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	<title>A Humourless Lot&#187; Logistics for health and aid: A Humourless Lot. Tag page for Obesity</title>
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	<description>Logistics for global health and aid</description>
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		<title>Smallest-scale logistics</title>
		<link>http://michaelkeizer.com/humourless/2009/smallest-scale-logistics/</link>
		<comments>http://michaelkeizer.com/humourless/2009/smallest-scale-logistics/#comments</comments>
		<pubDate>Thu, 26 Feb 2009 02:41:41 +0000</pubDate>
		<dc:creator>Michael Keizer</dc:creator>
				<category><![CDATA[Aid and aid work]]></category>
		<category><![CDATA[Logistics]]></category>
		<category><![CDATA[Public health]]></category>
		<category><![CDATA[Car transport]]></category>
		<category><![CDATA[Community design]]></category>
		<category><![CDATA[Drinking water]]></category>
		<category><![CDATA[Firewood]]></category>
		<category><![CDATA[Fuel]]></category>
		<category><![CDATA[Get Beyond Firewood]]></category>
		<category><![CDATA[Health logistics]]></category>
		<category><![CDATA[Health systems]]></category>
		<category><![CDATA[Logistics of daily life]]></category>
		<category><![CDATA[Obesity]]></category>
		<category><![CDATA[UNHCR]]></category>
		<category><![CDATA[Women's Refugee Commission]]></category>

		<guid isPermaLink="false">http://michaelkeizer.com/humourless/?p=88</guid>
		<description><![CDATA[The logistics of daily living can have as much impact on health as health systems logistics.]]></description>
			<content:encoded><![CDATA[	
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<p></p><p>Talking about health logistics, we tend to concentrate on heath <em>systems</em> logistics, i.e. the logistics of the health system. What we ignore is the logistics of daily life and its impact on health.</p>
<p>To give one example: obesity is <a href="http://www.sciencedirect.com/science?_ob=ArticleURL&amp;_udi=B6VHT-4CW43KM-1&amp;_user=10&amp;_rdoc=1&amp;_fmt=&amp;_orig=search&amp;_sort=d&amp;view=c&amp;_acct=C000050221&amp;_version=1&amp;_urlVersion=0&amp;_userid=10&amp;md5=5a314f4bde25c61446ca9b01ce5dcf78">linked</a> to the way our communities are designed and how long we spend in our cars each day. More dramatic examples include <a href="http://www.environmental-expert.com/files/6846/articles/4088/4088.pdf">how distance from a source of clean drinking water impact on water use</a>, or how <a href="http://www.informaworld.com/smpp/content~content=a713662616~db=all">transport and in-house storage of that same drinking water</a> can make all the difference between clean or contaminated water.</p>
<p>An even more direct link between smallest-scale logistics and health are the risks that many women and girls in developing countries (especially in refugee settings) run when <a href="http://www.getbeyondfirewood.org/why.php">collecting firewood</a>. Here it is not even the logistics that impact on the product (firewood) and hence on health, but the logistic activity (collection) <strong>itself</strong> that endangers people&#8217;s life and health (although there is also an indirect link: the use of firewood as fuel causes air pollution).<br />
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<a href="http://www.unhcr.org">UNHCR</a> and the <a href="http://www.womensrefugeecommission.org/">Women&#8217;s Refugee Commission</a> recently started the <a href="http://www.getbeyondfirewood.org/"><em>Get Beyond Firewood</em></a> initiative, which is trying to find safe alternatives for firewood. This is a good example of how improvement of the smallest-scale logistics can improve life and health of people in developing countries.
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