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Integrated Health Service Delivery Networks (IHSDN) based on primary health care (PHC) are the most promising solution for health systems to satisfy the health needs of the population and to address access, efficiency, quality and equity challenges faced by health systems of the world. PHCs essential attributes (people and family centered care, comprehensiveness, continuity, longitudinality) position this approach as one of the key strategies for countries to meet the aspiration of achieving universal health coverage. Creating care networks has been a common thread running through Latin America and the Caribbeans health policy agendas. In terms of actually putting the IHSDN model in action, ...
What can case studies about the lived experiences of cancer contribute to an interest in the concept of structural vulnerability? And can a consideration of structural vulnerability enhance applied anthropological work in cancer prevention and control? To answer these questions the contributors in this volume explore what it means to be structurally vulnerable; how structural vulnerabilities intersect with cancer risk, diagnosis, care seeking, caregiving, clinical-trial participation, and survivorship; and how differing local, national, and global political contexts and histories inform vulnerability. These case studies illustrate how quotidian experiences of structural vulnerability influence and are altered by a cancer diagnosis at various points in the continuum of care. In examining cancer as a set of diseases and biosocial phenomena, the contributors extend structural vulnerability beyond its original conceptualization to encompass spatiality, temporality, and biosocial shifts in both individual and institutional arrangements.
Critical Medical Anthropology presents inspiring work from scholars doing and engaging with ethnographic research in or from Latin America, addressing themes that are central to contemporary Critical Medical Anthropology (CMA). This includes issues of inequality, embodiment of history, indigeneity, non-communicable diseases, gendered violence, migration, substance abuse, reproductive politics and judicialisation, as these relate to health. The collection of ethnographically informed research, including original theoretical contributions, reconsiders the broader relevance of CMA perspectives for addressing current global healthcare challenges from and of Latin America. It includes work spanning four countries in Latin America (Mexico, Brazil, Guatemala and Peru) as well as the trans-migratory contexts they connect and are defined by. By drawing on diverse social practices, it addresses challenges of central relevance to medical anthropology and global health, including reproduction and maternal health, sex work, rare and chronic diseases, the pharmaceutical industry and questions of agency, political economy, identity, ethnicity, and human rights.
Although they share similar socio-economic and cultural characteristics as well as their recent political histories, Argentina, Chile and Uruguay differ radically in their abortion policies. In this book, Cora Fernández Anderson examines the role social movements play in abortion reform to show how different interaction patterns with state actors have led to three different policy outcomes: comprehensive abortion reform in Uruguay; moderate abortion reform in Chile; and no legal abortion reform in Argentina. Synthesizing a broad range of literature and drawing on in-depth field and archival research, she analyzes the strength of the campaigns for abortion reform, their relationships with leftist parties in power and the context of Church–state relations to explain this diverging trajectory in policy reform. A masterly analysis of how social movements, the power of institutions and Executive preferences have strong explanatory power, Fighting for Abortion Rights in Latin America is a perfect supplement for classes on gender and global politics.
En la región de América Latina y Caribe (ALC), la mayoría de los países buscan reformar sus sistemas de salud para lograr la cobertura universal y mejorar la eficiencia de sus gastos sanitarios, al tiempo que cumplen con las expectativas cada vez mayores de los ciudadanos acerca de la calidad de la atención. El papel de la atención primaria de salud (APS) destaca como clave para lograr esos objetivos de forma integrada. Por ello, el Banco Interamericano de Desarrollo llevó a cabo, entre 2012 y 2014, la Encuesta sobre Acceso, Experiencia y Coordinación de la Atención Primaria de Salud en América Latina y el Caribe, en poblaciones adultas de Colombia, México, Brasil, El Salvador, Panamá y Jamaica, buscando contribuir al diseño de políticas públicas de salud, y considerando especialmente el punto de vista de los pacientes.
El libro que presentamos, una reedición actualizada y ampliada del que fue publicado en 2004, se estructura en tres grandes apartados. Después de la introducción de Fina Sanz, que conceptualiza el buentrato y el maltrato en todas sus dimensiones, en la primera parte se incluyen cuatro capítulos dirigidos a facilitar la comprensión del origen y finalidad de las múltiples violencias contra las mujeres, recuperando y visibilizando la trayectoria histórica y social de su desarrollo. Se expone cómo opera el sistema patriarcal, que a partir de la diferencia sexual, sustenta la inferioridad de las mujeres, fundamenta la desigualdad y crea jerarquías de los hombres sobre las mujeres, lo que...
A ningún equipo de futbol le gusta jugar en una cancha que le dé ventajas a unos jugadores y afecte a otros. Ni que en cada partido cambien las reglas o que el árbitro las aplique para beneficiar al rival. Un requisito para que el marcador final sea justo es que el esfuerzo de cada futbolista no se vea obstaculizado por nada ni nadie y que el azar ejerza su imperio por igual entre todos los que salten al césped. En suma, hace falta una cancha pareja. Roberto Vélez Grajales y Luis Monroy-Gómez-Franco están convencidos de que algo semejante debe ocurrir con los ciudadanos y su acceso a lo mejor que ofrece la vida. En estas páginas, rompen una lanza por la igualdad de oportunidades, ent...