PlenaryPovertyNarayan

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Published on November 29, 2007

Author: Amateur

Source: authorstream.com

PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED - I HANDLING CONTEXT SINCE 1990s:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED - I HANDLING CONTEXT SINCE 1990s Poverty Social and Economic inequalities (between and within countries and people) People moving into poverty People socially excluded or marginalized Health consequences of poverty and marginalized are better documented New economic policies weakening state commitment to health of the poor Health sector reforms eroding effectiveness of weak public health system - particularly for poor Unregulated private sector growth undermining poor people’s access to health EMERGING CONSENSUS PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – II IMPERATIVES FOR RESEARCHERS:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – II IMPERATIVES FOR RESEARCHERS Measuring ‘poverty’ - WHAT & HOW Contextualising ‘poverty’ in our problem analysis Capturing the realities of poor people’s lives Keeping ‘poor and marginalised’ in context when concluding - Access to health interventions - Effects of health interventions - Recommendations from operational or health system research * Going beyond bio-medical determinism to social determinants like : - Class - Gender - Stigma - Ethnic discrimination - Access and denial - Human rights violation - Violence, etc PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – III A GRASSROOTS PERSPECTIVES:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – III A GRASSROOTS PERSPECTIVES PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – III B REACHING THE POOR - UNDERSTANDING THEIR LIVES:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – III B REACHING THE POOR - UNDERSTANDING THEIR LIVES NUTRITION INSECURITY RURAL / URBAN INDEBTEDNESS HEALTH CARE EXPENSES PUBLIC HEALTH / PRIMARY HEALTH CARE DEVALUATION EXPLOITATION BY COMMERCIAL MEDICAL / HEALTH CARE ENVIRONMENTAL DEGRATION UNEMPLOYMENT (Do our research strategies and protocols capture or contextualise these aspects?) PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED - IV CASE STUDIES:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED - IV CASE STUDIES HEALTH AND SOCIAL EXCLUSION (DALITS and ADIVASIS in INDIA) GLOBALISATION AND ITS EFFECT ON WOMEN (gender approach to Health) INDEBTEDNESS AND ILL HEALTH SOCIAL CONSEQUENCES OF TB BEDNETS FOR THE POOR ASSAULT ON THE BASIC DETERMINANTS OF HEALTH PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IVA DIFFERENTIALS IN HEALTH STATUS AMONG THE MARGINALISED GROUPS:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IVA DIFFERENTIALS IN HEALTH STATUS AMONG THE MARGINALISED GROUPS PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV B GLOBALISATION AND ITS EFECTS ON WOMEN:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV B GLOBALISATION AND ITS EFECTS ON WOMEN Women work force in informal - Unorganized sectors - Lack of social security Commodification of women Violence & crime against women Rising cost of health care - Home care - Work for women State Government subsidy to Health Glorification of technology Primary Health Care Preventive and Promotive Care Role of international / donor agencies in policy (negative influences) PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV C INDEBTEDNESS AND ILL HEALTH:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV C INDEBTEDNESS AND ILL HEALTH A B. NATIONAL / INTERNATIONAL DEBT Lowered Life Expectancy Debt Repayment 3-4 times health expenditure (BMA, 2000) POVERTY CYCLE INDEBTEDNESS HOUSEHOLD ILL HEALTH PUBLIC SECTOR MEDICAL / HEALTH CARE POVERTY ALLEVIATING EFFECT PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV D SOCIAL CONSEQUENCES OF TB:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV D SOCIAL CONSEQUENCES OF TB Adverse economic effects (57%) mortgaging, selling assets, taking loans. Disability and inability to work (26.5%) Adverse effects of above on treatment (53%) delayed, irregular, incomplete. DISEASE ISPOSSESSION DISABILITY DISCONTINUATION of treatment THESE ASPECTS ARE SUBMERGED BY THE PREDOMINANTLY TECHNICAL FRAMEWORK OF TB CONTROL STRATEGIES PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV E TRIBAL POPULATION BEHAVIOUR IN MANDLA (MP) (in relation to bed net use):  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV E TRIBAL POPULATION BEHAVIOUR IN MANDLA (MP) (in relation to bed net use) COMMUNITY SURVEY NIGHT MAHUA COLLECTION 16% SLEEP IN FIELDS 12% TENDU LEAF COLLECTION 21% FISHING 8% (1,200 PEOPLE OUT BEFORE DAWN OUT OF 2000) Singh, N, Mishra, A.K., Khan M.T. 1992 in Community Participation in Malaria Control V.P. Sharma (Ed) MRC (ICMR) 1993 (Malaria is a poverty issue as well!) PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV F ASSAULT ON DETERMINANTS OF HEALTH :  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – IV F ASSAULT ON DETERMINANTS OF HEALTH Privatisation of water Increased water cess; buying up of rivers; pollution of rivers bottled water costing more than milk. Onslaughts on the environment Corporate liability Primary commodity crop prices crash rural / agricultural distress & impoverishment Lifting of quantitative restrictions / tariff reductions - cottage industries / small scale industries affected Increased conflict, violence, war Increased marketing of health risks alcohol, tobacco, junk foods, unhealthy lifestyles PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – V ‘REDISCOVERING ALMA ATA DECLARATION’:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – V ‘REDISCOVERING ALMA ATA DECLARATION’ FOCUS ON EQUITY Disaggregating data Collecting social - economic - cultural - political evidence FOCUS ON APPROPRIATE TECHNOLOGY Is it relevant to lives of poor? Cost? Access? Social control? FOCUS ON INTER-SECTORAL APPROACH Are there factors beyond bio-medical Epidemiology to explain the evidence? FOCUS ON COMMUNITY PARTICIPATION Is the community involved in the situation and problem analysis? Is the community involved in interpreting the data? FOCUS ON HEALTH AS A RIGHT Does your research finding reach people / community to empower them? PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – VI TB AND SOCIETY : LEVELS OF ANALYSIS AND SOLUTIONS:  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – VI TB AND SOCIETY : LEVELS OF ANALYSIS AND SOLUTIONS ARE RESEARCHERS READY TO STUDY DEEPER DETERMINANTS? PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – VII PEOPLE’S CHARTER FOR HEALTH (PREAMBLE):  PLENARY POVERTY AND HEALTH RESEARCH CHALLENGES FROM THE PERSPECTIVES OF THE POOR AND SOCIAL EXCLUDED – VII PEOPLE’S CHARTER FOR HEALTH (PREAMBLE) HEALTH IS A SOCIAL / ECONOMIC / POLITICAL ISSUE FUNDAMENTAL HUMAN RIGHT INEQUALITY, POVERTY, EXPLOITATION, VIOLENCE AND INJUSTICE ARE AT ROOTS OF ILL HEALTH HEALTH FOR ALL MEANS : CHALLENGE POWERFUL INTERESTS OPPOSE GLOBALISATION DRASTICALLY CHANGE POLITICAL AND ECONOMIC PRIORITIES CHARTER BUILDS ON : PERSPECTIVES OF VOICES RARELY HEARD ENCOURAGESD PEOPLE TO DEVELOP THEIR OWN SOLUTIONS HOLDS ACCOUNTABLE Local authorities National Governments International Organisations Corporations (PCH Challenge to Researchers) PHA 2000, Savar

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