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Young Australian Women with Breast Cancer: Perspectives of their Illness ExperiencesConnell, Shirley Elizabeth January 2005 (has links)
Young women with breast cancer have been found to experience their disease more negatively and more intensely than their older counterparts. However 'young' is not uniformly defined within the literature. Studies have reported on a wide range of ages considered to be 'young', such as samples simply divided by menopausal status or other researcher-defined parameters. For the purpose of this study, young women with breast cancer were defined as those diagnosed at 40 years of age or younger. The overarching aim of the study was to explore the problems faced by this group of young women using qualitative methodology, guided by constructionist epistemology, and grounded in symbolic interactionism and social constructionism. The study was conducted longitudinally, with data collected three times over a 12-18 month period using one-to-one in-depth semi-structured interviews. Baseline data were collected in the first phase of the study (n=35). A sub-group of participants (n=13) were chosen to be followed twice more approximately six months apart, which made up the next two phases. Themes derived from the literature guided the first phase of the study, data collection and analysis. Data analysis was performed after each data collection phase, with findings informing the next phase/s of the study. Thematic and content analysis were utilized in regards to the analysis of the first phase of the study, providing a framework identifying the most pressing concerns, such as those centred around children and partners, emotional aspects and negative physical consequences of treatment. Interrelationships between these themes were apparent. Findings suggest that the emotional support needs of this group of young women remains a challenge. Basic analytical principles of data reduction, data display and drawing conclusions guided the following phases of the analysis. NUD*IST (N6) software was utilized to help undertake in-depth analysis of all follow-up data. The literature concentrates on infertility as a concern for young women with breast cancer, however the study found that fertility per se was a concern for this group of women. Issues of maintained and regained fertility were reported, i.e., concerns surrounding suitable, safe and reliable contraception, pregnancy and breastfeeding after breast cancer. Over time, perceptions of fertility changed. Decisions related to unplanned pregnancies and breastfeeding were particularly onerous. The study also provided other insights into the participants' lives. Body image is suggested to be of greater concern for younger women with breast cancer than their older counterparts. Perceptions of breast symbolism, societal and personal, were explored, as were perceptions of the external portrayal of their bodies. In addition, the participants reported how their experience of breast cancer differed from that of older women with breast cancer, e.g., to be and dress more sexually. Theories and notions of social constructionism and the social construction of the body helped explain the participants' experiences. The women were acutely aware of the sexual importance society placed on women's breasts. Social norms and expectations and cultural trends, that is the youth and beauty culture, were found to greatly influence the participants' perceptions and hence decisions made. Prosthesis use and breast reconstructive surgery were viewed as normalising efforts undertaken by participants to reduce stigma related to breast loss/disfigurement and to enhance body image. The findings from this study provide a greater understanding of the issues, concerns and experiences of young women with breast cancer and provide information that could be utilized in the redesign of educational/information resources to provide these women with relevant information. Currently available support services may also benefit from these findings as greater understanding of these women's experiences may facilitate and promote the provision of more age-appropriate support for young women with breast cancer diagnosed in the future.
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Perceived barriers of HIV status disclosure of pregnant women to their partners in the Capricorn District, Limpopo ProvinceSeroto, Mapula Ennia 05 1900 (has links)
Disclosure of a Human Immunodeficiency Virus (HIV) positive status is vital for prevention and promotion of the couple‟s health. The study aimed to investigate the perceived barriers of pregnant women diagnosed as HIV positive towards disclosure of their HIV status to their partners in the Capricorn District, Limpopo Province. Recommendations were formulated to enhance the self-efficacy.
A quantitative, explorative, descriptive cross-sectional design and the Health Belief Model theory was used. Non-probability, convenience sampling utilised and 170 respondents aged 18-40 years participated in the study. A questionnaire was used to collect data and the SSPS version 24.0 was utilised to analyse data. Overall, 87.64% respondents received disclosure education and 80% disclosed their status to their partners. Reasons for non-disclosure included fear of rejection, violent behaviour, blame and stigmatisation by partners. Health care workers should provide pregnant women with information on preventive strategies to enhance disclosure of HIV status. / Health Studies / M.A. (Nursing Science)
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Risky sexual behaviours among adolescents in a rural setting in RustenburgMoraope, Nompikeleko Doris 12 1900 (has links)
Early engagement in sexual activities amongst adolescents has become a worldwide concern, with studies finding them to begin as early as 12 or earlier (Booysen & Summerton, 2000; Dowsett & Aggleton, 1999). The behaviour becomes even more concerning when youths engage in sexual relationships which are considered as “risky”, that is, that put their health and wellbeing in danger. According to Trends (2010), such behaviour increases one’s risk of contracting sexually transmitted infections (STIs) and unintended pregnancies.
Guided by Bronfenbrenner’s ecological model, this study investigated risky sexual behaviours amongst adolescents living in the rural areas. The motivation was twofold, namely: to change the behaviours and to strengthen school sexuality education programme. The study aligned itself to qualitative paradigm and adopted a case study design. Data was collected using focus interviews with 20 adolescents (10 boys and 10 girls) in the age range of 15-17 years, who were selected following purposive sampling.
The findings revealed adolescents’ tendencies of engaging in risky sexual behaviours such as: sexual relationship with older people, involvement with multiple partners, unstable relationship, pornography, sex in exchange of money. Factors contributing to these behaviours include: limited sexuality education, parents not teaching about sexuality education, lack of good role models, poverty, and fear to disclose problems to teachers, ostentatious lifestyles, peer pressure, and myths about sex. Suggestions put forth for preventing involving risky sexual behaviours include: appropriate school programmes, good learner-teacher relationship, effective communication with parents, strengthening of the learning content of Life Orientation, discipline at home, good friends, closing down of illegal taverns, illegalising sex with young boys and girls and restricting access to pornography on the internet. In conclusion, I suggest that the problem be addressed ecosystematically. / Inclusive Education / M. Ed. (Inclusive Education)
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The economic diplomacy of a small state : the case of NamibiaMushelenga, Peya 03 1900 (has links)
This study is about the economic diplomacy of Namibia, as a small state, for the period 1990 – 2015. Liberalism, as a theory of International Relations (IR) studies, is the adopted analytical framework. Namibia’s economic diplomacy is anchored in the foreign policy principles enshrined in article 96 of her constitution, which advocate, inter alia, the maintenance of mutual beneficial relations. Namibia, further enacted laws and adopted policies that serve as domestic instruments of economic diplomacy. The stakeholders in Namibia’s economic diplomacy include both state and non-state actors.
The study adopts a population of 8 million as the benchmark for small states, plus one of the following characteristics of small states: small size of the territory; low economy and the perception by the government leaders and nationals.
Namibia’s bilateral economic diplomacy covers over one hundred countries. Her major trade partners, in terms of export trade and inward investments are Angola, Canada, China, Germany, The Netherlands, Spain, South Africa, Switzerland, The United Kingdom and the United States. Bilateral economic diplomacy is further pursued through the Export Processing Zone (EPZ) exports.
The Namibian Government pursues multilateral economic diplomacy with the European Union, as part of the Africa Caribbean Pacific states and with regional and international economic and trade organisations such as the Southern Africa Customs Union, the
Southern Africa Development Community, the United Nations Conference in Trade and Development and the World Trade Organisation. Namibia also adopts conference diplomacy as a form of multilateral economic diplomacy.
The study makes an epistemological contribution to the study of IR, that the world is constructed under the hierarchical order that constrains power-based relations and minimises conflicts in international trade. A minimal trend of pursuing interests is, however, observed. The study further makes an ontological contribution to the study of IR, that the behaviour of state and non-state actors are inclined to cooperation on the continuum of conflict and cooperation.
The study concludes that, contrary to the assumptions in small states literature, that small states have limitations of capacity and play an insignificant role in multilateralism, Namibia has skilled negotiators who have led negotiations in regional and international organisations. / Political Sciences / D. Litt. et Phil. (International Politics)
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Vklady do společnosti z hlediska účetního a daňového / Contribution in the company in terms of accounting and taxPAULUSOVÁ, Miluše January 2013 (has links)
The aim of this thesis is to analyze current legislature regarding property deposits in terms of taxation and accountancy. The first part of this thesis (Chapters 1 - 4) gives general information regarding commercial companies, company capital, various types of deposits and their valuation. The next chapter concentrates on tax obligations that may arise due to deposits into companies - real estate transfer tax, income tax, value added tax. The sixth chapter describes the problem of accounting for contributions, including practical examples. Chapters 7 -9 list proposed and already approved changes in the statutory tax on the transfer of real estate. Great attention is paid to the legislature of companies' exemption from real estate transfer tax (in cases when given conditions are met) which has been in effect since 1993 and which will expire 31st December 2014 (or 2013). Based on data from the Tax Office for the South Bohemian Region, Territorial offices in Český Krumlov from the years 2000 - 2011 and from the data of the Ministry of Finance of the Czech Republic, it was estimated how repealed exemption may be reflected in the annual revenue of the state budget. In conclusion, the paper outlines the conditions for further development and the impact of new legislation on companies and their associates.
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Análise do custo-benefício da exportação de água virtual no setor agropecuário brasileiro / Cost-benefit analysis of virtual water exports in the Brazilian agricultural sectorJaquelini Gisele Gelain 26 February 2018 (has links)
Análise de custo-benefício (CBA) é um instrumento de avaliação de políticas que auxilia na tomada de decisão, empregada principalmente por gestores públicos. A CBA foi utilizada com o intuito de alcançar o objetivo principal desse estudo: verificar se a exportação de água virtual - água incorporada em um produto durante seu processo produtivo - embutida em 10 produtos do setor agropecuário brasileiro, no período de 2002 a 2016, está sendo benéfica ao Brasil. Os produtos estudados foram agrupados em 5 grupos, Açúcar, Café, Milho, Soja e Boi que, somados, desde o ano de 2012 têm representado mais de 20% do total das exportações brasileiras, em termos monetários, US$. Para qualquer análise custo-benefício é necessário que todos os impactos (custos e benefícios) sejam monetizados para se apurar o benefício líquido (BL), que é alcançado diminuindo-se os custos (C) dos benefícios (B), (BL=B-C). O estudo admitiu como custo os custos de produção, dos produtos estudados; a tarifa de armazenagem portuária; e, o valor da água virtual exportada pelo Brasil. Como benefício está sendo considerado o valor recebido com a exportação desses produtos, convertido em moeda nacional. Dessa forma, para alcançar o objetivo principal do estudo, foi necessário precificar a água virtual, um dos objetivos específicos do estudo. Ademais, o estudo apresenta ainda os principais parceiros importadores do Brasil, com relação aos produtos estudados; a importância brasileira como país exportador para esses parceiros importadores; a diferença no volume de água utilizado para produção, tanto no Brasil quanto nesses importadores; e, o volume e o valor total da água virtual exportada no período analisado. A hipótese central que norteou esse trabalho é que o Brasil obteve mais benefícios do que custos ao exportar água virtual, embutida na cesta de produtos agropecuários escolhida. Inclusive, essa hipótese pôde ser confirmada, uma vez que se identificou, por meio da CBA, benefícios totais líquidos positivos, no período de 2002 a 2016, isto é, os benefícios (valor das exportações) superaram os custos (custo de produção, tarifa portuária e valor da água virtual). No que tange aos benefícios líquidos por grupo de produto estudado, os mesmos apresentaram resultado negativo em alguns anos do período analisado. Como exemplo, para o grupo Milho, nos anos de 2005, 2006 e 2009 os benefícios líquidos foram negativos. Quanto aos benefícios totais líquidos, os mesmos foram de R$ 216.342.482.411,98 no período de 2002 a 2016. Em relação ao volume total de água virtual exportada, incorporada nos produtos abordados pelo estudo, no período analisado, o mesmo foi de 2.514.850,651 milhões de m3 de água. Em termos de valor monetário, o total apurado para esse volume de água foi de R$ 27.166.366.824,47. / Cost-benefit analysis (CBA) is a policy evaluation tool that assists in decision-making, used primarily by public managers. CBA was used in order to reach the main objective of this study: to verify if the export of virtual water - water contained in a product during its production process - embedded in 10 products of the Brazilian agricultural sector, from 2002 to 2016, is being beneficial to Brazil. The products studied were grouped into 5 groups: Sugar, Coffee, Corn, Soybean and Bovine, which, since the year of 2012, represented more than 20% of total Brazilian exports, in monetary terms, US$. For any cost-benefit analysis it is necessary that all impacts (costs and benefits) are monetized to determine the net benefit (NB), which is achieved by decreasing the costs (C) of the benefits (B), (NB = B-C). The study admitted as cost the costs of production, of the products studied; the port storage tariff; and, the value of virtual water exported by Brazil. As a benefit is being considered the value received with the export of these products, converted into national currency. Thus, to reach the main objective of the study, it was necessary to value the virtual water, one of the main objectives of the study. In addition, the study also analyses the main importing partners of Brazil, in relation to the products studied; the importance of Brazil as a leading agricultural exporting country for these importing partners; the difference in the volume of water used for production, both in Brazil and in the importing partners; and, the volume and total value of the virtual water exported in the analyzed period. The central hypothesis that guided this work is that Brazil obtained more benefits than costs when exporting virtual water embedded in the chosen basket of agricultural products. This hypothesis could even be confirmed, since the CBA identified positive total net benefits from 2002 to 2016, i.e., benefits (value of exports) exceeded costs (production cost, tariff port value and virtual water value). Regarding the net benefits per product group studied, they presented negative results in some years of the analyzed period, for example, for the Corn group, in the years 2005, 2006 and 2009 the net benefits were negative. As for the total net benefits, they were R$ 216,342,482,411.98 in the period from 2002 to 2016. In relation to the total volume of virtual exported water, incorporated in the products addressed by the study, during the analyzed period, it was 2,514,850,651 million m3 of water. In terms of monetary value, the total amount for this volume of water was R$ 27,166,366,824.47.
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O abandono escolar em 2 escolas estaduais da CDE 05 de Manaus/AMSantos, Adriana Boh dos 13 December 2017 (has links)
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Previous issue date: 2017-12-13 / A presente dissertação foi desenvolvida no âmbito do Mestrado Profissional em Gestão e Avaliação da Educação (PPGP) do Centro de Políticas Públicas e Avaliação da Educação da Universidade Federal de Juiz de Fora (CAEd/UFJF). O caso de gestão tem como objetivo identificar os motivos do abandono em duas escolas de Ensino Médio, sendo uma com maior taxa e outra com menor taxa de abandono escolar. da Coordenadoria Distrital de Educação – CDE 05 [Manaus-AM]. Como objetivos específicos, pretendemos: I) Verificar quais os motivos do abandono escolar nas quatro escolas com maior taxa de abandono escolar da CDE 05, na visão de alunos, gestor escolar, assim como do Coordenador da Redução do Abandono Escolar – CRAE - da CDE 05. II) Analisar os motivos mais recorrentes de infrequência e abandono dentre os alunos que abandonaram as escolas em 2016 e que se matricularam nas respectivas escolas selecionadas para esta pesquisa em 2017; III) Propor um plano de ações mais efetivo de combate ao abandono escolar nas duas escolas deste referido estudo. O texto foi organizado em três capítulos que descrevem esta pesquisa. No capítulo I, contextualizamos o abandono escolar no Ensino Médio no Brasil e no Amazonas. No capítulo II, realizamos a análise dos fatores externos e internos à escola que incidem sobre o abandono escolar, sendo maior relevância a análise dos fatores internos que subsidiou a elaboração do plano de ação para prevenção e redução do abandono nas escolas estudadas. A metodologia de pesquisa escolhida foi a qualitativa, por meio do estudo de caso, no qual foram usados instrumentos de coleta como: a aplicação de questionários aos alunos, entrevista semiestruturadas aos gestores escolares e Coordenador da Redução do Abandono Escolar da CDE 05 e uma pesquisa bibliográfica sobre a temática do abandono escolar no Ensino Médio. E, finalmente, no capítulo III, fazemos a proposição de um plano de ação para a prevenção e redução do abandono escolar nas duas escolas onde foi realizado o estudo de caso. Este trabalho apresenta como fundamentação teórica estudos realizados anteriormente sobre o abandono escolar, em que destacamos: Soares et al (2015), que estudou os “Fatores associados ao abandono escolar no ensino médio público de Minas Gerais”; Castelar (2010), que realizou “Um estudo sobre as causas de abandono escolar nas escolas públicas de Ensino Médio no Estado do Ceará”; Vasconcelos (2013), que pesquisou sobre “Abandono e absenteísmo Escolar no Conselho de Ponta Delgada”; Fritsch e Vitelli (2016), com seus estudos sobre a “Evasão escolar , a escola e o mercado de trabalho: o que dizem jovens do ensino médio de escolas públicas”. A fundamentação teórica desta pesquisa nos demonstrou que vários estudiosos categorizaram os motivos do abandono escolar em 02 grandes grupos: fatores internos e fatores externos à escola. Esta pesquisa se ateve aos fatores internos à escola que incidem sobre o abandono escolar. Dentre esses, o principal motivo destacado é o desinteresse escolar, o que os alunos chamaram de falta de vontade de estudar. / This dissertation was developed within the scope of the Professional Master in Management and Evaluation of Education (PPGP) of the Center for Public Policies and Education Evaluation of the Federal University of Juiz de Fora (CAEd / UFJF). The case of management aims to identify the reasons for dropping out in two high schools, one with a higher rate and another with a lower dropout rate. of the District Education Coordination - CDE 05 [Manaus-AM]. As specific objectives, we intend to: I) Check the reasons for dropping out in the four schools with the highest dropout rate of CDE 05, in the view of students, school administrators, as well as the CDE Coordinator of the Reduction of School Dropout - CDE 05. II) To analyze the most frequent reasons for infrequency and dropout among students who dropped out of school in 2016 and who enrolled in the respective schools selected for this research in 2017; III) To propose a more effective action plan to combat school dropout in the two schools of this study. The text was organized in three chapters that describe this research. In chapter I, we contextualize the drop out in high school in Brazil and the Amazon. In chapter II, we analyzed the external and internal factors that affect school drop-out, and the internal factors that contributed to the development of the action plan for prevention and reduction of dropout in the schools studied were more relevant. The research methodology chosen was qualitative, through a case study, in which collection instruments were used, such as: the application of questionnaires to students, a semi-structured interview with school administrators and the CDE 05 Abandonment Reduction Coordinator, and a research bibliography on the subject of school dropout in High School. Finally, in Chapter III, we propose a plan of action for the prevention and reduction of school drop-outs in the two schools where the case study was carried out. This study presents as theoretical foundation previous studies about school dropout, in which we highlight: Soares et al. (2015), who studied the "Factors associated with school dropout in Minas Gerais high school"; Castelar (2010), who conducted "A study on the causes of school dropout in public high schools in the state of Ceará"; Vasconcelos (2013), who researched on "School Abandonment and Absenteeism in the Council of Ponta Delgada"; Fritsch and Vitelli (2016) with their studies on "School Evasion, School and the Job Market: What Do High School Youth Say in Public Schools." The theoretical basis of this research has shown that several scholars have categorized the reasons for school dropout in two large groups: internal factors and factors external to school. This research was based on internal factors that affect school drop-out. Among these, the main reason is school disinterest, which the students called lack of will to study.
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Les accords collectifs de groupe / The group agreementsThéodoropoulos, Alexandra 18 November 2015 (has links)
D’abord cantonnés au secteur industriel, les groupes de sociétés se sont progressivement développés dans l’ensemble des secteurs d’activités et sont devenus en quelques années des acteurs incontournables de la vie économique et sociale. Le regroupement d’entreprises sous la domination d’une société-mère s’est accompagné d’une recherche d’unité dans les modes de gestion et les statuts sociaux déployés dans chaque entreprise les composant. C’est dans ce contexte que s’est développée la négociation d’accords de groupe. De simple expérimentation issue de la pratique, la négociation collective de groupe est devenue un véritable niveau de négociation collective reconnue par le législateur. L’accord de groupe est désormais consacré comme une norme créatrice de droits et d’obligations entre employeurs et salariés du groupe, mais sa place dans la hiérarchie des normes n’a pas été précisée. Cette situation génère de nombreuses interrogations quant à sa portée et à ses limites : chaque apport du législateur à la construction du régime juridique des accords de groupe soulève de nouvelles difficultés avec lesquelles les partenaires sociaux doivent composer. La présente étude tentera de mettre en évidence les solutions proposées par les partenaires sociaux pour affiner et sécuriser le régime juridique applicable aux accords de groupe. / Originally confined to the industrial sector, corporate groups have gradually developed in all sectors and have become in just a few years key players in economic and social life. The business combination under supervision of parent company was accompanied by a search for unity in management methods and employees’ status. The negotiation of group agreements has developed in this context. Simple hands-on experience at the beginning, group collective bargaining has become a real level of collective bargaining recognized by the legislator. The group agreement is now set out as a standard which establishing rights and obligations between employers and employees of the group, but its place in the hierarchy of norms has not been specified. This situation generates many questions about its scope and its limits: each legislator’s contribution to the group agreements’ legal regime raises new difficulties that the social partners have to deal with. This study will attempt to identify the solutions proposed by the social partners in order to refine and secure the group agreements’ legal regime.
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Les 2-cys peroxyrédoxines plastidiales chez Arabidopsis thaliana : statut rédox, état d' oligomérisation, recherche de partenaires et rôles physiologiques / Plastidial 2-Cys peroxiredoxins in Arabidopsis thaliana : redox status, oligomerization status, search of partners and physiological rolesCerveau, Delphine 25 February 2016 (has links)
Dans la nature, les plantes sont constamment exposées à des modifications de leur environnement générant un stress oxydant auquel elles doivent s’adapter du fait de leur immobilité. Les végétaux ont donc développé un grand nombre de mécanismes antioxydants permettant de protéger leurs fonctions vitales. L’étude d’une enzyme de type peroxyrédoxine (PRX) localisée dans le chloroplaste montre que son activité antioxydante est importante pour la croissance et la tolérance des végétaux aux contraintes environnementales. De plus, cette PRX pourrait interagir avec d’autres protéines impliquées notamment dans des mécanismes antioxydants et dans le métabolisme du carbone. Parmi elles, une protéine de type fibrilline participant à la protection des structures photosynthétiques, pourrait avec la PRX protéger la photosynthèse, fonction propre aux végétaux et essentielle pour la vie sur terre. / In nature, plants are constantly exposed to environmental changes leading to oxidative stress, to which they must adapt due to their immobility. Plants have developed many antioxidant systems allowing them to maintain their vital functions. The study of a peroxiredoxin, enzyme (PRX) localized in chloroplasts, shows that its direct antioxidant activity is essential for growth and tolerance of plants to environmental constraints. In addition, this PRX could interact with other proteins especially involved in antioxidant mechanisms and carbon metabolism. Among them, fibrillin proteins, which participate in the protection of the photosynthetic structures, could preserve with the PRX the plant photosynthesis, which is essential for the life on earth.
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Humanitarian Supply Chain: Improvement of Lead Time Effectiveness and Costs Efficiency : A multiple case study on the preparedness stage of humanitarian organizations with their partnersLisnati Jayadi, Ester, Sadat, Najmus, Richit, Hugo January 2020 (has links)
Title: Humanitarian Supply Chain: Improvement of lead time effectiveness and cost-efficiency. A multiple case study on the preparedness stage of humanitarian organizations with their partners. Authors: Ester Lisnati Jayadi, Hugo Richit, Najmus Sadat. Background: 315 natural disasters events were reported, causing 11,804 deaths, affecting 68 million people, and costing US$131.7 billion in economic losses worldwide. This fact emerges the importance of humanitarian organizations (HOs) to act in reducing suffering and improving peoples’ life. However, the greater donations and support to HOs still do not solve this enormous issue at all which forces HOs to pursue greater accountability by improving their effectiveness and efficiency in terms of time and cost in disaster activities, especially in preparedness activities. No single actors like HOs have sufficient resources to solve the disaster problem alone; thus, they need partners to work hand in hand to relieve the suffering. Performance measurement through integration called performance management process is the key to enabling HOs and their partners to achieve the lead time effectiveness and cost-efficiency. Purpose: The purposes of the study are to explore which performance measurements are needed between humanitarian organizations with their partners and to explore how to integrate their relationship to improve lead time effectiveness and cost-efficiency. Then, the suggestions can be made by fulfilling the purposes. Method: A multiple case study by utilizing qualitative data through semi-structured interviews. Findings and Conclusions: RQ 1. What HSC (humanitarian supply chain) performance measurements are needed in the HSC’s preparedness stage in order to achieve the lead time effectiveness and cost efficiency? The performance required measurements in HSC’s preparedness stage to achieve lead-time effectiveness, and cost-efficiency are organizational procedures, learning and evaluation, HO’s mission, feedback, budgeting, fund management, sourcing, human and resource management, IT utilization, infrastructure utilization, human resources utilization, delivery time, knowledge management, information sharing, and employee management. RQ 2. How to integrate the HSC performance management process in the HSC’s preparedness stage to improve the lead time effectiveness and cost efficiency? By implementing a proposed performance management process, aligning vision and mission, trusting each other, utilizing IT technologies, improving the language, and applying standardization in HSC. Keywords: Humanitarian Supply Chain Management. Humanitarian Supply Chain. Preparedness Stage. Natural Disasters. Humanitarian Organizations. Partners. Dyads. Multiple Case Studies. Performance Measurements. Performance Management Process. Supply Chain Process Integration
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