clinical activities, but outreach activities including health promotion, contact tracing, surveillance, referrals of suspected Ebola cases and ongoing training for local staff and other organisations took place outside of the EMC in the wider community. The
Health Promotion Messages and Local Meanings in Guinea
Maria Cristina Manca
Case Studies from West Africa
Emilie Venables and Umberto Pellecchia
response using case studies from different points during the outbreak. Manca’s article is a technical account of the importance of health promotion when planning and implementing Ebola-related interventions. She shows how her experiences as a health
checked every time’. The sad-eyed child sitting in a hospital surgery room is meant to incite parents to take their child’s sore throat seriously, but while it tested the campaign on its target audience of parents, the Health Promotion Agency did not
The Identity and Stigmatisation of Ebola Survivors
other Ebola-related activities such as health promotion. Interviews and discussions with staff working in the EMC revealed that people who did not have Ebola and who had never tested positive for the virus also considered themselves survivors because
William W. Darrow
Public health in the United States has lost its edge. It made a significant impact on human well-being, capacities, and potential in the late nineteenth and early twentieth centuries. Now it takes a backseat to biomedical research and therapeutic medicine. Population health with its traditional emphasis on preventing harm has been displaced by an exorbitantly expensive and continually expanding medical care system devoted almost exclusively to restoring or rehabilitating the health of patients – no matter the cost. The failure to control the spread of human immunodeficiency virus (HIV) in the United States can be attributed to adherence to an inadequate biomedical model that ignores the social. Social quality theory, designed to further social justice, solidarity, equal value, and human dignity, can contribute to identifying and correcting deficiencies in biomedical approaches to HIV prevention and other public health problems that continue to plague the people of the United States.
Exploring the Sensorial Embodiment of Class
Camilla Hoffmann Merrild, Peter Vedsted and Rikke Sand Andersen
discussed practices of healthcare seeking in the two social classes elsewhere ( Merrild et al. 2016b ) and found, along with other studies, that people from higher social classes sometimes more easily appropriate and practice health promotion and illness
Arts-based approaches have been used to engage youth in health promotion activism and research in both local and international contexts. The application of art to research as a mode of inquiry has been a means of actively engaging marginalized communities such as youth in the research process in a way that allows them to creatively represent their thoughts and lives, while negotiating their power within the research environment (Wright et al. 2010). In representing their lived experiences, youth are able to name their worlds and challenge dominant culture (including the ways the media represents them) and its inherent power relations (Barndt 2008; Bagnoli 2009). Using art to do this becomes a catalyst for diff erent kinds of knowledge and knowing (Barndt 2008).
Health, Justice and the Persistence of the Sacred
James R. Cochrane
The essay refers to a concern for social justice in the origins of public health, borne in part by religious commitments, and to more recent expressions of a similar concern in debates about health equity. Equity, moreover, is affected by discursive power relations (dominant/hegemonic versus local/suppressed), which are discussed in relation to current research in the African Religious Health Assets Programme on the interaction of particular 'healthworlds' (a conceptual innovation) that shape the choices and behaviour of health-seekers. Two background theoretical positions guide the argument: Amartya Sen's claim that development is linked to freedom (including religious freedom); and, building on Sen's and Martha Nussbaum's human capabilities theory, an asset-based community approach to the building or reconstruction of public health systems. On this basis, it is argued that health systems and health interventions are just to the extent that they mediate between the necessary leadership or polity from 'above' (techné) and the experience and wisdom (métis) of those who are 'below', taking into account the asymmetries of power that this equation represents. Because difference and diversity are so often expressed in what we might reasonably call 'religious' terms, I specifically emphasize the continuing persistence of religion and, hence, the importance of accounting for its pertinence in social theory generally, and in relation to discourses of health and justice in the African context specifically. Acknowledging the ambiguities of religion, I nevertheless argue that an appreciative alignment between public health systems and religious or faith-based initiatives in health promotion, prevention and care is crucial to sustainable and just health systems in Africa.
Participation as the Cornerstone of Appropriate Methodologies
movement—because of its societal orientation—had a strong fit with emerging ideas and practices of the “social welfare state.” Health Promotion Movement (“New Public Health”): Public Care for Disease Risk Factors and Health In the 1970s and 1980s, the
Challenges and Concrete, Plain Language Strategies for Community Engagement in Research
Janet Page-Reeves and Lidia Regino
. Private sector funders frustrated with investments in health promotion that have failed to produce desired changes have embraced theoretical frameworks such as collective impact ( Kania and Kramer 2011 ), cross-sector collaboration ( Towe et al. 2016 ) and