Length: 3 pages- 750-800 words double-spaced and typed in Microsoft WORD.
This paper is based on Mountains Beyond Mountains, Re-imagining Global Health chapters and Stories from the Shadows. But I expect you to develop your essay with previous readings in mind and integrate them where appropriate.
We are these books over the next three weeks before this paper is due. Please submit on time so that I have enough time to fairly evaluate papers. Participate hard in the discussion and you will do very well on this paper.
In no more than three pages, address the questions below. Draw from discussions and the readings as needed. Draw on everything we discussed sociologically as you discuss these questions.
(1) Public Health — Looking at the Core Needs of Health Care Globally
In Haiti, Kidder said that Farmer planned to create a public health system from scratch. Using all the assigned readings:
(A) What are the chief components of this health system and why is it so important to emphasize public health programs in poverty zones like Haiti?
(B) Think about the EPI Divide and the pockets of poverty in the U.S. that beg for similar types of outreach programs as those designed by Farmer. What lessons learned in Haiti about public health outreach are relevant to health care outreach and delivery in the U.S. today?
(C) Could such a public health program be effective in the U.S.? Compare Farmer’s approach with Jim O’Connell’s work with the homeless in Boston. What are the similarities in their approaches? What is unique to each population and adapted to each population?
(2) Identifying the Core Needs in Health Care
John McKiinlay wrote many years ago that we should think of health care as an onion. When you peel back the many layers of the onion, you finally reach its core, the essence of the onion. The same is true for health care. Despite the enormous amount of money and technology invested in U.S. health care, the country still ranks in the middle of the pack, especially on measures such as infant mortality, life expectancy, and even health information technology. (See Reid and WHO reports,)
(A) Drawing on Farmer’s work in Haiti, what were the core health needs he identified for the people of Haiti?
(B) Do these core needs in Haiti also apply in the U.S.?
(C) Drawing on similarities between Farmer’s program and the Boston Health Care for the Homeless in Boston programs:
What do you see as the basic core of health that we must establish in our 21st century health care system in the U.S. and globally?
(D) Important, what will be the biggest sociological challenges or obstacles to implementing such change in impoverished communities throughout the U.S. and impoverished countries throughout the world?
(3) Solving the MDR Problem in Peru and Looking at Global Intervention for Infectious Disease Outbreaks like Ebola
While the WHO has played a critical role in eradicating infectious diseases such as smallpox on a global scale in the past, it is clear those policies needed to change with the onset of multi-resistant TB.
(A) How did Farmer’s census technique first developed in Haiti shed light on developing a better treatment protocol for multi-resistant TB in Peru?
(B) Why was this paradigm shift in treatment protocol important and how does it impact the way we look at medical intervention for MDR, Ebola and other infectious diseases globally?
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