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Capacity Building as Instrument and Empowerment

Training Health Workers for Community-Based Roles in Ghana

Harriet Boulding

the need to build the capacity of health workers to facilitate positive healthcare relationships within their communities in addition to fulfilling their roles as clinicians. This suggests new forms of knowledge production in the field of developing

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Mohammad Shahbazi

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.

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Being a Community Health Worker Means Advocating

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.

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Josiane Tantchou

The aim of this study was (a) to use anthropological research tools to produce a thorough description of health providers' working conditions in a low-income country; (b) sketch the impact of a specific dimension of the national HIV/AIDS programme on this environment and (c) sketch the existence and examine the extent of burnout among health workers. We conducted intensive fieldwork in a large public hospital in one major town of the far-north region. We relied on three research tools: observations, in-depth interviews and the Maslach Burnout Inventory (MBI). The data were analysed manually. We found a working environment characterised by an acute lack of equipment, lack of recognition and equity, lack of community and fairness, and value conflict, all of which are factors implicated in burnout. This was exacerbated by the implementation of a psychosocial dimension in care for people with HIV/AIDS, which created exclusion and reinforced feelings of unfairness. However, despite their challenging working environment, health-care providers were not 'burned out', leading us to suggest that burnout is a syndrome of 'rigid' working environments, as opposed to 'porous' working environments.

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Eliana Elisabeth Diehl and Esther Jean Langdon

were 155 AIS in January 2014 and 214 in January 2016 contracted in the states of Santa Catarina and Rio Grande do Sul. Although community health workers were regulated and recognized as professionals in 2002 ( Brasil, 2002b ), the same has not occurred

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The GIPA Concept ‘Lost in Transition’

The Case of Expert Clients in Swaziland

Thandeka Dlamini-Simelane

numerous informal conversations with expert clients and nurses, and observed and overheard many patients’ conversations. These informal conversations helped to elicit health workers’ perspectives of expert clients as a cadre, their role and their status in

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Kuru, AIDS, and Witchcraft

Reconfiguring Culpability in Melanesia and Africa

Isak Niehaus

This article examines the significance of witchcraft accusations during the South African AIDS epidemic. In search of broader intercontextual understanding, I compare experiences of AIDS in Bushbuck ridge, where I have done fieldwork, with anthropological studies of kuru, a transmissible degenerative disease, in Papua New Guinea. Whereas scientists blamed the spread of kuru on the practice of cannibalism, those who were affected attributed it to sorcery. These dynamics resonate with the encounters between health workers and host populations during the AIDS epidemic in Bushbuckridge. Health propaganda attributed the rapid transmission of HIV to sexual promiscuity. In response, sufferers and their kin invoked witchcraft, shifting blame onto outsiders and reinforcing the relations that medical labeling threatened to disrupt. The comparison enables us to see witchcraft accusations as a means of reconfiguring culpability, cutting certain networks, and strengthening other existing configurations.

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Service: The UK Experience ( Oxford : Berghahn ). Maes , K. ( 2017 ), The Lives of Community Health Workers: Local Labor and Global Health in Urban Ethiopia ( New York : Routledge ). Mascarenhas , M. ( 2017 ), New Humanitarianism and the Crisis

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Introduction

Capacity Building in Ethnographic Comparison

Rachel Douglas-Jones and Justin Shaffner

revalorize demonized capacities’. The disjunction in Ellison and Douglas-Jones’s articles between the value of new capacities and those they replace is also taken up by Harriet Boulding, drawing on fieldwork with health workers in the Shai-Osudoku district of

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Quarantine and Its Malcontents

How Liberians Responded to the Ebola Epidemic Containment Measures

Umberto Pellecchia

‘citizenry of Liberia for continued denials, cultural burying practices, disregard for the advice of health workers and disrespect for the warnings by the Government’ 2 and thus justified an armed intervention. The Government task force saw the forced