Improving Access to Health Care among the Poor: The Neighborhood Health Center Experience

The US has built the most extensive immigration detention system globally. Over the last three administrations, several organizations have noted a systemic failure in the provision of health care in detention centers, leading to the torture and death of immigrants. This essay develops the principle of the preferential option for the poor to examine the causes of deficient access to health care and solutions to overcome them. It analyzes the substandard health care in detention centers from the notion of structural violence and systematizes solutions of grassroots immigrant organizations from the idea of solidarity, understood here as a form of friendship with the poor that moves toward relational justice. Its goal is to build bridges between people so that the political will is generated to create policies to improve and enforce health care standards in detention centers and address the unjust foundations of immigration detention.

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Inequitable Access to Health Care by the Poor in Community-Based Health Insurance Programs: A Review of Studies From Low- and Middle-Income Countries

Global Health Science and Practice ◽

10.9745/ghsp-d-16-00286 ◽

2017 ◽

Vol 5 (2) ◽

pp. 299-314 ◽

Cited By ~ 11

Author(s):

Chukwuemeka A Umeh ◽

Frank G Feeley

Keyword(s):

Health Care ◽

Health Insurance ◽

Access To Health Care ◽

Community Based ◽

Middle Income ◽

Middle Income Countries ◽

Community Based Health Insurance ◽

The Poor ◽

Access To Health ◽

Low And Middle Income

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Democratization, Elites, and the Expansion of Access to Health Care and Medicine

Achieving Access ◽

10.7591/cornell/9781501709968.003.0002 ◽

2017 ◽

Author(s):

Joseph Harris

Keyword(s):

Health Care ◽

Labor Unions ◽

Access To Health Care ◽

Political Competition ◽

Social Progress ◽

Left Wing ◽

The Poor ◽

Access To Health ◽

Key Concepts ◽

The Masses

Sociologists have rarely imagined elites as capable of delivering for society the promise of a better future. More frequently, labor unions and left-wing parties, or grassroots social movements, have been looked to as champions of social progress. This chapter explores the broader theoretical contributions of the book and situates the key concepts of “professional movements” and “heightened political competition” in the literature. First, whereas scholarship has emphasized the way in which democratization empowers the masses, this book turns conventional wisdom on its head by suggesting that democratization empowers elites. Second, it calls attention to the role that newly empowered (and public-minded) professionals play in expanding access to healthcare and medicine on behalf of the poor and those in need. Third, it highlights the importance of differences in the character of political competition in the wake of democratic transition in conditioning the possibilities for well-organized professional movements to institute such changes.

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Antenatal and Postnatal Care Practices among Indigenous People in Bangladesh: A Case Study in Dinajpur

Asian Journal of Education and Social Studies ◽

10.9734/ajess/2020/v8i330228 ◽

2020 ◽

pp. 38-56

Author(s):

Sumaia Aktar ◽

U. K. Majumder ◽

Md. Salauddin Khan

Keyword(s):

Health Care ◽

Antenatal Care ◽

Health Center ◽

Indigenous People ◽

Postnatal Care ◽

Access To Health Care ◽

Care Service ◽

Indigenous Communities ◽

Access To Health ◽

Antenatal And Postnatal Care

Antenatal (ANC) and postnatal care (PNC) contact have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn child. The study aims to determine the influential factors related to the practice of antenatal and postnatal care amongst indigenous mothers of newborns and identifier associated with the ANC and PNC contacts for women in indigenous communities. This study was carried out purposefully selected six upazilas of Dinajpur district where most of the indigenous people live and respondents were 223 married women having at least one under-five children. Results found that the respondents had very poor knowledge about their maternal status and literacy. During the pregnancy period, 39.5% and 6.7% mothers had one and two-time miscarriage respectively. Only 43.9% indigenous pregnant mothers appointed to the health center during pregnancy, 27.8% appointed within three months, 13% went at the last stages of pregnancy and 10.3% felt no need to go there. In 69.1% cases delivery occurred at home by inexpert birth attendance. About 10.3% of deliveries, the placenta was removed manually during delivery. About 33% mothers and their husbands (34%) were found illiterate. The likelihood of mothers who received either antenatal care or postnatal care depended on husband’s education level. It was significantly lower for illiterate (OR=0. 247, 95% CI = 0.063-0.969) husband’s compared to a secondary and above level of educated husbands. Distant health service center (More than 2 km from home) was the lower chances (OR=0. 384, 95% CI = 0.152-0.970) for mothers being access to health care service centers compared to low distant centers (≤ 2 km from home). Also, the age of the mother (30+) was another factor that influenced the mothers for taking the service from hospitals or health centers during pregnancy. This study concludes that about one-third of the respondents of the community has access to health care services, which can be one of the most important factors in their poor health. Counseling and proper education can influence people to take antenatal care and visits to the health center to take postnatal care service further.

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