Showing posts with label hippos. Show all posts
Showing posts with label hippos. Show all posts

January 15, 2012

"If You Build It, They Will...Come?": Infrastructure and Environmental Barriers to Healthcare


A pregnant woman in her third trimester is having shortness of breath, a mild headache and blurred vision.  Her sister, concerned about her health, encourages her to visit the rural health center.  The rural health center is 10K (~6 miles) away on foot after she crosses the river. 

What is the likelihood of this woman going to the health center?

The above scenario might be made up but the conditions are not.  Some of the largest barriers to healthcare are caused by environmental factors and poor infrastructure.  If our team did not have a four-wheel drive vehicle and relatively good weather conditions, our travel to many of the sites we visited in Eastern Province would have been impossible and/or dangerous.  We couldn’t reach one of the sites due to a tree that was knocked down by a heavy rainstorm.

It just wasn't meant to be.