Peer-to-peer in the workplace: A view from the road

ABSTRACT This paper contributes to the growing literature on peer-topeer (P2P) applications through an ethnographic study of auto-rickshaw drivers in Bengaluru, India. We describe how the adoption of a P2P application, Ola, which connects passengers to rickshaws, changes drivers work practices. Ola is part of the 'peer services' phenomenon which enable new types of ad-hoc trade in labour, skills and goods. Autorickshaw drivers present an interesting case because prior to Ola few had used Smartphones or the Internet. Furthermore, as financially vulnerable workers in the informal sector, concerns about driver welfare become prominent. Whilst technologies may promise to improve livelihoods, they do not necessarily delive

Peer-to-peer in the workplace : a view from the road

This paper contributes to the growing literature on peer-topeer (P2P) applications through an ethnographic study of auto-rickshaw drivers in Bengaluru, India. We describe how the adoption of a P2P application, Ola, which connects passengers to rickshaws, changes drivers work practices. Ola is part of the ‘peer services’ phenomenon which enable new types of ad-hoc trade in labour, skills and goods. Autorickshaw drivers present an interesting case because prior to Ola few had used Smartphones or the Internet. Furthermore, as financially vulnerable workers in the informal sector, concerns about driver welfare become prominent. Whilst technologies may promise to improve livelihoods, they do not necessarily deliver [57]. We describe how Ola does little to change the uncertainty which characterizes an auto drivers’ day. This leads us to consider how a more equitable and inclusive system might be designed.http://dl.acm.org/citation.cfm?id=2858393&CFID=853645300&CFTOKEN=16898376hb2016Informatic

The rise of institutional births in India: are maternal and newborn risks adequately addressed?

The government has successfully increased facility-based childbirth over the last decade, but are these hard pressed services successfully recognizing women’s health risks in pregnancy, birth, and post-partum stages? Is there an understanding of women’s health behaviour and the risks they perceive and prioritize? This chapter explores the quality of health services in two studies conducted nearly ten years apart in rural Karnataka, during which time there was a 47 per cent increase in institution-based births. This chapter shows that the healthcare system narrowly perceives risks within a biomedical framework as opposed to women’s more multidimensional view of risk. Furthermore, the process of identifying, assessing, and managing these health risks has not been located in an institutional framework of accountability that prioritizes its patients. This chapter proposes that the government must adopt a more culturally attuned approach that strengthens the quality and not simply the coverage of health services

A scoping review of the impact of organisational factors on providers and related interventions in LMICs: Implications for respectful maternity care.

We have limited understanding of the organisational issues at the health facility-level that impact providers and care as it relates to mistreatment in childbirth, especially in low- and middle-income countries (LMICs). By extension, it is not clear what types of facility-level organisational changes or changes in working environments in LMICs could support and enable respectful maternity care (RMC). While there has been relatively more attention to health system pressures related to shortages of staff and other resources as key barriers, other organisational challenges may be less explored in the context of RMC. This scoping review aims to consolidate evidence to address these gaps. We searched literature published in English between 2000-2021 within Scopus, PubMed, Google Scholar and ScienceDirect databases. Study selection was two-fold. Maternal health articles articulating an organisational issue at the facility- level and impact on providers and/or care in an LMIC setting were included. We also searched for literature on interventions but due to the limited number of related intervention studies in maternity care specifically, we expanded intervention study criteria to include all medical disciplines. Organisational issues captured from the non-intervention, maternal health studies, and solutions offered by intervention studies across disciplines were organised thematically and to establish linkages between problems and solutions. Of 5677 hits, 54 articles were included: 41 non-intervention maternal healthcare studies and 13 intervention studies across all medical disciplines. Key organisational challenges relate to high workload, unbalanced division of work, lack of professional autonomy, low pay, inadequate training, poor feedback and supervision, and workplace violence, and these were differentially influenced by resource shortages. Interventions that respond to these challenges focus on leadership, supportive supervision, peer support, mitigating workplace violence, and planning for shortages. While many of these issues were worsened by resource shortages, medical and professional hierarchies also strongly underpinned a number of organisational problems. Frontline providers, particularly midwives and nurses, suffer disproportionately and need greater attention. Transforming institutional leadership and approaches to supervision may be particularly useful to tackle existing power hierarchies that could in turn support a culture of respectful care