An Introduction to Global Health Delivery

Author(s):  
Joia Mukherjee ◽  
Paul Farmer

What has called so many young people to the field of global health is the passion to be a force for change, to work on the positive side of globalization, and to be part of a movement for human rights. This passion stems from the knowledge that the world is not OK. Impoverished people are suffering and dying from treatable diseases, while the wealthy live well into their 80s and 90s. These disparities exist between and within countries. COVID-19 has further demonstrated the need for global equity and our mutual interdependence. Yet the road to health equity is long. People living in countries and communities marred by slavery, colonialism, resource extraction, and neoliberal market policies have markedly less access to health care than the wealthy. Developing equitable health systems requires understanding the history and political economy of communities and countries and working to adequately resource health delivery. Equitable health care also requires strong advocacy for the right to health. In fact, the current era in global health was sparked by advocacy—the activist movement for AIDS treatment access, for the universality of the right to health and to a share of scientific advancement. The same advocacy is needed now as vaccines and treatments are developed for COVID-19. This book centers global health in principles of equity and social justice and positions global health as a field to fulfill the universal right to health.

Author(s):  
Joia S. Mukherjee ◽  
Paul Farmer

The passion to be a force for change, to work on the positive side of globalization, and to be part of a movement for human rights has called many young people to the field of global health. This passion stems from the knowledge that the world is not okay. Impoverished people are suffering and dying from treatable diseases while the wealthy live well into their 80s and 90s. Before the 21st century, people living in countries marred by slavery, colonialism, resource extraction, and neoliberal market policies had little access to health care. Public health in the 19th and 20th centuries focused on low-cost prevention programs instead of advancing the human right to health. In the mid-1990s, as the AIDS pandemic swept the African continent, an activist movement sparked new investment in the delivery of health care. This movement emphasized the need for a constant supply of drugs, good laboratories, and trained health workers to mitigate health disparities. This book captures the momentum for the delivery of care that began in the AIDS era and the launch of the Millennium Development Goals through the Sustainable Development Goals. The global health era in this book is defined as beginning with the AIDS activist-led fight to move from prevention only to the delivery of comprehensive health care. By focusing on equity and social justice, An Introduction to Global Health Delivery: Practice, Equity, Human Rights fills a much needed gap and positions global health as a field set to fulfil the universal right to health.


2020 ◽  
Vol 1 (2) ◽  
pp. 1-3
Author(s):  
Lucio Mango

The right to health and access to health care are basic human rights, yet the relationship between poverty, marginalization and access to services is often misunderstood or overlooked in health policies and in development actions. To build equitable health systems a rights-based approach to reform and planning is needed. This involves a wide range of interventions, all of which should ensure that investments in the health system will bring benefits to all members of society, especially the poorest and most marginalized


2018 ◽  
Vol 11 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Mohammad Reza Asgari ◽  
Hamid Bouraghi ◽  
Ali Mohammadpour ◽  
Mina Haghighat ◽  
Raheleh Ghadiri

Introduction Non-adherence in patients with hypertension directly exacerbates clinical outcomes. The purpose of the present research is to study the recognition of the relationships between the perceived social support and self-efficacy and the satisfaction of health care agents and the interaction of the patient with therapeutic personnel and access to health care and the behaviors of adherence to treatment in the patients who suffer hypertension. Materials and methods This descriptive cross-sectional correlation study recruited 250 patients from a specialized hypertension clinic in Semnan, who completed the following questionnaires: Multidimensional Scale of Perceived Social Support, self-efficacy, adherence to treatment, access to and satisfaction with health care, and the patient’s interaction with treatment personnel. Results An overall statistical description of the sample consists of 89 (35.6%) men and 161 (64.4%) women (SD = 10.41, range = 51.98). Regression coefficient of previous variables (three steps) shows that self-efficacy share, consent form civil services, and job could demonstrate with 99% certainty in the changes of treatment conformity in a meaningful way. Conclusions High self-efficacy, satisfaction with health care, and a favorable job have a high direct effect on adherence to treatment in patients with hypertension and controlling hypertension. Social support and education do not have a significant impact on adherence to treatment.


Author(s):  
Christian Whalen

AbstractArticle 24 reflects the perspective of the drafters that the right to health cannot be understood in narrow bio-medical terms or limited to the delivery of health services. Rather, in its reference, for example, to food, water, sanitation, and environmental dangers, it recognises the wider social and economic factors that influence and impact on the child’s state of health. Thus, the text of Article 24 sets out: a broad right to health for all children combined with a right of access to health services a priority focus on measures to address infant and child mortality, the provision of primary health care, nutritious food and clean drinking water, pre-natal and post-natal care, and preventive health care, including family planning the need for effective measures to abolish traditional practices harmful to children’s health a specific obligation on States Parties to cooperate internationally towards the realisation of the child’s right to health everywhere, having particular regard to the needs of developing countries. The right to health is a prime example of the interelatedness of child rights as it is contingent upon and informed by the realization of so many other rights guaranteed to children under the convention. This chapter analyses the child’s right to health in relation to four essential attributes. The first attribute of the child’s right to the highest attainable standard of health emphasizes what an exacting standard this human rights norm contains. Taking a social determinants of health perspective the right entails not just access to health services but programmatic supports in sanitation, transportation, education and other fields to guarantee the enjoyment of health. The second attribute focuses on the Basic minimum criteria of the right to health as reflected in Article 24(2). A third attribute is the insistence upon child health accountability mechanisms using the Availability, Accessibility, Acceptability and Quality Accountability Framework. Finally, given the wide discrepancies in enjoyment of children’s right to health across the globe, a fourth attribute focuses upon international cooperation to ensure equal access to the right to health.


2018 ◽  
Vol 25 (2) ◽  
pp. 283-299
Author(s):  
María Dalli

Implementation of the universal right to health, along with the UN’s goal to achieve universal health coverage (UHC), face common challenges to ensuring universal health care entitlement. One of these difficulties is health care restrictions for undocumented migrants. A recent example is the Spanish health care regulation that places universal coverage at risk by restricting access to it by this group. The work herein examines the right to health and UHC’s regulations with the aim of determining if access to health care services for undocumented migrants is indeed recognized and if this recognition could therefore be valid to limit those kinds of measures. The UHC proposal does not sufficiently deal with this problem. Regarding the right to health, even though there are some limitations within international human rights laws regarding protection for this group, it can be concluded that the right to health is also applicable to undocumented migrants.


2017 ◽  
pp. 860-880
Author(s):  
Kijpokin Kasemsap

The chapter explains the challenges facing health care systems; the overview of telemedicine; the technological devices of telemedicine systems; telemedicine and chronic diseases; telemedicine and technology acceptance model (TAM); the applications of telemedicine in the oil and gas industry; and the importance of telemedicine in global health care. Telemedicine brings the health care value through its ability for the remote visits with patients, immediate access to health care professionals, real-time access to health data, and health monitoring capabilities. Telemedicine is an effective health care measure that can manage the new and affordable technology with the potential to deliver the convenient and effective care to patients, and provides an alternative way for the health care organizations to deliver the essential health outcomes. The chapter argues that applying telemedicine has the potential to increase health care performance and gain sustainable competitive advantage in global health care.


Author(s):  
Kijpokin Kasemsap

The chapter explains the challenges facing health care systems; the overview of telemedicine; the technological devices of telemedicine systems; telemedicine and chronic diseases; telemedicine and technology acceptance model (TAM); the applications of telemedicine in the oil and gas industry; and the importance of telemedicine in global health care. Telemedicine brings the health care value through its ability for the remote visits with patients, immediate access to health care professionals, real-time access to health data, and health monitoring capabilities. Telemedicine is an effective health care measure that can manage the new and affordable technology with the potential to deliver the convenient and effective care to patients, and provides an alternative way for the health care organizations to deliver the essential health outcomes. The chapter argues that applying telemedicine has the potential to increase health care performance and gain sustainable competitive advantage in global health care.


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