scholarly journals Covid-19 Impact on the Workers of the Informal Sector: A Longitudinal Study of Bangladesh

2021 ◽  
Vol 9 (4) ◽  
pp. 194-208
Author(s):  
Mahamuda Firoj ◽  
Sharmina Khanom ◽  
M Mamunur Rashid ◽  
Abeda Sultana ◽  
Humayun Kallol ◽  
...  
Keyword(s):  
Low Income ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
Vulnerable Groups ◽  
Living Standard ◽  
Informal Workers ◽  
Access To Health ◽  
Rapid Spread ◽  
One Year ◽  
The One

The rapid spread of COVID-19 and subsequent restriction measures become a growing concern for its economic impacts as well. To address it, a study was undertaken to investigate the impacts upon the low-income people employed in the informal sectors in Bangladesh. The data of 372 respondents was collected through a structured questionnaire from the informal sectors in the cities of Dhaka and Chattogram, the most predominant hubs of the country’s informal workers. This study covered the period of the first wave of the pandemic in Bangladesh from its first detection (8 March 2020) to the onset of the second wave (February 2021). It was a little over the one year period that had been divided into four-time segments considering as before pandemic (January – March 2020), and during pandemic (1st quartile: April – July 2020; 2nd quartile: August – November 2020 and 3rd quartile: December 2020 - February 2021). In the 1st quartile during the pandemic, 65% of respondents' income revealed a sharp decline. This scenario continued in the 2nd and 3rd quartiles with the figure of 35% and 24% respectively. Thus, in each of the three quartiles during pandemic time slots, the majority of respondents' consumption, living standard, schooling, and access to health care facilities were found negatively impacted. By the continuity of time some of the respondents were able to settle them in the new socio-economic condition. Overall, these results indicated several recommendations, including extending basic assistance to these vulnerable groups.

Health Policy in Cambodia: To What Extent Is an Aid-Dependent Country Able to Determine Its Own Policy?

2014 ◽  
Vol 44 (1) ◽  
pp. 171-187 ◽  
Author(s):  
VIRGINIE DIAZ PEDREGAL ◽  
BLANDINE DESTREMAU ◽  
BART CRIEL
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Low Income ◽  
Access To Health Care ◽  
Implementation Process ◽  
Health Care Provision ◽  
Care Provision ◽  
Low Income Country ◽  
Access To Health ◽  
Wide Range

AbstractThis article analyses the design and implementation process of arrangements for health care provision and access to health care in Cambodia. It points to the complexity of shaping a coherent social policy in a low-income country heavily dependent on international aid.At a theoretical level, we confirm that ideas, interests and institutions are all important factors in the construction of Cambodian health care schemes. However, we demonstrate that trying to hierarchically organise these three elements to explain policy making is not fruitful.Regarding the methodology, interviews with forty-eight selected participants produced the qualitative material for this study. A documentary review was also an important source of data and information.The study produces two sets of results. First, Cambodian policy aimed at the development of health care arrangements results from a series of negotiations between a wide range of stakeholders with different objectives and interests. International stakeholders, such as donors and technical organisations, are major players in the policy arena where health policy is constructed. Cambodian civil society, however, is rarely involved in the negotiations.Second, the Cambodian government makes political decisions incrementally. The long-term vision of the Cambodian authorities for improving health care provision and access is quite clear, but, nevertheless, day-to-day decisions and actions are constantly negotiated between stakeholders. As a result, donors and non-government organisations (NGOs) working in the field find it difficult to anticipate policies.To conclude, despite real autonomy in the decision-making process, the Cambodian government still has to prove its capacity to master a number of risks, such as the (so far under-regulated) development of the private health care sector.

scholarly journals OPTIMIZATION OF DSME THROUGH INCREASED KNOWLEDGE OF PREVENTION OF COMPLICATIONS AND DIABETES EMERGENCIES IN WONOREJO VILLAGE

2021 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
Ari Pebru Nurlaily ◽  
Meri Oktariani ◽  
Anestasia Pangestu Mei Tyas
Keyword(s):  
Access To Health Care ◽  
Diabetes Complications ◽  
Clinical Manifestations ◽  
The Elderly ◽  
Health Care Facilities ◽  
Basic Knowledge ◽  
Foot Care ◽  
Healthy Elderly ◽  
Access To Health ◽  
Prevention Of Diabetes

Background: Many elderly convey blood sugar often up and down due to lack of attention to their diet. The condition became urgent because the elderly had previously died from complications accompanied by diabetic ulcers. In the posyandu area of wonorejo healthy elderly, DM disease is one of the diseases that are quite widely suffered by its citizens. Objective: The DSME education program for cadres and the elderly at Posyandu Wonorejo aims to increase knowledge and prevent diabetes complications. Method: This DSME program was conducted in four sessions, namely, session 1 discussing basic knowledge about DM (definition, etiology, classification, etiology, clinical manifestations, diagnosis, prevention, treatment, complications), session 2 discussing DM management including nutrition/diet arrangements, and physical activities/exercises that can be done, session 3 discussing foot care and stress management; and session 4 discusses the prevention of chronic and acute complications, and the patient's access to health care facilities. Results: There was an increase in knowledge and prevention of diabetes complications up to 93,75% after this activity was conducted.. Conclusion: The program is optimally implemented.

scholarly journals A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

2021 ◽  
Vol 9 ◽  
Author(s):  
Alicia K. Matthews ◽  
Karriem S. Watson ◽  
Cherdsak Duang ◽  
Alana Steffen ◽  
Robert Winn
Keyword(s):  
Health Care ◽  
Smoking Cessation ◽  
Health Care Providers ◽  
Low Income ◽  
Access To Health Care ◽  
Social Determinant ◽  
Evidence Based ◽  
Patient Portal ◽  
Care Providers ◽  
Access To Health

Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.

scholarly journals Migration and access to health care in English medical law: a rhetorical critique

2008 ◽  
Vol 4 (4) ◽  
pp. 315-335 ◽  
Author(s):  
John Harrington
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Medical Law ◽  
The European Union ◽  
Persuasive Strategies ◽  
Access To Health ◽  
Starting Point ◽  
The One ◽  
The Individual ◽  
The Uk

This paper develops a rhetorical critique of recent cases on migration and access to health care in Britain. It argues that the national territory, once a taken-for-granted starting point for reasoning in medical law, has lost its common-sense status as a result of neoliberal globalisation. This is evident in recent decisions involving on the one hand HIV-positive asylum seekers coming to the UK and on the other hand British ‘health tourists’ seeking funding for treatment elsewhere in the European Union. Courts are aware that many of these cases are likely to call forth the sympathy of audiences for the individual concerned, further undermining their privileging of the national scale. In curbing this ‘politics of pity’ they adopt a range of persuasive strategies.

The New Normal: Twelve Months of Resiliency and Recovery in Christchurch

2012 ◽  
Vol 6 (1) ◽  
pp. 33-43 ◽  
Author(s):  
Graeme J. McColl ◽  
Frederick M. Burkle
Keyword(s):  
Access To Health Care ◽  
Objective Measure ◽  
New Normal ◽  
Heating And Cooling ◽  
Number Of Factors ◽  
Access To Health ◽  
Essential Services ◽  
One Year ◽  
Earthquake Survivors ◽  
Do So

ABSTRACTThe series of earthquakes and aftershocks that have hit Christchurch, New Zealand, for more than one year has been severe and sustained, resulting in major damage to homes, buildings, essential services, and resources in water, sewerage, food, access to health care, energy for heating and cooling, and unprecedented challenges to resiliency. Large swathes of destroyed buildings, land damage, and liquefaction have made rebuilding impossible for many. Populations have moved or report that they either wish to or plan to do so. For those who remain, a ”new normal” mindset has taken hold and serves as an objective measure for the process that defines daily life and future decisions. The new normal serves as an uncomfortable but realistic guideline by which further resiliency can be measured. A number of factors have led to the development of the new normal state for the Christchurch earthquake survivors.(Disaster Med Public Health Preparedness. 2012;6:33-43)

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