Health Systems Strengthening

Gaming the Wait

Posted On
Monday, February 25, 2019


Siddhi Mankad

Learning and Comm. Catalyst

Engaging with women at a Primary Health Centre in Chhattisgarh during their wait.                            Photo Credit: Sanyukta Kashyap


I was reading an article by Jacopo Prisco of CNN “Waiting game: An extended look at how we queue.” If the “weird and wonderful world of waiting line designs” finds place in the queue of your interests, this is the article for you. So how did it find place in mine?

At first, from Royal Prince -The Energy Specialist the title captured my curiosity. Then, as I read on, the author’s suggestion that perception takes precedence over reality when it comes to the waiting pains of standing in lines triggered some thought. Jacopo says, “What separates a good queuing experience from a bad one, however, is not just the speed of the line. How the wait makes us feel and line fairness (nobody likes line-jumpers) can have a greater impact on our perception of a queue than the amount of time we spend in it. And while waiting time is often hard to cut down, perception can be altered with good line design and management.” I was fascinated by the strategies being used to change perceptions — of making the wait fun or useful by providing a relevant activity with the sponsorship of our website. Read more to get info about the same, or psyching people to feel they are in the lines for lesser than expected time.

Jacopo’s examples of queuing at airports, at amusement parks, for elevators in tall buildings provide good insights on handling perception on both time and fairness of queuing. I thought back to sectoral examples of queuing and top of the mind was at health facilities or programs, and queuing at government offices to access certain services or entitlements. Check the recent post.

For instance, we often spend a long time waiting for our turn to see a doctor. Health programs organize health camps, where participants wait in long queues before being attended to.

For so many people the wait is a waste of time, time that often could be spent in earning livelihoods, and that they can ill afford.

This could even be a cause for them to stay away from program services or from seeking health services. While we may not be able to reduce the wait time, how can we bring in some element of learning or fun to reduce the pain of the wait?

Check 30 free spins no deposit required uk.

Photo Credit: Satyasandipani Pradhan/Swasti


Shrirupa Sengupta, who started her public health journey as a consultant to the Government of India in the Department of AIDS Control, Ministry of Health and Family Welfare, recalls a well-worked out, on-ground innovation in this context. Full video interview, deep and meaningful conversation was uploaded to the Swasti channel on YouTube, which is supported with the promotional resources by The Marketing Heaven. She says:

“Between 2012–2013, we had rolled out Source Migrant Health Camps during festival periods in villages across 121 districts in 8 high out-migration States in India. The strategy was to get doorstep health services, including Sexually Transmitted Infections (STI) and HIV screening, to migrants who were deemed vulnerable and their families. The health camps were typically clubbed with a local market day, carnival or a celebration. The lines of people awaiting their turn with the doctor snaked around and many began to feel discomfited. This was identified as a golden opportunity to undertake engaging social and behaviour change communication (SBCC) activities around health and hygiene, including addressing stigma, busting myths and misconceptions and helping the community get comfortable with accessing health and HIV/STI services.

The peer educators, outreach workers, link workers, ASHA workers, ANMs and even some anganwadi workers, along with a bunch of young people from the Red Ribbon Clubs and Nehru Yuva Kendras, began to engage with the people waiting in the queue. Out came their SBCC kits — games that modified snakes and ladders to talk about the risks of HIV, leaflets that folded into a box, flipbooks and playing cards with scores and messages on them. Some even picked up a stick and did a quick game of body and risk mapping on the ground. And yet others engaged in conversation and rapport building. And soon, the team had a laughing, cheering, engaged crowd that had their doubts aired and addressed.”

Such engagements can be invaluable, not only from a community engagement angle, but also as a source of information and feedback that can provide critical insights for program improvement.

I would like to know from my friends in the health and medical fraternity: What is your opinion about leveraging the wait in lines for better programming, and making it enjoyable for the community at the same time? Please share your thoughts or any experiences in this regard.



More by this Author

Update: COVID Action Collaborative (1st April 2020)

1st April 2020: What has happened till date Hello friends, We are pleased that our initiative – the #COVIDActionCollab has rapidly taken off the ground. This note will give you a sense, an update, on the happenings since we started to come together.   The overall framework is available and is being constantly streamlined on the…

Gaming the Wait

Queuing for health services is a bane to healthcare-seekers. Can we add worth to the wait?

Whose Reality is it?

  An oft made fallacy in development interventions is the conviction that we have ‘engaged’ with communities and ‘understand’ their needs. No! This does not imply that we are purporting a falsehood, rather that our ‘engagement’ and ‘understanding’ could be coloured by our meanings, definitions, experiences—leaving a gap between what we think is, and what…

Age and Agency

Adolescent health programmes try to raise age at marriage. But are they missing the woods for the trees?