This article presents an account of a Qashqa'i health worker's upbringing, education and training, noting in particular his transition from life in a traditional nomadic family through completion of a formal education. The health worker, Jamal, describes certain problems of modernity and the personal conflict he faces as someone who loves his culture but also wants to see improvements in the health status of his people. Written by a Qashqa'i author, who brings his own sensitivity and cultural knowledge to the text, the article makes some recommendations about the training and integration of rural health workers in Iran.
Participation, Perceptions, and Challenges in Advocacy
Ryan I. Logan
Community health workers (CHWs) participate in advocacy as a crucial means to empower clients in overcoming health disparities and to improve the health and social well-being of their communities. Building on previous studies, this article proposes a new framework for conceptualising CHW advocacy, depending on the intended impact level of CHW advocacy. CHWs participate in three ‘levels’ of advocacy, the micro, the macro, and the professional. This article also details the challenges they face at each level. As steps are taken to institutionalise these workers throughout the United States and abroad, there is a danger that their participation in advocacy will diminish. As advocacy serves as a primary conduit through which to empower clients, enshrining this role in steps to integrate these workers is essential. Finally, this article provides justification for the impacts of CHWs in addressing the social determinants of health and in helping their communities strive towards health equity.
Oregon Women Continue to Encounter Delays in Medicaid Coverage for Abortion
Women in poverty experience greater delays in the process of seeking abortion. Timely access to both safe abortion care and early prenatal care reduces morbidity and mortality among pregnant women. This article examines the impacts of a policy change intended to facilitate poor women's applications for pregnancy-related Medicaid (a federally funded, state-administered health coverage programme for the poorest Americans), in Oregon (Western U.S.). The mixed-methods data from this applied anthropology study demonstrate that though health coverage waiting times grew shorter on average, poor women and the clinic staff who cared for them continued to perceive delays in obtaining Medicaid coverage for abortion. Implementation of the Affordable Care Act in the U.S.A. (aka Obama-care) is now thought to be contributing to a return to greater delays in accessing prenatal care and abortion. More research and advocacy are needed to improve access to reproductive health care through state Medicaid programmes.
Has "Uncle Sam" Learned any Lessons from "Typhoid Mary?"
Amani Othman and William W. Darrow
Discrimination against women and other vulnerable groups prevailed throughout the twentieth century; it persists today. This historical case study analyzes the life and times of “Typhoid Mary,” an unmarried, Irish Catholic, immigrant woman who was persecuted as an intransigent carrier of a deadly infectious disease. Being a Mexican immigrant, Muslim, or unattractive woman could condemn someone for similar mistreatment today. The failure to overcome prejudice impedes the effectiveness of public health to protect infected patients and susceptible persons from harm and to interrupt disease transmission in communities; it jeopardizes the realization of social quality. Social justice, solidarity, equal valuation, and human dignity will be achieved through resistance to the human rights violations of the Trump administration and the resilience of strong women like Mary Mallon.
Andrew M. Courtwright
Philosophical and political discussions of health inequalities have largely focused on questions of justice. The general strategy employed by philosophers like Norman Daniels is to identify a certain state of affairs—in his case, equality of opportunity—and then argue that health disparities limiting an individual's or group's access to that condition are unjust, demanding intervention. Recent work in epidemiology, however, has highlighted the importance of socioeconomic status in creating health inequalities. I explore the ways in which theories of justice have been expanded in light of this data, suggesting that more work is required if such theories are to provide an adequate framework for addressing health disparities. I conclude by sketching an alternative possibility for thinking about health disparities outside of the context of justice.
Challenges and Concrete, Plain Language Strategies for Community Engagement in Research
Janet Page-Reeves and Lidia Regino
and address complex health problems, social determinants of health, and the continuing or even increasing production of health disparities. Conflicting Dynamics The funding piece of the dynamics of community-engaged health research is proving to be a
Renée Monchalin and Lisa Monchalin
steered her into pursuing graduate school in order to explore these topics further; she was driven to end the cycle of preventable health disparities in our family and in our communities. For Lisa, criminology was initially the field of study she chose
The Challenges of Providing Sexual and Reproductive Healthcare to Men on College Campuses
Lilian Milanés and Joanna Mishtal
Rouse argues, the ‘need to blame health disparities on noncompliance emerges out of an inability to confront the fact that our health care system rations by cost and effectiveness, and that medical science is in many ways still in its early adolescence
Near and Far from the US Border
://www.americanprogress.org/issues/immigration/reports/2017/04/20/430736/facts-immigration-today-2017-edition/ . Castañeda , Heide . 2015 . “ Mixed-Status Families in the Rio Grande Valley of Texas: Health Disparities and Life along the US/Mexico Border .” In Living Together, Living Apart: Mixed Status
Black Trans and Queer Women’s Digital Media Production
in Addressing Health Disparities . Burlington, MA : Jones & Bartlett . Linton , Simi . 1998 . Claiming Disability: Knowledge and Identity . New York : New York University Press . Lombardo , Paul A. 2011 . A Century of Eugenics in America