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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

Advocacy is perhaps the most unique component of the community health worker (CHW) model. The American Public Health Association (APHA 2018) defines a CHW as ‘a frontline public health worker who is a trusted member of and/or has an unusually

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Capacity Building as Instrument and Empowerment

Training Health Workers for Community-Based Roles in Ghana

Harriet Boulding

put on 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

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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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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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Austerity in Africa

Audit cultures and the weakening of public sector health systems

James Pfeiffer

hospitals, and development and training of cadres of both mid-level providers and community health workers all managed by the Ministry of Health (MISAU). However, after the successful initial rollout of the system, including construction of more than a

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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 of Charity: Good

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Lives of Community Health Workers: Local Labor and Global Health in Urban Ethiopia ( New York : Routledge ). Mascarenhas , M. ( 2017 ), New Humanitarianism and the Crisis of Charity: Good Intentions on the Road to Help ( Bloomington : Indiana

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Educational Resources ). Video Resource. MacClancy , J. (ed.) ( 2017 ), Anthropology and Public Service: The UK Experience ( Oxford : Berghahn ). Maes , K. ( 2017 ), The Lives of Community Health Workers: Local Labor and Global Health in Urban