Nexus Research

Cambodia is for various reasons a challenging environment for ICT development. This did not deter IDRC (Canada) from funding an ambitious and ground-breaking project designed ultimately to influence ICT policy in Cambodia but initially to establish two pilot community-owned networks in poor rural areas. Each comprises both a cluster of local telecentres (10 in each area), and a mini telecoms enterprise run by the communities. Begun in May 2006, with initial funding of USD1.3 million the project runs to May 2010 when the question of sustainability comes to the fore. Additional support is likely to be needed. iREACH‘ experiences are being fully documented and lessons are emerging around community capacity building and empowerment; technical challenges in a rural environment; developing relevant and appropriate services; creating a community based enterprise; deploying a range of participatory monitoring and evaluation approaches; and working within a centralised and fluid political context

Erectile dysfunction (ED) is a complex condition, which is variously influenced by physical, emotional, societal, and relationship factors. ED has serious implications for the quality of life (QoL) enjoyed by an affected male and his partner. It is very important, therefore, to understand the impact of ED on the QoL of those affected by it. Our objective was to determine if the eight-question Patient Reported Erectile Function Assessment (PREFA) could act as an independent, comprehensive disease-specific instrument in the assessment of QoL as it is impacted by ED. During the development and validation of the Erectile Function-Visual Analog Scale (EF-VAS) (14), a new ED-specific preference-based instrument, a series of questions were included at the beginning of the assessment that would act as a way to encourage respondents to focus on their own experience with ED. Upon analysis of the EF-VAS data, it became apparent that the eight-question "warm up" section might act as a stand-alone assessment. Accordingly, the eight questions were named PREFA, and a validation analysis was undertaken to determine their consistency, feasibility, reliability, validity, and responsiveness. The PREFA questionnaire was found to be feasible and simple to complete, reliable, and valid, with excellent responsiveness. Overall, the PREFA has demonstrated that it can perform as a stand alone, validated assessment of the impact of ED on QoL, assessing areas of QoL not previously captured in existing instruments. The PREFA is suitable for use in clinical and research settings as a disease-specific QoL assessment tool.