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International Health Issues and Personal Experiences. Reflections on Social Justice, Working Collaboratively, and Teaching by James Beebe . Interest in international health. Issues illustrated by the work of Paul Farmer Origins in Peace Corps Experience Related to:

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International Health Issues and Personal Experiences

Reflections on Social Justice, Working Collaboratively, and Teaching by James Beebe


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Interest in international health

  • Issues illustrated by the work of Paul Farmer

  • Origins in Peace Corps Experience

  • Related to:

    Commitment to social justice

    Passion for working collaboratively across national and cultural boundaries

    Love for teaching

  • Relevance of Rapid Assessment



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PAUL FARMERPathologies of Power


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PAUL FARMERPathologies of Power

  • “This is an angry and a hopeful book. It has both passion and authority.”

  • “He combines an unflinching moral stance--that the poor deserve health care just as much as the rich do--with scientific expertise and boundless dedication.”

  • “illuminates the pathologies of a world economy that has lost its soul”


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PAUL FARMER

“superb physician, a penetrating anthropologist, and a prophet of social justice”


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PAUL FARMERMulti-drug resistant tuberculosis, AIDS , and human rights violations


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PAUL FARMER

Reporter:With so much suffering, is it sometimes hard to maintain a positive outlook?

Paul Farmer: Very difficult. It’s important to see the little victories, which are not so little to those who are served by these projects.


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PAUL FARMERTwo issues with Paul Farmer

  • Assumption that medical care is provided by MDs and no discussion of the role of others providers of primary health care.

  • Assumption that the traditional approach of anthropologists, including long field work, is the only approach, with apologies for using more rapid approaches.



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Peace Corps, Public SchoolCastillejos, Zambales, Philippines


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Peace CorpsTeaching, Bontoc Community College


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Peace CorpsPlanting rice, harvesting the 2nd try


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Peace CorpsDeveloping curriculum materials


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Peace Corps

Even though only a Peace Corps Volunteer for four and a half years, the experience has had a significant impact on who I am and who I am in the process of becoming.


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Peace CorpsExperiences with on health issues

  • Stupid Deaths and Angels

  • Cholera Vaccinations and Tradeoffs

  • Rabies and Rural Reality

  • Infections and the Environment


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International HealthInterest based on three factors:

  • Commitment to social justice

  • Passion for working collaboratively across national and cultural boundaries

  • Love for teaching



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COMMITMENT TO SOCIAL JUSTICEMy belief: Justice not Compassion

  • Motivation for action should not be based on compassion

  • Compassion implies action is optional

  • Those who believe that charity is the answer often regard those needing charity as intrinsically inferior


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COMMITMENT TO SOCIAL JUSTICEAccording to Paul Farmer

There is an enormous difference between seeing people as the victims of innate shortcomings and seeing them as the victims of structural violence.


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COMMITMENT TO SOCIAL JUSTICEHealth as a fundamental human right

  • I agree with Paul Farmer that health is a fundamental human right.

  • Farmer contrasts this with a perspective that health is a desirable outcome to be attained through the purchase of the right goods and services.

  • “The commodification of medicine invariably punishes the vulnerable.”


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COMMITMENT TO SOCIAL JUSTICEI join Paul Farmer in concluding:

  • Social justice requires a preferential option for the poor.

  • Conditions of the poor are not only unacceptable but are the result of structural violence that is human-made.

  • Working for social justice requires working with the poor as they struggle to change their situation.



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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESDissertation research on farmersBarrio Gugo, Calumpit, Bulacan, Philippines


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGugoDissertation research on farmers


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGugoDissertation research on farmers


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGugoDissertation research on farmers


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGugoDissertation research on farmers


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGugoDissertation research on farmers


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGugoDissertation research on farmers


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESGUGOExperiences with health issues

  • ORT and small but significant innovation

  • TB and the ability to sustain treatment

  • Pneumonia and access to medical care


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WORKING COLLABORATIVELY CULTURAL BOUNDARIESUmm Hijliij Breimya, El Obeid, Northern Kordofan, Sudan


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESUMM HIJLIIJRapid Assessment


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESUMM HIJLIIJRapid Assessment


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESUMM HIJLIIJRapid Assessment


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESUMM HIJLIIJRapid Assessment


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESUMM HIJLIIJRapid Assessment


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESUMM HIJLIIJRapid Assessment


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WORKING COLLABORATIVELY, CULTURAL BOUNDARIESSUDAN Experiences with health issues

  • Malaria and the limits of prevention

  • Ebola Fever and accidental exposure

  • Schistosomiasis and culture

  • Hepatitis and the difficulty of diagnosis


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Rapid Assessment Process CULTURAL BOUNDARIESRAP

James Beebe

Gonzaga University

2005


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RAP CULTURAL BOUNDARIES

RAP is intensive, team-based ethnographic inquiry using triangulation and iterative data analysis and additional data collection to quickly develop a preliminary understanding of a situation from the insider’s perspective.


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Results can be produced in CULTURAL BOUNDARIES

  • as few as four day,

  • but usually requires several weeks.


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The RAP team should seek out CULTURAL BOUNDARIES

  • the poorer,

  • less articulate,

  • more upset, and

  • those least like the members of the RAP team.


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Stories NOT Answers CULTURAL BOUNDARIES

The goal is to get the insiders to tell their stories and NOT answer the questions of the outsiders.


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Successful RAP CULTURAL BOUNDARIES

Members of the RAP team need to recognize:

  • They don’t know enough to ask questions,

  • They don’t know enough to provide the answers, but

  • They do know enough to want to empower others to solve their own problems.


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Iterative Analysis and Additional Data Collection CULTURAL BOUNDARIES

Time is divided between

  • blocks used for collecting information and

  • blocks when the team does data analysis and considers changes in the next round of data collection.


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RAPID ASSESSMENT PROCESS: CULTURAL BOUNDARIESAn Introduction (2001)

http://www.rapidassessment.net


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