In medical anthropology, "medical system" refers to all the healing practices, therapeutic knowledge, and traditions that, in a specific social context, people can use in order to cope with health problems. It refers as well to all the social actors involved: policy makers, health professionals, healers, priests, patients, and their family. Starting from this perspective, this book presents the first results of an ethnographic research which was carried out in Tigray (the northernmost of the nine ethnic regions of Ethiopia), between 2007 and 2008. It analyzes, in the social context of Mekelle (the capital of Tigray), the different healing practices and therapeutic traditions, as well as the strategies of the actors acting in the social arena. It also explores the health care seeking behaviors of the patients in a context characterized by social suffering and inequalities. (Series: Mekelle University Social Science Series - Vol. 1)

Based on Pino Schirripa’s fieldwork, Competing Orders of Medical Care in Ethiopia traces the development of pharmaceutical products and medical remedies in the health sector. Schirripa analyzes the production and distribution of medications and examines how local politics, financial resources, social relations, and neoliberal beliefs can make some treatments more widespread and accepted than others. Schirripa’s observations of Ethiopian healing systems and social relations provide new insight into the complex process of prescription.

Ethiopian and Eritrean Pentecostalism and the Habesha church in Rome -- Breaking with the past, healing history -- Conclusion -- References -- 7 "I went out into the street ... and now I am fighting for my life.": Street children, witchcraft accusations, and the collapse of the household in Bangui (Central African Republic) -- A history of oppression and dispossession -- The streets of Bangui -- Witchcraft violence:Children, adults and religious leaders in the streets of Bangui -- Etiological crisis and the collapse of the household -- Conclusion: The dialectic of enclosure and freedom -- References -- 8 Fields of experience: In between healing and harming. On conversation between Dogon healers and sorcerers -- Healing powers, sacrifice and sorcery on the Dogon plateau -- Archives of disorder, secret and rebellion -- To accuse, to heal, to envision -- Epistemological debris and 'hierarchies of credibility'. Conclusions -- References -- Index

This book examines HIV/AIDS vulnerabilities, impacts and responses in the socioeconomic and cultural context of Sub-Saharan Africa. With contributions from social scientists and public health experts, the volume identifies gender inequality and poverty as the main causes of the HIV epidemic in sub-Saharan Africa.

The tragedy of Queen Henhenit -- The human obstetrical dilemma and its consequences -- The conquest of obstructed labor -- Dr. Sims finds a cure -- Structural violence and obstetric fistula : the Hausa case -- Deadly delays : deciding to seek care -- Deadly delays : getting to a place of care -- Deadly delays : receiving care -- Compassion, respect, and justice -- Hamlin fistula : a vision realized -- Epilogue : lessons learned and the way forward

A fresh look at two centuries of humanitarian history through a moral economy approach focusing on appeals, allocation, and accounting.

The concept of Comprehensive Primary Health Care focuses on health system efforts to improve equity in health care access, community empowerment, participation of marginalized groups, and actions on the social determinants of health. Despite its existence since the late 1970s very few studies have been able to highlight the outcomes of this concept, until now. Revitalizing Health for All examines thirteen cases of efforts to implement CPHC reforms from around the globe including Australia, Brazil, Democratic Republic of Congo, Iran, South Africa, and more. The findings presented in this volume originate from an international action-research set of studies that utilized triads of senior and junior researchers and knowledge users from each country’s public health system. Primary health care reform is an important policy discourse both at the national level in these countries and in the global conversations, and this volume reveals the similarities among CPHC projects in diverse national contexts. These similarities provide a rich evidence base from which future CPHC reform initiatives can draw, regardless of their country.

As a low-income country, Ethiopia has made impressive progress in improving health outcomes. This report examines how Ethiopia s Health Extension Program (HEP) has contributed to the country s move toward Univeral Health Coverage (UHC), and to shed light on how other countries may learn from Ethiopia s experiences of HEP when designing their own path to UHC. HEP is one of the government s UHC strategies introduced in a context of limited resources and low coverage of essential health services. The key aspects of the program include the capacity building and mobilization of more than 30, 000 Health Extension Workers (HEWs) targeting more than 12 million model families, and the mobilization of health development army ? to support the community-based health system. Using the HEP-UHC conceptual model and data from Demographic and Health Surveys, the study examines how the HEP has contributed to the country s move toward UHC. During the period that the HEP has been implemented, the country has experienced significant improvements in many dimensions: in terms of socioeconomic, psychological, behavioral, and biological dimensions of the beneficiaries; and in terms of the coverage of health care services. The study finds an accelerated rate of improvements among the rural, less-educated, and the poor population, which is leading to an overall reduction in equity gaps and improvements in the equity indicators including the concentration indices - that suggest a more equitable distribution of resources and health outcomes. The HEP in Ethiopia has demonstrated that an institutionalized community approach is effective in helping a country make progress toward UHC. The elements of success in the HEP include the emphasis on community mobilization which identifies community priorities, engages and empowers community members, and supports their ability to solve local problems. The other aspect of HEP is the emphasis on institutionalization of the activities, which addresses the sustainability of community programs through high level of political commitment, and effective coordination of national policies and leveraging of support from partners. These findings may offer useful lessons for other low income countries facing similar challenges in developing and implementing a sustainable UHC strategy.

This handbook shares profound insights into the main principles and concepts of integrated care. It offers a multi-disciplinary perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of healthcare. The handbook also highlights international best practices and shows how integrated care can work in various health systems. In the majority of health systems around the world, the delivery of healthcare and social care is characterised by fragmentation and complexity. Consequently, much of the recent international discussion in the fields of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients’ needs and aims to meet them by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach. The second edition offers new chapters on people-centredness, complexity theories and evaluation methods, additional management tools and a wealth of experiences from different countries and localities. It is essential reading both for health policymakers seeking inspiration for legislation and for practitioners involved in the management of public health services who want to learn from good practice.