Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE)

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'Managing scarcity'- a qualitative study on volunteer-based healthcare for chronically ill, uninsured migrants in Berlin, Germany

OBJECTIVES: In Germany, healthcare for people lacking legal residency status and European Union citizens without health insurance is often provided by non-governmental organisations. Scientific studies assessing the situation of the patients with chronic diseases in this context are scarce. We aimed to characterise medical care for chronically ill migrants without health insurance and outline its possibilities and limitations from the treating physicians' perspective. DESIGN: Qualitative semi-structured interviews; qualitative content analysis. SETTING: Organisations and facilities providing healthcare for uninsured migrants: free clinics, medical practices and public health services. PARTICIPANTS: 14 physicians working regularly in healthcare for uninsured migrants. RESULTS: Delayed contact to the healthcare system was frequently addressed in the interviews. Care was described as constrained by a scarcity of resources that often impedes adequate treatment for many conditions, most pronounced in the case of oncological diseases or chronic viral infections (HIV, hepatitis). For other chronic conditions such as cardiovascular diseases or diabetes, some diagnostics and basic medications were described as partially available, while management of complications or rehabilitative measures are frequently unfeasible. For the patients with mental health problems, attainability of psychotherapeutic treatment is reported as severely limited. Care is predominantly described as fragmented with limitations to information flow and continuity. Which level of care a patient receives appears to depend markedly on the respective non-governmental organisation and the individual commitment, subjective decisions and personal connections of the treating physician. CONCLUSIONS: Restrictions in medical care for uninsured migrants have even more impact on chronically ill patients. Volunteer-based care often constitutes an inadequate compensation for regular access to the healthcare system, as it is strongly influenced by the limitation of its resources and its arbitrariness

Himalayan Trauma: Administrative Thrombosis and Citizens’ Response

In this paper, the author uses excerpts from social media postings and traditional media to highlight how various citizen and volunteer responses to the 2015 earthquake helped fill in the gaps created by institutional dysfunction. Further, he shows how these two types of media played a critical role in facilitating communication between grassroots aid initiatives and earthquake affected people and their families and friends, not only in Kathmandu but also in neglected mountainous areas as well. The author uses a personal, reflexive approach to help situate the distinct experiences of earthquake affected people including trauma patients, people with disabilities, and volunteer aid workers

Silver Dreams Fund Learning and Evaluation Contract: Final report June 2014

This is a summary of the Final Report which presents the findings of the evaluation of the Big Lottery Fund's Silver Dreams Fund conducted by Ecorys.The Silver Dreams Fund was a £10 million programme which sought to address the gaps in provision by challenging organisations to come up with an innovative idea for a project that would "pioneer ways to help vulnerable older people deal more effectively with life-changing events".Our approach involved both formative and summative elements and was based upon a robust and evidence-based outcome evaluation framework. In addition, we have also undertaken an evaluation of the new programme management processes employed by the Big Lottery Fund which has been reported separately.In summary, the evaluation involved:- development of an evaluation framework and common indicators to measure outcomes;- provision of a package of self-evaluation support to projects;- programme level work to provide independent primary qualitative research and to validate findings from self-evaluations;- a range of learning activities; and- analysis and reporting

Crisis Analytics: Big Data Driven Crisis Response

Disasters have long been a scourge for humanity. With the advances in technology (in terms of computing, communications, and the ability to process and analyze big data), our ability to respond to disasters is at an inflection point. There is great optimism that big data tools can be leveraged to process the large amounts of crisis-related data (in the form of user generated data in addition to the traditional humanitarian data) to provide an insight into the fast-changing situation and help drive an effective disaster response. This article introduces the history and the future of big crisis data analytics, along with a discussion on its promise, challenges, and pitfalls

Designing an Affordable Health Care Program for Hispanic Immigrants in New York City

Grameen Research partnered with its sister organization Grameen America, a nonprofit microlender, and Iora Health, a Cambridge, Massachusetts-based primary health care provider, to launch a member-financed affordable health care program for low-income Hispanic immigrant women entrepreneurs in New York City.The project was intended to leverage the group support structure of Grameen programs and ultimately build a model for replication as Grameen America expands its presence in immigrant communities across the United States

A Decade of Helping Civil Society Fight Corruption in the Philippines: Results and Lessons

This Report details the results and lessons of a decade long (2003-2013) Partnership for Transparency Fund (www.ptfund.org) support to Filipino civil society organizations to fight corruption. It celebrates the successes and reflects on challenges faced as PTF enters a new phase in its partnership. In 2014 PTF established a regional affiliate called PTF Asia as a foundation headquartered in Manila. As efforts worldwide and in the Philippines have evolved during these ten years, the discussion in this Report offers lessons in going forward towards this new phase as well as initiatives beyond the Philippine

Constructing Camelot: John F. Kennedy and the 1946 Massachusetts special congressional election

This is a study targeting the political debut of a great American figurehead. Before he was President, John F. Kennedy was a soft-spoken and shy congressional candidate with little perceived political promise. The 1946 John F. Kennedy congressional campaign was successful because of the unique organization, image, and opportune timing of the congressional race. By obtaining a better understanding of the people, the stories, and the nuances of the Eleventh Congressional District, Kennedy was able to alter his campaign approach and win the election. The Kennedy campaign promoted a candidate who resonated with a large percentage of the electorate and campaign workers mapped out the greatest path to victory within the constraints the district presented. Through hard work, grit, and unwavering dedication, the Kennedy campaign team helped shape a legendary statesman; a leader who defied legend and lived on in American culture years after his assassination