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Health Studies
R Song

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 q
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