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HLTC05H3 Chapter Notes -Avian Influenza, Clinton Foundation, Global Health


Department
Health Studies
Course Code
HLTC05H3
Professor
R Song

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HLTC05 FALL 2012
Week # 2 Readings “What Can Critical Medical Anthropology Contribute to Global Health?”
Authors: James Pfeiffer & Mark Nichter
Over the last decade, there has been an increased flow of funding from wealthy countries to
poorer countries especially focused on global health priorities
Emergent Health Problems include HIV/AIDS, TB, Malaria, SARS, Avian Flu, Antibiotic
resistance, Tobacco Use, etc
Funders: Gates Foundation, PEPFAR, Clinton Foundation, Global Fund, Duke Foundation, etc
POLITICS OF THE POSSIBLE
Global Health has been put on the global agenda by appealing to social justice and enlightened
self-interest
Issues associated with global health iniatives
o Goverance, oversight, impact of public health efforts on state health care systems (END
POLIO NOW BY ROTARY CLUB for example)
Threats to progress and leading to growing anarchy:
o Wasteful spending
o Poor Planning
o Uncoordinated project management
Anarchy fueled by influx of high level of resources to a resource poor country with weak
infrastructure and workplace shortage
Such problems due to macroeconomic reforms spearheaded by IMF and World Bank
o SAPs >
WASHINGTON CONSENSUS what is it exactly?
o PRSPs >
Call to Action of macroeconomic reform
o Decreased funding to public sector (health care, education)
o Promoting economic privatization - to increase economic growth and repay debt
But this economic growth that does transpire is not universal and deepens social and economic
inequality further increasing the gap between the rich and the poor, the sick and the healthy
Problems with Privatization
Public sector atrophy in resource-poor countries
o Lack of training institutions
o Health workforce shortage
o Services are either becoming more limited or completely eliminated
o Inefficient health care management further increasing decline in service quality and
quantity
Proliferation of NGOs and Private Sector Donor Projects
o Causes unnecessary stress on public sector
o Starves public sector of vital human resources
o Does little for institution/capacity building
Deepens social inequality due to unequal economic growth across all social groups/classes
Removes social policy safeguards like foods subsidies, welfare, price controls
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