Health Dynamics and Marginalised Communities


Book Description

"Despite the long standing commitment to ``Health for All'', enormous health anomalies continue to prevail among Indian masses. Problems related to judicious distribution of healthcare facilities are many: unequal access to healthcare facilities, limited attention to preventive methods, and profit orientation of the agencies involved are few among them. Rural and tribal communities, being the most marginalized in developmental context, are the worst victims of such maladies. The limited choices in maintaining sustainable health conditions in Indian communities pose great challenges to the democratic fabric of the nation-state. The articles in the present volume examine various issues related to health dynamism of Indian communities in their totality and propose to furnish remedial suggestions in contemporary context. The book will be of utmost interest not only for the social scientists and activists but also for health practitioners and policy makers."




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Community Health Workers in Action


Book Description

Community Health Workers in Action proposes support and expansion of the role of community health workers in meeting the health needs of marginalized groups in United States cities (although their potential reach is not limited to any one group or geographical section). Given the health inequities that continue to touch the lives of millions of people of color across the country, these professionals' efforts--which translate to innovative, community-centered responses designed to reach particularly vulnerable populations--are quite timely. In order to truly understand the topic of health care, one must first explore its historical contexts, socio-cultural factors, and the ways in which values play a critical role in shaping a worldview of the right to quality care. This book offers readers a window into the dynamic field that continues to expand in highly creative and cost-effective ways, which ultimately shape one major piece of the complicated puzzle that is health care in America.




Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials


Book Description

Looking specifically at the factors impacting on health and health care differentials, this book examines the health and health care issues of both patients and providers of care in the United States and around the globe. Chapters focus on linkages to policy, population concerns and patients and providers of care as ways to meet health care needs.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




A Framework for Educating Health Professionals to Address the Social Determinants of Health


Book Description

The World Health Organization defines the social determinants of health as "the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life." These forces and systems include economic policies, development agendas, cultural and social norms, social policies, and political systems. In an era of pronounced human migration, changing demographics, and growing financial gaps between rich and poor, a fundamental understanding of how the conditions and circumstances in which individuals and populations exist affect mental and physical health is imperative. Educating health professionals about the social determinants of health generates awareness among those professionals about the potential root causes of ill health and the importance of addressing them in and with communities, contributing to more effective strategies for improving health and health care for underserved individuals, communities, and populations. Recently, the National Academies of Sciences, Engineering, and Medicine convened a workshop to develop a high-level framework for such health professional education. A Framework for Educating Health Professionals to Address the Social Determinants of Health also puts forth a conceptual model for the framework's use with the goal of helping stakeholder groups envision ways in which organizations, education, and communities can come together to address health inequalities.




The Political Determinants of Health


Book Description

A thought-provoking and evocative account that considers both the policies we think of as "health policyand those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.




Handbook of Social Inclusion


Book Description

The focus of this ambitious reference work is social inclusion in health and social care, with the aim of offering a good understanding of matters that include or exclude people in society. Social inclusion stems from the ideal of an inclusive society where each individual can feel valued, differences between individuals are respected, needs of each person are met, and everyone can live with dignity as “the norm” (Cappo 2015). Community participation and interpersonal connections' dynamics that accommodate access to positive relationships, resources, and institutions can lead to social inclusion (Tua & Barnerjee 2019: 110). Social inclusion can explain why some individuals are situated at the centre of society or at its margins, as well as the consequences of the social layer in society (Allman 2015). Closely related to the concept of social inclusion is social exclusion. Social exclusion refers to “the process of marginalising individuals or groups of a particular society and denying them from full participation in social, economic and political activities” (Tancharoenathien et al. 2018: 3). Social exclusion is marked by unequal access to capabilities, rights, and resources. It is “a multi-dimensional process driven by unequal power relationships across four dimensions – economic, political, social and cultural” (Taket et al. 2014: 3-4). It engages at the individual, household, community, nation, and global levels. Social exclusion renders some individuals or groups to social vulnerability. Thus, these individuals or communities are unable to prevent negative situations that impact their lives. Methodologically, to promote social inclusion and reduce social exclusion, inclusive research methodologies must be embraced. Inclusive research refers to a “range of approaches and methods and these may be referred to in the literature as participatory, emancipatory, partnership and user-led research – even peer research, community research, activist scholarship, decolonizing or indigenous research” (Nind 2014: 1). Terms such as collaborative research and community-based participatory action research (CBPR) have also been referred to as inclusive research methodology. As Nind (2014) suggests, the term inclusive research can be adopted across disciplines and research fields within the paradigm of social inclusion. Hence, research and examples that are classified as inclusive research methods are included in this reference. This reference work covers a wide range of issues pertaining to the social inclusion paradigm. These include the theoretical frameworks that social inclusion can be situated within, research methodologies and ethical consideration, research methods that enhance social inclusion (PAR and inclusive research methods), issues and research that promote social inclusion in different communities/individuals, and programs and interventions that would lead to more social inclusion in society. The aims and scope of the reference are to provide discussions about: social inclusion and social exclusion in different societies; theories that are linked to social inclusion and exclusion; research methodologies that enhance social inclusion; inclusive research methods that promote social inclusion in vulnerable and marginalised groups of people; discussions about issues and research with diverse groups of vulnerable and marginalised individuals and communities; discussions regarding programs and interventions that can lead to more social inclusion in vulnerable and marginalised people. The reference work is divided into seven sections to cover the field of social inclusion comprehensively. Each section is dedicated to a particular perspective relating to social inclusion as covered by the aims and scope above. Handbook of Social Inclusion: Research and Practices in Health and Social Care should be an invaluable resource for professors, students, researchers, and scholars in public health, social sciences, medicine, and health sciences, as well as those at research institutes, government, and industry, on the concepts and theories of social inclusion/exclusion, and the research methodologies and programs/interventions that can enhance social inclusion in different population groups. Examples from the research are included to show the real-life situations that can promote social inclusion in different groups that readers can adopt in their own work and practice.




Community-academic Partnerships


Book Description

Community-based organizations (CBOs) play a critical role in improving conditions within marginalized communities for health equity. However, stronger organizational capacity within CBOs is needed to develop sustainable public health equity efforts. One strategy that can support sustainable health equity efforts from CBOs in marginalized communities is the use of community-academic partnerships (CAPs)-partnerships extending beyond academic boundaries to translational research in real-world settings. This dissertation project examines the CAP structure of the Flint Center for Health Equity Solutions (FCHES), which is a collaborative, transdisciplinary research center focused on improving public health equity for Flint, Michigan. Using a longitudinal, sequential mixed methods design, the study sought to examine facilitating and hindering factors to CAP collaborations, elicit partner perspectives about and experiences with the collaboration, and compare changes in the overall network structure over time (1 year apart). While unintended, the study had the unique opportunity to also explore how a fluctuating environment related to the COVID-19 pandemic influenced partnerships (e.g., ties) and network outcomes over time. Exploratory social network analysis (SNA) examined the overall network structure, partner connectivity embedded in the network, position of partners, and quality of relationships. Semi-structured interviews were used to expand on the quantitative data and contextualize responses, including obtaining rich details on: (a) perspectives on the collaboration process; (b) barriers and facilitators; (c) motivations for joining and for continuing to participate; (d) goals; and (e) recommendations for improvement from the perspectives of partners and leaders. Understanding community and academic partner's perspectives on collaboration efforts and dynamics of their relationships is important to move health equity forward. The current dissertation project contributes to the literature on CAP perspectives by identifying facilitating and hindering factors to CAPs as well as examining how these change over time; identifying network outcomes, their changes over time, and how they vary by partner type, and motivational factors to participate and continue to participate with the CAP over time. The broader impact of this research builds on systems-level, ecological perspectives grounded in community psychology, emphasizing how networks of CAPs in public health within larger systems of historically marginalized communities can work collaboratively to better understand and resolve health disparities. A closer examination of motivating factors, as well as strengths and challenges that lead to collaboration outcomes can help develop strategies to strengthen partnership dynamics. Further, the study examined changes across two different time-points, allowing for a closer examination on how external influences from fluctuating environments (e.g., community contexts; COVID-19) may change a partnership over time. Results will be useful for stakeholders involved in CAPs interested in developing and improving collaborative approaches to public health that center community-based priorities. Findings ultimately highlight how community-based efforts are dynamic processes, intertwined with contexts related to community, resources, interpersonal connections, power, and equity.




All Health Politics Is Local


Book Description

Health is political. It entails fierce battles over the allocation of resources, arguments over the imposition of regulations, and the mediation of dueling public sentiments—all conflicts that are often narrated from a national, top-down view. In All Health Politics Is Local, Merlin Chowkwanyun shifts our focus, taking us to four very different places—New York City, Los Angeles, Cleveland, and Central Appalachia—to experience a national story through a regional lens. He shows how racial uprisings in the 1960s catalyzed the creation of new medical infrastructure for those long denied it, what local authorities did to curb air pollution so toxic that it made residents choke and cry, how community health activists and bureaucrats fought over who'd control facilities long run by insular elites, and what a national coal boom did to community ecology and health. All Health Politics Is Local shatters the notion of a single national health agenda. Health is and has always been political, shaped both by formal policy at the highest levels and by grassroots community battles far below.