scholarly journals DESIGNING AN ALL-TERRAIN WHEELCHAIR; A CASE STUDY OF INCLUSIVE DESIGN FOR SOCIAL IMPACT IN LOW-RESOURCE SETTINGS

2021 ◽  
Vol 1 ◽  
pp. 1133-1142
Author(s):  
Cara O'Sullivan

AbstractDeveloping appropriate assistive technology to be manufactured and maintained within the local context of a low-resource setting requires alternative design principles and designerly ways to those used when designing in, or for, more resourced regions of the world. This case study offers an empirical account of the design of SafariSeat, an all-terrain wheelchair which has been designed, tested, manufactured and turned into a sustainable enterprise in East Africa. The wheelchair was developed with intentions to reduce inequality and help alleviate poverty in low-resource communities by improving users' health, wellbeing and participation in society, whilst creating and facilitating local jobs to support communities. Having developed SafariSeat with a human-centred design approach, a local mindset, and prioritisation of usability and affordability, this case study is used to reflect on the applied design principles, practices and processes whilst providing contextual insights for other designers seeking to work in a similar way. The study discusses challenges encountered whilst designing in a low-resource setting, and highlights how local collaboration and partnerships can help lead to the creation of a more sustainable solution.

2020 ◽  
pp. 1-20
Author(s):  
Tom Bashford ◽  
Julian Gore-Booth ◽  
Jo James ◽  
Stephen Pickering ◽  
Becky Paris ◽  
...  

The chapter provides the reader with information on the non-clinical background to working as an anaesthetist in a low-resource setting. It concentrates on important concepts that should inform the way you practise and teach, rather than technical aspects of anaesthesia. Although technical aspects of delivering anaesthesia are usually uppermost in the minds of anaesthetists new to working in low-resource settings, it is often the case that adapting successfully to the local context proves the more challenging aspect. Topics covered include humanitarian and developmental principles, teaching anaesthesia, looking after your own health, being a good visitor, and how to adapt your practice.


Autism ◽  
2019 ◽  
Vol 24 (1) ◽  
pp. 51-63 ◽  
Author(s):  
Bethlehem Tekola ◽  
Fikirte Girma ◽  
Mersha Kinfe ◽  
Rehana Abdurahman ◽  
Markos Tesfaye ◽  
...  

The World Health Organization’s Caregiver Skills Training programme for children with developmental disorders or delays teaches caregivers strategies to help them support their child’s development. Ethiopia has a severe lack of services for children with developmental disorders or delays. This study explored the perspectives of Ethiopian caregivers, professionals and other stakeholders to inform adaptation and implementation of the World Health Organization’s Caregiver Skills Training in Ethiopia. Data collection included (1) a consultation and review, comprising stakeholder meetings, review of draft Caregiver Skills Training materials and feedback from Ethiopian Master Trainees and (2) a pre-pilot including quantitative feasibility and acceptability measures and qualitative interviews with caregivers (n = 9) and programme facilitators/observers (n = 5). The consultation participants indicated that the Caregiver Skills Training addresses an urgent need and is relevant to the Ethiopian context. Several adaptations were proposed, including more emphasis on psycho-education, stigma, parental feelings of guilt and expectations of a cure. The adapted Caregiver Skills Training was pre-piloted with excellent participation (100%) and retention (90%) rates. Four themes were developed from the qualitative data: (1) Programme acceptability and relevance, (2) Perceived programme benefits, (3) Challenges and barriers and (4) Suggestions for improvement. The World Health Organization’s Caregiver Skills Training addresses a local need and, with careful adaptations, is feasible and acceptable to be implemented in Ethiopia. These findings may have relevance to low-resource settings worldwide.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.


Author(s):  
Víctor Lopez-Lopez ◽  
Ana Morales ◽  
Elisa García-Vazquez ◽  
Miguel González ◽  
Quiteria Hernandez ◽  
...  

Author(s):  
Navin Kumar ◽  
Mukur Dipi Ray ◽  
D. N. Sharma ◽  
Rambha Pandey ◽  
Kanak Lata ◽  
...  

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