GGRB28H3 Lecture Notes - Lecture 4: Tropical Medicine, Primary Healthcare, Secret Affair

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Published on 5 Jul 2012
Lecture 4 Notes
Ehrenreich & Hochschild 2003
-Women migrate out of countries to work as nannies or other positions and send
money back home
-Some only visit their families about once a year for a month
-Example is Josephine who lives in sri lanka
- Youngest children tend to show most distress
-Unlike the first world employers most mothers can't live with their family and support
it so they migrate somewhere else to make money
-many women who have no male partners succeeded in a tough male world careers
only by turning over the care of their children, elderly parents and homes to women
from the third world.
-Sometimes younger daughter is drawn out of school to take care of younger siblings
if no one else is around to take care of them
-Pattern of female migrations could be consider worldwide gender revolution
-in American women were the sole, primary or coequal earners in American families
- many women take jobs as nannies from Philippines, sri lanka and India they are able
to provide material wealth for their children
-others are blocked by criminal employers who get them to work in sex labour and
unsafe conditions
-unlike factory workers nannies and maids are often hidden away, one or two at a
time, behind closed doors in private homes. Sex workers are been more sealed away
from public view
-They remain in the background until company comes
-services associated with wife's traditional role and sex from poor counties to rich
-The women from poor countries bring a lot of emotion that is greatly affecting the
place they work for, it is as if the wealthy parts of the world are running short on
precious emotional and sexual resources and have turn to poorer regions for fresh
-Black slaves brought to North America were used as concubines or domestic
-most women like men migrate from south to north and from poor to rich countries
-Eventually most types of women workers get replaced by another set from a
different country
-some country governments even sponsor programs for women to learn things they
need to know to work in a developed nation
- Americans don't get child care for working mothers, nor does it ensure paid family
and medical leave
-Any view of the globalization of domestic work as simply an arrangement among
women completely omits the role of men
-Numerous studies, including some of our own, have shown that as American women
took on paid employment, the men in their families did little to increase their
contribution to the work of the home
-The men in wealthier countries are also of course directly responsible for the demand
for immigrant sex workers as well as for the sexual abuse of many migrant women
who work as domestics
-they are sought after as sexual partners because they have traditional feminine
qualities of nurturance, docility and eagerness to please
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-Many women are trafficked out of their countries
-Many women from places like Mexico are actually educated and hold degrees and
-making men of poor countries less desirable as husbands
-Sometimes the men use the money on alcohol and gambling
- rich countries on the role of the old fashioned male pampered and unable to do
-poor countries take the role of the traditional woman within the family patient,
nurturing and self denying
-sort of like a marriage
-but it is a secret affair conducted in plain view of the children. Little is children may
learn more than ABC's from a loving surrogate parent
Farmer Chapter 1 The vitality of practice (you may need to reread this particularly the
last few pages)
-Haiti also strengthened farmer's interest in social theory, particularly in the
relationship between structural constraints and personal agency.
-Accordingly lack of access to effective biomedical services was the most salient
feature of Haitian health system
-Country had only one medical school and its graduates usually sought to remain in
port-au prince after graduation or better yet leave Haiti altogether
-They don't understand research and only want hospitals to treat health related
-Within opening the clinic the first of AIDS in a young man who presented with
disseminated tuberculosis was there
-People in Haiti were hungry, sick and were completely absent from consideration
and so of course their plight
-critics suggest investment in more prevention then treatment
-world system approach was a challenge to ferret out connections
-Poverty is the central fact of life for people of Haiti, so too is it central fact of our lives
as their physicians and their advocates
-Living with HIV and poverty is brutally painful
-MDRTB needs to be detected early so that the appropriate measures can be taken to
get through it
-An conflation of structural violence and cultural difference inhabits the reasoning of
this debate over medical ethics
Packard 2000 Post Colonial Medicine
- Post colonial signifies more than a period of time that post dates the period of
European and American domination of non western people
-is about attempts to resurrect indigenous modes of thought and representation, not
a pristine entities, but as forms of knowledge that are shaped by and reflective of the
legacy of the colonial era
-raises important questions for the history of medicine in the post colonial era
- Most centrally what is the meaning of post in post colonial medicine, or put more
directly have post colonial medical system broken free from colonial forms of
knowledge, practice and representation?
Colonial medicine
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