Integrated community case management (iCCM) has now been implemented at scale globally. Literatur... more Integrated community case management (iCCM) has now been implemented at scale globally. Literature to-date has focused primarily on the effectiveness of iCCM and the systems conditions required to sustain iCCM. In this study, we sought to explore opportunities taken and lost for strengthening health systems through successive iCCM programmes. We employed a systematic, embedded, multiple case study design for three countries—Ethiopia, Malawi and Mozambique—where Save the Children implemented iCCM programmes between 2009 and 2017. We used textual analysis to code 62 project documents on nine categories of functions of health systems using NVivo 11.0. The document review was supplemented by four key informant interviews. This study makes important contributions to the theoretical understanding of the role of projects in health systems strengthening by not only documenting evidence of systems strengthening in multi-year iCCM projects, but also emphasizing important deficiencies in syste...
abstract: Community gardens have wide-reaching potential for addressing public health issues. How... more abstract: Community gardens have wide-reaching potential for addressing public health issues. However, of the thousands of gardens located in the United States, many lack rigorous planning and encounter crippling obstacles, like disinterest from community members, soon after implementation. This study created a processual typology to summarize steps in the implementation process for existing gardens described within peer-reviewed, academic journals and offers recommendations for more sustainably planning future garden projects up to ten years in advance. A systematic review was conducted to identify descriptions of community gardens in peer-reviewed, academic literature. A general logic model was used as a basic structure and themes for each step (inputs, activities, outputs, short/long term outcomes, impacts, and methods of evaluation) were summarized from the included studies to construct a processual typology for evaluating community garden implementation in the United States. This typology was then used to assess a case study of a garden in Des Moines, Iowa, which generated the author's interest in conducting this research after assisting with that space through an AmeriCorps community health program. Results showed that existing gardens shared common attributes and could be categorized according to one of two speeds of implementation ("regular" or "accelerated") and according to one of three types of organizational structure ("grassroots," "externally-organized," or "externally-managed"). The typology was assessed for limitations from having been based on a systematic review of only peer-reviewed, academic articles and, referring to its themes, was used to construct a logic model for a hypothetical community garden project. The processual typology developed in this study is limited in its power to summarize all existing community gardens but offers a first step toward informing the creation of logic models for future projects in order to improve sustainability and attain more funding
abstract: Binge drinking has clear consequences but subtle influences among undergraduate student... more abstract: Binge drinking has clear consequences but subtle influences among undergraduate students. While theories of perceived drinking norms and social identity have been determined to be predictive of binge drinking behavior, few studies have tested these influences outside of fraternities, sororities, and athletic teams and little research exists employing social network analysis (SNA) to quantify social ties. In this study, a small, undergraduate dance team was identified to test social identity theory using social network analysis in a peripheral social group. Each member was interviewed for demographic information, personal drinking habits, personal network structure, perceptions of peer drinking within both the personal network and the whole-network (the dance team), and sociometric position within the dance team. Personal network characteristics, whole-network dynamics and perceptions of peer drinking were tested for predictive value of individual binge drinking behavior utilizing binary logistic regression analysis. Results for predictor variables were weakened due to the small sample size (n = 13) and low variability within some constant variables, returning no statistically significant (p < 0.05) independent variables. However, while odds ratios could not be used to construct regression equations, four models were statistically significant overall. Each model was tested again without the constants; no models nor variables were statistically significant. These models indicated, within this sample, that 1) the proportion of a group that adopts binge drinking behavior is predictive of that behavior for the interviewee (in terms of the overall personal network as well as the triads within the personal network); and 2) the perception of the average team member's maximum alcohol intake along with the proportion of the personal network composed of team members is predictive of individual binge drinking behavior. Low variance in the variables and the small sample size warrant further research to test the viability of targeting anti-binge drinking campaigns toward peripheral social groups
Despite increasing attention to the concept of a humanitarian-development nexus in recent years, ... more Despite increasing attention to the concept of a humanitarian-development nexus in recent years, limited research is available to improve health systems strengthening practice within humanitarian programmes. We used an exploratory, systematic, embedded, multiple case study design to discern systems effects of successive Save the Children chronic emergency health and nutrition projects implemented in Sudan and Pakistan between 2011 and 2018. We used textual analysis to code 63 documents focused on eight themes using NVivo 11.0. This was supplemented by six key informant interviews. Findings offer a complex and mixed picture, with contributions to systems strengthening in community systems, their linkages to health management structures, and human resources for health. Projects with primary mandates for urgent service delivery progressively found systems strengthening opportunities, through a combination of tacit choices and explicit objectives. In both countries, some ‘parallel syste...
Integrated community case management (iCCM) has now been implemented at scale globally. Literatur... more Integrated community case management (iCCM) has now been implemented at scale globally. Literature to-date has focused primarily on the effectiveness of iCCM and the systems conditions required to sustain iCCM. In this study, we sought to explore opportunities taken and lost for strengthening health systems through successive iCCM programmes. We employed a systematic, embedded, multiple case study design for three countries—Ethiopia, Malawi and Mozambique—where Save the Children implemented iCCM programmes between 2009 and 2017. We used textual analysis to code 62 project documents on nine categories of functions of health systems using NVivo 11.0. The document review was supplemented by four key informant interviews. This study makes important contributions to the theoretical understanding of the role of projects in health systems strengthening by not only documenting evidence of systems strengthening in multi-year iCCM projects, but also emphasizing important deficiencies in syste...
abstract: Community gardens have wide-reaching potential for addressing public health issues. How... more abstract: Community gardens have wide-reaching potential for addressing public health issues. However, of the thousands of gardens located in the United States, many lack rigorous planning and encounter crippling obstacles, like disinterest from community members, soon after implementation. This study created a processual typology to summarize steps in the implementation process for existing gardens described within peer-reviewed, academic journals and offers recommendations for more sustainably planning future garden projects up to ten years in advance. A systematic review was conducted to identify descriptions of community gardens in peer-reviewed, academic literature. A general logic model was used as a basic structure and themes for each step (inputs, activities, outputs, short/long term outcomes, impacts, and methods of evaluation) were summarized from the included studies to construct a processual typology for evaluating community garden implementation in the United States. This typology was then used to assess a case study of a garden in Des Moines, Iowa, which generated the author's interest in conducting this research after assisting with that space through an AmeriCorps community health program. Results showed that existing gardens shared common attributes and could be categorized according to one of two speeds of implementation ("regular" or "accelerated") and according to one of three types of organizational structure ("grassroots," "externally-organized," or "externally-managed"). The typology was assessed for limitations from having been based on a systematic review of only peer-reviewed, academic articles and, referring to its themes, was used to construct a logic model for a hypothetical community garden project. The processual typology developed in this study is limited in its power to summarize all existing community gardens but offers a first step toward informing the creation of logic models for future projects in order to improve sustainability and attain more funding
abstract: Binge drinking has clear consequences but subtle influences among undergraduate student... more abstract: Binge drinking has clear consequences but subtle influences among undergraduate students. While theories of perceived drinking norms and social identity have been determined to be predictive of binge drinking behavior, few studies have tested these influences outside of fraternities, sororities, and athletic teams and little research exists employing social network analysis (SNA) to quantify social ties. In this study, a small, undergraduate dance team was identified to test social identity theory using social network analysis in a peripheral social group. Each member was interviewed for demographic information, personal drinking habits, personal network structure, perceptions of peer drinking within both the personal network and the whole-network (the dance team), and sociometric position within the dance team. Personal network characteristics, whole-network dynamics and perceptions of peer drinking were tested for predictive value of individual binge drinking behavior utilizing binary logistic regression analysis. Results for predictor variables were weakened due to the small sample size (n = 13) and low variability within some constant variables, returning no statistically significant (p < 0.05) independent variables. However, while odds ratios could not be used to construct regression equations, four models were statistically significant overall. Each model was tested again without the constants; no models nor variables were statistically significant. These models indicated, within this sample, that 1) the proportion of a group that adopts binge drinking behavior is predictive of that behavior for the interviewee (in terms of the overall personal network as well as the triads within the personal network); and 2) the perception of the average team member's maximum alcohol intake along with the proportion of the personal network composed of team members is predictive of individual binge drinking behavior. Low variance in the variables and the small sample size warrant further research to test the viability of targeting anti-binge drinking campaigns toward peripheral social groups
Despite increasing attention to the concept of a humanitarian-development nexus in recent years, ... more Despite increasing attention to the concept of a humanitarian-development nexus in recent years, limited research is available to improve health systems strengthening practice within humanitarian programmes. We used an exploratory, systematic, embedded, multiple case study design to discern systems effects of successive Save the Children chronic emergency health and nutrition projects implemented in Sudan and Pakistan between 2011 and 2018. We used textual analysis to code 63 documents focused on eight themes using NVivo 11.0. This was supplemented by six key informant interviews. Findings offer a complex and mixed picture, with contributions to systems strengthening in community systems, their linkages to health management structures, and human resources for health. Projects with primary mandates for urgent service delivery progressively found systems strengthening opportunities, through a combination of tacit choices and explicit objectives. In both countries, some ‘parallel syste...
Uploads
Papers by Elijah Olivas