scholarly journals Using the unmet obstetric needs indicator to map inequities in life-saving obstetric interventions at the local health care system in Kenya

Author(s):  
Elizabeth Echoka ◽  
Dominique Dubourg ◽  
Anselimo Makokha ◽  
Yeri Kombe ◽  
Øystein Evjen Olsen ◽  
...  
1979 ◽  
Vol 13 (6) ◽  
pp. 351-353 ◽  
Author(s):  
John W. Beasley ◽  
Fredric E. Moskol

The community pharmacist working in the drug store setting already has a significant role as a primary care provider. This role should be enhanced and integrated into the health care system to facilitate patient education and other patient services. We propose that clinical community pharmacists who have greater clinical and educational skills will be able to augment their role in the local health care system while remaining on-site in the community pharmacy.


Author(s):  
Mark de Rond

The author talks about the day he was invited to join one of the doctors on a flight to Kandahar to witness the handover of three Afghan casualties to the local health care system. He first discusses the so-called “humpback day” for one of the doctors, or the day that marked the midpoint of his six-week tour. Doctors arrived and departed unaccompanied, whereas nurses came and left en masse to give way to a brand-new cohort in a formal handover ceremony before their twenty-four-hour decompression in Cyprus. Camaraderie has always been a strong feature of military life and especially in the theater of war. The author then turns to the day's casualties, who were to be dropped off at Kandahar Military Regional Hospital, called Camp Hero. He also narrates his flight back to Camp Bastion together with other passengers that included three insurgents, bound and blindfolded.


2019 ◽  
Vol 5 ◽  
Author(s):  
Ian Brooks ◽  
Mario Kossmann ◽  
Virginie Kossmann

The United Nations’ Sustainable Development Goals (SDGs) framework was adopted by every member state of the United Nations in 2015, and, albeit not legally binding, it is arguably one of the greatest steps of humanity to address the identified problems of our time, covering a wide range of topics such as environmental protection, equal opportunities, education, eradication of diseases, famine, poverty, slavery and child labour. Both in terms of its comprehensive scope and its worldwide support, this framework arguably represents one of the most significant international frameworks in human history. Using education related examples from a charity project that is concerned with the development of a local health care system in the African rain forest in Cameroon, this paper illustrates how projects can and should implement key aspects of the SDGs framework pre-emptively within their scope, i.e. at the local level, prior to and in support of the full, legally binding implementation of the framework at the national level. This not only helps to make our world a better place, but also very concretely to reduce project risks, create funding opportunities and make the project’s deliverables more sustainable. The ‘Mahola Project’ (‘Mahola’ means ‘Aid’ in the local Bassa language) was founded in 2013 – following an exploration trip to Cameroon in order to assess the real needs of the population in the deprived area around the village Siliyegue – as a response to meet these needs. The main objective of the project is the development and deployment of a sustainable, integrated, local health care system that is fully aligned with the SDGs and brings about dramatic improvements for the quality of life of the people living there; far beyond ‘just’ providing health care and work opportunities. Education is at the core of the necessary efforts to successfully deliver this system, changing minds and hearts.


Aporia ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 46-68
Author(s):  
Christian Frenopoulo

This article proposes two premises that underlie biomedical health care delivery provided through medical missions to Madiha (Kulina) Indigenous Amazonian people living in forest villages. First, that health care is implemented through a set of detached transferable goods and services. Second, that health is a condition that requires the importation of knowledge and resources. The premises were induced through qualitative research on the Brazilian government’s medical missions that provide biomedical care to Madiha (Kulina) in the southwestern Amazon as part of the national health care system. Despite policy rhetoric, delivery practices disregard embedding health and health care in local infrastructure and cultural conditions. There is little or no collaboration with Indigenous healers, capacity building of the local (Indigenous) health care system, education of resident lay health monitors, or extensive and lasting infrastructural development. The article recommends reorientation of delivery to prioritize local health care infrastructure development.


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