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

Meeting the challenge of the national living wage

first_imgSince Chancellor George Osborne announced the creation of a new national living wage in his 2015 Summer Budget, planning how to deal with the associated cost increases has challenged many organisations.When the national living wage comes into effect next month, the minimum hourly wage for employees aged over 25 will rise to £7.20, ultimately increasing to £9 by 2020. This an increase on the current minimum wage, which is currently set at £6.70 for employees aged 21 and over.For some employers, this will not require any action, particularly if they have already committed to pay the Living Wage Foundation’s voluntary living wage, which currently stands at £8.25 an hour and £9.20 in London.However, for others, the introduction of the national living wage could represent a significant increase in their salary bill, at a time when they may already have had to account for a rise in pension contributions post auto-enrolment. Organisations have mooted a number of possible ways through which to absorb the additional cost of compliance. Among others, these include cutting bonuses or freezing pay for staff unaffected by the change, reducing headcount or seeking further efficiencies within the business.It is in this latter area that reward and benefits have a role to play. Find out more about how employers can use their pay and benefits strategy to mitigate the impact of the new national living wage on their business in How will the national living wage impact reward strategies?Later this month, the industry will be watching this year’s Budget unfold with interest. As well as likely changes to pensions tax relief, many will be waiting to see if the government’s review of salary sacrifice arrangements results in it taking action to close these.Futureproofing a reward and benefits strategy to ensure it is equipped to stand up to the demands of such legislative changes is a priority for most organisations. Employee Benefits Connect, which takes place on 9 March at the Lancaster London, will explore a number of the future trends likely to impact the workforce and benefits strategies in order to help employers prepare for all eventualities.Debbie Lovewell-Tuck Editor Tweet: @DebbieLovewelllast_img read more