Priorities at the Bedside

2019 ◽  
pp. 31-44
Author(s):  
Ingrid Miljeteig ◽  
Addisu Melkie ◽  
Frehiwot Berhane Defaye ◽  
Ermias Dessie ◽  
Kristine Husøy Onarheim
Keyword(s):  
Lived Experiences ◽  
Health Expenditure ◽  
Health Workers ◽  
Real Life ◽  
Health Conditions ◽  
The People ◽  
Catastrophic Health Expenditures ◽  
Nuanced Understanding ◽  
Financial Burdens ◽  
Allocation Decisions

Out-of-pocket health expenditure is a barrier to accessing basic health care. It imposes major financial burdens, which may drive patients and their families into poverty, which again can aggravate their health conditions. This chapter offers a glimpse into real-life dilemmas and decisions by presenting Ethiopian families’ and health workers’ narratives and experiences of catastrophic health expenditures. The aim is to provide a nuanced understanding of the lived experiences of the people behind the numbers. The chapter draws on material from multiple fieldwork experiences in Ethiopia, from the authors’ experiences as health workers in Ethiopia, and from a national survey of Ethiopian physicians. This material shows how overarching global and national priorities influences families’ and health workers’ allocation decisions. Bringing out the actual dilemmas people face can supplement and inform our understanding of the more theoretical and methodological chapters in this book.

Crimes of Solidarity in Mobility: Alternative Views on Migrant Smuggling

2018 ◽  
Vol 676 (1) ◽  
pp. 6-15 ◽  
Author(s):  
Sheldon X. Zhang ◽  
Gabriella E. Sanchez ◽  
Luigi Achilli
Keyword(s):  
Lived Experiences ◽  
Field Data ◽  
Research Projects ◽  
Collective Wisdom ◽  
Symbiotic Relationships ◽  
The People ◽  
Migrant Smuggling ◽  
Community Ties ◽  
Nuanced Understanding ◽  
And Control

In this volume of The ANNALS, we present a collection of empirically based research projects on migrant smuggling, seeking to create a more nuanced understanding of the topic that supersedes perspectives that are often found in mainstream narratives of unscrupulous and ruthless criminal gangs preying on vulnerable and desperate migrants. The contributing authors rely on field data to reveal the complex and often symbiotic relationships between migrants and the people behind their journeys. Often misunderstood in juxtaposition to narratives of security and control, the lived experiences of migrants describe smuggling facilitators as relatives or close friends, acquaintances or distant operators—all members of a social network of varying relational proximity. Vulnerability in migration grows as the travel distance and transit points increase and the density of one’s own community ties decreases. The procurement of smuggling services is always situated within the collective wisdom and lived experiences of the migrants and their communities, and the strategies to increase the odds of success and to reduce the hazards and uncertainty of traversing foreign terrains.

Cultural Hegemony in J. K. Rowling’s Harry Potter Series

2019 ◽  
Vol 7 (2) ◽  
pp. 57
Author(s):  
Shalih Dzakiyyah Farda
Keyword(s):  
Real Life ◽  
Harry Potter ◽  
Status Quo ◽  
Cultural Hegemony ◽  
The People

This article discusses the issue of politics and hegemony in Harry Potter, a fantasy series by British author J. K. Rowling. The work is apparently coded with class systems and hierarchy in its society, and how it can be seen as a reflection of real-life society. It explores how the ruling group tries to keep the power only on the hands of the few by inserting their views and ideologies to their people, and thus resulting into a certain status quo that the ruling group finds desirable. The seven novels of Harry Potter are analysed through Marxist perspective using Antonio Gramsci’s theory of Cultural Hegemony, in which the people in power impose and spread their ideas to those below them as a way to control them. It is concluded that the series also involves criticisms on class domination, corruption on power, and rebellion.

IMPLEMENTATION OF FATWA ULAMA COUNCIL ACEH CONCERNING MAINTAINING FARDHU KIFAYAH FOR THE MUSLIM’S CORPSE INFECTED BY COVID 19 IN BANDA ACEH

2020 ◽  
Author(s):  
Andri Nirwana
Keyword(s):  
Health Workers ◽  
Descriptive Analysis ◽  
Body Fluids ◽  
The Body ◽  
Analysis Approach ◽  
Data Sets ◽  
Infected People ◽  
The Public ◽  
The People ◽  
Banda Aceh

Abstract: The phenomenon of the people who forcibly took covid's corpse 19 from the hospital to be taken care of by Fardhu Kifayah by his family and the community, became a conclusion that there was community doubt about the management of Tajhiz Mayat conducted by the hospital. Coupled with the circulation of the video of the Ruku movement 'in the corpse prayer conducted by unscrupulous parties at the Hospital, became added doubts from the public against the hospital. To solve this problem, this research uses a Descriptive Analysis approach, namely by formulating a question, namely How to arrange Covid 19's body in Banda Aceh and this question will be answered with several theories and data sets from the field. So it was concluded in a conclusion that answered the formulation of the problems mentioned. Theoretically the spread of covid 19 is very fast, the size of the virus is only 0.1 micrometer and is in body fluids, especially nasopharyngeal fluid and oropharyngeal fluids of infected people, fluids in the body of covid 19 bodies can get out through every gap of the body such as mouth, nose, eye and rectum, because it requires special techniques in its management. Fardhu kifayah to covid 19 bodies should be carried out by trained Ustad and trained health workers, so that the spread stopped. The results of this study concluded that the management of the Moslem bodies died at Zainal Abidin Hospital in Banda Aceh was in accordance with the Fatwa of the Aceh Ulama Council (MPU) and the bodies were handled by trained Ustad and health workers.

Mitos Dalam Film Si Kabayan Berjudul "TARUHAN" Karya Didi Petet

2019 ◽  
Vol 2 (02) ◽  
pp. 43-53
Author(s):  
Iwan Muhammad Ridwan
Keyword(s):  
Real Life ◽  
Living Environment ◽  
The People ◽  
Semiotic Approach

The research entitled "Myths in the Si Kabayan Film Titled Didi Petet's Betting" aims to uncover a number of myths that actually occur in Sundanese society and analyze them about Roland Barthes's semiotic approach to the meaning of denotation and connotation. In the film Si Kabayan: Bet there are a number of myths which are a blend of myths that have lived in society and myths that were created by Si Kabayan's ingenuity. Si Kabayan's figure is always identified with the character of silly, lazy, but a lot of sense that can often defeat the antagonist he faces. Likewise, this film was produced in 1991. The Kabayan can fool the characters who become antagonists for himself with a number of myths he made. Even so, interpreting the myths that are found in the film Si Kabayan: Bets are needed interpretations from the people who live in Si Kabayan's living environment, because a number of these myths are mostly special myths that are rarely heard in real life. Some myths can also be broken by Si Kabayan himself.

KEARIFAN LOKAL (LOCAL GENIUS) SEBAGAI SOKO GURU MENATA PERADABAN BANGSA YANG BERKARAKTER NUSANTARA (REFLEKSI KARYA KI DALANG TANGSUB)

2016 ◽  
Vol 2 (12) ◽  
Author(s):  
I Made Suarta
Keyword(s):  
Lifelong Learning ◽  
Local Knowledge ◽  
Real Life ◽  
Negative Attitudes ◽  
Care Environment ◽  
Mental Attitude ◽  
Early 19Th Century ◽  
The People ◽  
The Many ◽  
Written Traditions

Local knowledge (local genius) is the quintessence of our ancestors thinking either oral or written traditions which we have received to date. Thought that, in the context of real archipelago has the same thread, which has a valuable values and universal to strengthen the integrity of the Unitary Republic of Indonesia. Through our founding genius thought that we should be able to implement it in real life to be able to reach people who "Gemah ripah loh jinawi", no less clothing, food, and shelter!Some of the many concepts of mind for the people of Bali are reflected in the work of puppeteer Ki Dalang Tangsub contributed to the development of Indonesia and has a universal value is the concept of maintaining the environment, save money, and humble. Through mental attitude has not always feel pretty; like not smart enough, not skilled enough, and not mature enough experience, make us always learn and practice. Learn and continue lifelong learning will make a man more mature and a lot of experience. Thus, the challenges in life will be easy to overcome. All that will be achieved, in addition to the hard work is also based on the mental attitude of inferiority is not proud, haughty, arrogant and other negative attitudes. Thought care environment, managing finances, and humble as described above, in Bali has been formulated through a literature shaped geguritan, namely Geguritan I Gedé Basur Dalang Tangsub works, one of the great authors in the early 19th century.  Keywords: Local knowledge, a cornerstone of, the character of the archipelago

scholarly journals Context matters in understanding the vulnerability of women: perspectives from southwestern Uganda

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Neema Murembe ◽  
Teddy Kyomuhangi ◽  
Kimberly Manalili ◽  
Florence Beinempaka ◽  
Primrose Nakazibwe ◽  
...  
Keyword(s):  
Health Workers ◽  
Geographical Location ◽  
Middle Income ◽  
Extreme Poverty ◽  
Economic Class ◽  
Individual Interviews ◽  
Resource Limited ◽  
The People ◽  
The Individual ◽  
Southwestern Uganda

Abstract Background Vulnerability at the individual, family, community or organization level affects access and utilization of health services, and is a key consideration for health equity. Several frameworks have been used to explore the concept of vulnerability and identified demographics including ethnicity, economic class, level of education, and geographical location. While the magnitude of vulnerable populations is not clearly documented and understood, specific indicators, such as extreme poverty, show that vulnerability among women is pervasive. Women in low and middle-income countries often do not control economic resources and are culturally disadvantaged, which exacerbates other vulnerabilities they experience. In this commentary, we explore the different understandings of vulnerability and the importance of engaging communities in defining vulnerability for research, as well as for programming and provision of maternal newborn and child health (MNCH) services. Methodology In a recent community-based qualitative study, we examined the healthcare utilization experiences of vulnerable women with MNCH services in rural southwestern Uganda. Focus group discussions were conducted with community leaders and community health workers in two districts of Southwestern Uganda. In addition, we did individual interviews with women living in extreme poverty and having other conventional vulnerability characteristics. Findings and discussion We found that the traditional criteria of vulnerability were insufficient to identify categories of vulnerable women to target in the context of MNCH programming and service provision in resource-limited settings. Through our engagement with communities and through the narratives of the people we interviewed, we obtained insight into how nuanced vulnerability can be, and how important it is to ground definitions of vulnerability within the specific context. We identified additional aspects of vulnerability through this study, including: women who suffer from alcoholism or have husbands with alcoholism, women with a history of home births, women that have given birth only to girls, and those living on fishing sites. Conclusion Engaging communities in defining vulnerability is critical for the effective design, implementation and monitoring of MNCH programs, as it ensures these services are reaching those who are most in need.

The Environmental Impact on Human Wellbeing: A Case Study on Residences in Quarry Area

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Emma Marinie Ahmad Zawawi ◽  
◽  
Wan Hasmirah Wan Ibrahim ◽  
Keyword(s):  
Quality Of Life ◽  
Environmental Impact ◽  
Biological Diversity ◽  
Local Population ◽  
Health Conditions ◽  
Human Wellbeing ◽  
The People ◽  
New Development

An Environmental Impact Assessment (EIA) is compulsory in all types of new development. EIA is important to ensure that biological diversity is maintained and that development will not have any affect on the people and other species in that area. The aim of this study is to investigate the environmental impact on human wellbeing in the vicinity of quarrying. It will increase the awareness of the local population of the important factors that might affect the quality of their lives. A set of questionnaires was distributed to the community at Bandar Saujana Putra and Taman Kajang Perdana, in Selangor. A total of 60 residents were involved in the study. The results reveal that the community was concerned about health conditions and safety. However, there is still a lack of strategies to mitigate the problem. This study provides suggestions for mitigation that could be considered by the residents to reduce the effect of poor air quality caused by incorrect control and monitoring of activities in the area. It is anticipated that this study could assist both residents and authorities in improving the quality of the air as well as the residents’ quality of life.

scholarly journals Lived Experiences of Women Who Underwent Induced Abortion: A qualitative study of Rakai District, Uganda

2021 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Nalubega Joy Margaret ◽  
Omona Kizito
Keyword(s):  
Lived Experiences ◽  
Health Workers ◽  
Induced Abortion ◽  
Medical Standards ◽  
Child Bearing ◽  
Products Of Conception ◽  
Induced Abortions ◽  
Life Threatening ◽  
Study Population ◽  
Experiences Of Women

Background: Induced abortion is one where products of conception are expelled before 28 weeks of gestation. The process can be safe or unsafe. Safe termination of pregnancy is performed by skilled persons using appropriate tools whereas unsafe induced abortion is performed either by persons without the necessary skills or in an environment without the minimum medical standards, or both.Objectives: To explore the lived experiences of women who had induced abortion in Rakai DistrictMethodology: Phenomenological qualitative design was used. Study population was women who underwent induced abortion. 25 women who had induced abortions in past 1-3years were interviewed. Data was collected by in-depth interviews, tape recorded; transcribed verbatim and written in note book.Results: Lived experiences included denial, shame, confusion, fear, anger, anxiety, depression and uncertainty. Participants reported use of local herbs like “ekiwoko” and “majaani”, “etwaata”, “kisuula” and roots of sugar canes, among others, to induce abortion. The processes were mostly traditional, associated with: severe pain, heavy bleeding, and so on. They were life-threatening and horrible. Short- and long-term lived experiences included secondary barrenness, depression, crying-in-privacy and regrets, among others.Conclusion: Health workers and women in child-bearing age need to work together to discuss how to control unplanned pregnancies. 

scholarly journals Changes in Catastrophic Health Expenditures Depending on Health Policies in Turkey

2021 ◽  
Vol 8 ◽  
Author(s):  
Guvenc Kockaya ◽  
Gülpembe Oguzhan ◽  
Zafer Çalşkan
Keyword(s):  
Health Services ◽  
Health Expenditure ◽  
Positive Impact ◽  
Health Expenditures ◽  
Catastrophic Health Expenditure ◽  
Health Policies ◽  
World Health ◽  
Positive Health ◽  
Catastrophic Health Expenditures ◽  
The Impact

Without any financial protection out of pocket health expenses are essential both because their increase causes difficulties in accessing higher quality health services for households and more importantly because it complicates access to most basic health services. As a result of the Health Transformation Program in practice in the Turkish healthcare system since 2003, significant changes have been done in all layers of the health system. Turkish Statistics Institute (TurkStat) publishes the ratio of households that bear catastrophic health expenditures since 2002. According to TurkStat data, the ratio of households with catastrophic expenditure has fallen from 0.81% in 2002 to 0.17% in 2011 with the health transformation project. However, it has started to rise since 2012 and has reached 0.31% in 2014. This study aims to evaluate the expenditure items that may have caused the rise of the ratio of households with catastrophic health expenditures since 2012, which had previously dropped with the Health Transformation Program that has caused fundamental changes in health policies. Methodology and definitions presented in the article named “Distribution of health payments and catastrophic expenditures: Methodology” by Ke Xu published by the World Health Organization in 2005 have been used. Percentages of health expenditure items among the total expenditure of households with positive health expenditure and households with catastrophic health expenditure between 2007 and 2014 have been evaluated using descriptive analysis. Findings have been interpreted in light of the health policies in practice between 2007 and 2014. An overview of the impact of the health policies reveals that medicine expenditures have decreased both for household and public health expenditures. Despite the impact of policies on the pharmaceutical industry was criticized by the industry, the positive impact can be seen by the decrease in the spending on medicine for households spending on health. Hospital service with positive health expenditure is seen to decrease health expenditure. The reasons for the increase in households with catastrophic health expenditure need further research. As a result, the study strives to discuss the possible policy reasons for the observed effects.

scholarly journals How Law Student Prepare Their Life to Survive?

2020 ◽  
Vol 2 (1) ◽  
pp. 19-38
Author(s):  
Aprila Niravita ◽  
Benny Sumardiana ◽  
Bayangsari Wedhatami ◽  
Syukron Salam ◽  
Ubaidillah Kamal ◽  
...  
Keyword(s):  
Character Education ◽  
Real Life ◽  
Field Research ◽  
Law Students ◽  
State University ◽  
Student Activists ◽  
The People ◽  
Law Student ◽  
And Behavior ◽  
Short Time

Character education is an important element in the effort to prepare superior Indonesian human resources, it is of particular concern to be applied especially among students, there is a need for character education because the attitudes and behavior of the people and people of Indonesia now tend to ignore the noble values ​​of Pancasila which are highly respected and should be rooted in everyday attitudes and behaviors, values ​​such as honesty, politeness, togetherness and religious, gradually eroded by foreign cultures that tend to be hedonistic, materialistic, and individualistic, so that the noble character values ​​are ignored in the future if students and young people are not equipped with character education. Law students have their own challenges, especially in the era of globalization. This paper analyzes and illustrates the character strengthening program for law student activists in Semarang State University through several programs, namely public speaking, strengthening student idealism, strengthening advocacy capacitation and human rights assistance and self-motivation. This research is a field research with the object of research as activists of law students who are members of student organizations. This research confirms that the programs for strengthening the character of students experience several obstacles, one of which is the model used and a relatively short time. However, character education for student activists helps students to survive in real life as part of community members.

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