ch 13

4 Pages
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Department
International Development Studies
Course Code
IDSB04H3
Professor
Anne- Emanuelle Birn

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p. 656
-
The "Disease control" conception of international Health: its successes and Limitation p. 657-8
Hookworm Vs. Malaria (WW2)
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Promise/ perils of technical approaches
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Smallpox: did the end justify the means?
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Child Survival Campaigns p. 659-60
Growth Monitoring
|
Oral rehydration theory
|
Breast Feeding
|
Immunization
|
Food Supplementation
|
Family Planning
|
Female Education
|
1982 onwards: GOBI-FFF
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Throwback to technically-based disease campaigns
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Most of IMR decline pre-dated child survival
|
Effective if narrowly defined
but
underlying conditions not addressed: malnutrition, lack of sanitation
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Vertical rather than community based approaches
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Individualistic Behaviour-change (p. 660)
Which selective Interventions work and what is the evidence? p. 661
Millions saved: Proven
Successes
in Global Health
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Predictable and adequate funding from both local and international sources1.Political leadership and champions2.Affordable technological innovation within an effective delivery system3.Technical consensus about the appropriate biomedical or public health approach4.Effective management of health delivery systems; and 5.Effective use of information6.
Limitations of the Single Disease Campaigns p. 664-5
Why did Global Malaria Eradication fail?
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One should not emphasis to the exclusion of the other
More emphasis on biological than infrastructural issues
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Health system distortions (loss of PHC)
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No health system can be built on vertical campaigns yet IH emphasize these
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Vertical Campaign weaknesses:
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Isolating focus on technical aspects inflates mortality balloon elsewhere
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Developing Welfare Sates: Costa Rica, Cuba, Sri Lanka, Uruguay, and Kerala State, India p. 668-75
Rejecting the loans from world bank
|
Abolish its Military and rechannel the money to social sectors
|
What enables welfare state successes in developing social?
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What are their Fragilities?
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Table 13-3: Data on Selected Determinants of health and Mortality Rates
Box 13
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4 Factors Contributing to the Success of Cuba's social Services
Lecture 11
-
CH13
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Toward Healthy Societies: from Ideas to Action
November-23-10
1:14 PM
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Description
Lecture11-C H13- TowardHealthyS ocieties: fromIdeastoAction November-23-10 1:14PM - p. 656 TheDiseasecontrol conception of internationalHealth: itssuccessesand Limitationp. 657-8 - HookwormVs.Malaria(WW2) - Promise perilsof technicalapproaches - Smallpox:didtheendjustifythemeans? ChildSurvivalCampaignsp. 659-60 - 1982onwards:GOBI-FFF GrowthMonitoring Oralrehydrationtheory BreastFeeding Immunization FoodSupplementation FamilyPlanning FemaleEducation - Throwbackto technically-baseddiseasecampaigns - Effectiveif narrowlydefinedbut underlyingconditionsnot addressed: malnutrition,lackof sanitation Mostof IMRdeclinepre-dated childsurvival - Verticalrather thancommunitybasedapproaches IndividualisticBehaviour-change(p.660) WhichselectiveInterventionsworkand whatistheevidence?p. 661 - Millionssaved: ProveSuccessesinGlobalHealth 1. Predictableand adequatefundingfromboth localand internationalsources 2. Politicalleadershipand champions 3. Affordabletechnologicalinnovationwithinaneffectivedeliverysystem 4. Technicalconsensusabout theappropriatebiomedicalor publichealthapproach 5. Effectivemanagement of healthdeliverysystems;and 6. Effectiveuseof information Limitationsof theSingleDiseaseCampaignsp. 664-5 - WhydidGlobalMalariaEradication fail? - VerticalCampaignweaknesses: Moreemphasisonbiologicalthaninfrastructuralissues Oneshouldnot emphasisto theexclusionof theother Healthsystemdistortions(lossof PHC) Nohealthsystemcanbebuilt on verticalcampaignsyet IHemphasizethese - Isolatingfocuson technicalaspectsinflatesmortalityballoonelsewhere DevelopingWelfareSates:CostaRica,Cuba,Sri Lanka,Uruguay,and KeralaState, Indiap. 668-75 - Whatenableswelfarestatesuccessesindevelopingsocial? Rejectingtheloansfromworldbank AbolishitsMilitaryand rechannel themoneyto socialsectors - Whataretheir Fragilities? Table13-3: Dataon SelectedDeterminantsof healthandMortalityRates Box13-4FactorsContributingto theSuccessof CubassocialServices www.notesolution.com
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