We examined the colonials and the legacies of colonial medicine.

Health needs to become a right for every individual on this planet

We will be dealing with how this came about
Many states in the world differ in the value that they put. What is
the situation of health in general?
Everyone has the right in any western country to
More health care based on the market is related how it is linked to
the political ideologies of the state and how it shaped the values of
health in different societies and different political projects
Questions on moodle for the readings:
1978 declaration; the declaration came up with many statements.
Why did the whole world come together in a the late 1970s to
redefine the way we look at health, and to refine the political value
of health? What was the drive? How did these different states
3 countries that shape the idea of primary health care
indian experience for health and chinese experience
innovative program in india: there was re-defining of what was rural
medicine. There were a lot of mortalities. India developed a system
to address rural health. They also looked at the local form of
medicine practice and mixed it with our understanding of western
biomedicine. Why would people not buy into the biomedical model?
financial burden
if you want to form something on different people, there will be a lot
integrating local healers and mid wives and etc.. they dont
necessarily depend on western medicine. When we go outside of our
small bubble, we realize that most of the population lives in rural
medicine. So we cant always offer western medicine. The idea ws to
integrate to see how local health workers may be integrated into
practices tat were acceptable in a population. The idea of human
rights is also linked to this. There is the idea to believe whatever you
want in order not to heal anyone else. Integrating projects that are
community based mst be done very strongly.
There is a figure that controls who goes in who goes out, etc. this is
the community person. These areas are full of?
What is interesting is that now we can see that the role of the
international organization has become part of the tended
settlement. Unicef safezones have schooling, centers for acgtivities,
big theater. So they are providing education for kids.
In the idea of the community based practice, you engage the
community in their own health. Ex: soviet (state health based
system; community approach). The state invested in the health of
its own community to care for its health
Another local community figure is the Deye in the village. She has
been a very important figure because she has been looked at as
someone who is not trained. However, this value of idea to look
down on the deya. The daye is so important as the community looks

on her. She has a social function that is so integrated in these

places. Name of daye became a very technical term; the idea of
traditional birth attendees. She facilitates birth. The new
intervention in the primary health care is to try to integrate the daye
with the more modern medical system; breech presentation, baby is
not turning, signs of eclampsia, etc.. you say for ex that this woman
has to be sent to the dr. the states role to register people.
People under-registered their kids because they were afraid that
they would be taken to the ministry. All of these issues became so
central to the intervention
Th declaration called for:
Bottom up approach : communities have to parotcapte in defining
their health needs and defining the state of health
By the year 2000, everyone in this planet should have access to
health
Prevention rather than medical treatment. So prevention is the
priority. We need the right to education.
Social economic changes need to be rectifies
Health is not just an individual problem. It is a social problem. To
address and intervene and improve health is to change the
socioeconomic conditions of the community. It is to provide them
not only with physicans and psychiatrist and these stuff, it also must
be cost effective. They also called for clean water supply. Everyone
around the world has to have access for clean water supply. Also,
every person has the right to be vaccinated. Not only animals must
be vaccinated. We are displacing all kinds fo health interventions
into better stuff (better housing, better waste disposal, clean
environment,etc.). all the efforts of the biomedical industry should
be shed on the socioeconomic conditons of the population.
We must beaddressng diarrheal and many diseases, improve labor
so that poele can produce more kids. If we have a better health, we
could be working better and be better in our lives.
Instead of focusing on high technology, lets focus on low cost
technology.
We have evidence that breast feeding actually prevents the many
health problems of the infant. The regime would be much better. To
promote breat feeding at that time was very interesting because
communities like nestle and others were promoting other formulas
Low cost interventions: nets for malaria, breast feeding, growth
monitoring (We monitor the growth of the kids), oral rehydration
therapy (because the biggest killer is dehydration of children). Why
is It low cost and hy is oral rehydration impiortant? It is an
intervention that could be done at the community level and it is life
saving. No need for a hospital. This is why is it important
Economic social adjustments is pushing people into more disease ,
or is it good? Debate! What were the advocates for primary health
care saying? And how did the adv