scholarly journals Social Life, Economic Status and Health Care Delivery Practices of the People of Bede Community of Bangladesh: A Case Study

1970 ◽  
Vol 2 (2) ◽  
pp. 48-52
Author(s):  
Mohammad Taleb Hossain ◽  
Md Mosharaf Hossain Miazi ◽  
Abdul Ghani

This study was conducted to observe the socio-economical status, living standard and health management practices of the people of the Bede community of Bangladesh. Bedes living in the Savar area of Dhaka district was selected for a case study. To conduct the study, data were obtained through a questionnairebased survey of 700 respondents about their social and economical status, professional practices, standard of living and literacy status, health management and treatment methods used. It has been observed that these mostly nomadic people of the Bede community have a weak socio-economic condition, large family size {(9-16 member family (58.22%); 17-24 member family (22.20%)}, intense smoking habit and a low level of literacy (80.00% people are illiterate). They practice ethno-medicine and snake-charming as their main professional business to earn a living. In offering health care services to people, they use medicaments prepared from various plant and animal parts and minerals and apply various ethno-treatment techniques, like spiritual, physical, mystical and psychological techniques to treat various ailments. Although they practice their age-old traditional system of medicine as their profession to treat others, they have been found to depend largely on Allopathic, Homeopathic and modern Traditional medicines for treating their own illness, particularly when they suffer from  diarrhoea, dysentery, small pox, orthopedic problems, and even snake-bite, which is supposed to be their own specialty. Bedes live below the poverty line.  Key words: Bede community; Social life; Health practices; Economic statusDOI: 10.3329/sjps.v2i2.5823Stamford Journal of Pharmaceutical Sciences Vol.2(2) 2009: 42-47

2017 ◽  
Vol 41 (3) ◽  
pp. 336 ◽  
Author(s):  
Leila Karimi ◽  
Ann Dadich ◽  
Liz Fulop ◽  
Sandra G. Leggat ◽  
Jiri Rada ◽  
...  

Objective The aim of the present study was to develop a positive organisational scholarship in health care approach to health management, informed by health managers and health professionals’ experiences of brilliance in health care delivery. Methods A sample of postgraduate students with professional and/or management experience within a health service was invited to share their experiences of brilliant health services via online discussions and a survey running on the SurveyMonkey platform. A lexical analysis of student contributions was conducted using the individual as the unit of analysis. Results Using lexical analysis, the examination of themes in the concept map, the relationships between themes and the relationships between concepts identified ‘care’ as the most important concept in recognising brilliance in health care, followed by the concepts of ‘staff’ and ‘patient’. Conclusions The research presents empirical material to support the emergence of an evidence-based health professional perspective of brilliance in health management. The findings support other studies that have drawn on both quantitative and qualitative materials to explore brilliance in health care. Pockets of brilliance have been previously identified as catalysts for changing health care systems. Both quality, seen as driven from the outside, and excellence, driven from within individuals, are necessary to produce brilliance. What is known about the topic? The quest for brilliance in health care is not easy but essential to reinvigorating and energising health professionals to pursue the highest possible standards of health care delivery. What does this paper add? Using an innovative methodology, the present study identified the key drivers that health care professionals believe are vital to moving in the direction of identifying brilliant performance. What are the implications for practitioners? This work presents evidence on the perceptions of leadership and management practices associated with brilliant health management. Lessons learned from exceptionally well-delivered services contain different templates for change than those dealing with failures, errors, misconduct and the resulting negativity.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Carine Vendruscolo ◽  
Fabiane Ferraz ◽  
Letícia de Lima Trindade ◽  
Daiana Kloh Khalaf ◽  
Maria Elisabeth Kleba ◽  
...  

Abstract Objective: To analyze the Pró-Saúde management from an intersectoral dialogical space of teaching-service integration. Method: A case study whose information was produced by observing meetings of intersectoral management instances and interviews with Health Training Prism members, between 2012 and 2013. We used the operational proposal for the analysis of qualitative data, in the light of the Paideia Training and Support Methodology for collective co-management. Results: The instances presented themselves as a democratic possibility of sharing the power of representatives of the university (field of theory) and service (field of practice), consonant with the Paideia Support. However, it is necessary for the people involved to appropriate strategies that encourage the reorientation of teaching and to qualify listening in the collective space. Final Considerations: Training reorientation processes co-management, fostering the dialogue between teaching and service, ramp up praxis in health management and enable changes in training and health care.


2021 ◽  
pp. 009539972110478
Author(s):  
Aute Kasdorp ◽  
Leonie Schakel

This case study investigates interactions between inspectors and regulatee representatives during regulatory conversations. We study how health care inspectors pursue voluntary cooperation from internal supervisors of health care providers to alter organizational management practices. We identify ambiguity as a central characteristic of the regulatory conversations. We observe several discrepancies as inspectors display hierarchical behavior incongruent with the horizontal relationship they aim for—and incongruent with the relationship style that internal supervisors expect. Analyzing these discrepancies in terms of relationship types and associated relational signals helps explain and prevent suboptimal communication and reduced acceptance of regulators’ demands by regulatees.


2020 ◽  
Vol 13 (4) ◽  
pp. 365-379
Author(s):  
Hamka Hamka ◽  
Ni'matuzahroh Ni'matuzahroh ◽  
Tri Astuti ◽  
Mein-Woei Suen ◽  
Fu-An Shieh

Purpose The purpose of this study is to explore the psychological well-being of people living around landfills, which constitutes a preliminary case study localized in Samarinda city, Indonesia. Design/methodology/approach This current study used a descriptive, participatory case study design. For data collection, interviews and participatory observation were used. Specifically, this case study took place in Samarinda City, Indonesia. Findings The psychological well-being of the people living around landfills was indicated very low in the light of psychological well-being such as personal growth, life’s goals and self-acceptance dimensions. Research limitations/implications Psychological well-being is part of an attitude of gratitude, thus making individuals happy and satisfied in life. The results of this study point to the fact that people who live around landfills have low psychological well-being due to lack of support from the community and government. In addition, with this research, people who live near landfills are very happy because they feel cared for and care about their condition. People who live near landfills expect the government and surrounding communities to know about their situation so that they become prosperous and well-being. In addition, providing medical team services, sending clean water and providing good solutions can help people who live near landfills. The limitation of this preliminary study was that researchers could deeply explore the lives of people in the next research. Besides, the next research can provide a camera or voice recorder in the state of only observation. In addition, the researcher can analyze more deeply in the next research. The final limitation was that participants could not have enough time to interact with, thus, the researcher could not collect the data to explore further. Practical implications Base on the result in this study, the government needs to have the policy to take care of those people who stay near landfills, for example, improving drinking water, establish the health management and giving a right to people to stay near landfills. Social implications By improving the growing environment, the people live near landfills can have some changes in their life. In addition, the negative stereotype and prejudice can be decreased and establish a more friendly society and increasing their well-being. Originality/value The participants were found to be problematic, primarily in managing their environment and influencing their personal growth. On top of that, the participants appeared to possess a lack exposure of to social interaction with other communities, which might cause them social gap and lack of caring perceived toward the surrounding environment, lack of better life’s goals, the disappointment of current conditions due to low educational and skill backgrounds. Nonetheless, the participants were still of gratefulness upon the situation for they were still granted health for studies to support their families. Besides, the participants did not show any positive attitudes toward themselves because of the disappointment of their condition and personal qualities.


2010 ◽  
Vol 28 (4) ◽  
pp. 266-274 ◽  
Author(s):  
Ted Karpf ◽  
J. Todd Ferguson ◽  
Robin Y. Swift

Health care is in crisis at the global, national, and local levels, with hundreds of millions living without basic care, or with insufficient care. Current health care models seem to have ignored, muted, or excluded the voices of the people they were intended to serve, resulting in health systems and care delivery models that do not respond to the needs of the people. This article describes a values-based approach to health and health care services in which the voices of the people are heard and listened to, and in which individuals and communities are informed participants in their own care. We draw parallels between contemporary concerns for decency in care giving to Florence Nightingale’s path-breaking work, first with the British military medical system and then Great Britain as a whole.


2018 ◽  
Vol 31 (4) ◽  
pp. 195-204 ◽  
Author(s):  
Katariina Silander ◽  
Paulus Torkki ◽  
Antti Peltokorpi ◽  
Aino Lepäntalo ◽  
Maija Tarkkanen ◽  
...  

Background Modularisation is a potential means to develop health care delivery by combining standardisation and customisation. However, little is known about the effects of modularisation on hospital care. The objective was to analyse how modularisation may change and support health care delivery in specialised hospital care. Methods A mixed methods case study methodology was applied using both qualitative and quantitative data, including interviews, field notes, documents, service usage data, bed count and personnel resource data. Data from a reference hospital’s unit were used to understand the context and development of care delivery in general. Results The following outcome themes were identified from the interviews: balance between demand and supply; support in shift from inpatient to outpatient care; shorter treatment times and improved management of service production. Modularisation supported the shift from inpatient towards outpatient care. Changes in resource efficiency measures were both positive and negative; the number of patients per personnel decreased, while the number of visits per personnel and the bed utilisation rate increased. Conclusions Modularisation may support health care providers in classifying patients and delivering services according to patients’ needs. However, as the findings are based on a single university hospital case study, more research is needed.


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