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Hospital Culture: A case from Bangladesh

Hospital Culture: A case from Bangladesh. Shahaduz Zaman Newcastle University, UK. Hospital: a different look. Ancient Hospital: A place of rest. Hospital: A place for supervised care. Hospital: Means for colonial expansion.

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Hospital Culture: A case from Bangladesh

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  1. Hospital Culture: A case from Bangladesh Shahaduz Zaman Newcastle University, UK

  2. Hospital: a different look

  3. Ancient Hospital: A place of rest

  4. Hospital: A place for supervised care

  5. Hospital: Means for colonial expansion

  6. The peaceful and civilizing influence of the work done in the dispensaries and by regimental surgeons on the frontiers of India has been in political importance equivalent to the presence of some thousands bayonets. It is because of such unexpected philanthropy that, as conquerors, we hold a position in the minds of the people which would not otherwise be possible. • Crawford : Medical Gadget of India 1914

  7. Hospital: Means for Religious conversion

  8. Hospital: a place for training

  9. Hospital: A prison

  10. Hospital: a business centre

  11. Assumptions about Hospital • Hospital is a cosmopolitan institute runs under universal guidelines • Hospital is like a tight little island having an unique subculture.

  12. Hospital: Experience from Bangladesh

  13. Hospital in Bangladesh does not run under universal guidelines • Hospital in Bangladesh is not a tight little island rather it is the microcosm of the broader society.

  14. Hospital as Subculture • A hospital is unique as a way of life, a subculture of a sort within the total society. The round of life, the customs, the relationships between people, the particular problems of everyday living are sufficiently different from those of other social organizations which can be considered as an unique subculture. (King:1962)

  15. Anthropology at home • Making familiar exotic

  16. Hospital from the perspective of different actors

  17. Doctors Patients Hospital World Nurses Relatives of the patients Ward boy/ Cleaner

  18. A strange unfamiliar world Patients profile Poor, Male, victim of violence Uncertainties about Diagnosis/ Prognosis Creative Coping Patients: Lost in the labyrinth Economic Uncertainties Loss of privacy

  19. Being in the Kingdom of the Sick Relatives: Silent Saviors Necessary Evils

  20. Crucial helping hands for doctors Socializing agent for patients Ward boys, Cleaners: Influential Inferiors Hearing them speak Rich in cultural capital

  21. Little touch with the patients Nurses: Ladies without lamps Not a glamour girl

  22. King of the kingdom The round: Climax of the drama Doctors: Pride and Prejudices Frustrated voices

  23. Active adjustments Creative technology Inventiveness Every day resistance Informal mobilization of money Alternative human resource

  24. They (first time visitors to Bangladesh) were expecting poverty, degradation, and hopelessness, as most television news shows and aid agency advertisements focus on the poor, who generally are portrayed as passive victims of floods or worse. Bangladeshis are anything but passive sufferers. They are doers. • (Novak:1994)

  25. Generalised poverty Social hierarchy Prevalence of violence The Hospital: Mirror of Bangladesh The value of family Inventiveness Invisibility of women

  26. Epilogue • We shall not cease from explorationAnd the end of all our exploringWill be to arrive where we startedAnd know the place for the first time. T. S. Eliot

  27. References • King, S. (1962). Perception of illness and medical practice. New York: Russell Sage Foundation. • Coser, R. (1962). Life in the ward. East Lansing: Michigan State University Press. • Zaman, S (2004). Poverty, Violence and Inventivity: Life in a hospital ward in Bangladesh.’ in Social Science and MedicineVol: 59, No: 10, pp: 2025-2036 • Novak, J. (1994). Bangladesh: Reflections on the water. University Press. Dhaka:

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