Chapter 14 Book Notes

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International Development Studies
Anne- Emanuelle Birn

IDSB04 - Ch.14 Doing International Health There are various ways of thinking about work in int health: - Learning adventure for well meaning minority-world professionals and students travelling to underdeveloped settings? - Humanitariantechnical assistance from developed to underdeveloped countries - Mutual cooperation to improve health Transformative process for all involve hopeful realism *pessimism of the intellect, optimism of the will? - intellectually analyse the situation at hand, and get ungreat results, BUT things change because ppl hold on to hope and get things done *be aware of history -int health today is marked by the history of past activities -after colonies gained independence in the 19th and 20th centuries these unequal relationships persisted: bona fida coop among countries for the most part took a back seat to more exploitative interaction. ~ in the present we continuously need to keep in mind the troubling possibility that even the most well-intentioned & informed int health endeavour may perpetuate in equalities in power across the world. One way diffusionist model from high to low income nations? Those in more powerful countries have monopoly on necessary knowledge expertise and resources to improve situations for poor? Motivations no longer primarily based on self-interest? Practising International Health operates at 3 levels 1.) motivations & actions of indi 2.) missions & interventions of organizations 3.) logic & structures of the world order 1. Individual level Personal Motivations Box14-2: desire for broader perspective on public health, desire to improve clinical skills, idealism (wish to counter mainstream efforts & change the world)- challenge- curiosity - charity global health tourism -primary focus not entertainment however its there - based on generosity & helping ppl is illusory, especially when help has not been sought - indeed most ppl who undertake a health related work volunteer experience in another country find the greatest benefit to themselves - such expeditions do more harm than good, leaving behind no capacity for follow up & applying band-aids to the problem The bulk of int health work is carried out by locals
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