ORCID Profile
0000-0002-4424-4491
Current Organisations
Monash University Malaysia
,
London School of Hygiene and Tropical Medicine
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Publisher: BMJ
Date: 27-10-2020
DOI: 10.1136/BMJ.M3808
Publisher: Elsevier BV
Date: 07-2019
Publisher: Elsevier BV
Date: 2020
DOI: 10.1016/J.SOCSCIMED.2019.112699
Abstract: Reports of work change and transitions are common amongst in iduals with chronic illnesses such as multiple sclerosis (MS). However, there is little research on the lived experience of these work transitions. The scarcity of this research is particularly evident within low-and-middle-income countries, where protection laws and resources such as anti-discrimination laws and reasonable work modifications may not exist or be well enforced. In this paper, we explore how and why in iduals with MS seek and achieve work transitions in the structural context of Malaysia. We interviewed ten working in iduals with MS (July-december 2015) using a joint hermeneutic phenomenology and constructivist grounded theory approach. Using a broad conceptual lens of 'sustainable careers', we examine their careers as a series of experiences, decisions, and events, paying attention to the influences of context, time, their personal levels of agency and sense of meaning. Participants described work transitions as early as within the first year of diagnosis, that were prompted by voluntary, involuntary and semi-voluntary reasons. Key aspects of the process of seeking new roles included an exploration of alternative roles and paths, and then acquiring, trialing/adapting and remaining engaged in their new roles. Participants identified the perception and experience of 'being unemployable', based on how their diagnosis and short-term symptoms were responded to by employers. Nevertheless, participants used various strategies and career resources to obtain and maintain meaningful work roles. However, success in obtaining or maintaining new roles were not equally achieved. This research draws attention to the cumulative economic disadvantage of a chronic illness diagnosis, even at milder and episodic stages. Furthermore, it reiterates the need for cohesive structural protection in low-and-middle-income countries to facilitate a more equal ability to remain economically resilient and capable of engaging in meaningful long-term careers when living with a chronic illness.
Publisher: BMJ
Date: 04-2019
DOI: 10.1136/BMJ.L1228
Publisher: Academy of Management
Date: 2016
Publisher: BMJ
Date: 05-2023
DOI: 10.1136/BMJGH-2022-011315
Abstract: While the acute and collective crisis from the pandemic is over, an estimated 2.5 million people died from COVID-19 in 2022, tens of millions suffer from long COVID and national economies still reel from multiple deprivations exacerbated by the pandemic. Sex and gender biases deeply mark these evolving experiences of COVID-19, impacting the quality of science and effectiveness of the responses deployed. To galvanise change by strengthening evidence-informed inclusion of sex and gender in COVID-19 practice, we led a virtual collaboration to articulate and prioritise gender and COVID-19 research needs. In addition to standard prioritisation surveys, feminist principles mindful of intersectional power dynamics underpinned how we reviewed research gaps, framed research questions and discussed emergent findings. The collaborative research agenda-setting exercise engaged over 900 participants primarily from low/middle-income countries in varied activities. The top 21 research questions included the importance of the needs of pregnant and lactating women and information systems that enable sex-disaggregated analysis. Gender and intersectional aspects to improving vaccine uptake, access to health services, measures against gender-based violence and integrating gender in health systems were also prioritised. These priorities are shaped by more inclusive ways of working, which are critical for global health as it faces further uncertainties in the aftermath of COVID-19. It remains imperative to address the basics in gender and health (sex-disaggregated data and sex-specific needs) and also advance transformational goals to advance gender justice across health and social policies, including those related to global research.
Publisher: Springer Science and Business Media LLC
Date: 21-10-2016
Publisher: Elsevier BV
Date: 11-2017
Publisher: Hindawi Limited
Date: 2017
DOI: 10.1155/2017/8010912
Abstract: In iduals with multiple sclerosis have a tendency to make early decisions for work change, even in reversible, episodic, or mild disease stages. To better understand how a multiple sclerosis (MS) diagnosis influences perceptions of work and motivations for work changes, we conducted a hermeneutic phenomenology study to explore the work lives of ten in iduals with MS in Malaysia. The interpretive analysis and cumulative narratives depict an overarching change in their concept of ideal work and life aspirations and how participants make preemptive work changes to manage illness-work-life futures in subjectively meaningful ways. Discussions on their integrated pursuit of finding dynamic and subjective illness-work-life balance include reconciling the problem of hard work and stress on disease activity and progress, making positive lifestyle changes as health management behaviour, and the motivational influence of their own life and family roles: the consideration of their spouses, parents, and children. At an action level, work change was seen as moral and necessary for the management of illness futures. Our findings contribute insights on how in idual perceptions and holistic life management decisions contribute to on-going and disrupted work trajectories, which can inform practice and policy on early interventions to support continued employment.
Publisher: BMJ
Date: 27-10-2020
DOI: 10.1136/BMJ.M3384
Publisher: Elsevier BV
Date: 03-2021
Publisher: SAGE Publications
Date: 25-04-2017
Abstract: Chronic illness is known to disrupt and redirect the usual course of work trajectories. This article aims to portray the longitudinal course of negotiating work after multiple sclerosis. Using therapy and personal journals to reconstruct memories and experience, an autoethnography is produced and narrated within C bell’s “Hero’s Journey” automythology framework. The narrative highlights the intrasubjectivity of illness meaning—the changing internal meaning-making and external behavior and decision-making dynamics. The journey of being inhibited to “Work Right”, to “Looking for the Right” and ultimately, finding “Right Work” is charted portrayed as a bittersweet maneuver to achieve work–illness equilibrium. This journey traverses a spectrum of negative coping—the exhibition of deviant work behaviors, disengagement and depression to recalibration and renewal culminating in living the “new normal”, and finding moral and meaningful work engagements. Life trajectories with chronic illness are often skewed and redirected but longitudinal narratives of normalization and coping also highlight the pursuits to secure and maintain a life of meaning and value.
Publisher: Springer Science and Business Media LLC
Date: 12-2019
DOI: 10.1186/S12992-019-0513-7
Abstract: Addressing the social and other non-biological determinants of health largely depends on policies and programmes implemented outside the health sector. While there is growing evidence on the effectiveness of interventions that tackle these upstream determinants, the health sector does not typically prioritise them. From a health perspective, they may not be cost-effective because their non-health outcomes tend to be ignored. Non-health sectors may, in turn, undervalue interventions with important co-benefits for population health, given their focus on their own sectoral objectives. The societal value of win-win interventions with impacts on multiple development goals may, therefore, be under-valued and under-resourced, as a result of siloed resource allocation mechanisms. Pooling budgets across sectors could ensure the total multi-sectoral value of these interventions is captured, and sectors’ shared goals are achieved more efficiently. Under such a co-financing approach, the cost of interventions with multi-sectoral outcomes would be shared by benefiting sectors, stimulating mutually beneficial cross-sectoral investments. Leveraging funding in other sectors could off-set flat-lining global development assistance for health and optimise public spending. Although there have been experiments with such cross-sectoral co-financing in several settings, there has been limited analysis to examine these models, their performance and their institutional feasibility. This study aimed to identify and characterise cross-sectoral co-financing models, their operational modalities, effectiveness, and institutional enablers and barriers. We conducted a systematic review of peer-reviewed and grey literature, following PRISMA guidelines. Studies were included if data was provided on interventions funded across two or more sectors, or multiple budgets. Extracted data were categorised and qualitatively coded. Of 2751 publications screened, 81 cases of co-financing were identified. Most were from high-income countries (93%), but six innovative models were found in Uganda, Brazil, El Salvador, Mozambique, Zambia, and Kenya that also included non-public and international payers. The highest number of cases involved the health (93%), social care (64%) and education (22%) sectors. Co-financing models were most often implemented with the intention of integrating services across sectors for defined target populations, although models were also found aimed at health promotion activities outside the health sector and cross-sectoral financial rewards. Interventions were either implemented and governed by a single sector or delivered in an integrated manner with cross-sectoral accountability. Resource constraints and political relevance emerged as key enablers of co-financing, while lack of clarity around the roles of different sectoral players and the objectives of the pooling were found to be barriers to success. Although rigorous impact or economic evaluations were scarce, positive process measures were frequently reported with some evidence suggesting co-financing contributed to improved outcomes. Co-financing remains in an exploratory phase, with erse models having been implemented across sectors and settings. By incentivising intersectoral action on structural inequities and barriers to health interventions, such a novel financing mechanism could contribute to more effective engagement of non-health sectors to efficiency gains in the financing of universal health coverage and to simultaneously achieving health and other well-being related sustainable development goals.
Publisher: Academy of Management
Date: 08-2017
Publisher: Emerald
Date: 22-04-0004
Abstract: – This exploratory study aims to explore the perceptions and experience of women doctors on working with each other and draw attention to their ‘voice’ on this issue. The equivocal and limited nature of relevant literature piqued our curiosity on how women perceive working with each other in work settings, particularly within the medical profession. – Twelve women doctors within Australian public hospitals were interviewed through semi-structured informal interviews to “voice” their experiences and views on the comforts and discomforts of working with other women doctors. Their responses were compared to literature to determine similarities and uniqueness of their experiences to women in other settings. – Insights from the respondent’s perceptions and experiences highlight several constructive and negative aspects of working alongside women doctors. Social and psychological constructs of being a “woman” and being a “woman doctor” as well as systemic/cultural issues of the medical fraternity formed how the women in this series of interviews perceived and related to the women doctors they worked with. – This exploratory provides initial insights into the experiences of women doctors on working with each other. Many themes identified have been explored in other settings. Hospital as a workplace, presents many similar work dynamics when considering the work interactions of women in other settings. This study should be used to drive more rigorous enquiry and a larger s le size. – The working relationships women build with each other influence in idual careers and organizational outcomes. Understanding the dynamics that improve and hinder the development of constructive work relationships between women can strengthen women-focused managerial and organizational policies and practices. – The consolidation of literature coupled with the exploratory insights of this research contributes to a limited depth of existing literature not only in the medical profession, but in other industries and settings as well.
Publisher: SAGE Publications
Date: 22-08-2019
Publisher: SAGE Publications
Date: 16-03-2017
Publisher: Elsevier BV
Date: 2021
Publisher: Informa UK Limited
Date: 03-2018
DOI: 10.2147/DNND.S131729
Publisher: Informa UK Limited
Date: 20-11-2017
Location: Malaysia
Location: No location found
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Lavanya Vijayasingham.