The Night Clinic

first_img ShareEmailPrint To learn more, read: Posted on November 12, 2010June 20, 2017By: Sara Al-Lamki, Young Champion of Maternal HealthClick to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)This blog post was contributed by Sara Al Lamki, one of the fifteen Young Champions of Maternal Health chosen by Ashoka and the Maternal Health Task Force at EngenderHealth. She will be blogging about her experience every month, and you can learn more about her, the other Young Champions, and the program here.At 4pm, the market building begins to close. By 5, all the stalls have cleared out and the shops windows are shut, and so is the clinic. At the same time, new stalls are beginning to take over the open spaces outside the building, encroaching on anywhere that can take a stall, the street, the parking lots, and the bridges over the river, making the area a market running 24 hours a day, 7 days a week. Ashoka Fellow Dr. Luh Putu Upadisari recognized that reaching those 4000+ women that work there only during the daytime was not enough; the education and services also needed to reach these other hundreds of women that work the night hours. So she set up a make-shift clinic in a beauty salon on the ground floor of the market building.It’s quite an amazing thing to witness. The market is bright and bustling with vendors and shoppers, but the crowds are significantly smaller than the daytime, so you can really take in the feel of the market, and take your time enjoying the visual feast. The whole team is there to set up. Because the patients are completely different, there is a whole set of other files for the nighttime patients that are kept in boxes and carried down to the salon every Friday night. Medications, educational materials, condoms, and 2 aprons representing male and female reproductive organs are carried downstairs, as well as stools and small tables for operation, and curtains to create an examination room. Though only open for 4 – 5 hours, the night clinic is always very busy, averaging 30 patients a night, but a big part of the operation is, as always – outreach. Only one Doctor and Nurse are needed at night, and while they and the two men (accountant and office assistant) run the admin and checking patients in, the rest of the staff is out in the market spreading the word, and passing out brochures and condoms. At night there are always new vendors and laborers that have not heard, or have not yet visited the clinic. Because it is only operational once a week, the opportunity for outreach is immense – you cannot imagine how far the night market spreads, and every week new patients come in, and dozens of women and men are given pearls of reproductive wisdom. Especially since there are also sex workers around the market at that time, and more male vendors that may be in contact with these women, there is a special need for condom distribution as well as counseling.Sintha, a graduate in public health and the project coordinator of Yayasan Rama Sesana (the organization for which I work), is particularly good at taking advantage of group situations. She approaches areas with two or more women to ask them if they know about the clinic and if they have visited it before. Because of her engaging nature, this often turns into an open discussion involving 5 or more women, with more coming in to ask questions, listen, or share their stories. I was amazed at the inquisitive nature of the women, both young and old, asking so many questions, sometimes with a coy smile, as they are often embarrassed. The YRS staff is amazingly adept at starting discussions, and educating about what one may think are the simplest of things that we take for granted – menstruation, its process and significance in pregnancy. Sintha told me how their questions stem from personal experience; a woman has a neighbor with breast cancer, and wants to know how to be aware and prevent it. Another has a daughter whose lifestyle is not ideal, and wants to collect material to insure her daughter understands safe sexual practice. There is no judgment in these discussions, and that is why the clinic has been so successful. There is refuge and peace in these circles, ones that the women are always eager to come back to. And because of that she feels there is a demand for night services.Share this:last_img read more

Architectural flexibility is critical in todays

first_img“Architectural flexibility is critical in today’s dynamic environment,” said Aradhya.  “Citizen developers should be able to use tools within the context of existing business operations.”The cloud provides both IT and lines of business with other foreseeable benefits including simple infrastructure provisioning and elasticity, which are necessary to speed application changes while controlling costs.  Meanwhile, citizen developers are hearing more about the benefits of microservices so they’re starting to ask whether IT and the tools they use support them.  Using the cloud, IT can easily make microservices available that citizen developers can consume and combine at will, assuming their platform supports them.Automation will further simplify developmentRobotic Process Automation (RPA) is expected to enable a lot of business process efficiencies, but many lines of business are concerned about job displacement.  Still, many software development tasks, particularly those that are easily repeatable and reproducible are already being automated.  Additional tasks will be automated in the future that will enable citizen developers to accomplish more using their existing skills. “Citizen developers aren’t expected to have a deep understanding of the code, so automation will help simplify business application changes and the creation of new applications,” said Aradhya.  “The automation will range from rote, repetitive tasks to more complex and predictive cognitive process automation.  Ultimately, there’s an opportunity for lines of business to identify how they can streamline their operations.”For now, citizen developers are more concerned about timely software delivery which is further enabled by automation and self-service capabilities.  As the pace of business continues to accelerate, more lines of business will be demanding platforms and tools that enable them to make changes to their own applications quickly and simply.Learn more at Software development team roles are changing as the pace of business continues to accelerate.  Agile development, continuous integration and continuous delivery continue to become more important.  At the same time, there are more low-code and no-code platforms that enable less technical “citizen developers” to build, update and enhance line of business applications.“We need citizen developers because lines of business need to keep pace with rapidly changing market conditions and regulatory requirements,” said Prakash Aradhya, product management director at Red Hat.  “With all of those changes, line of business professionals want more control of their applications so they can make the changes necessary, update those quickly and get to market faster.”Toward that end, more IT departments are creating infrastructures that help abstract the technical complexity of software development so citizen developers can create, maintain and manage line of business applications with drag-and drop simplicity.Citizen development is growingMore software organizations have moved away from Waterfall development because their companies can’t wait months or years for competitive business applications they need today.  Agile and lean development methods have accelerated software delivery, but they don’t ensure that all line-of-business applications are always up-to-date.  As a result, business users continue to wait for application changes they think should be implemented faster, so more of them are looking for ways to update and build applications themselves.“In an ideal world, IT would set up an app service around some of the existing infrastructure so it can be consumed easily by business applications,” said Aradhya.  “The more plumbing IT developers can do, the less coding lines of business have to do.”Cloud-based services helpCloud-based development models simplify service provisioning and they make it easier for citizen developers to consume the services their IT departments provide.  Citizen developers also need a way to make sense of those services because they tend not to understand software architecture and related issues.  Low-code and no-code platforms mask all that complexity behind visual interfaces that citizen developers can easily understand and use.Not all low-code and no-code platforms integrate equally well into existing business processes, however.  If citizen developers have to change the way they work to conform to the limitations of a particular tool, they’ll either stop using it or risk losing some of the time-to-market benefits the tool is designed to provide.last_img read more