Doing International Health
Picture: Today's Random Medical News
Key questions: P. 694
How does the tradition approach to doing international health compare to the political economy
What are the connections among personal motivations, institutional aims, and the geopolitical context
of international health?
What alternatives to traditional international health help foster true cooperation?
How do we measure success in international health
Traditional International Health is marked by: P. 694-6
Historical patterns of colonial relations
Foreign policy priorities/ self interest (on the institution level)
Persistent inequalities (not only outcome, but also in power/deciding/ the work of health care)
Yet learning is multi-directional and engagement in international health can be transformative
Presumes that powerful have a monopoly on knowledge
That the colonial past is distant
Relies on some development economists who smugly reproduce advice and actions based on flawed
Parasites and politics (p. 698)
Tsetse flies, parasites, immune system, CNS
Long contained through herding
Colonialism disrupted ecological equilibrium
Problem of African body or colonial body politic?
Continuing legacy of 60m exposed, 100,000 infected
Practicing international health: people, organizations, and the world order (p. 698-9)
Motivations and actions of individuals1.Missions and interventions of organization2.Logic and structures of the world order3.
Box 14-2: personal motivations for working in international health
Global health tourism
Communicating (culturally and linguistically)
Training Vs. Experience
Gupta and Farmer. P. 704
Three 'admonitions' to students and course directors:
Learn about the 'political, sociocultural, and economic history" of the country and recognize that
"in no settings does treatment end with a simple prescription or procedure; effective therapy
needs invariably reflect the social conditions of patients"
Know the setting1.
Doing international Health