Tribal Health Care Services—Anecdotal Evidence of ‘Health Trap’ in Selected Areas: A Case Study

2012 ◽  
Vol 14 (1) ◽  
pp. 51-65
Author(s):  
N. Rajagopal

Kerala has been a destination for many economists from all around the world for its ‘unique model of development’. The basic sustainable indicators of human capital attainment of Kerala, despite its low income, are probably an exception in the human capital theory. Professor Amartya Sen, on many occasions, cited a ‘new paradigm of social development’ in the state. Many world bodies like UNDP, WHO, UNICEF, etc. have acknowledged this at different times. The development paradigm of Kerala had been a source of inspiration for the preparation of the Human Development Index (HDI) in 1990. The strong record of basic health has made the state comparable with developed countries.

Nova Scientia ◽  
2015 ◽  
Vol 7 (15) ◽  
pp. 321
Author(s):  
Antonio Oswaldo Ortega ◽  
José Ramón Corona ◽  
Eva Selene Hernández ◽  
Oscar Montaño ◽  
Susana Asela Garduño ◽  
...  

Introduction: The aim of this paper is to present the results of a case study carried out in the state of Hidalgo under a systemic model of analysis. This focused the organizational culture of health care services with the main purpose of studying these organizations and to understand their inner and outer dynamics.Method: A case study carried out under qualitative approach with the application of guides of observation, focus groups and iterviews in communitarian health centers, physician’s offices, sanatoriums and hospitals of the state of Hidalgo, MexicoResults: The organizational culture in health care services was classified into 4 subsystems: human, technical-technological, functional–structural and environmental macrosystem.Conclusion: An interrelation among the four subsystems was identified defining the dynamics of organizational culture of health care services in three transactions: interdynamics, intradynamics and outerdynamics.


2021 ◽  
Vol 10 (8) ◽  
pp. 506
Author(s):  
Jan Ketil Rød ◽  
Arne H. Eide ◽  
Thomas Halvorsen ◽  
Alister Munthali

Central to this article is the issue of choosing sites for where a fieldwork could provide a better understanding of divergences in health care accessibility. Access to health care is critical to good health, but inhabitants may experience barriers to health care limiting their ability to obtain the care they need. Most inhabitants of low-income countries need to walk long distances along meandering paths to get to health care services. Individuals in Malawi responded to a survey with a battery of questions on perceived difficulties in accessing health care services. Using both vertical and horizontal impedance, we modelled walking time between household locations for the individuals in our sample and the health care centres they were using. The digital elevation model and Tobler’s hiking function were used to represent vertical impedance, while OpenStreetMap integrated with land cover map were used to represent horizontal impedance. Combining measures of walking time and perceived accessibility in Malawi, we used spatial statistics and found spatial clusters with substantial discrepancies in health care accessibility, which represented fieldwork locations favourable for providing a better understanding of barriers to health access.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Elisabeth Holen-Rabbersvik ◽  
Tom Roar Eikebrokk ◽  
Rune Werner Fensli ◽  
Elin Thygesen ◽  
Åshild Slettebø

Author(s):  
Bobby Kurian

This case study has been developed to promote understanding the e-tailing of health services. E-health web portal provides a new medium for information dissemination, interaction and collaboration among institutions, health professionals, health providers and the public. This case study provides a founders perspective in setting up and running a medical website that offers online health care services to customers across the world. The case study discusses the challenges and issues faced by the founders and also the promoter's perspective on the lucrativeness of offering e-tailing services. Using this case study an attempt is made to stress the importance of a flexible e-tailing business model specific to the services offered and need of periodic assessments to ensure that the business runs profitable.


2018 ◽  
Vol 1 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Rufus O. Akinyemi ◽  
Olaleye A. Adeniji

Background: Stroke is the second leading cause of death and adult-onset disability globally. Although its incidence is reducing in developed countries, low- and middle-income countries, especially African countries, are witnessing an increase in cases of stroke, leading to high morbidity and mortality. Evidently, a new paradigm is needed on the continent to tackle this growing burden of stroke in its preventative and treatment aspects. Aims and Objectives: The aim of this study was to determine the scope of stroke care services, where they exist, and their relationship with currently existing health systems. Methods: A detailed literature search was undertaken referring to PubMed and Google Scholar for articles from January 1960 to March 2018, using a range of search terms. Of 93 publications, 45 papers were shortlisted, and 21 reviewed articles on existing stroke services were included. Results: The literature on models of stroke services in Africa is sparse. We identified focused systems of care delivery in the hyperacute, acute, and rehabilitative phases of stroke in a few African countries. There is a continent-wide paucity of data on the organization of prehospital stroke services. Only 3 African countries (South Africa, Egypt, and Morocco) reported experiences on thrombolysis. Also, the uptake of dedicated stroke units appears limited across the continent. Encouragingly, there are large-scale secondary prevention models on the continent, mostly within the context of experimental research projects, albeit with promising results. We found only 1 article on the interventional aspects of stroke care in our review, and this was a single-center report. Conclusions: The literature on the organization of stroke services is sparse in Africa. Dedicated action at policy, population, community, and hospital-based levels is urgently needed toward the organization of stroke services to tame the burgeoning burden of stroke on the African continent.


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