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There has been a continuous downfall in equipping the Primary Health Centres (PHCs) with infrastructure, facilities, and workforce to provide basic minimum primary healthcare services to the underserved population in the Indian context. The main goal of this research is to look at the infrastructure and manpower in a sample of PHCs in the Kanpur district of Uttar Pradesh, India. The interview template exclusively for Product-Service System (PSS) by Singapore University of Technology and Design-Massachusetts Institute of Technology (SUTD-MIT) was used to study randomly selected samples of 51 PHCs. The data were examined using the Indian Public Health Standards (IPHS) of the Indian government. Some of the key findings included the lack of workforce and their commitment, shortage of space, electricity, and water supply. To find a solution for the found lacunae, this article also discusses about the functioning of Mobile Hospitals (MHs) depending upon the contexts and thus extracting lessons for a new intervention in the primary health care system delivery model. Finally, a new healthcare delivery model in the form of a mobile Primary Health Centre (mPHC) is proposed based on the field study and the synthesis of historical literature on MH. [ABSTRACT FROM AUTHOR]

Wheelchair (WC) design elements are subjected to the accessibility and assistive needs of a person with locomotor disability. In order to pursue a holistic design for a stairclimbing WC, there is a need for literature review on WC functions reported for both stair climbing and plane surface movement. A total of 112 Research articles are reviewed for the purpose of extracting the relationship between WC design elements and the functions associated with them. Stairclimbing technologies are reviewed for their technological assessment in terms of functional elements associated with stairclimbing. Cross-functional mapping between functional elements and their dominant function is performed. Heat map for primary user needs and associated design elements is generated from cross mapping. A design gap for user's functional needs is indicated from the review of literature on prototypes and products of WC. The literature in stairclimbing technology is primarily focussed on stair climbing capability and not on the other functional needs, such as safety, ride comfort, seat comfort, manoeuvrability, etc. For attaining the goal of an effective rehabilitation, it is important to design and develop an assistive technology that can provide maximum accessibility and functioning for a person with disability. In case of locomotor disability, wheelchair (WC) is the most empowering tool that can assist people in both accessibility and activities of daily living. This review of literature was conducted to draw out the functions fulfilled by a WC, such as safety, comfort, propulsion for its users and the associated WC elements like seat, wheels, backrest, etc., that are required to fulfil those functions. WC being the most important technological intervention in the life of a person who cannot walk should be designed with the highest level of empathy. Therefore, each and every aspect of the user's physical and emotional needs should be catered up to the limits of engineering design. The research on stair climbing technologies has also grown exponentially, fuelled by technological growth in engineering mechanisms, ambient awareness sensors, actuators, etc. The review attempts to envelop such technologies and consolidate them on the basis of their capabilities and efficacies. The virtue of stair climbing has been realized through some novel and innovative mechanisms reviewed in this article that can be integrated with the research in field of functional elements required to carry out primary functions of a disabled person, such as safety, comfort, intuitiveness, etc. This review can help in coupling both of them in a more rational way where a designer who is designing the technology is more empathetic towards the design for accessibility. It can also help user in becoming more confident towards adapting a new assistive technology. [ABSTRACT FROM AUTHOR]

The pandemic, which can be envisioned as a collective nightmare for humanity, was contemplated in July 2020 from the author's residence. Everyone, regardless of social status, had difficult times in their personal and professional lives. Although we researchers are concerned and responsible for enhancing both paradigms of humanity with the help of innovations in emergency situations, this study is based on my experiences pursuing a PhD at the time of Covid-19 in the domain of healthcare infrastructure and service design. The PhD aims to design, develop, and deploy a cost-effective collapsible mobile Primary Health Centre (mPHC) unit specifically tailored for low-resource settings. This report will take readers on an unknown journey through the process of conducting design-led research and disseminating insights for future researchers. [ABSTRACT FROM AUTHOR]

This paper aims to examine the influence of nanoclay as secondary reinforcement in carbon epoxy (CFRP) composite on the abrasive water jet machining (AWJM) response for the process parameters, namely, jet pressure (96 and 304 MPa), traverse rate (50, 100, and 150 mm/min), and nanoclay (0.00, 1.25, and 2.50 wt%). The most dominating parameters for AWJM response such as average surface roughness (Ra) characteristics, kerf taper (KT) formation, and material removal rate (MRR) of CFRP plates were investigated by adopting the Taguchi-based statistical method. ANOVA was utilized to obtain the influence of input factors on the process response. Traverse rate was attained as the most considerable factor for all the AWJM response. CFRP embedded with nanoclay showed relatively lower KT formation, Ra, and MRR than the CFRP laminate without nanoclay. Traverse rate with 150 mm/min showed higher Ra, KT formation and MRR compared to 50 and 100 mm/min. Jet pressure with 304 MPa showed lower Ra and KT formation while provided better MRR. The microstructure analysis of the machined surface was illustrated applying FESEM. [ABSTRACT FROM AUTHOR]