant leur retour à la maison, dont près du tiers (28,1 %), dans les 24 premières heures. Comparativement aux mères visitées au deuxième ou troisième jour suivant le congé, celles visitées dans les 24 premières heures ont jugé la durée de séjour hospitalier trop courte (p=0,018) et reçu un appel de l’infirmière qui a duré plus longtemps (p=0, 009). De plus, au moment du congé, elles perçoivent leur bébé en moins bonne santé (p=0,029). Elles ont aussi accouché d’un bébé plus petit (p=0,052) qui a tendance à avoir présenté des signes d’ictères pendant le séjour hospitalier (p=0,100). D’autre part, la majorité des mères (86,4 %) disent que le délai de la première visite à domicile est adéquat alors que 11,6 % le jugent trop court et 2,3 % trop long. Pour les mères visitées au premier jour, l’analyse multivariée révèle que certaines caractéristiques et certains besoins sont associés à la perception que le délai de la visite est trop court : une seule visite postnatale, un revenu familial de plus de 40 000 $, la perception que la durée de séjour est trop longue et le fait de ne pas allaiter. Pour les mères qui reçoivent la visite au deuxième et troisième jour, ce sont, seulement, le fait d’avoir été au rendez-vous médical et le fait d’avoir reçu une seule visite qui sont associés à la perception que le délai de la visite est trop court. Pour conclure, au Québec, le programme de suivi postnatal universel semble en mesure d’offrir une visite à domicile dans les délais prescrits à une majorité de mères. Les résultats de cette étude suggèrent que le délai de la première visite à domicile n’est pas optimal pour toutes les mères et permettent d’envisager que certaines mères auraient souhaité recevoir une seconde visite plus tardivement au cours de la période postnatale. D’autres recherches devront être effectuées afin de parfaire nos connaissances relativement au moment idéal pour réaliser les interventions postnatales.Mots clefs : Satisfaction, appréciation des utilisateurs, qualité des soins, programme universel, suivi postnatal, congé précoce en obstétrique, visite à domicile, délai de la visite, provision des services. / Patient satisfaction is now recognized as part of a measure of quality of care. In Québec, early discharge following normal delivery is common practice. Early discharge was proven to have no impact on the mother’s and baby’s health status when adequate follow-up is ensure. Women’s seems to appreciate early discharge but few studies have explored the factors contributing to the expression of satisfaction regarding home visits in the context of postnatal early discharge. Objectives: This study as two main objectives. First, we want to identify which characteristics are associated with the delay of the first postnatal visit. Second, we want to determine which factors are contributing to the appreciation of the visit’s delay. Methods : Data were obtained through a telephone survey conducted in the province of Quebec between January 2002 and January 2003. Mothers that had a normal vaginal delivery and a healthy baby were reached one month after giving birth (n=1548). For analysis purposes, mothers with length of stay above 60 hours, less than 37 week of pregnancy and a newborn weighing less than 2500 g at birth were cut off leaving a sample of 1351 mothers. Results: 86.2% of the mothers have been offered a postnatal visit. Most women (80.2%) received a home visit within three days and almost a third (28.1%) within the first 24 hours after hospital discharge. When compared to the mothers who received the visit within 2 or 3 days, mothers that received a visit within the first 24 hours found the hospital stay too short (p=0.018) but received a longer telephone call by the nurse (p=0.009). These mothers gave birth to smaller babies (p=0.052) whom also presented jaundiced while being in the hospital (p=0.100). Finally, at discharge, these mothers perceive their baby to be less healthy (p=0.029). On the other end, 86.4 % of all mothers are satisfied with the delay of the first postnatal visit, while 11.6% of them found it too short and 2.3% too long. For the mothers visited the first day, logistic regression analysis reveals that some characteristics as: having only one postnatal visit, a family income of more than 40 000$, perceived hospital stay as too long and not breastfeeding, are significantly associated with the perception of having a visit too soon after hospital discharge. For mothers visited on the second or third day after discharge, the perception that the delay was too short is only significantly associated with having a baby’s medical appointment within the first two weeks and one postnatal visit. Conclusion: Quebec’s postnatal visit program seems to offer a visit within an adequate length of time for the majority of mothers. Results of this study suggest that the time after the hospital discharge for the first visit might not be optimal for all mothers. This allows us to consider that some mothers would have appreciated a second postnatal visit. Further studies are needed to pursue analysis of the delays between discharge and the first visit in order to better meet the needs of mothers. Keywords :Satisfaction, user evaluation, quality of care, universal program, postnatal care, postpartum early discharge, home visit, timing, service provision

Social economy community development organizations (SECDOs) are social service organizations that provide poverty relief but do not necessarily inspire a counter-hegemonic antipoverty strategy against a neoliberal welfare state. Tension between providing human social services and engaging in advocacy is at the core of how SECDOs may be both complicit to as well as working against the neoliberalization of the welfare state. This study explores how SECDOs can nurture a new paradigm for community economic development organizations. Through a case study of a Canadian settlement house, the research demonstrates how transforming work may encourage a culture of organic intellectualism or, a culture of emancipatory consciousness-raising. By re-organizing workplace practices, such as working collaboratively, providing a hub for services and engaging in popular education, transformative SECDOs help provide the conditions for citizens to affect governance. The research theorizes how SECDOs may foster a culture of organic intellectualism to promote the transformative social economy.