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Africa is experiencing dramatic processes of social change, with evident consequences for health. This collection of papers examines the impacts of modern developments on health in Tanzania with a view to establishing patterns at a continental level. The contributors consider how social change is impacting on young people's health, HIV/AIDS and mental health. It further considers the implications of poverty and social inequalities for health, concluding that the poorest suffer the adverse health effects of social change disproportionately; and that the effects of globalisation, if unchecked left, herald severe consequences for the health of poor countries.
These essays are an account of disease, health and healing practices on the African continent. The contributors all emphasize the social conditions linked to ill health and the development of local healing traditions, from Morocco to South Africa and from the precolonial era to the present.
Contains nearly 200 readings published between 1927 and 2005, in English or translated from other languages, on the historical roots and pioneering thinking regarding communication for social change. Covers a variety of topics, including the radio, tv and other mass communication, information and communication technology, the digital gap, the formation of an information society, national information policies, participatory decision making, communication of development, pedagogy and entertainment education, HIV/AIDS communication for prevention, etc.
Notions of ustaarabu, a word expressing “civilization,” and questions of identities in Zanzibar have historically been shaped by the development of Islam and association with littoral societies around the Indian Ocean. The 1964 Revolution marked a break in that history and imposed new notions of African civilization and belonging in Zanzibar. The revolutionary state subsequently introduced tourism and the market economy to maintain its hegemony over Zanzibar. In light of these developments, and with locals facing growing socio-economic marginalization and political uncertainty, Tourism and Social Change in Post-Socialist Zanzibar: Struggles for Identity, Movement, and Civilization examines how Zanzibaris are struggling to move through the local landscape in the post-socialist era and articulate their ideas of belonging in Zanzibar. This book further investigates how movements of Zanzibaris within the emerging and contending social discourses are reconstituting meanings for conceptualizing ustaarabu to define their roots in Zanzibar.
This edited collection outlines the issues central to youth engagement in research and social innovation. Youth-driven innovation for social change is increasingly recognized as holding potential for the development of sustainable strategies to tackle some of the most pressing global challenges of our time. The contributors provide additional knowledge concerning what actually constitutes an enabling environment, as well as the most effective approaches for engaging youth as architects of change. While sensitive to the need for contextual appropriateness, the volume contributes to the development of shared understandings and frameworks for engaging and spurring youth-driven innovation for social change worldwide. Youth-Driven Social Innovation showcases examples of youth engagement in frugal and reverse innovation worldwide, alongside examples which demonstrate the tremendous potential of South-South learning, but also learning and youth innovation in the Global North. It will be of interest to students and scholars across a range of disciplines including education, sociology, anthropology, public health, and politics.
Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.
This volume is unique in its systematic approach to these three pillars of health systems analysis will give readers of various backgrounds authoritative material about subjects adjacent to their own specialties. Assembling such comparative materials is usually an onerous task because so many programs possess their own vocabularies, goals, and methods. This book will provide common grounds for people in programs as diverse as economics and finance, allied health, business and management, and the social sciences, including psychology. - Gives readers of various backgrounds authoritative material about subjects adjacent to their own specialties - Provides common grounds for people in programs as diverse as economics and finance, allied health, business and management, and the social sciences, including psychology
Introduction --Part I. The struggle for independence and birth of a nation --Colonialism, racism, and modernity --Foreigners and nation building --Race and the nation-building project --Part II. The socialist experiment --African socialism : the challenges of nation building --Socialism, self-reliance, and foreigners --Nationalism, state socialism, and the politics of race --Part III. Neoliberalism, global capitalism, and the nation-state --Neoliberalism and the transition from state socialism to capitalism --Neoliberalism, foreigners, and globalization --Neoliberalism, race, and the global economy --Conclusion : race, nation, and citizenship in historical and comparative perspective.
As a low-income country, Ethiopia has made impressive progress in improving health outcomes. This report examines how Ethiopia s Health Extension Program (HEP) has contributed to the country s move toward Univeral Health Coverage (UHC), and to shed light on how other countries may learn from Ethiopia s experiences of HEP when designing their own path to UHC. HEP is one of the government s UHC strategies introduced in a context of limited resources and low coverage of essential health services. The key aspects of the program include the capacity building and mobilization of more than 30, 000 Health Extension Workers (HEWs) targeting more than 12 million model families, and the mobilization of health development army ? to support the community-based health system. Using the HEP-UHC conceptual model and data from Demographic and Health Surveys, the study examines how the HEP has contributed to the country s move toward UHC. During the period that the HEP has been implemented, the country has experienced significant improvements in many dimensions: in terms of socioeconomic, psychological, behavioral, and biological dimensions of the beneficiaries; and in terms of the coverage of health care services. The study finds an accelerated rate of improvements among the rural, less-educated, and the poor population, which is leading to an overall reduction in equity gaps and improvements in the equity indicators including the concentration indices - that suggest a more equitable distribution of resources and health outcomes. The HEP in Ethiopia has demonstrated that an institutionalized community approach is effective in helping a country make progress toward UHC. The elements of success in the HEP include the emphasis on community mobilization which identifies community priorities, engages and empowers community members, and supports their ability to solve local problems. The other aspect of HEP is the emphasis on institutionalization of the activities, which addresses the sustainability of community programs through high level of political commitment, and effective coordination of national policies and leveraging of support from partners. These findings may offer useful lessons for other low income countries facing similar challenges in developing and implementing a sustainable UHC strategy.