Thursday, November 28, 2019
The Hit of a Lifetime free essay sample
I was starting varsity at second base and contributing to my team in any way. I was doing what I needed to do. Our team was a force to be reckoned with In this state, and we knew It. Our first test was the MASC. championship game, a home game. The cards were laid out great for us. We were hosting Princeton High, who later became the 2012 state champions. The day came, but we only played a few Innings before the skies unleashed on us with rain and lightning. The players, coaches, umpires, and a few dedicated fans tried to Walt out the storm. We waited until around 1 1 p. , when the umpires decided to postpone the game until the next day. The agony of waiting can play mind games with you. All night and all the next day, you wait and anticipate that championship game. The time finally came, and Mother Nature was finally a baseball fan. We will write a custom essay sample on The Hit of a Lifetime or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The skies were a beautiful blue, the sun shining perfectly, and even a few birds chirping. You could smell baseball in the air. The game started and went back and forth many times. At this point, we were taking anything we could get, scraping and clawing for any type of spark.As the game went on, our endurance was tested, and the score was tied at the end of the 7th inning. Our first extra inning we fought on to keep the score tied. We were up to bat last, since we were the home team. I got the chance of a lifetime, a moment that could define my rather short life up until then. I came up to bat with two outs in the bottom of the 9th inning. The first pitch was high and outside. The second pitch was released, a survivable on the outer side of the plate. I put every ounce of effort and will into the swing and watched it pop off my bat.I darted running and was stunned to see the ball sail over the left field fence. I had hit the game winning homerun in the championship game, and when I came around heading to home my baseball family mobbed me at the plate. It was quite a moment, a moment In which my life was defined. I have always worked hard In athletics because Im not one of the naturally gifted athletes. Vive accepted this fact and I love the challenge to make myself better. Vive done It my whole life. On this day, my athletic life was defined and changed forever. I saw firsthand that hard work eventually pays off.I vowed to make myself better every day that I had the opportunity. I started Lifting weights over the summer and watching exactly what kind of food I was eating to make It as efficient as possible. This moment has changed my athletic life forever, and has overall defined my life. The Hit of a Lifetime By estates most athletes can only dream. My defining moment is a once in a lifetime happening in a lifetime event. A moment in which I never dreamed would become a reality. My was a force to be reckoned with in this state, and we knew it.Our first test was the came, but we only played a few innings before the skies unleashed on us with rain and lightning. The players, coaches, umpires, and a few dedicated fans tried to wait a moment in which my life was defined. I have always worked hard in athletics because Im not one of the naturally gifted done it my whole life. On this day, my athletic life was defined and changed forever. I day that I had the opportunity. I started lifting weights over the summer and watching exactly what kind of food I was eating to make it as efficient as possible.
Sunday, November 24, 2019
Free Essays on The Implications Of Culture On Developmental Delay
The Implications of Culture on Developmental Delay As a teacher, I feel it is necessary for me to try to understand to the best of my ability the culture(s) of my students and their families. It is only within that context can one begin to discuss developmental delay and/or disability. Despite teaching for over a year, I do not feel I am fully cognizant of the individual nuances of the different cultures of my students. I also personally do not feel comfortable with labeling students (or people, for that matter) nor do I feel it necessary or even helpful to attach labels; what is most important is to identify specific areas where remediation is can be both helpful and provided. As the article points out, disability is a social and cultural construct. What I view as a disability may be viewed as a spiritual phenomenon or only temporary. Unless I am able to recognize my own assumptions when speaking with parents as well as the culture of my student, I may, in fact, be viewed as the irrational person. I must develop a cultural self-awareness to facilitate conversations with parents about their child and identify the familyââ¬â¢s goals, priorities and visions for their child. However, I do not think it necessary to attach labels; what is important are the specific implications and symptoms and remediation of those needs to the extent that allow them to flourish in the world without negating their own cultures. I believe it is necessary to identify the cultural values when discussing my interpretation of a studentââ¬â¢s of a studentââ¬â¢s difficulties or in the recommendation for service. I should find out, to the extent possible whether the family members value my assumptions and, if not, how their views differ from mine. For example, I may feel it is necessary for a child to learn how to learn new information independently while individuality and independence may not be highly valued in the familyââ¬â¢s culture. As the Dunn and Dun... Free Essays on The Implications Of Culture On Developmental Delay Free Essays on The Implications Of Culture On Developmental Delay The Implications of Culture on Developmental Delay As a teacher, I feel it is necessary for me to try to understand to the best of my ability the culture(s) of my students and their families. It is only within that context can one begin to discuss developmental delay and/or disability. Despite teaching for over a year, I do not feel I am fully cognizant of the individual nuances of the different cultures of my students. I also personally do not feel comfortable with labeling students (or people, for that matter) nor do I feel it necessary or even helpful to attach labels; what is most important is to identify specific areas where remediation is can be both helpful and provided. As the article points out, disability is a social and cultural construct. What I view as a disability may be viewed as a spiritual phenomenon or only temporary. Unless I am able to recognize my own assumptions when speaking with parents as well as the culture of my student, I may, in fact, be viewed as the irrational person. I must develop a cultural self-awareness to facilitate conversations with parents about their child and identify the familyââ¬â¢s goals, priorities and visions for their child. However, I do not think it necessary to attach labels; what is important are the specific implications and symptoms and remediation of those needs to the extent that allow them to flourish in the world without negating their own cultures. I believe it is necessary to identify the cultural values when discussing my interpretation of a studentââ¬â¢s of a studentââ¬â¢s difficulties or in the recommendation for service. I should find out, to the extent possible whether the family members value my assumptions and, if not, how their views differ from mine. For example, I may feel it is necessary for a child to learn how to learn new information independently while individuality and independence may not be highly valued in the familyââ¬â¢s culture. As the Dunn and Dun...
Thursday, November 21, 2019
John Gerard Ruggie Article Example | Topics and Well Written Essays - 500 words
John Gerard Ruggie - Article Example with Regard to Human Rights and secondly the authorââ¬â¢s mandate on the issue of human rights that he presented as a special representative of the united nations. The norms drafted by the UN were said to be a pioneering measure to ascertain the provision of basic human rights in a business setup on an international level. Even though it was accepted by the United Nationââ¬â¢s Sub-Commission for the Promotion and Protection of Human Rights, its parent body, the human rights commission UN failed to accept it. According to the author, this norm had several loopholes that could have resulted to this case. Firstly, the norms included all other business enterprises and not just the transnational. With 77000 transnational firms all over the world, globalization encourages them to spread its operations and supply chain all over the world. However, every country has a different and completely new system of socio political environment and a set of laws. The issue debates whether an international law binding is enough for the subsidiaries operation in different countries as a lapse on the subsidiaryââ¬â¢s part may hold the parent company responsib le. In the general obligations section of the draft norms, the human rights laws are proposed in detail incorporating aspects like discrimination, security, even debated areas like environmental rights and indigenous communityââ¬â¢s rights. However, it failed to propose the scope of the spheres of influence under which these need to be practiced. Neither did it mention the primary and secondary nature of state and corporate duties respectively. The author took into account these pitfalls of the draft norms and proposed in his mandate measures that incorporated existing international corporations, their practices in order to decrease the gap between human rights and corporate activities internationally. The proposed strategies by the author strengthen the draft norms by correcting the existing pitfalls. Firstly, making corporations
Wednesday, November 20, 2019
Branding Assignment Example | Topics and Well Written Essays - 2000 words
Branding - Assignment Example This of course depends on the reputation of the brand, which refers to how it has appealed to consumers in the grocery sector in the past and how it has served them. The literature review highlights previously researched concepts of branding and its effects on buyer behavior. The literature review's aim is to establish the range of concepts and theories associated with branding's effects on buyer behavior in the grocery sector. This is by reviewing a wide range of books, journals, business publications, and periodicals. The chapter begins by tracing the development of the branding concept through to key theoretical models associated with its application. The review then concludes on the brands' principles of importance in business-to-consumer emotional relations. Methods of research employed, need to be as equally balanced as possible. Therefore, a balance of qualitative and quantitative data needs to be considered. This means that books, journals, websites and reports will be considered as important sources of data. In addition to these sources, a survey will also be conducted in order to gather first hand information from individuals regarding the operations of corporations that have shareholders as their principal. In order to find out the answers to research questions, a survey with a qualitative technique is used. Qualitative research methods aim at understanding the rich, complex and idiosyncratic nature of human phenomena. This is important particularly for understanding the manner in which each individual behaves when he/she has a role to play in an important position. This is important to consider because of the fact that while researching the effect branding on consumer's buying behaviour, elements like trust and integrity play a significant role. Literature Review Brief History of Branding: For the past 4000 years, symbolism - a form of branding, has been used as means of ownership, recognition, and identification. The Ancient Romans and Egyptians identified their livestock with symbols and signs. These activities, ideologies and practices were the very early concepts of identification and recognition. Yet, the theoretical published material on branding from a businesses perspective only emerged
Sunday, November 17, 2019
Demon Lover Essay Example | Topics and Well Written Essays - 750 words
Demon Lover - Essay Example The aura of this story is psychological because the mysterious letter is a physical element with mental and emotional implications. We all have demons; the skeletons in Mrs. Droverââ¬â¢s closet in this story happen to be real. The man Mrs. Drover was intended to marry, before he was sent to war told her he did not know how long he would be gone, but she had nothing to do to await his return. Months after his departure he is reported missing, presumably killed. For years she goes unnoticed and un-admired by men. When her mother and sister fear she is past all hope, at 32 she secures the affections of William Drover. They marry and have three children. Her fiancà © is the incarnate ghost of her past which has been haunting her since she attempted to her live her life after his disappearance. She struggles with the fact that she doesnââ¬â¢t know why she agreed to marry a man who was not kind to her. She still sees it as a suspension she was in and was not able to get out of. Something that still haunts her and makes her think of him, whether as a threat or as a person she left or could not wait for. She may feel guilt but it may be at her own actions. Guilt of feeling emotion for a man who did not treat her the way she wanted to be treated. When Mrs. Drover is described in her house, a house boarded-up and damaged by war, itââ¬â¢s painting for the reader an image of her life as affected by her long-lost fiancà ©; like her house, sheââ¬â¢s damaged though emotionally, and boarded up and abandoned. She also described as living in the country-side, away from the house and with her new family. If one were to see the story this way, we could also see her in the house presently to clean out the remnants of her feelings for her fiance, or to begin the final battle to get him out of her mind. This is supported by the description of the weather as weââ¬â¢re introduced to the deserted house: overcast, as if preparing to storm and later, we hear rain. This description has nothing to do on her doubts of her fianceââ¬â¢s disappearance; it just helps describe her journey in a clear way, though on her, a physical sign of her war is seen through a nervous twitch of her mouth. We should realize the fact that psychological st ories such as this one are made for the reader, so we need to pay attention to the fact that Elizabeth Bowen is trying to direct our minds down certain path, especially when introducing us to the house. She is trying to set a mood that is bleak, sinister and warning of something darker being imminent. The neighborhood being described as war-torn makes the area seem tormented, ââ¬Å"Against the next batch of clouds, already piling up ink-dark, broken chimneys and parapets stood outâ⬠(Bowen, 1). This mood is also set by the weather in the beginning of the story where Bowen is trying to build an atmosphere of tension. This story is psychological because Mrs. Droverââ¬â¢s evils are either a figment of her imagination, or theyââ¬â¢re products of her ex-fianceââ¬â¢s threats, which are both physical and emotional. The letter she finds in her house is the first example of a physical threat, whether it is from him or not, she perceives the letter to be a threat in the way tha t the writer makes this whole story affect the reader: through controlled vagueness which causes the imagination of the recipient run wild and cause damage. The other physical reminder of her lover is the scar on her hand from
Friday, November 15, 2019
Return on Investment for Emergency Obstetric Care Training
Return on Investment for Emergency Obstetric Care Training Social Return on Investment for Emergency Obstetric Care Training in Kenya Dedication ââ¬Å"To philanthropy and all those contributing to making the world a better placeâ⬠List of tables Table 1ââ¬â1: Summary table of social impact assessment methods Table 2ââ¬â1: WHO emergency obstetric care signal functions.. Table 3ââ¬â1: Krlev et al. 12-point quality assessment framework Table 3ââ¬â2: Sources of retrieved SROI studies. Table 3ââ¬â3: Criterion quality scores of health SROI studies across the 5 dimensions Table 3ââ¬â4: Health interventions that have been measured with SROI Table 3ââ¬â5: Summary table describing application of the SROI methodology in Health Table 3ââ¬â6: Summary of duration of health SROI analysis. Table 4ââ¬â1: Outputs of the current phase of the Making it Happen programme Table 4ââ¬â2: Content of the LSS-EOC NC. Table 4ââ¬â3: Distribution of Kenyan population across age groups. Table 4ââ¬â4: Kenyan Key development indicators.. Table 4ââ¬â5: EmONC indicators in Kenya compared to UN standards. Table 5ââ¬â1: Description of SROI principles. Table 5ââ¬â2: MiH outcome and output data indicators relevant for SROI analysis Table 6ââ¬â1: Stakeholder analysis of the EmONC training component of the Making it Happen programme Table 6ââ¬â2: Primary and secondary data required from the included stakeholders List of figures Figure 1ââ¬â1: Types of Social Return on Investment Studies Figure 2ââ¬â1: Annotation of the logic model (version 1). Figure 2ââ¬â2: Annotation of the logic model (version 2). Figure 2ââ¬â3: DFID 3Es + CE framework for Value for Money.. Figure 3ââ¬â1: Schematic representation of the conceptual framework underpinning the review Figure 3ââ¬â2: PRISMA flow diagram summarising the search process. Figure 3ââ¬â3: Mean quality scores of health SROI studies since 2005. Figure 3ââ¬â4: Number of public health SROI articles published since 2005. Figure 3ââ¬â5: Number of health SROI studies published by year, showing countries where the methodology was applied Figure 3ââ¬â6: Distribution of countries conducting SROI studies Figure 4ââ¬â1: Map of Kenya showing the eight provinces and the surrounding countries Figure 5ââ¬â1: SROI process map Figure 5ââ¬â2: Methods to be used within the SROI data collection stages.. Figure 6ââ¬â1: Analysis of stakeholders related to EmONC training in Kenya List of appendices Appendix 1: Search strategy Appendix 2: Systematic review results Appendix 3: Ethics Appendix 4: Materials relating to Making it Happen Appendix 5: Questionnaires Abbreviations ACAFIAtkisson Compass Assessment for Investors AIDSAcquired Immune Deficiency Syndrome BACOBest Available Charitable Option BEmOCBasic Emergency Obstetric Care BEmONCBasic Emergency Obstetric and Newborn Care BoP Base of Pyramid BScBalanced Scorecard BVABlended Value Accounting CAQDAS CEmOCComprehensive Emergency Obstetric Care CEmONCComprehensive Emergency Obstetric and Newborn Care CBACost Benefit Analysis CEACost-Effectiveness Analysis CMA Cost-Minimization Analysis CMNHCentre for Maternal Newborn Health CRTCluster Randomised Trials CSOCivil Society Organisation CUACost-Utility Analysis DALYs Disability-Adjusted Life Years DFIDDepartment for International Development DHDepartment of Health DHS Demographic and Health Survey EEEconomic Evaluation EmOC Emergency Obstetric Care EmONCEmergency Obstetric and Newborn Care EOC NCEssential Obstetric Care and Newborn Care FGFocus Group FGDFocus Group Discussion GRIGlobal Reporting Initiative HCPHealth Care Providers HEFCEHigher Education Funding Council for England ICPIntegrated Care and Prevention IDIIn-Depth Interview KHSSIP Kenya Health Sector Strategic and Investment Plan KIIKey Informant Interview KPIKey Person Interview LADSILabour and Delivery Satisfaction Index LATHLiverpool Associates in Tropical Health LEMLocal Economic Multiplier LMICsLow and Middle Income Countries LSS-EOCNCLife Saving Skills ââ¬â Essential Obstetric Care and Newborn Care LSTMLiverpool School of Tropical Medicine MARPMost At Risk Population MDG-ScanMillennium Development Goal Scan MICSMultiple Indicator Cluster Survey MIFMeasuring Impact Framework MiHMaking It Happen MMRMaternal Mortality Ratio MNHMaternal and Newborn Health MOHMinistry of Health MOMSMinistry of Medical Services MOPHSMinistry of Public Health and Sanitation MSCMost Significant Change nefNew Economics Foundation NGOsNon-Governmental Organisations OASISOn-going assessment of Social Impacts OVCOrphan and Vulnerable Children PLHIVPeople Living with Human Immuno-deficiency Virus PLHWAPeople Living With AIDS PSIAPoverty and Social Impact Analysis PTOPerson Trade-Off QALYsQuality-Adjusted Life Years QIQuality Improvement RCOGRoyal College of Obstetricians and Gynaecologists RCTRandomised Controlled Trials REDFRoberts Enterprise Development Fund RFRoberts Foundation ROIReturn on Investment SAASocial Accounting and Auditing SBASkilled Birth Attendant SCStakeholder Consultation SCBASocial Costs-Benefits Analysis SDRSocial Discount Rate SIASocial Impact Assessment SIAASocial Impact Analysts Association SRASocial Return Assessment SRHSexual and Reproductive Health SROISocial Return on Investment SSQSix Simple Questions STDsSexually Transmitted Infections SVAStakeholder Value Added TBLTriple Bottom Line ToCTheory of Change TSOThird Sector Organisation UKUnited Kingdom UNUnited Nations UNICEFUnited Nations Childrenââ¬â¢ Fund VfMValue for Money WBWorld Bank WHOWorld Health Organization 1 Introduction 1.1 Purpose of the chapter This chapter introduces the social return on investment methodology ââ¬â its definition, history as well as strengths and weaknesses of its application. It then proceeds to identify examples of previous applications of the method, explores any previous intersection of the methodology with the maternal and newborn health field and provides the rationale for the study. Finally, the objectives of this research and an overview of the thesis are provided. 1.2 What is Social Return on Investment? The first definition of Social Return on Investment (SROI) is ââ¬Å"a simple financial assessment of socio-economic value. SROI compares a projectââ¬â¢s net benefits to the investment required to generate those benefits over a certain period of timeâ⬠(Emerson and Cabaj, 2000). Over time, this definition has been modified. In the most recent SROI methodology guidance, SROI is defined as ââ¬Å"a framework for measuring and accounting for the much broader concept of value. It seeks to reduce inequality and environmental degradation and improve wellbeing by incorporating social, environmental and economic costs and benefitsâ⬠(Nicholls et al., 2012). This definition is most commonly referred to in the literature, when authors define SROI, probably because it is stated within the SROI guidance. New Economics Foundation (nef) also defines SROI as ââ¬Å"an analytic tool for measuring and accounting for a much broader concept of value, taking into account social, economic and environmental factorsâ⬠(nef, 2014). SROI measures change from the perspective of stakeholders that experience or contribute to a particular activity, intervention, project, programme or policy. ââ¬Å"It tells the story of how change is being created by measuring social, environmental and economic outcomes and uses monetary values to represent themâ⬠(Nicholls et al., 2012). Data collection and subsequent analyses allow calculation of a benefits-to-costs ratio. For example, a ratio of 4:1 indicates that an investment of à £1 delivers à £4 of social value. There are two types of SROI (Nicholls et al., 2012) [Figure 1-1]: Evaluative SROI: This retrospectively measures outcomes that have already happened. Forecast SROI: This estimates how much social impact will be generated if the activities to be conducted meet their intended outcomes. Figure 1.1: Types of Social Return on Investment Studies 1.3 History of SROI A review of the development of the SROI methodology would aid understanding of the initial considerations of those who developed the tool and the capabilities and potentials of the tool. This understanding is critical for this research as it provides a foundation upon which the application of the SROI framework in the maternal and newborn health (MNH) area can be better understood. Roberts Foundation (RF) developed the initial SROI framework in 1996, presented in a report titled New Social Entrepreneurs: The Success, Challenge and Lessons of Non-profit Enterprise Creation (REDF, 1996). The purpose of the first SROI report by REDF was to demonstrate the blend of financial, social and environmental value that all the social enterprises within REDFââ¬â¢s funding portfolio were producing compared to the total investment the organisation was making. This first SROI did not attempt to account for all benefits accrued from a programme, but estimated the cost savings or revenue contributions that are attributed to the programme. The framework utilised a modified discounted cash flow analysis for this calculation to demonstrate impact (Emerson and Cabaj, 2000; Emerson et al., 2000). In 1997, the RF, under its new initiative Roberts Foundation Enterprise Development Fund (REDF) updated the framework so to have the capacity to account for total organisational social return on investment and adjusted to be able to account for actual performance that could be continuously updated. REDF recognised more limitations in the methodology (Emerson et al., 2000), but has since not produced any further SROI reports or guidelines. However, the concepts that underpinned the development of this initial framework have been built upon in the subsequent development of the methodology over the past two decades (Tuan, 2008). Guidelines for SROI application have been produced in year 2000 (Emerson and Cabaj, 2000), 2004 (Lingane and Olsen, 2004) and 2006 (Scholten et al., 2006). In 2008, the United Kingdom (UK) Office of the Third Sector (Now referred to as Office for Civil Society (Civil Society Media, 2010)), which is responsible for charities, social enterprises and voluntary org anisations in the Cabinet Office (UK Government, 2014) launched the Measuring Social Value project (Arvidson et al., 2010) and this led to the development of an updated guideline in 2009 (Nicholls et al., 2009) and the production of another revision three years later (Nicholls et al., 2012). These revisions have over the years integrated the initial REDF SROI methodology, which was essentially a social impact measurement tool with principles and processes normally used in economic evaluations and financial return on investment to build a framework that captures social, economic and environmental impacts of interventions (Rotheroe and Richards, 2007). This concept of capturing the broader impacts is widely referred to as the ââ¬Å"triple bottom lineâ⬠(Norman and MacDonald, 2004), which is in itself encapsulated within the ââ¬Å"blended value accountingâ⬠theory (Emerson, 2003). Furthermore, through this evolution, a more detailed stakeholder analysis is now included, shorter time frames are used for estimations and a process to adjusts the results for outcomes that may be attributable to different organisations has been incorporated into the calculation of the SROI ratio (Tuan, 2008). Discussions on how best to structure the methodology are on-going and networks such as the European SROI Network (ESROIN), formed in 2004, the SROI Network (international), formed in 2008 and subsequently affiliated networks formed in Sweden, Canada and Australia, are constantly leading and shaping this process (SROIN, 2014a). The methodology is gradually gaining interest in Africa and Asia too. The drive to develop the methodology has come from within and without the third sector, as third sector organisations (TSOs), such as not for profit organisations, charities and voluntary organisations, are increasingly getting involved in delivering public services and are viewed as development partners who need to show ââ¬Ëvalue for moneyââ¬â¢ (Netten et al., 2010). On one hand, TSOs are pushing to become better in being accountable and demonstrating the value of their activities to donors. On the other hand, the focus of funding organisations has shifted from ââ¬Å"outputâ⬠to ââ¬Å"outcomeâ⬠and ââ¬Å"impactâ⬠and from ââ¬Å"generous givingâ⬠to ââ¬Å"accountable givingâ⬠, through which they can demonstrate that evidence-based decisions have informed their choice of funded interventions, projects or programmes (Leat, 2006). 1.4 Application of the SROI methodology The application of the SROI framework can vary from measurement of the impact and social value generated by a project to a programme or indeed to an entire organisation (Millar and Hall, 2013). A rapid search of academic databases does not retrieve substantial amounts of research work that have used the SROI methodology, however the methodology is very popular within the third sector and has been widely embraced by the Office of the Civil Society, donors, commissioners and the public sector (Ainsworth, 2010; Heady, 2010). Its wider practice-based use but limited application within academia restricts its development and could potentially be the reason for its minimal uptake (Arvidson et al., 2010; Ebrahim and Rangan, 2010). Since its first use by REDF in 1996 (Emerson and Cabaj, 2000), the SROI methodology has been broadly applied to many organisations and within many industries. Examples of its use across different sectors include agriculture, where it was used to account for impact of care farming (Leck, 2013); environmental, where it was used to account for impact of a natural regeneration project (Weston and Hong, 2012); energy, where it was used to account for impact of energy efficiency of homes in Germany (Kuckshinrichs et al., 2010); social, where it was used to account for impact of providing training and employment for blind people (Sital-Singh, 2011), transport, where it was used to account for impact of a co-ordinated shared transport service which provides access to workplace, training and childcare in rural Scotland, where no alternative transport is available. (Wright et al., 2009) and indeed health, where amongst other examples, has been used to account for impact of a community-based pa ediatric asthma programme and provision of highly nutritious breakfast for school children in Sydney, Australia (Bhaumik et al., 2013; Varua and Stenberg, 2009). As regards its application in health [described in detail in Chapter 2: systematic review of SROI application in health], It is worth noting that in 2009, the UK Department of Health (DoH), with the support of the Cabinet Office, commissioned an action research project on which five health focused social enterprises were supported to conduct SROI analysis (Department of Health, 2010). This research demonstrated the relevance of the SROI methodology to the health sector and proved that there were additional benefits of using the methodology (Millar and Hall, 2013). However, to the best of our knowledge, though relevant and appropriate, there is no reported evidence of the application of the SROI methodology in the field of maternal and newborn health. 1.5 Difference between SROI and other related methodologies As mentioned above, the SROI methodology has evolved from a combination of social impact assessment tools and economic evaluation tools. It is therefore important to understand how SROI differs from these existing tools and identify what innovative approach it actually offers. When compared to other social impact measurement tools, there are subtle differences. There are several tools that have been previously or are currently being used in measuring and accounting for social impact (Acumen Fund, 2007; Brest and Harvey, 2008; Brest et al., 2009; Centre for High Impact Philanthropy, 2008; Clark et al., 2004; Emerson et al., 2000; Maas and Liket, 2011; Maas, 2008; Maughan, 2012; Nicholls et al., 2012; Owen and Swift, 2001; Schaltegger et al., 2004). Table 1ââ¬â1: Summary table of social impact assessment methods Method Primary application to Date Process Outcome Impact Monetisation Non Profit For Profit Government Acumen Scorecard à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Atkinsson Compass Assessment for Investors (ACAFI) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Balanced Scorecard (BSc) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Benefit-Cost Analysis à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Best Available Charitable Option (BACO) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Base of Pyramid (BoP) Impact Assessment Framework à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Cost per Impact à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Expected Return à ¯Ã¢â¬Å¡Ã
¸ Global Reporting Initiative à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Local Economic Multiplier (LEM) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Measuring Impact Framework (MIF) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Millennium Development Goal Scan (MDG-Scan) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Most Significant Change à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Ongoing Assessment of Social Impact (OASIS) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Poverty and Social Impact Analysis à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Social Accounting and Auditing (SAA) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Social Costs-Benefits Analysis (SCBA) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Social Return Assessment (SRA) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Social Return on Investment (SROI) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Stakeholder Value Added (SVA) à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ Theories of Change à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ à ¯Ã¢â¬Å¡Ã
¸ [Table 1-1] shows the key characteristics of these different social impact measurement tools described in the literature, identifying the tools that monitor efficiency and effectiveness of outputs, indicators or variables (process); tools that relate outputs and outcomes and to substantiate incremental outcomes above what would have occurred if the intervention was not implemented (impact) and tools that monetize outcomes and/or impact by transforming them to monetary value (monetization). Finally the table details the sector(s) in which the method has thus far been applied ââ¬â non-profit (third sector), for profit (commercial) or public sector (government). Of these tools, SROI appears to have gained wide acclaim because of its involvement of all stakeholders, who independently define the value they have experienced because of the intervention. In addition, SROI monetises costs and benefits and also ticks all the boxes of the logical framework, as it accounts for processes, outcomes and impact (Arvidson et al., 2010; Nicholls et al., 2012). The other similar methodologies to SROI are Economic Evaluation (EE) tools. These compare two or more alternative interventions in terms of their costs and benefits (Drummond et al., 1997). Economists have distinguished four types of economic evaluation: Cost-minimization analysis (CMA), Cost-effectiveness analysis (CEA), Cost benefit analysis (CBA) and Cost-utility analysis (CUA). While the definition of cost remains the same, the manner of accounting for the benefits differs across the types (Drummond et al., 2005). These different types of EE are described below: Cost-minimization analysis (CMA): In which, there is proven evidence that equivalent effectiveness of the comparators in question. Thus the more cost-effective option would be the cheaper one (since both options have similar outcome). Cost-effectiveness analysis (CEA): Effectiveness is measured in ââ¬Ënatural unitsââ¬â¢ such as life years gained. Cost benefit analysis (CBA): Costs and benefits are monetised, with the cost-effective option being the one that results in a lower monetised ratio. Cost-utility analysis (CUA): Outcome is measured in Quality-adjusted life years (QALYs) or Disability-adjusted life years (DALYs), which is a composite metric of both length and quality of life. When compared to the SROI methodology, whereas a large focus of economic evaluation tools is on the microeconomic evaluation of the impact of any intervention, SROI accounts for not just economic value, but social and environmental impacts. It has been described as an extension of the cost-benefit analysis that incorporates broader socio-economic outcomes (Westall, 2011). In addition, SROI focuses on stakeholders, uses financial proxies, is more of a management tool, is more likely conducted by organisations themselves, while CBAs are usually conducted by external agents and the most up to date guidance does not recommend comparing estimated SROI ratios, unlike CBAs that are designed to be comparable. However, these differences appear to be largely based on ââ¬Å"the style of each approach, rather than the true substanceâ⬠(Arvidson et al., 2010). 1.6 Strengths and limitations of the SROI methodology 1.6.1 Strengths of the SROI methodology Practitioners and previous authors have identified some of the key strengths of the SROI methodology. Firstly, the fact that the SROI process generates a singular ratio that captures the broader impact (positive and negative) of an intervention is perceived as a key strength (Millar and Hall, 2013). One other strength is its meaningful engagement of stakeholders and its representation of their benefits in ways that are unique to the stakeholders themselves (Millar and Hall, 2013). More so, the fact that this benefits experience or impact experience is being explained from the perspective of the stakeholder is a unique characteristic of SROI, and this important stakeholder view is often neglected in conventional impact evaluation tools (Rauscher et al., 2012). In addition, the method provides a platform for social enterprises to leverage and/or effectively communicate their impact. This ultimately promotes better communication amongst all partners, whether they are beneficiaries, funders or implementers (Mdee et al., 2008). The SROI process also strengthens accountability and transparency systems of social enterprises (Arvidson et al., 2010). Finally, the SROI process is a very useful auditing tool to aid management decisions and service improvement (Social Ventures Australia (SVA) Consulting, 2012). 1.6.2 Limitations of the SROI methodology However, there are limitations of the methodology, just as there are of other impact evaluation methodologies (Arvidson et al., 2010). Some methodological limitations that have been raised include the difficulty of attaching financial values to ââ¬Å"soft outcomesâ⬠that require subjective evaluation to generate ââ¬Å"financial proxiesâ⬠(Lingane and Olsen, 2004) such as self-esteem or confidence (Bertotti et al., 2011). Albeit still in developmental stage, is the Wiki Values, Outcomes and Indicators for Stakeholders (VOIS) database of the SROI Network is an attempt are to standardise such outcomes by recommending indicators and values of such outcomes that can be used to account for them (Rauscher et al., 2012). An example of a health related outcome on WikiVOIS is ââ¬Å"change in incidence of abortionâ⬠. Contributors to the database have suggested that ââ¬Å"cost of medical termination of pregnancyâ⬠can be used to value this outcome in Canada (The Global Value Exchange, 2013). In addition, the methodology needs an estimation of ââ¬Å"what would have happened anywayâ⬠to calculate the value that can be attributed to the specific organisation, programme or intervention, however, this counterfactual data is seldom available (Cordery, 2013; Heady, 2010). Furthermore, the lack of comparability of SROI ratios across different organisations and/or interventions is perceived as a limitation (Ryan and Lyne, 2008). On practical grounds, SROI methodology is adjudged to be cost-intensive and requires the expertise and know-how of professionals and in some cases training, some of which small organisations cannot afford (Wood and Leighton, 2010). 1.7 Rationale for the study Though applicable and relevant, to the best of our knowledge, there is no documented application of the SROI methodology in the area of maternal and newborn health. For most MNH interventions, the key beneficiaries are the women and their families. There is currently no tool that captures the perspectives of all these stakeholders on impact of any intervention in one summary figure. This underscores the need to explore the use of primary data that will include inputs of those benefiting from MNH interventions, as this may potentially be useful in identifying the most complete estimate of the impact of these interventions. To buttress this, some authors have pointed out that this complete evaluation of MNH interventions needs to include identification of the most culturally appropriate intervention for each local setting and peculiar issues unique to the setting. Those who are the major beneficiaries of the intervention are better positioned to identify these culturally appropriate in terventions. Thus the call for culturally sensitive impact evaluations, which attempt to identify specific causes of problems, rather than basing decisions on ââ¬Å"superficialâ⬠indicators such as maternal mortality rate, which is only quantitative and does not capture softer outcomes that also demonstrate impact of an intervention (McPake and Koblinsky, 2009; Pradhan, 2008). Secondly, data used as maternal health indicators are usually generated from relatively credible sources such as the Demographics and Health Survey (DHS), Multiple Indicator Cluster Survey (MICS) and World Development Indicators, but the problem of lack of uniformity in the process by which the indicators were generated remains (Pradhan, 2008). This is complicated by the fact that a large number of developing countries, that receive aid, do not have accurate or complete secondary data to base impact evaluation on (WHO,
Wednesday, November 13, 2019
Analysis of The Astronomers Wife by Kay Boyle :: Astronomers Wife Kay Boyle Essays Papers
Analysis of The Astronomer's Wife by Kay Boyle In the "Astronomer's Wife" by Kay Boyle, something as simple as a conversation with a plumber about a stopped elbow is enough to trigger an awakening in Mrs. Katherine Ames. When Mrs. Ames realized that the plumber was talking about something she understood (the stopped elbow), she realized that her marital problems were not the result of a division betwwen the sexes; instead, she realized that some men, like the plumber, are as practical as she is, and that some other men, like her husband, scorn people like her because they are intellectually inclined. Previous to this discovery, Katherine did not realize that there were different kinds of men, and therefore she did not realize that she and her husband were mismatched. Furthermore, in her awakening, Mrs. Ames also discovers that she, like the plumber, occupies as valuable a place in society as the astronomer, for she does the "dirty" work to free people like her husband to have time to think and to discover. The scene in question takes place after Mrs. Ames has already noticed that the plumber has a few physical characteristics that match her own (such as blond hair), and she is talking to him as he descends into the earth. The scene begins immediately after the plumber says "I think something has stopped the elbow", because this phrase was one of the few things that a man has ever said that Mrs. Ames has understood. After the plumber has descended into the ground before the scene, Mrs. Ames is the only one left. She spends the entire duration of this scene sitting on the grass, silently thinking and revealing her thoughts to the audience. During her course of thinking, Mrs. Ames makes the important discovery that there is a whole race of practical people like herself, men and women alike. She knew that "when her husband spoke of height, having no sense of it, she could not picture it nor hear", but strangely enough, when another man who happened to be a plumer spoke of his work, "madness in a daily shape, as elbow stopped, she saw clearly and well". Mrs Ames finally realized during these thoughts that these were two men with two different ways of life, and perhaps her way of life suited the plumber's more than the astronomer's, in that she too could identify only with daily concerns. The division between people in her mind was no longer just between men and women; it was now the working and the thinking, those who "had always gone up, [and] others who went down, like the
Subscribe to:
Posts (Atom)