INTL 340 Lecture Notes - Lecture 20: Breast Cancer Screening, Structural Violence, List Of Association Football Teams To Have Won Four Or More Trophies In One Season
2 Jul 2018
School
Department
Course
Professor
Week 10, Class 2
For Farmer...
● history shapes the present, history is always relevant
● history is central to structural violence that shapes people’s health
● Farmer will always give you the history… because he wants you to see why it is relevant
○ must understand legacies of colonialism, racism, etc through history
● colonialism-direct control over other countries
● post-colonialism-independance is late, not always in distant past
○ lack of development
○ lack of political establishment
○ period of reconstruction
○ countries are trying to get themselves on their own political and economic paths but
are often reliant on international bank and other to help them
○ not political dependence but economic dependance
■ former colonial countries have to turn to former colonial powers for help still
■ new lines of dependance formed through economic dependencies in order to
develop and ultimately achieve health goals
Rwanda & GH
● Farmer works in rural communities in Haiti in 80s
● Writes book Aids and Accusations from this
● PIH Haiti (since the 90s) to Rwanda (2005)
○ Rwanda invites PIH to try to do what they built in Haiti in Rwanda
○ can we replicate building the health care delivery system and scale up this model?
○ there are different dynamics and historical contexts between Haiti and Rwanda but
they still go in and see what they can do
● Post 2000, national, post-war restructuring
○ rather than just letting NGOs come in, the President of Rwanda Kagame lets people
come in and help only if they go along with Rwanda’s development goals (vision
statement)
○ want to achieve their own objectives as they outline them, so NGOs who didn’t want
to follow these weren’t allowed to help in Rwanda
■ most NGOs expect country to be grateful for their help and what they want to
do, but Rwanda wanted to set their own priorities, priorities of some NGOs
just did not fit the Rwandan model
● Government (Kagame) ejects NGOs, sets terms and regulates their operation in-country
○ development strategy resulted in gains
■ GDP growth
■ literacy rates improve
■ health indicators improve (lower IMRs)
■ result of: investing in PHC, etc.
■ # of people going onto post-secondary education improves
● Goal: aid independent by 2020
● GDP quadruples
● Many health and development indicators improve
● Partner’s in health model in Rwanda
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
History shapes the present, history is always relevant. History is central to structural violence that shapes people"s health. Farmer will always give you the history because he wants you to see why it is relevant. Must understand legacies of colonialism, racism, etc through history. Post-colonialism-independance is late, not always in distant past. Countries are trying to get themselves on their own political and economic paths but are often reliant on international bank and other to help them. Former colonial countries have to turn to former colonial powers for help still. New lines of dependance formed through economic dependencies in order to develop and ultimately achieve health goals. Farmer works in rural communities in haiti in 80s. Writes book aids and accusations from this. Pih haiti (since the 90s) to rwanda (2005) Rwanda invites pih to try to do what they built in haiti in rwanda.
