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Global Health Issues and Personal Experiences

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Global Health Issues and Personal Experiences. Reflections on Social Justice ... just as much as the rich do--with scientific expertise and boundless dedication. ... – PowerPoint PPT presentation

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Title: Global Health Issues and Personal Experiences


1
Global Health Issues and Personal Experiences
  • Reflections on Social Justice
  • James Beebe, Professor, Doctoral Program in
    Leadership Studies

2
Health Care as a Global Issue
  • Issues illustrated by the work of Paul Farmer
  • Origins in Peace Corps Experience
  • Related to
  • Commitment to social justice
  • Passion for working collaboratively across
    national and cultural boundaries
  • Relevance of Rapid Assessment

3
  • PAUL FARMER

4
PAUL FARMER Pathologies of Power
5
PAUL FARMER Pathologies of Power
  • This is an angry and a hopeful book. It has
    both passion and authority.
  • He combines an unflinching moral stance--that
    the poor deserve health care just as much as the
    rich do--with scientific expertise and boundless
    dedication.
  • illuminates the pathologies of a world economy
    that has lost its soul

6
PAUL FARMER
  • superb physician, a penetrating anthropologist,
    and a prophet of social justice

7
PAUL FARMER Multi-drug resistant tuberculosis,
AIDS , and human rights violations
8
PAUL FARMER
  • Reporter With so much suffering, is it sometimes
    hard to maintain a positive outlook?
  • Paul Farmer Very difficult. Its important to
    see the little victories, which are not so little
    to those who are served by these projects.

9
PAUL FARMER Two issues with Paul Farmer
  • Assumption that medical care is provided by MDs
    and no discussion of the role of others providers
    such as nurses of primary health care.
  • Assumption that the traditional approach of
    anthropologists, including long field work, is
    the only approach.

10
  • PEACE CORPS VOLUNTEER

11
Peace Corps, Public School Castillejos, Zambales,
Philippines
12
Peace Corps In-service training for teachers
13
Peace Corps Teaching, Bontoc Community College
14
Peace Corps Planting rice, harvesting the 2nd try
15
Peace Corps Developing curriculum materials
16
Peace Corps
  • Even though only a Peace Corps Volunteer for
    four and a half years, the experience has had a
    significant impact on who I am and who I am in
    the process of becoming.

17
PEACE CORPS Impact
  • The importance of culture
  • The joy of working cross culturally and
    internationally
  • Immersion into a culture based on relationship
    and marriage into that culture.

18
Peace Corps Experiences with health issues
  • Stupid Deaths and Angels
  • Cholera Vaccinations and Tradeoffs
  • Rabies and Rural Reality
  • Infections and the Environment

19
  • COMMITMENT TO SOCIAL JUSTICE

20
COMMITMENT TO SOCIAL JUSTICE My belief Justice
not Compassion
  • Motivation for action should not be based on
    compassion
  • Compassion implies action is optional
  • Those who believe that charity is the answer
    often regard those needing charity as
    intrinsically inferior

21
COMMITMENT TO SOCIAL JUSTICE According to Paul
Farmer
  • There is an enormous difference between seeing
    people as the victims of innate shortcomings and
    seeing them as the victims of structural
    violence.

22
COMMITMENT TO SOCIAL JUSTICE Health as a
fundamental human right
  • I agree with Paul Farmer that health is a
    fundamental human right.
  • Farmer contrasts this with a perspective that
    health is a desirable outcome to be attained
    through the purchase of the right goods and
    services.

23
COMMITMENT TO SOCIAL JUSTICE I join Paul Farmer
in concluding
  • Social justice requires a preferential option for
    the poor.
  • Conditions of the poor are not only unacceptable
    but are the result of structural violence that is
    human-made.
  • Working for social justice requires working with
    the poor as they struggle to change their
    situation.

24
  • My PASSION FOR WORKING COLLABORATIVELY ACROSS
    NATIONAL AND CULTURAL BOUNDARIES

25
WORKING COLLABORATIVELY, Dissertation research on
farmers Barrio Gugo, Calumpit, Bulacan,
Philippines
26
WORKING COLLABORATIVELY, Gugo Dissertation
research on farmers
27
WORKING COLLABORATIVELY, Gugo Dissertation
research on farmers
28
WORKING COLLABORATIVELY, Gugo Dissertation
research on farmers
29
WORKING COLLABORATIVELY, Gugo Dissertation
research on farmers
30
WORKING COLLABORATIVELY, Gugo Dissertation
research on farmers
31
WORKING COLLABORATIVELY, Gugo Dissertation
research on farmers
32
WORKING COLLABORATIVELY, GUGO Experiences with
health issues
  • ORT a small but significant innovation
  • TB and the ability to sustain treatment
  • Pneumonia and access to medical care

33
WORKING COLLABORATIVELY Umm Hijliij Breimya, El
Obeid, Northern Kordofan, Sudan
34
WORKING COLLABORATIVELY, UMM HIJLIIJ Rapid
Assessment
35
WORKING COLLABORATIVELY, UMM HIJLIIJ Rapid
Assessment
36
WORKING COLLABORATIVELY, UMM HIJLIIJ Rapid
Assessment
37
WORKING COLLABORATIVELY, UMM HIJLIIJ Rapid
Assessment
38
WORKING COLLABORATIVELY, UMM HIJLIIJ Rapid
Assessment
39
WORKING COLLABORATIVELY, UMM HIJLIIJ Rapid
Assessment
40
WORKING COLLABORATIVELY, SUDAN Experiences with
health issues
  • Malaria and the limits of prevention
  • Ebola Fever and almost accidental exposure
  • Schistosomiasis and culture
  • Hepatitis and the difficulty of diagnosis

41
Rapid Assessment Process RAP
  • James Beebe
  • Gonzaga University
  • 2005

42
RAP
  • RAP is intensive, team-based ethnographic
    inquiry using triangulation and iterative data
    analysis and additional data collection to
    quickly develop a preliminary understanding of a
    situation from the insiders perspective.

43
Results can be produced in
  • as few as four day,
  • but usually requires several weeks.

44
The RAP team should seek out
  • the poorer,
  • less articulate,
  • more upset, and
  • those least like the members of the RAP team.

45
Stories NOT Answers
  • The goal is to get the insiders to tell their
    stories and NOT answer the questions of the
    outsiders.

46
RAPID ASSESSMENT PROCESS An Introduction (2001)
  • http//www.rapidassessment.net

47
RAPID ASSESSMENT PROCESS
  • Paul Farmer identified the central thesis of
    Pathologies of Power as that human rights abuses
    are best understood, that is, most accurately and
    comprehensively grasped, from the point of view
    of the poor.
  • Rapid Assessment provides a tool for
    understanding issues from the point of view of
    the poor.  

48
WORKING COLLABORATIVELY Use of Rapid Assessment
HIV/AIDS
  • A Tshwane (Pretoria) municipal government
    official requested training.

49
WORKING COLLABORATIVELY Use of Rapid Assessment
HIV/AIDS
  • Training program based on doing a RAP with grant
    funding from USAID
  • Team involving the Municipal Department of
    Health, the Centre for the Study of AIDS at the
    University of Pretoria, and the School of Nursing
    at the University of Botswana.

50
WORKING COLLABORATIVELY Use of Rapid Assessment
HIV/AIDS-Orientation Session
51
WORKING COLLABORATIVELY Use of Rapid
Assessment HIV/AIDS Primary Health Care Clinic
52
WORKING COLLABORATIVELY Use of Rapid Assessment,
Southern Africa, HIV/AIDS, RAP-First group
interview
53
WORKING COLLABORATIVELY Use of Rapid Assessment
HIV/AIDS RAP-Session between interviews
54
WORKING COLLABORATIVELY Use of Rapid Assessment,
HIV/AIDS RAP-Second of four interviews
55
WORKING COLLABORATIVELY Use of Rapid Assessment,
HIV/AIDS RAP-Team members work on report
56
WORKING COLLABORATIVELY Use of Rapid
Assessment Nursing faculty, University of Botswana
57
WORKING COLLABORATIVELY Nursing faculty,
University of Botswana
  • Group interview training led by Botswana faculty
    member who participated in Tshwane RAP

58
Experiences with health issues
  • Stupid Deaths and Angels
  • Cholera Vaccinations and Tradeoffs
  • Rabies and Rural Reality
  • Infections and the Environment
  • ORT a small but significant innovation
  • TB and the ability to sustain treatment
  • Pneumonia and access to medical care
  • Malaria and the limits of prevention
  • Ebola Fever and almost accidental exposure
  • Schistosomiasis and culture
  • Hepatitis and the difficulty of diagnosis

59
Health Care as a Global Issue
  • Issues illustrated by the work of Paul Farmer
  • Origins in Peace Corps Experience
  • Related to
  • Commitment to social justice
  • Passion for working collaboratively across
    national and cultural boundaries
  • Relevance of Rapid Assessment
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