Lesson 10 Transcript

Slide 1

Welcome to this part of Lesson 10.

 

Image credit: Ed Yourdon, "Venice, May 2014- 193," Flickr (accessed April 4, 2015). (C) Creative Commons License: Attribution-NonCommercial-ShareAlike 2.0

 

 

Slide 2

Challenges to health system strengthening

Human rights-based approach

Major roles that anthropologists play in global health practice

Potential career paths

 

Image credit: Ed Yourdon, "Venice, May 2014- 193," Flickr (accessed April 4, 2015). (C) Creative Commons License: Attribution-NonCommercial-ShareAlike 2.0

 

 

Slide 3

After completing this lesson, you will be able to:

• Discuss and list the challenges to heath system strengthening in the developing world
• Identify constructive roles for NGOs in strengthening health systems
• Describe what a human rights-based approach to health should include
• Identify and describe the major roles that anthropologists play in global health practice and discuss potential career paths.

Image credit: Ed Yourdon, "Venice, May 2014- 193," Flickr (accessed April 4, 2015). (C) Creative Commons License: Attribution-NonCommercial-ShareAlike 2.0

 

 

 

Slide 4

We have reviewed the key global health challenges but lets remind ourselves of what improves health most.

 

 

Slide 5

Social conditions and living conditions improve health more than medical interventions alone.

Source: Thomas McKeown, The role of Medicine: Dream, Mirage, or Nemesis. 1980.

 

 

 

Slide 6

This quote is a good definition of the key role of public health. Let’s discuss this in our forum.

“Public health is the science of social justice, overcoming the forces that undermine the future security of families, communities, and peoples.”

Richard Horton, Editor, The Lancet

 

 

Slide 7

So a human rights approach to health is believed by many in global health and anthropology to be the best approach.

Legal and political vs. social and economic rights

                       

Health care?

Education?

Food?

Water?

Housing?

Income?

Safety?

Good music?

                       

 

 

Slide 8

Read Article 25 carefully. How will we pay for these things and who will provide the services? What does this mean for policies of austerity?

But what does this mean? Who will do it? With what funding?................

Why doesn’t the U.S. have this?  Will we be likely to support others to achieve this?

 

 

 

Slide 9

Many, including Amartya Sen, believe that the public sector is key to addressing human rights.

Public sector critical to population well-being and health because it can spread risk: i.e. through social safety nets, labor regulation, minimum wage,  etc.

 

Public sector can subsidize prices  for essentials such as food, fuel, utilities, and transport.

 

Public sector guarantees access to health, education, food as fundamental human rights and the “right to survive”

Source: Sen, A. 1989. Hunger and Public Action, Oxford: Clarendon Press.

 

 

Slide 10

When people say we can’t afford to guarantee health care to everyone – ask what data they are working with. We have nearly quadrupled aid for health since 1990. Can we do more?

Chart shows Dramatic global growth in DAH: 1990-2007

 

 

Slide 11

When we fight wars we seem to be able to find the money. Imagine if all of this money had been spent on health and education in developing countries rather than on war. Maybe we can afford it in fact. Its just a matter of political will.

 

 

Slide 12

Here are some facts and advice about working in global health as a career.

10-15,000 international health workers

Career paths are often unique and nonstandard:

Clinicians: MDs and nurses in clinics

Public Health: Post-grad degrees, work in NGOs or governmental agencies

Social scientists: an MPH helps, often do research with universities, NGOs, bilaterals or multilaterals

Consultancies

Activists and advocates

 

 

Slide 13

More advice on how to get started. You can do it!

Getting your foot in the door:

            - Get some overseas experience: Peace Corps? Exchange progs.

            - Look for any programs that can get you there. Volunteer.

            - Get language skills

            - Do an MPH

            - Get involved in activism

            - Commit to it!!

Image sources: James Pfeiffer

 

 

Slide 14

Here is a basic human right. Remember to use it.

Article 24. Everyone has the right to rest and leisure, including reasonable limitation of working hours and periodic holidays with pay.

 

 

Slide 15

Thank you! (in Portuguese)

Obrigado!

Source: James Pfeiffer

 

 

Slide 16

This is the end of Lesson 10.