Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Health and Human Rights: A Reader Review

Health and Human Rights: A Reader
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Health and Human Rights: A Reader ReviewThis book presents a terrific introduction to the role of human rights in public health practice. While quite accessible, some may wish to augment this book with additional readings- perhaps Just Health Care by Normal Daniels?Health and Human Rights: A Reader Overview

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A Practical Guide for Medical Teachers Review

A Practical Guide for Medical Teachers
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A Practical Guide for Medical Teachers ReviewThis is a must! Whether you are finishing your medical studies, are faculty or involved in medical education, this is the book to read, it has it all! You can actually learn medical education and use its suggestion for bettering your skills and also to teach other people how to teach. This Scottish group is the best of the world in medical education...A Practical Guide for Medical Teachers Overview

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Human Rights and Gender Violence: Translating International Law into Local Justice (Chicago Series in Law and Society) Review

Human Rights and Gender Violence: Translating International Law into Local Justice (Chicago Series in Law and Society)
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Human Rights and Gender Violence: Translating International Law into Local Justice (Chicago Series in Law and Society) ReviewWe live in an era where both globalization and universalization of international legal discourse have become progressively dominant. On one hand these developments open up new political and socio-economic potentials for the world. On the other hand they stimulate further tensions between the global and the local. In particular, these tensions strongly affect the ability to implement international human rights, which have become strongly institutionalized by now. Sally Merry's book Human rights and Gender Violence: Translating International Law into Local Justice provides a valuable analysis of this theme. In fact, this book does much more that merely identifying these tensions; through a study of the translation of women rights from global into local contexts, Merry examines origins of the existing conflict between the two and presents suggestions for more effective approaches to cultural implications when dealing with the complexity of transnational struggle against human rights abuses.
As expected from a legal anthropologist, Merry combines international law and an ethnographic perspectives in her study of global activism, which characterized by its secular universalistic view, in relation to local realization and "vernacularization", done mainly by NGOs and activist on grass root level. In the beginning of her book she sketches out her (ethnographic) research method, which included attendance of several international conferences, background reading, three years of thorough study of United Nations meetings, extended research in Hawaii, relatively short visits of the Asia-Pacific region in Fiji, India, China, Hong Kong where she had the opportunity to interview local academics and activists. From a purely anthropological perspective Merry's approach could have been stronger if she had stayed for longer periods in different localities simply because her understanding of the subject would have had more time to develop. In addition, the view of one particular group most directly involved in the matter is not sufficiently discussed in this study, namely that of the victims of gender violence. Nevertheless, Merry's nuanced style and the use of geographic diversity add value to her engaging research.
Merry argues that although women's rights have been internationally formulated, the conceptualization of these rights remain problematic. Convention on the Elimination of All forms of Discrimination against Women came in 1979. Next to Commission on Human Rights, the UN took specific measures though appointing the Special Reporter on Violence against Women and establishing the Commission on the Status of Women. Nevertheless, it is still difficult to establish gender violence as human rights violations, because it is often perceived as "daily problem", incorporated in system of kinship, religion, welfare and nationalism. Gender violence either occurs in private sphere which makes it shielded from interference from outside or is packed in various concepts that are protected by the society, such as the practice of honor killings in Pakistan (p. 63). Even tough Merry strongly opposes such practices; she stresses the importance of understanding of particular histories, traditions and cultures.
Two main reasons are pointed out. First, generally unrecognized reason that the global human rights discourse established by state representatives and NGOs is narrow because of the uneven power relations that shaped it, and should therefore also be seen as part of a certain culture system, secular transitional modernity. Second, politicians and experts see customs as harmful practices and completely reject them, for they do not have the time to investigate how costumes can help protecting human rights. Merry explores the practice of Bulubulu in her research and uses it as an example to illustrate her point. Bulubulu, central in village life of Fiji, is a practice of reconciliation through apology and gift giving for an offence. It is a fundamentally different approach, with emphasis on reconciliation and avoiding vengeance, rather than punishing and deterring future offenders. The main goal is to restore peace in the community life. This local practice became embedded in the Fiji court system (customary law), but faced complete rejection by the UN committee of CEDAW, because of the relatively new use of Bulubulu in cases of rape (p.144).
Merry stresses the importance of contextualization of human rights strategies in order to be successful. Three forms of transnational cultural flow necessary for appropriation of human rights are distinguished. First, Merry emphasizes something that also Ignatieff argued in his article Human Rights as Politics and Idolatry, Praemium Erasmianum: it is crucial that transnational consensus is built, but it is only possible if consistency is maintained, especially by more influential Western states like the US. Second, transnational program transplantation must be done with use of local values, symbols and meanings through strengthening the national and local culture practices. An Na'im argues in the same direction when talking about human rights appropriation of Sharia in Areas of Expressions and the Universality of Human Rights: Mediation a Contingent Relationship. Last but not least, it is essential to localize transnational knowledge of human rights so that it becomes part of the local consciousness (p.179). Merry argues that international actors and local activist can form a link between the global and the local. Grass root activists can translate and negotiate the rights into frameworks that are relevant to the life situation of local people.
It would have been indeed like this if all grass root human rights activists truly represented the mainstream societies they live in; in reality, their beliefs are often strongly influenced by the global discourse. In addition, Merry tends to underestimate "harmful" practices and the resistance against the international human rights discourses. Traditions and customs are indeed not homogeneous and dynamic; it does not mean however that power holders in existing kinship, religious and cultural entities will easily allow significant change that would threaten their privileged position. While it is especially relevant in women rights and gender violence, Merry is eager to nuance here too strongly. Besides, as one of the case studies presented by Merry shows, women are "slow" to claim their rights (p.181). Reconsidering and contextualizing is undeniably necessary, but we might run into bigger obstacles than expected.
Human Rights and Gender Violence: Translating International Law into Local Justice (Chicago Series in Law and Society) Overview

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Pathologies of Power: Health, Human Rights, and the New War on the Poor, With a New Preface by the Author (California Series in Public Anthropology) Review

Pathologies of Power: Health, Human Rights, and the New War on the Poor, With a New Preface by the Author (California Series in Public Anthropology)
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Pathologies of Power: Health, Human Rights, and the New War on the Poor, With a New Preface by the Author (California Series in Public Anthropology) ReviewPaul Farmer, perhaps the most famous 'Third World doctor' living today, has written an eloquent and moving plea for a reconsideration of modern approaches toward healthcare in the developing nations in this book, "Pathologies of Power". Based on his personal experiences of care in Haiti, but also his professional visits to Russia, Africa, Central America, Mexico, Cuba and many other places besides, Paul Farmer demonstrates that the problematics of healthcare and those of poverty and inequality are insolubly linked in these nations. Whoever says "heal the sick" must also say "end poverty", for the one is not possible without the other; and whoever says "prevent disease" must also say "destroy socio-economic inequality", for the one is not possible without the other. That is the message of this book.
A large part of the work consists of reflections by Farmer on his experiences in Haiti and elsewhere and on the way in which the current worldwide economic structures engender a genuine and systematic violence against the rights of the poor. Strongly inspired by liberation theology (though not necessarily religious), Farmer eloquently and effectively contrasts the heavy importance attached to individual political and legal rights with the way in which the violations of rights done by structural inequalities and injustices is wholly ignored in the same circles that would complain about the former. Rights issues are the domain of jurists, development issues the domain of (liberal) economists; but the way in which the poor and weak are constantly crushed by the systematic repression that is poverty and inequality, at least as real and at least as much a violation as any torture, that seems to be the domain of nobody at all. As Paul Farmer clearly shows, even in the lately so blossoming domain of medical and bioethics the issue of socio-economic structures is completely swept under the carpet. As he says, this really is the "elephant in the room".
The same also goes for the oft-invoked importance of efficiency. Callous and counterproductive Western, often American, inspired healthcare policies in the developing nations (among which we must now sadly share Russia as well) generally fail at providing effective treatment against simple preventable disease such as TBC, because those medications that would actually help are considered "not cost-effective". This is in fact just a polite way of saying "we don't care about these people", but then phrased in a manner that will lead to less of an uproar in the newspapers. Farmer however is not fooled so easily, and sees this for what it is - a structural repression of the developing nations by the developed ones, in the name of "efficiency", i.e. efficiency in achieving the aims of the Western states.
This book is a very powerful work, and a strong indictment of the prevailing attitude towards healthcare and development issues and the little attention paid to their interrelation. It also demonstrates convincingly how the current worldwide economic system is bad for everybody's health. And what could be a more important thing than that?Pathologies of Power: Health, Human Rights, and the New War on the Poor, With a New Preface by the Author (California Series in Public Anthropology) Overview

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Textbook of International Health: Global Health in a Dynamic World Review

Textbook of International Health: Global Health in a Dynamic World
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Textbook of International Health: Global Health in a Dynamic World ReviewIt is a very nice and comprehensive overview of the major topics of interest in the field on International (Global) Health. It also contains references that can complement your knowledge as well as very good appendixes with information about the international organizations where health is a concerning issue. The text has become the reference book for scholars working and teaching about this important and relatively new specialty.Textbook of International Health: Global Health in a Dynamic World Overview

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Understanding Global Health (LANGE Clinical Medicine) Review

Understanding Global Health (LANGE Clinical Medicine)
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Understanding Global Health (LANGE Clinical Medicine) ReviewI chose this book as a textbook for an undergraduate summer course on global and public health. The book is probably among the best available and I found it providing the level of information needed for a short course. The chapters are short enough to each be read in a couple of hours or so making them good homework assignments. The book covers the main areas of global health. Some chapters would have benefited from expansive discussion such as the environmental health chapter that focused on water quality and sanitation or infectious diseases chapter. Topics of tobacco or chronic diseases are not covered or missed from the book. But in all, this is a good book and written in an easy and understandalbe language even for the lay person and I would recommend it.Understanding Global Health (LANGE Clinical Medicine) Overview

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