scholarly journals Environmental Assessment of Healthcare Facilities in the Global South -- A Case Study from Pakistan

Author(s):  
Mustafa Ali ◽  
Silvio Cristiano ◽  
Yong Geng ◽  
Francesco Gonella ◽  
Sergio Ulgiati
2021 ◽  
Vol 13 (15) ◽  
pp. 8399
Author(s):  
Sally Adofowaa Mireku ◽  
Zaid Abubakari ◽  
Javier Martinez

Urban blight functions inversely to city development and often leads to cities’ deterioration in terms of physical beauty and functionality. While the underlying causes of urban blight in the context of the global north are mainly known in the literature to be population loss, economic decline, deindustrialisation and suburbanisation, there is a research gap regarding the root causes of urban blight in the global south, specifically in prime areas. Given the differences in the property rights regimes and economic growth trajectories between the global north and south, the underlying reasons for urban blight cannot be assumed to be the same. This study, thus, employed a qualitative method and case study approach to ascertain in-depth contextual reasons and effects for urban blight in a prime area, East Legon, Accra-Ghana. Beyond economic reasons, the study found that socio-cultural practices of landholding and land transfer in Ghana play an essential role in how blighted properties emerge. In the quest to preserve cultural heritage/identity, successors of old family houses (the ancestral roots) do their best to stay in them without selling or redeveloping them. The findings highlight the less obvious but relevant functions that blighted properties play in the city core at the micro level of individual families in fostering social cohesion and alleviating the need to pay higher rents. Thus, in the global south, we conclude that there is a need to pay attention to the less obvious roles that so-called blighted properties perform and to move beyond the default negative perception that blighted properties are entirely problematic.


2021 ◽  
Vol 13 (15) ◽  
pp. 8351
Author(s):  
Brack W. Hale

The benefits from educational travel programs (ETPs) for students have been well-documented in the literature, particularly for programs looking at sustainability and environmental issues. However, the impacts the ETPs have on the destinations that host them have been less frequently considered; most of these studies focus, understandably, on destinations in the Global South. This paper draws on a framework of sustainable educational travel to examine how ETPs affect their host destinations in two case study destinations, based on the author’s professional experience in these locations, interviews with host organizations that use the lens of the pandemic, and information from government databases. The findings highlight an awareness of the sustainability of the destination, the importance of good, local partnerships with organizations well-connected in their communities, and educational activities that can benefit both students and hosts. Nonetheless, we have a long way to go to understand the full impacts of ETPs on their host destinations and thus truly learn to avoid them.


Author(s):  
Ellen Taylor ◽  
Sue Hignett

Thinking in patient safety has evolved over time from more simplistic accident causation models to more robust frameworks of work system design. Throughout this evolution, less consideration has been given to the role of the built environment in supporting safety. The aim of this paper is to theoretically explore how we think about harm as a systems problem by mitigating the risk of adverse events through proactive healthcare facility design. We review the evolution of thinking in safety as a safety science. Using falls as a case study topic, we use a previously published model (SCOPE: Safety as Complexity of the Organization, People, and Environment) to develop an expanded framework. The resulting theoretical model and matrix, DEEP SCOPE (DEsigning with Ergonomic Principles), provide a way to synthesize design interventions into a systems-based model for healthcare facility design using human factors/ergonomics (HF/E) design principles. The DEEP SCOPE matrix is proposed to highlight the design of safe healthcare facilities as an ergonomic problem of design that fits the environment to the user by understanding built environments that support the “human” factor.


2021 ◽  
Vol 17 (2) ◽  
pp. 249-260
Author(s):  
John Harrington

AbstractThe spread of COVID-19 has seen a contest over health governance and sovereignty in Global South states, with a focus on two radically distinct modes: (1) indicators and metrics and (2) securitisation. Indicators have been a vehicle for the government of states through the external imposition and internal self-application of standards and benchmarks. Securitisation refers to the calling-into-being of emergencies in the face of existential threats to the nation. This paper contextualises both historically with reference to the trajectory of Global South states in the decades after decolonisation, which saw the rise and decline of Third-World solidarity and its replacement by neoliberalism and global governance mechanisms in health, as in other sectors. The interaction between these modes and their relative prominence during COVID-19 is studied through a brief case-study of developments in Kenya during the early months of the pandemic. The paper closes with suggestions for further research and a reflection on parallel trends within Global North states.


2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.


Sign in / Sign up

Export Citation Format

Share Document