Using Healthcare Narrative Methods to Improve Outcomes

In healthcare, numbers matter.  They are the measures of physical condition – blood pressure, temperature, height and weight – in a patient profile. They govern the amount of time a provider spends with each patient daily in order to elicit the information needed for assessments and diagnoses.
Increasingly, research shows that a vital aspect of that information is the patient context: the environments, values, relationships and experiences that shape who patients are and how they live. This context directly impacts health, and shapes the challenges patients face in striving to be well; communicating about life outside the four walls of healthcare is thus integral to healthcare that addresses patients’ individual needs.

OPIC and Liberia: Citizen Feedback to Protect Human Rights in Emerging Market Projects

Increasing visibility and awareness of international principles of human rights is creating new opportunities and challenges for channels of citizen feedback. The roles and responsibilities that governments and businesses have with respect to human rights are becoming increasingly recognized internationally. The UN Guiding Principles on Business and Human Rights (so-called “Ruggie Principles”) include operational principles around three pillars –the State duty to protect, the corporate responsibility to respect, and access to remedy.  Businesses are increasingly recognizing that there are financial risks associated with conflicts around human rights issues.

Enabling donors to make better decisions: meta-research to the rescue!

Charities produce masses of evidence about their effectiveness but we suspect that much of that research is missing, ropey, unclear or you can’t find it. It’s thought that fully 85% of all medical research is wasted in ways like this. This damages beneficiaries in two ways. First, donors and other operational charities can’t reliably get feedback on whether a particular type of work is effective, so may avoidably implement or fund something suboptimal. And second, the research consumes resources which could perhaps be better spent delivering something which does work.

Closing the Citizen Feedback Loop

These are the three questions that should be at the center of any funder’s strategy and operations. Yet they are far from the radar screen of many funders and implementing organizations, both domestic and international. Feedback Labs, with founding members Keystone Accountability, GlobalGiving, Development Gateway, Ashoka, Frontline SMS, Twaweza,Ushahidi, and GroundTruth, are committed to helping funders find out and act on the answers to these questions.