scholarly journals On the margins of Healthcare: Role of Social Capital in Health of Migrants in India

2021 ◽  
Vol 2 (2) ◽  
pp. 341-358
Author(s):  
Shriyuta Abhishek ◽  
Nanda Kishore Kannuri

Social capital is a widely studied concept in sociology, philosophy and development economics since the late nineteenth century. In India, the various dogmas of the theory of social capital have not been studied to their potential, especially in the domain of public health. This study was conducted to determine healthcare access among migrants and their social capital, in order to explore the association between social capital and healthcare access. A mixed-method approach was adopted for the study. A survey (n=61) was conducted in a residential area in Bilaspur district of Chhattisgarh state, using Shortened Adapted Social Capital Assessment Tool (SASCAT). The qualitative component of the study will be published separately. It was found that 78.6 percent of migrants have a ‘low’ social capital and 21.3 percent have a ‘high’ social capital. Fischer’s exact test showed that there is no significant association between the economic status and social capital of individuals (p=0.06). The research study concluded that there is a linkage between social capital and healthcare access. High social capital resulted in better healthcare access, especially among vulnerable groups (women, disabled and elderly people). The findings of the study helped in charting out the pathways of healthcare access within the framework of Bordieu’s theory of social capital. It can be said that the concept of social capital has remained unexplored by academia and policymakers alike. In order to improve the healthcare access of migrants, health systems must delve into the complex nuances around tenets of social capital in healthcare.

2017 ◽  
Vol 52 (10) ◽  
pp. 1237-1246 ◽  
Author(s):  
Joan Domènech-Abella ◽  
Jordi Mundó ◽  
Elvira Lara ◽  
Maria Victoria Moneta ◽  
Josep Maria Haro ◽  
...  

Author(s):  
Sarah E. DeYoung

During crisis events such as humanitarian conflicts, population displacement, natural disasters, and others, some people are more vulnerable to long-term physical, psychological, and overall adverse outcomes. Aspects of context that affect vulnerability include: (a) the nature of the hazard or conflict event; (b) the geographic location and structural surroundings; and (c) involvement of key groups during crisis. The nature of the event includes barriers for access to well-being in high-income and low-income contexts, the speed of onset of the hazard, the scope and type of hazard (localized or catastrophic, natural or technological, and other factors). Geographic location and structural surroundings include factors such as isolation caused by an island context, structural mitigation (such as earthquake-resistant construction), pollution and environmental exposure, and implementation of land use planning or sustainable farming. Finally, with regard to involvement of key groups in crisis, it is important to consider ways in which group coordination, logistics, cultural competency, public policy, social movements, and other mechanisms can exacerbate or improve conditions for vulnerable groups. Groups more likely to experience adverse outcomes in disasters include: ethnic and racial minoritized persons, people considered to be low caste, women, children, infants, sexual minorities, religious minorities, elders, and immigrants and refugees. Displacement and relocation are associated with specific increases in exposure to food insecurity, human trafficking, and reduced access to reproductive care. Contextual factors are also related to the severity of the adverse outcomes these groups experience in crisis. These factors include access to healthcare, access to education, and economic status. There are also unique groups whose needs, social systems, and cultural factors increase barriers to evacuation, accessing warning information, or accessing safe sheltering. These groups include persons with functional and access needs including medical or cognitive impairments, elderly individuals, people with companion animals, and people with mental illness.


2011 ◽  
pp. 46-65 ◽  
Author(s):  
L. Polishchuk ◽  
R. Menyashev

The paper deals with economics of social capital which is defined as the capacity of society for collective action in pursuit of common good. Particular attention is paid to the interaction between social capital and formal institutions, and the impact of social capital on government efficiency. Structure of social capital and the dichotomy between its bonding and bridging forms are analyzed. Social capital measurement, its economic payoff, and transmission channels between social capital and economic outcomes are discussed. In the concluding section of the paper we summarize the results of our analysis of the role of social capital in economic conditions and welfare of Russian cities.


WCET Journal ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 9-18
Author(s):  
Wai Sze Ho ◽  
Wai Kuen Lee ◽  
Ka Kay Chan ◽  
Choi Ching Fong

Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.


2015 ◽  
Vol 4 (2) ◽  
pp. 113-135
Author(s):  
Lucila Mallart

This article explores the role of visuality in the identity politics of fin-de-siècle Catalonia. It engages with the recent reevaluation of the visual, both as a source for the history of modern nation-building, and as a constitutive element in the emergence of civic identities in the liberal urban environment. In doing so, it offers a reading of the mutually constitutive relationship of the built environment and the print media in late-nineteenth century Catalonia, and explores the role of this relation as the mechanism by which the so-called ‘imagined communities’ come to exist. Engaging with debates on urban planning and educational policies, it challenges established views on the interplay between tradition and modernity in modern nation-building, and reveals long-term connections between late-nineteenth-century imaginaries and early-twentieth-century beliefs and practices.


Author(s):  
Lena Wånggren

This book examines late nineteenth-century feminism in relation to technologies of the time, marking the crucial role of technology in social and literary struggles for equality. The New Woman, the fin de siècle cultural archetype of early feminism, became the focal figure for key nineteenth-century debates concerning issues such as gender and sexuality, evolution and degeneration, science, empire and modernity. While the New Woman is located in the debates concerning the ‘crisis in gender’ or ‘sexual anarchy’ of the time, the period also saw an upsurge of new technologies of communication, transport and medicine. This book explores the interlinking of gender and technology in writings by overlooked authors such as Grant Allen, Tom Gallon, H. G. Wells, Margaret Todd and Mathias McDonnell Bodkin. As the book demonstrates, literature of the time is inevitably caught up in a technological modernity: technologies such as the typewriter, the bicycle, and medical technologies, through literary texts come to work as freedom machines, as harbingers of female emancipation.


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