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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Contributed papers.
The Present Work Is An Attempts To Bring Together The Clinical And Biogenetic Aspects, On One Hand, And The Traditional Cultural Heritage In The Form Of Traditions Medical Systems, On The Other.
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.
According To 1991 Census, The Population Of Scheduled Castes And Scheduled Tribes Were 13.82 Crore And 6.78 Crore Constituting 16.48 Per Cent And 8.08 Per Cent Respectively Of The Country S Total Population. As Compared To 1981 Census, There Has Been Slight Increase In Scheduled Tribe Population (7.85 Per Cent Of The Population). While The Constitution Has Prescribed Certain Protective Measures And Safeguards For Scheduled Tribes, Government Of India Is Giving All The Facilities For Their Proper Development. After Independence, Several Schemes Were Launched For The Betterment Of Scheduled Tribes. The Central And State Govt. Are Spending Crores Of Rupees For Their Upliftment Through Five Year Plans.The Present Collection Of Research Papers/Articles On The Scheduled Tribes Are Multi-Disciplinary Investigation Into Various Aspects Of Socio-Economic Problems Being Faced By The Scheduled Tribes In India. The Contributors Have Also Given Suggestions For Improving Their Conditions. Thus, This Outstanding Book Will Be Indeed Of Immense Use To Researchers, Students Of Various Disciplines And Policy Makers Of The Country.
In Native cultures, health is often expressed as a balance between body, mind, and spirit or soul. At a philosophical level, physical wellness is related to cultural, political, and economic well-being. This is a philosophy that is frequently ignored, however, in theoretical perspectives and applied programs that attempt to address Native American health problems. This collection of essays examines the ways people from many indigenous communities think about and practice health care within historical and sociocultural contexts. Chapters explore solutions to the prevalence of medically identified diseases, such as cancer and diabetes, as well as Native-identified problems, such as forced evacuation, assimilation, and poverty. Annotation copyrighted by Book News Inc., Portland, OR
Native Americans long resisted Western medicine—but had less power to resist the threat posed by Western diseases. And so, as the Office of Indian Affairs reluctantly entered the business of health and medicine, Native peoples reluctantly began to allow Western medicine into their communities. Fighting Invisible Enemies traces this transition among inhabitants of the Mission Indian Agency of Southern California from the late nineteenth through the mid-twentieth century. What historian Clifford E. Trafzer describes is not so much a transition from one practice to another as a gradual incorporation of Western medicine into Indian medical practices. Melding indigenous and medical history specific to Southern California, his book combines statistical information and documents from the federal government with the oral narratives of several tribes. Many of these oral histories—detailing traditional beliefs about disease causation, medical practices, and treatment—are unique to this work, the product of the author’s close and trusted relationships with tribal elders. Trafzer examines the years of interaction that transpired before Native people allowed elements of Western medicine and health care into their lives, homes, and communities. Among the factors he cites as impelling the change were settler-borne diseases, the negative effects of federal Indian policies, and the sincere desire of both Indians and agency doctors and nurses to combat the spread of disease. Here we see how, unlike many encounters between Indians and non-Indians in Southern California, this cooperative effort proved positive and constructive, resulting in fewer deaths from infectious diseases, especially tuberculosis. The first study of its kind, Trafzer’s work fills gaps in Native American, medical, and Southern California history. It informs our understanding of the working relationship between indigenous and Western medical traditions and practices as it continues to develop today.
The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.