‘Walking their walk’: reducing conflict between families of ill children and the medical profession

2019 ◽  
Vol 105 (1) ◽  
pp. 87-89
Author(s):  
Nicholas G Gottardo
Keyword(s):  
Health Workers ◽  
Medical Profession ◽  
Paediatric Oncology ◽  
Court Cases ◽  
Health Providers ◽  
Management Framework ◽  
High Profile ◽  
The Media ◽  
And Child Health ◽  
Seriously Ill

In recent years, several high-profile court cases generated headlines across the globe. Notably, they brought conflict between families of seriously ill children and the medical profession to the forefront. These conflicts, especially when the courts become involved, are highly destructive to all parties concerned, as the focus inevitably shifts from the child to the conflict itself. Often, at the heart of conflict, is a lack of effective communication between a patient’s family and their health providers. In order to assist health workers in the prevention, recognition and management of conflict in paediatrics, a Conflict Management Framework (CMF) and a set of guidelines endorsed by the Royal College of Paediatrics and Child Health (RCPCH) have been developed. Here, I review recent high-profile court cases to underscore the changing landscape of conflict and the central role that the media (and social media in particular) can play in fuelling and intensifying conflicts. The CMF and RCPCH-endorsed guidelines are discussed in the context of my own experience utilising some of these, as well as implementing other strategies aimed at reducing conflict in a paediatric oncology and haematology unit.

Impact of Indigenous Language Media on Safe Motherhood Practices

2020 ◽  
pp. 78-95
Author(s):  
Funmi Falobi
Keyword(s):  
Health Workers ◽  
Safe Motherhood ◽  
Indigenous Language ◽  
Health Providers ◽  
Radio Stations ◽  
Lagos State ◽  
Nursing Mothers ◽  
Professional Health ◽  
The Media

This chapter examines the role of indigenous language media and how it has impacted safe motherhood practices in Lagos State. The objectives are to know how the media using indigenous languages have been able to reach more women and inform them on best practices on safe motherhood practices and whether professional health providers communicate in indigenous language to women during ante natal sessions. A questionnaire was administered on pregnant women and nursing mothers at a public general hospital in the state while nurses were interviewed on the use of indigenous language. The research was also carried out in three indigenous radio stations in Lagos. The study found that for Nigeria in general, and Lagos State in particular, to reduce maternal mortality rate and advance in safe motherhood practices, involvement of indigenous language media is imperative in giving women necessary information. The majority of the respondents answered that they would prefer health workers to speak in the local language.

The Impact of Social Mobilization on Health Service Delivery and Health Outcomes

2018 ◽  
Author(s):  
Xavier Giné ◽  
Salma Khalid ◽  
Mansuri Ghazala
Keyword(s):  
Health Services ◽  
Service Delivery ◽  
Health Outcomes ◽  
Health Workers ◽  
Health Service Delivery ◽  
Health Providers ◽  
Child Health Outcomes ◽  
Rural Pakistan ◽  
Post Natal Care ◽  
The Impact

This chapter uses a randomized community development programme in rural Pakistan to assess the impact of citizen engagement on public service delivery and maternal and child health outcomes. The programme had a strong emphasis on organizing women, who also identified health services as a development priority at baseline. At midline, we find that the mobilization effort alone had a significant impact on the performance of village-based health providers. We detect economically large improvements in pregnancy and well-baby visits by female health workers, as well as increased utilization of pre- and post-natal care by pregnant women. In contrast, the quality of supra-village health services did not improve, underscoring the importance of community enforcement and monitoring capacity for improving service delivery.

News on the 700 Club: The Cycle of Religious Activism

1994 ◽  
Vol 71 (4) ◽  
pp. 887-892 ◽  
Author(s):  
Robert Abelman
Keyword(s):  
Content Analysis ◽  
Religious Right ◽  
Presidential Campaign ◽  
High Profile ◽  
The Past ◽  
News Program ◽  
The Media ◽  
Religious Activism

This content analysis evaluates political topics and themes of televangelist Pat Robertson's high-profile news program The 700 Club during the early months of the 1992 presidential campaign. Considered the media arm of the Religious Right, this program was found to go against the trend of increasingly political and less religious content observed in earlier analyses of equivalent episodes during the 1983, 1986, and 1989 seasons. In addition, political topics were addressed more neutrally than in the past. The study discusses the possible impact of an increasingly competitive telecommunication environment on religious broadcasters.

scholarly journals Conflict affected, parallel health systems: challenges to collaboration between ethnic and government health systems in Kayin State, Myanmar

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Colette Pang Biesty ◽  
Aung Ja Brang ◽  
Barry Munslow
Keyword(s):  
Health System ◽  
Health Systems ◽  
Health Workers ◽  
Health Providers ◽  
Peace Accord ◽  
Government Health ◽  
Peace Processes ◽  
Post Conflict ◽  
Observation Methods ◽  
Minority Ethnic Groups

Abstract Background Myanmar has had a long history of civil wars with its minority ethnic groups and is yet to see a sustainable peace accord. The conflicts have had a significant impact on health in Myanmar, with ethnic populations experiencing inequitable health outcomes. Consequently, to meet the health needs of ethnic people, Ethnic Health Organisations and Community-Based Health Organisations (EHO/CBHOs) created their own health system. The EHO/CBHO and Government health systems, provided by the Myanmar Ministry of Health and Sports (MoHS), remain parallel, despite both stakeholders discussing unification of the health systems within the context of ongoing but unresolved peace processes. EHO/CBHOs discuss the ‘convergence’ of health systems, whilst the MoHS discuss the integration of health providers under their National Health Plan. Methods A qualitative study design was used to explore the challenges to collaboration between EHO/CBHOs and the MoHS in Kayin state, Myanmar. Twelve health workers from different levels of the Karen EHO/CBHO health system were interviewed. Semi-structured, in-depth interviews were digitally recorded, transcribed, and coded. Data was analysed thematically using the Framework method. Topic guides evolved in an iterative process, as themes emerged inductively from the transcripts. A literature review and observation methods were also utilised to increase validity of the data. Results The challenges to collaboration were identified in the following five themes: (1) the current situation is not ‘post conflict’ (2) a lack of trust (3) centralised nature of the MoHS (4) lack of EHO/CBHO health worker accreditation (5) the NHP is not implemented in some ethnic areas. Conclusions Ultimately, all five challenges to collaboration stem from the lack of peace in Myanmar. The health systems cannot be ‘converged or ‘integrated’ until there is a peace accord which is acceptable to all actors. EHO/CBHOs want a federal political system, where the health system is devolved, equitable and accessible to all ethnic people. External donors should understand this context and remain neutral by supporting all health actors in a conflict sensitive manner.

scholarly journals The Vetting Epidemic in England and Wales

2017 ◽  
Vol 81 (6) ◽  
pp. 478-496
Author(s):  
Chris Baldwin
Keyword(s):  
Recruitment Process ◽  
Missed Opportunities ◽  
England And Wales ◽  
High Profile ◽  
Conservative Government ◽  
Vested Interests ◽  
The Media ◽  
Public Reaction ◽  
Key Events ◽  
Voluntary Organisations

This article charts the rise of criminal vetting by employers and voluntary organisations in England and Wales. It examines the historical roots of vetting and its progress from being initially a marginal concern for specialised groups to its position as an integral part of the recruitment process for over 3,000,000 people per annum by 2007. Critical exploration of this shift is provided—key events such as the conservative government consultation of the early 1990s and the incremental implementation of its recommendations are re-evaluated. This article identifies and examines the correlation between the media reporting of, and subsequent public reaction to, a series of high-profile child murders and the response of the legislature and the judiciary to these which lead ultimately to the development of a vetting epidemic in England and Wales by 2007. The role played in this development by vested interests, such as voluntary groups and employers, will be traced and critiqued, along with the missed opportunities for reform which might have prevented the epidemic’s spread.

scholarly journals Mediatisation, Marginalisation and Disruption in Australian Indigenous Affairs

2016 ◽  
Vol 4 (4) ◽  
pp. 30-42 ◽  
Author(s):  
Kerry McCallum ◽  
Lisa Waller ◽  
Tanja Dreher
Keyword(s):  
News Media ◽  
Minority Groups ◽  
National Policy ◽  
Indigenous Australians ◽  
Constitutional Change ◽  
Media Campaigns ◽  
High Profile ◽  
Indigenous Media ◽  
Indigenous Participation ◽  
The Media

This article considers how changing media practices of minority groups and political and media elites impact on democratic participation in national debates. Taking as its case study the state-sponsored campaign to formally recognise Indigenous people in the Australian constitution, the article examines the interrelationships between political media and Indigenous participatory media—both of which we argue are undergoing seismic transformation. Discussion of constitutional reform has tended to focus on debates occurring in forums of influence such as party politics and news media that privilege the voices of only a few high-profile Indigenous media ‘stars’. Debate has progressed on the assumption that constitutional change needs to be settled by political elites and then explained and ‘sold’ to Indigenous and non-Indigenous Australians. Our research on the mediatisation of policymaking has found that in an increasingly media-saturated environment, political leaders and their policy bureaucrats attend to a narrow range of highly publicised voices. But the rapidly changing media environment has disrupted the media-driven <em>Recognise</em> campaign. Vigorous public discussion is increasingly taking place outside the mainstream institutions of media and politics, while social media campaigns emerge in rapid response to government decisions. Drawing on a long tradition in citizens’ media scholarship we argue that the vibrant, diverse and growing Indigenous media sphere in Australia has increased the accessibility of Indigenous voices challenging the scope and substance of the recognition debate. The article concludes on a cautionary note by considering some tensions in the promise of the changing media for Indigenous participation in the national policy conversation.

scholarly journals Health Workers’ Perceptions on Where and How to Integrate Tobacco use Cessation Services into Tuberculosis Treatment; A Qualitative Exploratory Study in Uganda

2020 ◽  
Author(s):  
Elizeus Rutebemberwa ◽  
Kellen Nyamurungi ◽  
Surabhi Joshi ◽  
Yvonne Olando ◽  
Hadii M. Mamudu ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Health Workers ◽  
High Volume ◽  
Health Facilities ◽  
Treatment Programs ◽  
Tobacco Use Cessation ◽  
Tb Treatment ◽  
Routine Basis ◽  
Referral Hospitals ◽  
The Media

Abstract Background: Tobacco use is associated with exacerbation of tuberculosis (TB) and poor TB treatment outcomes. Integrating tobacco use cessation within TB treatment could improve healing among TB patients. The aim was to explore perceptions of health workers on where and how to integrate tobacco use cessation services into TB treatment programs in Uganda.Methods: Between March and April 2019, nine focus group discussions (FGDs) and eight key informant interviews were conducted among health workers attending to patients with tuberculosis on a routine basis in nine facilities from the central, eastern, northern and western parts of Uganda. These facilities were high volume health centres, general hospitals and referral hospitals. The FGD sessions and interviews were tape recorded, transcribed verbatim and analysed using content analysis to identify themes.Results: Participants indicated that tobacco use cessation activities should be integrated in TB treatment starting from communities when people are still healthy. Cessation should also be implemented in health facilities including referral facilities, and be extended to those who have been healed as they go back to communities. This calls for collaborations beyond health workers to TB treatment supporters, peers and the media. Conclusions: Tobacco use cessation should take place in communities as well as health facilities. Partnerships with media and families are needed. Health system challenges need to be addressed to support effective implementation.

scholarly journals Changing the Pattern: Reclaiming History, Constructing Herstory in Margaret Atwood’s Alias Grace

2019 ◽  
pp. 107-122
Author(s):  
Ana Sentov
Keyword(s):  
Working Class ◽  
Social Order ◽  
Medical Profession ◽  
Social Structures ◽  
Immigrant Status ◽  
Relevant Today ◽  
The Social ◽  
Female Protagonist ◽  
The Media ◽  
The Church

This paper will examine how Grace Marks, the female protagonist/narrator of Alias Grace (1996), reclaims her history, which is comprised of many different, often contradictory stories of her life and the crime for which she is imprisoned. These stories reflect the dominant discourse of a conservative male-dominated society, in which Grace is an outsider, due to her gender, class, age, and immigrant status. The law, the medical profession, the church, and the media all see Grace as a disruptive element: a woman who committed or assisted in a murder, a lunatic and/or a member of the working class who dared disturb the social order. Grace is revealed not as a passive victim, an object to be acted upon, but as an agent capable of reclaiming history and constructing herstory, challenging and defying the expectations of dominant social structures. The paper will show that Alias Grace, as a novel giving voice to the marginalized and the silenced, stands as a compelling work that examines and provides insights into the position of women and its changes over the course of history, provoking a discourse that remains relevant today

scholarly journals Lifestyle Medicine Around the World: Lifestyle Medicine in Israel

2019 ◽  
Vol 14 (4) ◽  
pp. 377-381
Author(s):  
Lilach Malatskey ◽  
Igal Hekselman ◽  
Shani Afek
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Medical Profession ◽  
Daily Practice ◽  
Well Being ◽  
The United States ◽  
Noncommunicable Disease ◽  
Active Member ◽  
Health Providers ◽  
Lifestyle Medicine

In 2015, the Centers for Disease Control in the United States declared that 7 of 10 deaths per year are caused by chronic diseases; in Israel, the situation is consistent with this assessment. Healthy Israel 2020, an Israeli Ministry of Health initiative, places physicians at the forefront of health promotion and preventive medicine. In 2012, the Israeli Society of Lifestyle Medicine (ISLM) was established under the auspices of the Israel Association for Family Physicians. This decision was taken because we, the authors, wanted to promote change in the primary care services through the recruitment of key leaders for implementation of lifestyle medicine (LM), including improved attitudes, knowledge, motivation, and skills of primary care physicians and health providers. Today, the ISLM is an active member of the Israeli Medical Association, promoting educational activities, physician’s health, and well-being initiatives; developing tools for health-promoting clinics; and more. Our future plans are to incorporate LM as an integral part of daily practice in all sectors of the medical profession in Israel. This is challenging, but we see this as the only way to effectively combat the noncommunicable disease epidemic.

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