A poem focusing on how far human beings are far away from God. Instead of caring for the creation, we are now destroying all God's creation including us. This is a call to return to caring for creation.
{"title":"Waiting for You","authors":"Fotarisman Zaluchu","doi":"10.15566/cjgh.v10i2.781","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.781","url":null,"abstract":"A poem focusing on how far human beings are far away from God. Instead of caring for the creation, we are now destroying all God's creation including us. This is a call to return to caring for creation.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"232 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Ritchie, Michael Toppe, Doug Lindberg, Jason Paltzer
As mentioned in the introduction of our study in this issue, Moral injury among healthcare missionaries: a qualitative study, the setting of cross-cultural medicine inherently produces moral injury. This moral injury occurs because different cultures have different deeply held values, and medical care intersects with some of the most emotionally and spiritually powerful values. Moral injury is one of the most common reasons for distress in healthcare missionaries, and the consequences can be severe and lifelong. This calls for adequate preparation, ongoing mentoring, institutional boundary-setting, and further research.
{"title":"Protecting Against Moral Injury among Healthcare Missionaries","authors":"James Ritchie, Michael Toppe, Doug Lindberg, Jason Paltzer","doi":"10.15566/cjgh.v10i2.861","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.861","url":null,"abstract":"As mentioned in the introduction of our study in this issue, Moral injury among healthcare missionaries: a qualitative study, the setting of cross-cultural medicine inherently produces moral injury. This moral injury occurs because different cultures have different deeply held values, and medical care intersects with some of the most emotionally and spiritually powerful values. Moral injury is one of the most common reasons for distress in healthcare missionaries, and the consequences can be severe and lifelong. This calls for adequate preparation, ongoing mentoring, institutional boundary-setting, and further research.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"31 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Eldred, Ellen Turner, Camilla Fabbri, Sister Annah Theresa Nyadombo, Dorcas Mgugu, Charles Muchemwa Nherera, Robert Nyakuwa, Tendai Nhenga-Chakarisa, Sarah Rank, Karen Devries
Schools have enormous potential to prevent and respond to violence against children. In this paper, we describe a new intervention to protect children from violence in Zimbabwe’s Catholic primary schools, initiated and developed by the Zimbabwe Catholic Bishops Conference (ZCBC). ZCBC and academic institutions in Zimbabwe and the UK are partnering to conduct formative research to understand the school context, barriers, and facilitators to intervention implementation. Semi-structured qualitative interviews with teachers and other stakeholders [n=18] suggest that this intervention will be well received. Perceived facilitators include utilising existing structures within the Church, the intervention being viewed as in alignment with Catholic values, and the use of familiar structures within Catholic schools to deliver intervention activities. Challenges will include perceptions of “child protection” among parents and teachers. ZCBC is refining the intervention model, which will be evaluated for effectiveness in reducing violence against children in a randomised controlled trial.
{"title":"Development of an Intervention to Prevent Violence in Catholic Primary Schools in Zimbabwe: Innovation from within the Church","authors":"Emily Eldred, Ellen Turner, Camilla Fabbri, Sister Annah Theresa Nyadombo, Dorcas Mgugu, Charles Muchemwa Nherera, Robert Nyakuwa, Tendai Nhenga-Chakarisa, Sarah Rank, Karen Devries","doi":"10.15566/cjgh.v10i2.701","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.701","url":null,"abstract":"Schools have enormous potential to prevent and respond to violence against children. In this paper, we describe a new intervention to protect children from violence in Zimbabwe’s Catholic primary schools, initiated and developed by the Zimbabwe Catholic Bishops Conference (ZCBC). ZCBC and academic institutions in Zimbabwe and the UK are partnering to conduct formative research to understand the school context, barriers, and facilitators to intervention implementation. Semi-structured qualitative interviews with teachers and other stakeholders [n=18] suggest that this intervention will be well received. Perceived facilitators include utilising existing structures within the Church, the intervention being viewed as in alignment with Catholic values, and the use of familiar structures within Catholic schools to deliver intervention activities. Challenges will include perceptions of “child protection” among parents and teachers. ZCBC is refining the intervention model, which will be evaluated for effectiveness in reducing violence against children in a randomised controlled trial.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A conference report on healthcare mission engagement including biblical basis, historical threads, current state of global health, vocation, cross-cultural communication, mobilizing and supporting workers, and leadership.
{"title":"Healthcare Missions Pre-congress ICMDA World Congress, Arusha, Tanzania","authors":"Daniel O'Neill","doi":"10.15566/cjgh.v10i2.863","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.863","url":null,"abstract":"A conference report on healthcare mission engagement including biblical basis, historical threads, current state of global health, vocation, cross-cultural communication, mobilizing and supporting workers, and leadership.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"43 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alison Youdle, Beryl A D'Souza Vali, Nathan John, Pam Anderson
The Jogini, or Devadasi, system sees young girls “married” to a deity after which she is seen as the property of the village and required to perform religious duties and often sexual favours, typically without payment or freedom of choice. There is a paucity of published research on the factors which make women vulnerable to this exploitation and the factors which increase the likelihood that they are able to extricate themselves from it. This is a population study of 657 women who had previously been dedicated as Joginis living in 10 villages in Mahabubnagar district of Telangana, South India. The primary outcome of interest was whether the women were practicing as a Jogini at the time of the survey. Data was analyzed using a mixed effect logistic regression test to determine possible determinants of practicing status. Four factors were found to be significantly associated with continued Jogini practice: 1) being a person with a disability, 2) reason for dedication given as family tradition of other Joginis in the family, 3) poverty in the family of origin, and 4) living in a village with more than ten percent of the population belonging to a scheduled tribe. One factor significantly negatively associated with continued practice was having one or more male children. Analysis of the demographic data for these women confirmed the previously known fact that the exploitation in the form of the Jogini system disproportionately affects those who are already vulnerable in society — those from scheduled castes (SC) and tribes (ST), other backward castes (OBC), the disabled, the uneducated, and the poor. Between them, SCs, STs, and OBCs make up the non-forward castes, i.e., those who are socially disadvantaged. The scheduled castes, formally known as untouchables, are the lowest of the Indian castes. Scheduled tribes are tribal people, not part of any organized religion. Other backward castes are those between the forward castes and the scheduled castes in terms of social order.
{"title":"Factors Associated with Continued Jogini Practice in Telanaga, India","authors":"Alison Youdle, Beryl A D'Souza Vali, Nathan John, Pam Anderson","doi":"10.15566/cjgh.v10i2.769","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.769","url":null,"abstract":"The Jogini, or Devadasi, system sees young girls “married” to a deity after which she is seen as the property of the village and required to perform religious duties and often sexual favours, typically without payment or freedom of choice. There is a paucity of published research on the factors which make women vulnerable to this exploitation and the factors which increase the likelihood that they are able to extricate themselves from it. This is a population study of 657 women who had previously been dedicated as Joginis living in 10 villages in Mahabubnagar district of Telangana, South India. The primary outcome of interest was whether the women were practicing as a Jogini at the time of the survey. Data was analyzed using a mixed effect logistic regression test to determine possible determinants of practicing status. Four factors were found to be significantly associated with continued Jogini practice: 1) being a person with a disability, 2) reason for dedication given as family tradition of other Joginis in the family, 3) poverty in the family of origin, and 4) living in a village with more than ten percent of the population belonging to a scheduled tribe. One factor significantly negatively associated with continued practice was having one or more male children. Analysis of the demographic data for these women confirmed the previously known fact that the exploitation in the form of the Jogini system disproportionately affects those who are already vulnerable in society — those from scheduled castes (SC) and tribes (ST), other backward castes (OBC), the disabled, the uneducated, and the poor. Between them, SCs, STs, and OBCs make up the non-forward castes, i.e., those who are socially disadvantaged. The scheduled castes, formally known as untouchables, are the lowest of the Indian castes. Scheduled tribes are tribal people, not part of any organized religion. Other backward castes are those between the forward castes and the scheduled castes in terms of social order.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"65 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress on students can cause a decrease in sleep quality and potentially reduce academic achievement. Understanding the effect of stress-induced sleep quality on academic achievement allows for selecting the most appropriate intervention. This study aimed to determine the impact of sleep quality due to stress on the academic achievement of medical students at Universitas Ciputra Surabaya. The method used in this study is quantitative research in the form of analytic observational with a cross-sectional approach. Sampling was done by using a random sampling technique. The population is 80 students from the Faculty of Medicine at the Universitas Ciputra Surabaya, third year and fourth year medical students. The sample size in this study was 63 students. Data was collected using the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire to measure stress levels and the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality. Sampling was only done with the consent of the respondent. The data analysis used was the correlation test which was carried out to determine the relationship between sleep quality and stress levels; the linear regression test was carried out to assess the effect of sleep quality due to stress on academic achievement. All respondents experienced stress and sleep disturbance to various degrees. The highest proportion was mild stress and moderate sleep disturbance, respectively, 50.8% and 73%. Correlation test results showed a significant relationship between sleep disturbances and stress levels (r= 0.29; p= 0.021), and the linear regression test results showed no effect of sleep quality due to stress on academic achievement (p= 0.241). Based on the data analysis, it can be concluded that the decrease in sleep quality due to stress does not affect academic achievement in medical studentss.
{"title":"Effect of Sleep Quality Due to Stress on Medical Students' Academic Achievement: A Cross-sectional Study","authors":"Arini Dyah Saputri, Imelda Ritunga","doi":"10.15566/cjgh.v10i2.799","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.799","url":null,"abstract":"Stress on students can cause a decrease in sleep quality and potentially reduce academic achievement. Understanding the effect of stress-induced sleep quality on academic achievement allows for selecting the most appropriate intervention. This study aimed to determine the impact of sleep quality due to stress on the academic achievement of medical students at Universitas Ciputra Surabaya. The method used in this study is quantitative research in the form of analytic observational with a cross-sectional approach. Sampling was done by using a random sampling technique. The population is 80 students from the Faculty of Medicine at the Universitas Ciputra Surabaya, third year and fourth year medical students. The sample size in this study was 63 students. Data was collected using the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire to measure stress levels and the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality. Sampling was only done with the consent of the respondent. The data analysis used was the correlation test which was carried out to determine the relationship between sleep quality and stress levels; the linear regression test was carried out to assess the effect of sleep quality due to stress on academic achievement. All respondents experienced stress and sleep disturbance to various degrees. The highest proportion was mild stress and moderate sleep disturbance, respectively, 50.8% and 73%. Correlation test results showed a significant relationship between sleep disturbances and stress levels (r= 0.29; p= 0.021), and the linear regression test results showed no effect of sleep quality due to stress on academic achievement (p= 0.241). Based on the data analysis, it can be concluded that the decrease in sleep quality due to stress does not affect academic achievement in medical studentss.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"338 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136019707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing Our Understanding of the Faith-based Healthcare Landscape: A Call to Action","authors":"Samone Franzese, Carolyn O'Brien, Doug Fountain","doi":"10.15566/cjgh.v10i2.763","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.763","url":null,"abstract":"","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jason Paltzer, James Ritchie, Doug Lindberg, Michael Toppe, Andrew Theisz, Taylor Van Brocklin
Introduction
Moral injury among healthcare missionaries leads to negative consequences for the individual, healthcare team, patients, and sending agencies. Conflicting values in clinical care, culture, and spirituality provide unique potentially morally injurious experiences. The purpose of this qualitative study is to explore the phenomenon of moral injury among healthcare missionaries to develop effective support and treatment strategies.
Methods
A qualitative interview guide was developed based on the existing literature on moral injury. Twenty-one key informant interviews were completed by two former healthcare missionaries. Participants were based in Africa, Asia, and Eastern Europe healthcare mission settings. Questions were based on clinical, cultural, and spiritual domains of potential ethical and moral conflicts. Protective factors were also explored based on one’s faith and spiritual practices. Interviews were transcribed and coded independently by two analysts. The team reviewed the codes and determined themes from across the three domains.
Results
Seven themes emerged from the interviews ranging from morally injurious experiences with cultural leadership practices and unfamiliar clinical care experiences to guilt over practicing outside of one’s scope of practice and addressing suffering alongside God’s sovereignty. The themes led to the development of an injury/growth pathway as a potential model for helping healthcare missionaries describe and move through potentially morally injurious experiences.
Conclusion
The themes allow for healthcare missionary sending agencies to develop strategies, training, and support systems for teams preparing to enter the mission field and for individuals already in the field. Recommendations for growing through potentially morally injurious experiences are suggested to guide practice and support for missionaries in the field. The growth values and strategies could inform the development of a screening tool to assess moral injury among healthcare missionaries.
{"title":"Moral Injury Among Western Healthcare Missionaries: A Qualitative Study","authors":"Jason Paltzer, James Ritchie, Doug Lindberg, Michael Toppe, Andrew Theisz, Taylor Van Brocklin","doi":"10.15566/cjgh.v10i2.839","DOIUrl":"https://doi.org/10.15566/cjgh.v10i2.839","url":null,"abstract":"Introduction
 Moral injury among healthcare missionaries leads to negative consequences for the individual, healthcare team, patients, and sending agencies. Conflicting values in clinical care, culture, and spirituality provide unique potentially morally injurious experiences. The purpose of this qualitative study is to explore the phenomenon of moral injury among healthcare missionaries to develop effective support and treatment strategies.
 Methods
 A qualitative interview guide was developed based on the existing literature on moral injury. Twenty-one key informant interviews were completed by two former healthcare missionaries. Participants were based in Africa, Asia, and Eastern Europe healthcare mission settings. Questions were based on clinical, cultural, and spiritual domains of potential ethical and moral conflicts. Protective factors were also explored based on one’s faith and spiritual practices. Interviews were transcribed and coded independently by two analysts. The team reviewed the codes and determined themes from across the three domains.
 Results
 Seven themes emerged from the interviews ranging from morally injurious experiences with cultural leadership practices and unfamiliar clinical care experiences to guilt over practicing outside of one’s scope of practice and addressing suffering alongside God’s sovereignty. The themes led to the development of an injury/growth pathway as a potential model for helping healthcare missionaries describe and move through potentially morally injurious experiences.
 Conclusion
 The themes allow for healthcare missionary sending agencies to develop strategies, training, and support systems for teams preparing to enter the mission field and for individuals already in the field. Recommendations for growing through potentially morally injurious experiences are suggested to guide practice and support for missionaries in the field. The growth values and strategies could inform the development of a screening tool to assess moral injury among healthcare missionaries.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":"117 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margarita Portilla, Santiago Gómez Velásquez, Clara Rocío Galvis López, Sandra Ortegón Ávila
Remote work led to organization and adaptation processes of workplaces, with presence of ergonomic and psychosocial risk factors that could cause the onset of musculoskeletal symptoms. The study identifies musculoskeletal discomfort, evaluates the risk level associated with the workplace, estimates the need for action and existing associations in university professors who engaged in remote work due to the COVID–19 pandemic. The study had quantitative, observational, cross-sectional design and secondary source of information, with statistical analysis through the Jamovi software. The professors reported discomfort on the neck, followed by the dorsal or lumbar region; statistically significant association was found between the category “requires action” with those who reported dedication to occupational activities > 8 h/day. It is concluded that the work at home conducted by the professors was related with discomfort on the neck and dorsal or lumbar region; the risk assessment shows that under these conditions the professors required timely action to avoid worsening the discomfort, the functional limitation, and work absenteeism. El trabajo a distancia generó procesos de organización y adaptación de los lugares de trabajo, con presencia de factores de riesgo ergonómicos y psicosociales que podrían provocar la aparición de síntomas musculoesqueléticos. El estudio identifica molestias musculoesqueléticas, evalúa el nivel de riesgo asociado al ámbito laboral, estima la necesidad de actuación y las asociaciones existentes en los docentes universitarios que realizaron trabajo remoto debido a la pandemia del COVID-19. El estudio contó con diseño cuantitativo, observacional, transversal y fuente de información secundaria, con análisis estadístico a través del software Jamovi. Los profesores reportaron molestias en el cuello, seguido de la región dorsal o lumbar; se encontró asociación estadísticamente significativa entre la categoría “requiere acción” con aquellos que relataron dedicación a actividades ocupacionales > 8 h/día. Se concluye que el trabajo en casa realizado por los profesores estuvo relacionado con molestias en el cuello y región dorsal o lumbar; la evaluación de riesgos muestra que en esas condiciones los profesores requerían una actuación oportuna para evitar que se agudizaran las molestias, la limitación funcional y el ausentismo laboral.
{"title":"Musculoskeletal Discomfort Associated with Remote Work Conditions of Professors during the COVID-19 Confinement in Columbia","authors":"Margarita Portilla, Santiago Gómez Velásquez, Clara Rocío Galvis López, Sandra Ortegón Ávila","doi":"10.15566/cjgh.v10i1.747","DOIUrl":"https://doi.org/10.15566/cjgh.v10i1.747","url":null,"abstract":"Remote work led to organization and adaptation processes of workplaces, with presence of ergonomic and psychosocial risk factors that could cause the onset of musculoskeletal symptoms. The study identifies musculoskeletal discomfort, evaluates the risk level associated with the workplace, estimates the need for action and existing associations in university professors who engaged in remote work due to the COVID–19 pandemic. The study had quantitative, observational, cross-sectional design and secondary source of information, with statistical analysis through the Jamovi software. The professors reported discomfort on the neck, followed by the dorsal or lumbar region; statistically significant association was found between the category “requires action” with those who reported dedication to occupational activities > 8 h/day. It is concluded that the work at home conducted by the professors was related with discomfort on the neck and dorsal or lumbar region; the risk assessment shows that under these conditions the professors required timely action to avoid worsening the discomfort, the functional limitation, and work absenteeism. \u0000El trabajo a distancia generó procesos de organización y adaptación de los lugares de trabajo, con presencia de factores de riesgo ergonómicos y psicosociales que podrían provocar la aparición de síntomas musculoesqueléticos. El estudio identifica molestias musculoesqueléticas, evalúa el nivel de riesgo asociado al ámbito laboral, estima la necesidad de actuación y las asociaciones existentes en los docentes universitarios que realizaron trabajo remoto debido a la pandemia del COVID-19. El estudio contó con diseño cuantitativo, observacional, transversal y fuente de información secundaria, con análisis estadístico a través del software Jamovi. Los profesores reportaron molestias en el cuello, seguido de la región dorsal o lumbar; se encontró asociación estadísticamente significativa entre la categoría “requiere acción” con aquellos que relataron dedicación a actividades ocupacionales > 8 h/día. Se concluye que el trabajo en casa realizado por los profesores estuvo relacionado con molestias en el cuello y región dorsal o lumbar; la evaluación de riesgos muestra que en esas condiciones los profesores requerían una actuación oportuna para evitar que se agudizaran las molestias, la limitación funcional y el ausentismo laboral.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46885875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
From the healing narratives of Jesus in the Gospels to the genesis of the first hospital to the practice of modern medicine, questions surrounding health and care for those who are sick and dying run through the heart of the Christian story. One way that individuals and communities have sought to live into their faith has been through missional medicine, that is, seeking to intentionally use the tools of medicine in step with and to bear witness to the life of Christ, particularly in cross-cultural and global contexts. In this commentary, we take up the incisive question of the late missionary physician Raymond Downing, “is there a distinctive Christian approach to global health?” Or, what sets (and should set) Christian approaches to global health apart from other interventions? Here, we argue that there are at least three distinctive Christian contributions to global health. First, missional medicine movements have, over and above other global health interventions, been committed to the building of long-standing hospitals and academic medical institutions that have left indelible marks on long-term health outcomes for people and communities. Second, practitioners motivated by Christian convictions disproportionately serve and remain long-term in marginalized, rural, and underserved areas; many of which are connected to fragile or under-developed health systems. Thirdly, Christian medical missionaries and global health workers ought to be, in the words of Jacques Ellul: preserving salt, revealing light, and “sheep in the midst of wolves.” This is a theologically framed vocation that accepts suffering and sacrifice, embracing solidarity through accompaniment—the intentional practice of being present and proximate, thereby deepening relationships to do the work of the Gospel in the model of Christ. This paper is not meant to be a comprehensive history of missional medicine nor a defense of its problematic manifestations over the centuries. Rather, we candidly explore examples of the distinctive contributions that have been made, and we hope will continue to be made, by medical missionaries and global health workers who are motivated by their faith.
{"title":"On Missional Medicine: Institution building, fragile places, and sheep among wolves","authors":"Jr C. Phifer Nicholson, B. Dahlman, M. Carlough","doi":"10.15566/cjgh.v10i1.751","DOIUrl":"https://doi.org/10.15566/cjgh.v10i1.751","url":null,"abstract":"From the healing narratives of Jesus in the Gospels to the genesis of the first hospital to the practice of modern medicine, questions surrounding health and care for those who are sick and dying run through the heart of the Christian story. One way that individuals and communities have sought to live into their faith has been through missional medicine, that is, seeking to intentionally use the tools of medicine in step with and to bear witness to the life of Christ, particularly in cross-cultural and global contexts. In this commentary, we take up the incisive question of the late missionary physician Raymond Downing, “is there a distinctive Christian approach to global health?” Or, what sets (and should set) Christian approaches to global health apart from other interventions? Here, we argue that there are at least three distinctive Christian contributions to global health. First, missional medicine movements have, over and above other global health interventions, been committed to the building of long-standing hospitals and academic medical institutions that have left indelible marks on long-term health outcomes for people and communities. Second, practitioners motivated by Christian convictions disproportionately serve and remain long-term in marginalized, rural, and underserved areas; many of which are connected to fragile or under-developed health systems. Thirdly, Christian medical missionaries and global health workers ought to be, in the words of Jacques Ellul: preserving salt, revealing light, and “sheep in the midst of wolves.” This is a theologically framed vocation that accepts suffering and sacrifice, embracing solidarity through accompaniment—the intentional practice of being present and proximate, thereby deepening relationships to do the work of the Gospel in the model of Christ. This paper is not meant to be a comprehensive history of missional medicine nor a defense of its problematic manifestations over the centuries. Rather, we candidly explore examples of the distinctive contributions that have been made, and we hope will continue to be made, by medical missionaries and global health workers who are motivated by their faith. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 ","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46125610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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