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Rural Disease Knowledge examines the ways in which knowledge of rural spaces and environments, on the one hand, and infectious diseases, on the other, have become inter-constituted since the late nineteenth century. With contributions by leading anthropologists and historians of medicine, it examines the epistemic co-constitution of the rural and of infectious diseases. Ranging from Brazil, Argentina, and Colombia to Java, Tanzania, West and South Africa, and Britain, the chapters cover diverse geographies, timelines, and diseases, including plague, brucellosis, leishmaniasis, yaws, yellow fever, nagana, sleeping sickness, and Chagas disease. The book considers how human interactions with infectious diseases have impacted ways of knowing and acting on rural spaces and environments, and in turn how human interactions with rural spaces and environments have impacted ways of knowing and acting against infectious diseases. It reflects on how the rural has been configured as a space of either health or sickness over the centuries and around the globe, the role of rural landscapes in the epistemic emergence of microbiology and tropical medicine, and the interaction with global processes such as European imperialism, the emergence of capitalism, and postcolonial nation-building projects. The studies engage with current debates on decolonizing knowledge and highlight how local disease knowledge has troubled and unsettled hegemonic medical perspectives and created new ways of understanding the relationship between diseases and rural spaces and environments. The volume will be of particular interest to scholars of medical anthropology, global health, and the history of medicine.
This book focuses on the effects of rural livelihood and the impact of infectious diseases on health and poverty. It explores cultures and traditions in developing countries and their role in infectious-disease management and prevention. It highlights the associated healthcare systems and how these have contributed to some of the challenges faced, and goes on to elaborate on the significance of community involvement in infectious-disease prevention, management and control. It also emphasizes the importance of surveillance and setting up strategies on infectious-disease management that are favourable for poor communities and developing countries. Infectious Diseases and Rural Livelihood in Developing Countries allows students, researchers, healthcare workers, stakeholders and governments to better understand the vicious cycle of health, poverty and livelihoods in developing countries and to develop strategies that can work better in these regions.
This book integrates the expertise of profession tion available on the various health concerns and als from a broad array of disciplines-anthro subpopulations and by the numerous method pology, health services research, epidemiology, ological complexities in compiling the neces medicine, dentistry, health promotion, and so sary data. Recognition of the nuances within and cial work-in an examination of rural health across rural populations, as recommended here, care and rural health research. This investiga will allow us to provide care more efficiently tion includes an inquiry into issues that are uni and effectively and to prevent disease or ame versal across rural populations, such as public liorate its effects. Reliance on some of the newer health issues and issues of equity in health care. technologies and approaches discussed here, Several chapters explore the health care issues such as distance learning and broad-based, com that confront specified subpopulations includ munity-wide health initiatives, will facilitate ing, for instance, migrant workers and Native disease treatment and prevention in relatively Americans, while others provide a more focused isolated areas. Ultimately, all of us must work approach to diseases that may disproportionately to ensure the availability of adequate health care have an impact on residents of rural areas, such to even the most isolated communities, for "as as specific chronic and infectious diseases.
Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.
In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach.
The major causes of premature adult deaths in all regions of the world, due to chronic diseases such as heart disease, strokes, diabetes and cancer, have been generally neglected on the international health and development agenda. Four out of every five chronic disease-related deaths in the world occur in low and middle income countries, where people tend to develop these diseases at a younger age and to die sooner. The death toll is projected to rise by a further 17 per cent in the next 10 years, whilst child obesity rates are increasing worldwide. This report examines the actual scale and severity of the problem using the most recent data available, considers the major risk factors and associated trends, and discusses the public health policy actions required to implement effective integrated chronic disease prevention and control measures.
In Poverty and Neglected Tropical Diseases in the American Rural South, Christine Crudo Blackburn and Macey T. Lively study regions of the United States rarely acknowledged by the average American. These are regions of extreme poverty in the rural American South where a mixture of historical discrimination, structural discrimination, lack of opportunities, and decaying infrastructure conspire to create an environment conducive to chronic, debilitating diseases known as Neglected Tropical Diseases (NTDs). Blackburn and Lively explore the conditions that allow NTDs to thrive in a wealthy nation like the United States when such diseases are typically associated with the poorest communities in Africa, Asia, and South America. Poverty and Neglected Tropical Diseases pulls back the curtain on the reality of poverty and disease in America and tell the story of failing sanitation infrastructure, the lack of clean water, the inability to access healthcare, and the lack of financial security through the eyes of those living it every day.
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.