Browsing by Subject "Enablers"

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    Enablers of and barriers to digital innovation success: a comparative study of structured versus unstructured technology innovation environments in Kenya
    (2025) Mutegi, Lorna; Van Belle, Jean-Paul
    Western theories dominate research on digital innovation in the Global South, neglecting contextual differences. Further, current research lacks focus on how structured versus unstructured innovation environments affect digital innovation success in these contexts. This study's investigation and findings centre on the phenomenon of ‘digital innovation success', focusing on digital startups and innovators in Kenya. The study has two objectives: to isolate the enablers of and barriers to digital innovation success in Kenya and to compare the success factors between structured versus unstructured innovation environment. This study uses multiple cases with semi-structured interviews, document reviews, and media analysis. Kleine's Choice Framework was used as the core theoretical lens, from which a conceptual model that guided data analysis was developed. The framework enabled visualisation of digital innovation success systemically and holistically as a development outcome that digital innovators in the Global South strive to achieve. The framework was also used to identify and evaluate the conditions (agency and structure resources) under which digital innovation success opportunities emerge within structured and unstructured environments, thereby revealing their differences and similarities. The study findings in respect of the first objective revealed Entrepreneurship Support Organisations and Innovation Intermediaries as the most influential contextual factor on digital innovation success in Kenya. Results for the second objective revealed structured environment as a significant enabler of success in Kenya but warns against assuming all structures are neutral. The study's first theoretical contribution is an explanation of contextual enablers of and barriers to digital innovation success in the Global South. Second, a theoretical demonstration of how Kleine's Choice Framework can be used as a lens for Information Systems research and for building a conceptual model. The study's first practical contribution is that digital innovators can make informed decisions on the innovation environment that best fits their strengths and startup needs. Second, government and policy makers can better tailor their support for each environment. Further, the study highlights the difference between startups and MSMEs, urging tailored policies for digital startups. Third, investors can leverage the study findings to invest strategically in digital innovation ventures in the Global South.
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    Enablers of psychosocial recovery in pediatric burns: perspectives from the children, parents and burn recovery support staff
    (2020-06-09) Van Niekerk, Ashley; Jacobs, Roxanne; Hornsby, Nancy; Singh-Adriaanse, Robyn; Sengoelge, Mathilde; Laflamme, Lucie
    Background Pediatric burn injuries are a major cause of death and injury, occurring mainly in resource poor environments. Recovery from burns is widely reported to be constrained by physical, psychological, relationship and reintegration challenges. These challenges have been widely described, but not the enablers of psychosocial recovery. This is especially true in pediatric burn research, with few multi- perspective studies on the recovery process. Methods This qualitative study involved 8 focus group discussions (four with 15 children post-burn injury, four with 15 caregivers) and 12 individual interviews with staff working in pediatric burns that explored the psychosocial needs of children after a burn and the enablers of their recovery. Purposive sampling was utilized and recruitment of all three categories of participants was done primarily through the only hospital burns unit in the Western Cape, South Africa. The interviews focused on factors that supported the child’s recovery and were sequentially facilitated from the child and the family’s experiences during hospitalization, to the return home to family and friends, followed by re-entry into school. Thematic analysis was used to analyze verbatim interview transcripts. Results The recovery enablers that emerged included: (i) Presence and reassurance; indicating the comfort and practical help provided by family and close friends in the hospital and throughout the recovery process; (ii) Normalizing interactions and acceptance; where children were treated the same as before the injury to promote the acceptance of self and by others especially once the child returned home; and (iii) Sensitization of others and protection; signifying how persons around the child had assisted the children to deal with issues in the reintegration process including the re-entry to school. Conclusions This study indicates that the psychosocial recovery process of children hospitalized for burns is enabled by the supportive relationships from family members, close friends and burn staff, present during hospitalization, the return home, and school re-entry. Support included comfort and physical presence of trusted others and emotional support; affirmation of the child’s identity and belonging despite appearance changes; and the advocacy and protection for the re-entry back into the school, and more generally the community.
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    Enhancing linkage to HIV care in the “Universal Test and Treat” era: Barriers and enablers to HIV care among adults in a high HIV burdened district in KwaZulu-Natal, South Africa
    (BioMed Central, 2023-09-09) Nicol, Edward; Jama, Ngcwalisa A.; Mehlomakulu, Vuyelwa; Hlongwa, Mbuzeleni; Pass, Desiree; Basera, Wisdom; Bradshaw, Debbie
    Ending AIDS by 2030 would depend on how successful health systems are in linking people living with HIV (PLHIV) into care. The World Health Organization recommended the ‘Universal Test and Treat’ (UTT) strategy – initiating all individuals testing positive on antiretroviral therapy (ART) irrespective of their CD4 count and clinical staging. This study aimed to explore the enablers and barriers to linkage to HIV care among adults with a new HIV diagnosis in a high-HIV prevalent rural district in South Africa. A qualitative study was undertaken to explore patients’ perceptions of enablers and barriers of linkage-to-care, using a life-story narration and dialogue approach. In-depth interviews were conducted with 38 HIV-positive participants sampled from a cohort of 1194 HIV-positive patients recruited from December 2017 to June 2018. Participants were selected based on whether they had been linked to care or not within 3 months of positive HIV diagnosis. Interviews were thematically analysed using a general inductive approach. Of the 38 participants, 22 (58%) linked to care within three months of HIV-positive diagnosis. Factors that facilitated or inhibited linkage-to-care were found at individual, family, community, as well as health systems levels. Enablers included a positive HIV testing experience, and assistance from the fieldwork team. Support from family, and friends, as well as prior community-based education about HIV and ART were also noted. Individual factors such as acceptance of HIV status, previous exposure to PLHIV, and fear of HIV progressing, were identified. Barriers to linkage included, denial of HIV status, dislike of taking pills, and preference for alternative medicine. Negative experiences with counselling and health systems inefficiency were also noted as barriers. Perceived stigma and socio-economic factors, such as lack of food or money to visit the clinic were other barriers. Community-based and health system-level interventions would need to focus on clinic readiness in providing patients with necessary and effective health services such as proper and adequate counselling. This could increase the number of patients who link to care. Finally, interventions to improve linkage-to-care should consider a holistic approach, including training healthcare providers, community outreach and the provision of psychological, social, and financial support.