Bodies under Pressure: Experiencing Waiting Time in Basic Health Care Facilities (Morocco)

2021 ◽  
pp. 120633122110199
Author(s):  
Josiane Carine Tantchou

This article addresses access to basic health care facilities in Morocco, by emphasizing the issue of accommodation (Penchansky & Thomas, 1981). This article is based on data collected over three years spent in Rabat, Morocco, for fieldwork. The first year focused on hypertension. Research authorization was required for this research, which was obtained from the Ministry of Health. Research tools consisted of observations, in-depth interviews, and focus group discussions. I argue that waiting is not a passive experience or state. It is experienced with and through a mindful body (Scheper-Hughes & Lock, 1987), as an active and dynamic process that happens in a waiting room. The waiting room is conceptualized as a sphere of coexisting heterogeneity (Massey, 2005), allowing the concomitant presence of the body-self, social body, and the body politic, equivalent to body-inside and body-outside, respectively. By relating multiplicity and heterogeneity to time—biomedicine’s time, different from patients’ time, but also from the body’s time or somatic time (Limor Meoded, 2018)—, I argue that the space of the waiting room brings these various temporalities together, commanding new configurations and processes (Massey, 2005). The dynamic process of waiting is embodied; it can burst out in the form of tension, when the concomitant presence of distinct trajectories, bodies, and temporalities inside the waiting room, sometimes generate violence (verbal and symbolic). Allowing this heterogeneity to coexist smoothly is the challenge of hospital architecture and its analysis from a phenomenological perspective will bring rich data to explore and extend the project of an anthropogeography of emotions and perception.

2021 ◽  
Vol 13 (6) ◽  
pp. 46
Author(s):  
Alliou S. Diarrassouba

The achievement of universal health coverage has put Primary Health Care back at the center of policy orientations, particularly by identifying factors likely to improve the organization of peripheral facilities. However, this objective depends on the econometric methods used, especially for cross-sectional data and small sample sizes. This study aims to examine the sensitivity of the most usual estimation methods (Stochastic Frontier Analysis (SFA), Data Envelopment Analysis (DEA), DEA double bootstrap, Tobit, Truncated Standard Regression) for evaluating the scores and determinants of technical inefficiency of Primary Health Care Facilities (PHCF) in Côte d’Ivoire. Estimates show average technical efficiency scores of 94.13% for the DEA versus 89.61% for the SFA and 82.24% for the DEA double bootstrap. The results also indicate a proportion of determinants of technical inefficiency, in decreasing order of importance, with the DEA double bootstrap, the SFA, truncated regression and Tobit. This technical inefficiency can be improved in policies to promote basic health care by: increasing the proportion of nurses in the medical staff, the nurse/inhabitant ratio, the adult literacy rate by region, controlling the average capacity of the PHCFs, improving their geographical accessibility and reducing the rate of extreme poverty by health region.


2013 ◽  
Vol 2 (2) ◽  
pp. 4-8
Author(s):  
R Quddush ◽  
N Islam ◽  
MJ Hasan ◽  
M Rahman ◽  
J Rayen ◽  
...  

Prevention of excessive heat loss is fundamental to survival of low birth weight (LBW) newborns. Highly expensive incubator is not available in most of the health care facilities of Bangladesh. Warm cot care by heater or with light bulbs may alternatively help in maintenance of temperature of LBW newborns in health care facilities where incubator is not available. So far i know no such study was conducted before in our country, this study was carried out to show the effectiveness of warm cot care in comparison to incubator care. The present study was cross sectional descriptive type study conducted in the Department of Neonatology, Mymensingh Medical College over a period 1 year from January 2009 to December 2009. Fifty neonates weighing 1200-2000g with gestational age ? 30 weeks to 40 weeks were allocated to an incubator group and similar number with same criteria were taken as cot care group. In cot care group, those babies were selected that are not supposed to cot care due to lack of incubator. The study showed that there were no differences between infants warm cot care versus incubator care. The temperature of the study patients showed that 34(68.0%) and 36(72.0%) maintained normal temperature all the time during hospital stay prior to discharge and rest 16(32.0%) and 14(28.0%) in cot and incubator group respectively became either hypothermic or hyperthermic. Mild hypothermia/cold stress was 7(14.0%) in cot and 4(8.0%) in incubator group. Moderate hypothermia and severe hypothermia was none in both groups. Hyperthermia/fever was 9(18.0%) and 10(20.0%) in cot and incubator group respectively. Analysis reveals that no significant difference was found between two groups. The body temperature of the low birth weight babies (weighing1200-2000g) can be satisfactorily maintained in the low-cost warm cots without the help of incubators which are costly and not available in most of the health care facilities in the developing countries like Bangladesh. DOI: http://dx.doi.org/10.3329/cbmj.v2i2.16691 Community Based Medical Journal 2013 July: Vol.02 No 02: 4-8


WHO data shows that half of the people in the world suffer due to basic health care needs as there are not enough medical facilities available in many parts of the world. It is difficult for the refugees to have all the basic health care needs and not enough doctors available for primary diagnosis. To diagnose the person there are many methods by which the doctor can predict what type disease one might be suffering from. One of those factors includes the first diagnosis done by just observing the tongue, as it’s the only visible part of the body and one of the factors which helps for primary diagnosis and widely accepted by doctors in TCM, diagnosis. It addresses for an aid to people to do primary diagnosis from tongue using AI device, like Raspberry Pi with camera, which is trained using tongue dataset of different types of tongue images like strawberry tongue, Black tongue, normal tongue, Red tongue, Swallowed tongue etc. for various symptoms of various diseases to identify the type of the tongue and based on that it will generate the prescription. The proposed research work is based on the edge computing and does not need any internet or cloud support and best suitable for installing as portable kiosk in affected areas where primary medical facility is not available. The report generated by system has primary predicted suggestions based on the tongue diagnosis using AI


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad H. Salaheldin ◽  
Mohammad A. Hassanain ◽  
Mohammad B. Hamida ◽  
Ahmed M. Ibrahim

Purpose This study presents findings of post-occupancy evaluation (POE), through a performance assessment, on a polyclinic, as a health-care facility, in Saudi Arabia. Design/methodology/approach Review of the literature is conducted to identify the recent publications, on conducting POE, and performance indicators (PIs) assessing performance of health-care facilities. This research uses a triangulated approach by adopting several qualitative and quantitative methods, on a case study. The approach comprised conducting investigative walkthrough to assess the case study facility, interviews with group of occupants to assess its satisfaction levels. The findings were presented to a focus group, where a plan of recommendations was raised to improve the performance of the case study facility. Findings A total of 24 PIs were identified, and clustered, mainly under: “Thermal comfort”, “Natural lighting”, “Artificial lighting” and others. The case study has proven a satisfactory performance to the evaluated indicators. However, observations of performance snags were identified that formulated conclusions, related to: “Improvements to air temperature performance in summer season”, “Need of control on natural lighting due to glare”, “Accommodating an over demand for car parking spaces”, Need for development of systems dedicated for collection of occupants satisfaction” and “Enhancing circulation”. Originality/value There is a gap identified, through the literature review on availability of systematic conduct of POE, especially in health-care facilities. This paper contributes to the body of knowledge and professional practice, as a guiding systematic scheme, for the conduct of POE, which can be followed and expanded upon by future research.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.


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