scholarly journals Financial, institutional, environmental, technical, and social (FIETS) aspects of water, sanitation, and hygiene conditions in indigenous - rural Indonesia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
D. Daniel ◽  
Dennis Djohan ◽  
Ilias Machairas ◽  
Saket Pande ◽  
Arifin Arifin ◽  
...  

Abstract Background There is increasing recognition of the complexity underlying WASH conditions in developing countries. This article explores the complexity by assessing the vulnerability of a specific area to poor WASH conditions using a qualitative approach. Methods We present our findings for the district of East Sumba in Indonesia. This area is known as one of the poorest regions in Indonesia with inadequate WASH services, indigenous belief that hinder the practice of WASH-related behaviours, and has a high rate of children malnutrition. All the factors that contribute to poor WASH conditions were discussed through the lens of the Financial, Institutional, Environmental, Technological, and Social (FIETS) framework. We then summarised the factors and visualized the “system” using a mind map which shows how factors are interconnected and helps to find the root causes of poor WASH conditions. Results There are three main challenges that inhibit the improvement of WASH conditions in this area: inadequate institutional capacity, water scarcity, and poor socio-economic conditions. We found that a village leader is the most important actor who influences the sustainability of WASH services in this area and healthcare workers are influential WASH promoters. This study also shows how culture shapes people’s daily lives and institution performance, and influences the current WASH conditions in East Sumba. The mind map shows there is an overlap and interconnection between FIEST aspects and WASH conditions in the study area. Conclusion WASH conditions are influenced by many factors and are often interconnected with each other. Understanding this complexity is necessary to improve WASH conditions and sustain adequate WASH services in developing countries. Finally, WASH interventions have to be considerate of the prevailing cultural practices and should involve multidisciplinary stakeholders.

2020 ◽  
Author(s):  
Jimmy Lee ◽  
Vidhya Venugopal ◽  
P.K. Latha ◽  
Sharifah Alhadad ◽  
Clarence Leow ◽  
...  

2013 ◽  
Vol 1 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Arul Chib

The mHealth field understandably arose from a base of practice, developed a nascent, yet ever-expanding, body of inter-disciplinary scholarship, and currently hopes for recognition by, and establishment on, national and trans-national policy bodies and agendas respectively. However, to justify public investment, policymakers require a body of theoretically sound, methodologically rigorous, and generalizable, evidence on how mobile technologies can effectively improve basic healthcare service delivery for hard-to-reach, resource-poor populations in developing countries. This essay draws upon prior work, ranging from a review article, an mHealth intervention for Indonesian healthcare workers within the medical infrastructure, to a text-messaging project in Uganda focused on beneficiaries. The argument is organized around theoretical, methodological, and sustainability issues, and proposes suggestions for how the discipline of mobile communication studies can add value to the field of mHealth research in developing countries.


2008 ◽  
Vol 98 (5) ◽  
pp. 2203-2220 ◽  
Author(s):  
Adi Brender ◽  
Allan Drazen

We test whether good economic conditions and expansionary fiscal policy help incumbents get reelected in a large panel of democracies. We find no evidence that deficits help reelection in any group of countries independent of income level, level of democracy, or government or electoral system. In developed countries and old democracies, deficits in election years or over the term of office reduce reelection probabilities. Higher growth rates over the term raise reelection probabilities only in developing countries and new democracies. Low inflation is rewarded by voters only in developed countries. These effects are both statistically significant and quite substantial quantitatively. (JEL D72, E62, H62, O47)


Author(s):  
Louise Lorentzon ◽  
Per Pettersson-Lidbom

Abstract This paper estimates the causal effect of a historical midwifery policy experiment on maternal mortality, infant mortality, and stillbirth during the period of 1830–1894 in Sweden. Exploiting sharp changes or “discontinuities” across time and place in the availability of trained and licensed midwives as an exogenous source of variation, we find that a doubling of trained midwives led to a 20%–40% reduction in maternal mortality and a 20% increase in the uptake of midwife-assisted homebirths. The results thus suggest that a 1% increase in the share of midwife-assisted homebirths decreased maternal mortality by as much as 2%, which is a remarkable finding given that midwife training was only 6–12 months at that time. The results of this study contribute to the current debate about the most effective strategy to reduce the unacceptably high rate of maternal mortality in many developing countries, especially in low-resource settings.


2002 ◽  
Vol 24 (4) ◽  
pp. 53-54
Author(s):  
Lynn Deitrick

Cultural issues play an important part in our daily lives. Often, the cultural practices of immigrants differ from those of the U.S. community in which they now live. The cultural misunderstandings that can result occur in a variety of situations. This is the story of one such misunderstanding that happened a few years ago at a small suburban hospital nursery in a northeastern state.


2020 ◽  
Vol 20 (1) ◽  
pp. 29
Author(s):  
Samir Shah ◽  
Ali Elgalib ◽  
Adil Al-Wahaibi ◽  
Maha Al-Fori ◽  
Prasanna Raju ◽  
...  

Objectives: Stigma and discrimination undermine the quality of life of people with HIV and their access to health services. This study aimed to assess HIV-related knowledge, attitudes and practices among healthcare workers (HCWs) in Oman. Methods: This cross-sectional study took place between July and November 2016. A questionnaire was distributed to 1,400 government HCWs to determine HIV-related knowledge, attitudes and practices. Results: A total of 1,281 HCWs participated (response rate = 92%). Routine tasks, such as dressing wounds, drawing blood and touching clothes, were a cause of concern for 24–52% of HCWs. Only 69% correctly answered questions regarding the transmission of HIV via eating/drinking and mosquito bites. Compared to other HCWs, doctors had significantly higher knowledge (mean = 0.46, 95% confidence interval [CI]: 0.19 to 0.73; P <0.001), attitude (mean = 0.77, 95% CI: 0.31 to 1.24; P = 0.001) and practice (mean = 2.07, 95% CI: 1.59 to 2.55; P <0.001) scores. Expatriates also scored significantly higher in knowledge (mean = 1.08, 95% CI: 0.93 to 1.23; P <0.001), attitude (mean = 1.23, 95% CI: 0.98 to 1.48; P <0.001) and practice (mean = 1.08, 95% CI: 0.82 to 1.34; P <0.001) compared to Omani nationals. Finally, those with >15 years’ work experience scored significantly higher on knowledge (mean = −0.60, 95% CI: −1.12 to −0.08; P = 0.025) and attitude (mean = −0.99, 95% CI: −1.87 to −0.10; P = 0.029) compared to those with less experience. Conclusion: The high rate of HIV-related stigma among HCWs in Oman should be rectified in order to achieve the 90-90-90 target set by the Joint United Nations Programme on HIV/AIDS.Keywords: HIV; Social Stigma; Social Discrimination; Knowledge; Attitude; Professional Practice; Healthcare Providers; Oman.


2022 ◽  
Vol 7 (1) ◽  
pp. 204-237
Author(s):  
Isabel Edith Torres Zapata ◽  
Omar Vargas Orellana

It is difficult to find cases of technology-based Small and Medium Enterprises in developing countries, however Chile has some within the biotechnology sector. How has this been possible? As a consequence of the different public policies and structural economic conditions that allowed their emergence, especially in the 1990s. This study describes the historical conditions and how they have been able to create a sector within the Chilean economy. From the analysis of secondary data the emergence of this type of company within the country is described. This analysis shows the link between structural conditions and appropriate public policies, meaning that these companies did not emerge by chance. Understanding their development process is crucial to promote the creation of more such technology-based Small and Medium Enterprises, as they have many positive externalities and are more globally competitive.


2020 ◽  
pp. 574-576
Author(s):  
Robert Ahmed Khan ◽  
Moshiur Rahman ◽  
Amit Agrawal ◽  
Ezequiel Garcia-Ballestas ◽  
Luis Rafael Moscote-Salazar

Background. COVID-19 has become an alarming pandemic for our earth. It has created panic not only in China but also in developing countries like Bangladesh. Bangladesh has adequate confinements to constrain the spread of the infection and in this circumstance, overall healthcare workers including neurosurgeons are confronting a ton of difficulties. The purpose of this paper is to depict the proficiency of Global neurosurgery in this COVID-19 time. Method. Global neurosurgery offers the chance of fusing the best proof-based guidelines of care. This paper demonstrated that, in low to middle-income countries, Global medical procedure has been received to address the issues of residents who lack critical surgical care. Results. Inappropriate and insufficient asset allotment has been a significant obstacle for the health system for decently giving security to the patients. The fundamental training process has been genuinely hampered in the current circumstance. Worldwide health activities have set to an alternate centre and Global neurosurgery as an assurance is slowed down. Conclusion. This paper recommended that Global neurosurgical activities need to come forward and increase the workforce to emphasize surgical service.


Author(s):  
Vishal H. Chandak ◽  
Ketan J. Khatri ◽  
Shraddha H. Chandak

<p class="abstract"><strong>Background:</strong> Congenital talipes equinovarus is one of the commonest congenital anomalies. In developing countries like India especially in the rural population still there are many myths, culture and awareness issues regarding this deformity. Many patients get initial treatment with casting but tend loose follow ups in this prolonged treatment. To give optimal results in these scenarios, the technique for single stage procedure which includes bony and soft tissue repair gives excellent results.</p><p class="abstract"><strong>Methods:</strong> In a retrospective longitudinal study, 13 children with neglected clubfeet were involved. Valid consent, clinical and radiological evaluation was done. Patients underwent single stage (bony and soft tissue) procedure described in the study. Post operatively data was collected and scoring was done as per International clubfoot study group (ICSG) at each follow ups.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total 13 children out of whom 9 were male and 4 females, all having unilateral deformity were studied. The age group was between 5-22 years (mean 13.5). Postoperatively, the children were followed at 6 months intervals. As per ICSG score 10 patients had excellent results, 3 patients had good results and none had poor results. 2 patients had minor complication - delayed wound healing (2-3 weeks).</p><p class="abstract"><strong>Conclusions:</strong> Treatment of neglected clubfoot using single stage procedure dorsal close wedge osteotomy with soft tissue release has a high rate of good and excellent results, with low frequency of complications. It is a good alternative to conventional procedures for management of neglected clubfeet in developing countries, where compliance of patient is a problem.</p>


2021 ◽  
Vol 11 (1) ◽  
pp. 163
Author(s):  
Raimundo Ribeiro dos Santos ◽  
Elisângela Aparecida Aparecida Pereira de Melo

Este trabalho é proveniente de um estudo desenvolvido na Comunidade Indígena Itxala, município de Santa Terezinha, Estado de Mato Grosso, acerca das práticas socioculturais empreendidas pelos indígenas Iny-Karajá em distintas atividades cotidianas que contemplam as paisagens de manifestações culturais e originárias do povo das águas. Como ponto de partida, trazemos a seguinte indagação: Em que termos é possível etnografar os saberes originários do povo Iny-Karajá na perspectiva de mobilizar e potencializar ações educativas para a sala de aula? Nesse sentido, objetivamos descrever as práticas socioculturais que podem mobilizar e potencializar atividades para o ensino de Ciências e Matemática. O estudo pauta-se na abordagem qualitativa de cunho etnográfico, permitindo evidenciar as impressões e as percepções dos professores, por meio da entrevista narrativa e da participação para observar o cotidiano desses indígenas no decurso da realização de suas práticas socioculturais, com destaque para as pinturas corporais e as ações educativas. Nossas reflexões evidenciam, dentre outras possibilidades, o compartilhar de novos conhecimentos e de atividades escolares na e para a sala de aula mediadas por elementos socioculturais do contexto comunitário, emergindo a negociação de significados como estratégia mediadora e potencializadora do aprendizado de Ciências e Matemática no contexto escolar local.Palavras-chave: Práticas socioculturais. Atividades educativas. Ensino de Ciências e Matemática. Abstract: This work comes from a study developed in the Itxala Indigenous Community, located in the municipality of Santa Terezinha, State of Mato Grosso, Brazil. It is focused on addressing socio-cultural practices of the Iny-Karajá indigenous people during their different daily activities, which include cultural and original manifestations of the people of the waters. As a starting point, we bring the following question: How is it possible to know, through ethnography, the knowledge originating from the Iny-Karajá people in the perspective of mobilizing and enhancing educational actions for the classroom? So, we aim to describe the socio-cultural practices that can mobilize and enhance activities for the teaching of Science and Mathematics. This study is based on a qualitative ethnographic approach, allowing to evidence the impressions and perceptions of teachers through narrative interview and participation, with the intention of observing the daily lives of these indigenous people during the performance of their socio-cultural practices, with emphasis on body paintings and educational actions. Among other possibilities, our reflections show the sharing of new knowledge and school activities in and for the classroom, mediated by sociocultural elements of the community context, making the negotiation of meanings emerge as a mediating and enhancing strategy for the learning of Sciences and Mathematics in the local school context.Keywords: Sociocultural practices. Educational activities. Science and Mathematics Teaching.


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