Suchergebnisse

Traditional medicine is the main, & often the only, source of medical care for a great proportion of the population of the developing world. Systems of traditional medicine are usually rooted in long-standing cultural traditions, take a holistic approach to health, & are community based. The World Health Organization has long recognized the central role traditional systems of care can play in efforts to provide primary health care, especially in rural areas. This article provides an overview of national policies adopted by African governments following World Health Organization recommendations for the incorporation of traditional & allopathic systems of care. 12 References. [Copyright 2002 Sage Publications, Inc.]

Abstract
Social workers and other healthcare professionals face increasing pressure to expand access, efficiency, and quality of healthcare to rural patients. Telehealth has become a viable and necessary tool to address gaps in healthcare for rural areas. Unfortunately, little is known about the benefits and challenges of using these services to meet the needs of rural communities. This mixed-methods study examines telehealth implementation among healthcare organizations in a predominantly rural state. Seventeen providers from 11 organizations were interviewed. Most had used live video conferencing, and about a third used mobile technologies, but fewer providers had experience with store-and-forward or remote patient monitoring. Analyses of qualitative data collected via interviews revealed two main themes among benefits of telehealth implementation: (1) increased inter- and intra-agency coordination and (2) savings in time, travel, and efficiency. Three main themes emerged among barriers to telehealth: (1) organizational capacity, (2) patient skills and comfort, and (3) provider knowledge and skills. Recommendations are provided for social workers and other healthcare professionals related to expanding utilization of telehealth services to improve access to healthcare for rural populations.

Social and economic functions of folk illness and folk medicine are fairly well known for rural contexts but still lack codification for urban milieus. In this exploratory paper, folk health practices are examined in terms of their response to urban socioeconomic characteristics. Such practices appear to serve functions of acculturation, guilt displacement resulting from failure to achieve, and subgroup identity maintenance, among others. Folk practices are resilient, readily shifting to adjunct functions of healing under pressure from effective modern medical and welfare systems. [medical anthropology, urban anthropology, curanderismo, ethnology, health]

Reading product labels is a common and important use of literacy and numeracy skills in daily life. Instructions for commercial oral-rehydration-therapy salt solutions were examined. The products are widely available in rural Kenya, where they are purchased for alleviating the symptoms of life-threatening diarrheal dehydration. Many features of these texts do not facilitate comprehension. Information about preparation, dosage, administration, storage, and precautions is difficult to locate, few discourse conventions are used to enable readers to efficiently process information, and much tacit knowledge is presumed—including knowledge of English even when a Kiswahili translation is provided. Numeracy tasks associated with compliance with the treatment regime cannot be easily performed with school-learned mathematical algorithms. Measuring and teaching functional literacy and numeracy skills necessitates a better understanding of the kinds of texts that readers will encounter and analyzing the comprehension and problem-solving skills they require.

It is often suggested that, in the past 50 years, Vietnam has experienced a traditional medicine 'revival' that can be traced back to late President Ho Chi Minh's 1955 appeal 'to study means of uniting the effects of oriental remedies with those of Europe'. In this article, I demonstrate how traditional herbal medicine came to be recruited as an important component of national efforts to promote the public health of urban and rural populations in Vietnam. Importantly, this has entailed a rejection of a colonial biopolitics that sought to marginalize 'quackery' in favour of a postcolonial bio-politics that aims to promote the 'appropriate' use of traditional herbal medicines. While the Vietnamese case bears many parallels to other countries in this respect, notably China, Vietnam's ancient history of medicine, postcolonial isolation and extensive health delivery network have resulted in a unique strategy that encourages rural populations to become self-sufficient in the herbal treatment of their most common illnesses.