I propose a new cooperative venture between market vendors and clinicians. Market vendors could pool together a portion of their resources to compensate and provide space for a clinician to be stationed at the market and offer health screenings to market customers for a fee. Given that some of Caldas' health needs are nutrition and maternal health, the clinician’s assessments could focus on these concerns and his/her recommendations could involve purchasing goods available at the market (e.g. encouraging pregnant women to buy and consume meats, produce, or herbs with more folic acid).
Market vendors are incentivized because the presence of a clinician would attract customers to the market (and thereby indirectly increase the chances of selling more goods), and the clinician's recommendations would directly contribute to increased vendor sales. Clinicians are incentivized to participate in this program because it facilitates access to new patient populations. Moreover, clinicians would not have to participate in the market every day of the week (just one or two); thus, they could maintain their regular office-based practice in addition to participating in the market day.
Although I have never lived in Colombia, I have spent time in Guatemala, Argentina, and Brazil. In each of these countries market days are important weekly events for community residents. Vendors sell a tremendous array of items (meats, produce, household nicnacs, etc.) and residents throng to these markets to stock up on necessary goods. Going to the market is also very gender specific activity - the majority of customers are women and mothers. Thus, the vendor-clinician cooperative is in a good position to target the population segments that most need improved access to health services (see the health overview presented in the challenge brief).
I am intrigued by the organization and patterns of human behavior. This concept is an attempt to tap into and leverage existing behavioral flows and established norms. The image for this concept is a photo I took of a piece of art by Argentine artist León Ferrari. For me, the aerial image and repeated graphic of people walking on different paths captures this idea of the patterns and regularity of human behavior.
POSSIBILITY FOR ADD-ONs AND FUTHER DEVELOPMENT
The profits generated by this cooperative could in re-invested in the program to hire more clinicians, specialized clinicians, or provide clinicians over more market days. Building off of some of the technology and health inspirations, the profits could also be used to rent/buy specialized medical equipment.