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Bridging the Divide Between Health, Social Development and Environmental Interventions: An Example From The Leprosy Mission 弥合健康、社会发展和环境干预之间的鸿沟:来自麻风病特派团的一个例子
Q4 Medicine Pub Date : 2021-07-30 DOI: 10.15566/cjgh.v8i1.543
James Samuel Pender
There is historically a divide between health and social development practitioners versus environmentalists, with one side seen to prioritise people and the other seen to prioritize nature.  However, the wellbeing of humans and that of the environment are inextricably linked.  This paper will use leprosy, also known as Hansen’s Disease, as an example to show how disregard for the environment through anthropogenic caused climate change may threaten human health.  Additionally, it will outline, through the example of The Leprosy Mission England and Wales and its partners, how environmental concerns can be integrated into health programmes with salutary outcomes for both health and environment. .
历史上,健康和社会发展从业者与环保主义者之间存在分歧,一方被视为优先考虑人,另一方被认为优先考虑自然。然而,人类的福祉和环境的福祉是密不可分的。这篇论文将以麻风病(也称为汉森病)为例,展示人类造成的气候变化对环境的漠视可能如何威胁人类健康。此外,它还将通过英格兰和威尔士麻风调查团及其合作伙伴的例子,概述如何将环境问题纳入健康计划,为健康和环境带来有益的结果。
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引用次数: 0
Identifying Communities’ Perspectives on their Health Needs in Impoverished Villages to Guide Non-government Organizations’ Health Promotion Efforts in Guatemala 确定社区对贫困村庄健康需求的看法,以指导危地马拉非政府组织的健康促进工作
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.391
C. Bale
Objective: The aim of this mixed-methods study is to capture and understand impoverished Guatemalan community members’ perspectives of their own health needs on a community level in order to guide Hope of Life (HOL) Non-Profit organization’s health promotion interventions in the villages they serve. Methods: A modified health needs assessment survey was conducted with 96 participants from four impoverished villages in the department of Zacapa, Guatemala. Survey responses were analyzed for significant differences in 4-item individual, family, and community health scores across demographic variables and significant correlations with reported personal health conditions and children’s health conditions. Five semi-structured interviews were also conducted with community leaders from three of the villages surveyed. Interviews were audio recorded and responses were transcribed verbatim and translated from Spanish to English. Thematic analysis using HyperRESEARCH qualitative analysis software version 4.5.0. was conducted to identify major themes. Results: The mean age of the 96 participants surveyed was 40.4 years and the majority were women, married or in Union, and have children. Women reported a significantly lower individual and family health score than men. The most rural village included in the study had significantly lower family health scores than the three sub-urban villages in the study. Among the personal health problems reported by participants, alcohol consumption, dental problems, and malnutrition were significant predictors of lower individual health scores. Themes that emerged from the interview analysis included the greatest community health needs, perceived negative community health behaviors, barriers to health care access, HOL’s impact, and suggestions for community health promotion.   Conclusion: The results of this study reveal many unmet health needs and barriers to healthcare that Guatemalan village communities face. Community-based participatory research using a mixed approach voices communities’ perspective on their perceived needs and is an important tool to guide non-profit aid and intervention serving impoverished communities.
目的:这项混合方法研究的目的是在社区层面捕捉和了解危地马拉贫困社区成员对自身健康需求的看法,以便指导生命希望非营利组织在其服务的村庄开展健康促进干预。方法:对来自危地马拉萨卡帕省4个贫困村的96名参与者进行了一项改进的健康需求评估调查。对调查回复进行分析,发现4项个人、家庭和社区健康得分在人口统计变量之间存在显著差异,并与报告的个人健康状况和儿童健康状况存在显著相关性。此外,还对其中三个村庄的社区领导人进行了五次半结构化访谈。采访录音,答复逐字抄录,并从西班牙语翻译成英语。专题分析采用HyperRESEARCH 4.5.0版定性分析软件。,以确定主要主题。结果:96名参与者的平均年龄为40.4岁,大多数是已婚或同居的女性,有孩子。女性报告的个人和家庭健康得分明显低于男性。研究中包括的大多数农村村庄的家庭健康得分明显低于研究中的三个城郊村庄。在参与者报告的个人健康问题中,饮酒、牙齿问题和营养不良是个人健康得分较低的重要预测因素。访谈分析中出现的主题包括最大的社区卫生需求、感知到的负面社区卫生行为、获得卫生保健的障碍、HOL的影响以及对社区卫生促进的建议。结论:本研究的结果揭示了危地马拉乡村社区面临的许多未满足的卫生需求和卫生保健障碍。基于社区的参与性研究采用混合方法,表达了社区对其感知需求的看法,是指导为贫困社区提供非营利性援助和干预的重要工具。
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引用次数: 0
The Changing Landscape of Mission Medicine and Hospitals in Sub-Saharan Africa 撒哈拉以南非洲传教医学和医院不断变化的情况
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.417
Samuel Adu-Gyamfi, Mariama Marciana Kuusaana, Benjamin Dompreh Darkwa, Lucky Tomdi
Missions have played numerous developmental roles towards the achievement of economic and social advancement including the provision of healthcare. From their entry into Africa, they have employed numerous methods in order to introduce their Christian faith. The construction of schools and hospitals, engagement in public health campaigns, provision of relevant services for the poor, and spearheading the provision of formal education, among others, have been the most effective mechanisms. The activities of missionaries have taken different dimensions as their scope continues to change over time. Nevertheless, existing literature shows little data on the changing landscape of mission medicine and hospitals in Africa. Using a systematic literature review approach, the current study discusses the changing landscape of mission medicine and hospitals in Sub-Saharan Africa. This contribution dwells partly on the missionary theory of medical practice to define most of the services of these faithbased organization (FBOs) in Africa. Findings from the study have revealed that mission hospitals have established schools and training schemes that allow them to train medical personnel to complement the limited number of health personnel on the continent. In the twenty-first century, they have contributed to achieving the targets of the Millennium Development Goals (MDGs) and the Sustainable Development Goals (SDGs), especially aspects that focus on health. It is evident that while the focus, methods, and partnerships have changed, missions in healthcare have not diverted their attention from sharing the gospel of Jesus Christ.
特派团在实现包括提供保健在内的经济和社会进步方面发挥了许多发展作用。从他们进入非洲,他们已经采用了许多方法,以介绍他们的基督教信仰。建造学校和医院、参与公共卫生运动、为穷人提供相关服务、带头提供正规教育等是最有效的机制。随着时间的推移,传教士的活动范围不断变化,呈现出不同的维度。然而,现有文献很少显示关于非洲传教团医疗和医院不断变化的情况的数据。采用系统的文献综述方法,本研究讨论了撒哈拉以南非洲特派团医学和医院不断变化的景观。这一贡献部分是关于医疗实践的传教理论,以确定这些基于信仰的组织在非洲的大多数服务。研究结果显示,教会医院建立了学校和培训计划,使它们能够培训医务人员,以补充非洲大陆有限的保健人员。在二十一世纪,它们为实现千年发展目标和可持续发展目标的具体目标,特别是以卫生为重点的方面作出了贡献。很明显,虽然焦点、方法和伙伴关系发生了变化,但医疗保健的使命并没有转移他们分享耶稣基督福音的注意力。
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引用次数: 0
Preparing Christian Health Workers for International Work: Evaluating a Short Global Health Course 为基督教卫生工作者做好国际工作的准备:评估全球卫生短期课程
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.415
S. Kirubakaran, D. Shaw, L. McArthur, Angus Miller, Anthony Radford
Improving global health education to ensure health professionals are prepared and competent in the world’s increasingly interconnected health-scape is a vital need.  For many health professionals, global health education is facilitated through short, pre-departure courses in cross-cultural health and development work.  There is currently limited literature on both the availability and the effectiveness of such courses.  Our research aim was to explore the impact of a short course in global health education, designed and delivered by an Australian not-for-profit organisation, Intermed SA (Intermed).  We conducted a short online survey of Intermed graduates, followed by semi-structured interviews with selected participants.  The results indicate that Intermed’s International Health and Development course was effective in achieving the course objectives as assessed by graduates, whilst also having a positive practical impact on the graduates’ professional development.
改善全球卫生教育,以确保卫生专业人员在世界上日益相互关联的卫生环境中做好准备和胜任,是一项至关重要的需要。对许多保健专业人员来说,通过跨文化保健和发展工作的短期离职前课程,促进了全球保健教育。目前关于这些课程的可得性和有效性的文献有限。我们的研究目的是探索由澳大利亚非营利组织Intermed SA (Intermed)设计和提供的全球健康教育短期课程的影响。我们对实习毕业生进行了简短的在线调查,然后对选定的参与者进行了半结构化访谈。结果表明,Intermed的国际健康与发展课程有效地实现了毕业生评价的课程目标,同时对毕业生的专业发展也产生了积极的实际影响。
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引用次数: 0
The Population Health Model: A Timely Approach for Mission Hospitals 人口健康模式:教会医院的适时方法
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.363
Richard K. Thomas, N. French
Mission hospitals have long provided a source of care, healing, and spiritual support for populations around the world, often serving the disadvantaged and rural residents not served by other facilities. Yet the future of mission hospitals has been thrown into doubt, and options for repurposing these institutions must be explored. The approach of mission hospitals to healthcare delivery has historically differed from those of other health systems (including many faith-based facilities) due to their isolated locations in lower-income countries. The multi-purpose attributes of mission hospitals make them excellent candidates for adopting a population health approach. The population health model, as now being developed in the United States, represents a radical departure from traditional clinical practice and reduces the system’s dependence on clinical care as a means to improving community health. The population health model emphasizes treatment of populations rather than individuals, a holistic approach to the provision of care (addressing social determinants in the process), and the involvement of the community in multi-sector collaboration for collective impact. Mainstream hospitals have had difficulty in implementing a true population health model for a variety of reasons, but mission hospitals appear to represent an effective vehicle for putting this model into practice. A population health approach appears to complement the philosophy of mission hospitals, and mission hospitals appear positioned to advance the population health movement.
长期以来,教会医院一直为世界各地的人们提供护理、治疗和精神支持,通常为弱势群体和没有其他设施服务的农村居民提供服务。然而,使命医院的未来受到了质疑,必须探索重新调整这些机构用途的选择。特派团医院提供医疗服务的方法历来与其他卫生系统(包括许多基于信仰的设施)不同,因为它们位于低收入国家。特派团医院的多用途特性使其成为采用人口健康方法的优秀候选者。目前正在美国开发的人口健康模式代表着与传统临床实践的根本背离,并减少了该系统对临床护理的依赖,以此作为改善社区健康的手段。人口健康模式强调对人群而非个人的治疗,提供护理的整体方法(解决这一过程中的社会决定因素),以及社区参与多部门合作以产生集体影响。由于各种原因,主流医院在实施真正的人口健康模式方面遇到了困难,但使命医院似乎是将这一模式付诸实践的有效工具。人口健康方法似乎是对特派团医院理念的补充,特派团医院似乎能够推动人口健康运动。
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引用次数: 0
How Christian Pharmacists can Maximize their Potentials in Healthcare Delivery: Adapting to the Prayer, Faith and Action Model 基督教药剂师如何最大限度地发挥他们在医疗保健中的潜力:适应祈祷、信仰和行动模式
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.447
M. Okereke, K. David, Ezeofor Ozioma Onyedikachukwu
In the absence of scientific breakthrough, patients search for solutions beyond science in the quest for good health.  This is because spirituality greatly influences therapeutic outcomes and healthcare delivery.  Healthcare providers must confront the dual needs of their patients; spiritual and health.  Christian pharmacists can have an integral role to play in addressing these needs by means of a specialized focus on Christian faith.  In this paper, we propose a Prayer, Faith, and Action Model for pharmacists who desire faith-based healthcare delivery in their professional settings.  This model is worth adopting if Christian pharmacists want to maximize their potential in the course of healthcare delivery.
在缺乏科学突破的情况下,患者寻求科学之外的解决方案,以寻求良好的健康。这是因为精神在很大程度上影响了治疗结果和医疗保健的提供。医疗保健提供者必须面对患者的双重需求;精神和健康。基督教药剂师可以通过专门关注基督教信仰,在满足这些需求方面发挥不可或缺的作用。在本文中,我们为那些希望在专业环境中提供基于信仰的医疗服务的药剂师提出了一个祈祷、信仰和行动模式。如果基督教药剂师想在医疗保健过程中最大限度地发挥他们的潜力,这种模式是值得采用的。
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引用次数: 0
African Pentecostalism and the 1918 Influenza Pandemic: The Supernatural Amid the Fearful and Implications for the COVID-19 Pandemic 非洲五旬节主义与1918年流感大流行:对新冠肺炎大流行的恐惧和影响中的超自然现象
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.455
Omololu Fagunwa
Infectious outbreaks that lead to epidemics and pandemics are dreaded because of the adverse health, economic, and social effects. The 1918 pandemic caused by the H1N1 influenza virus killed 40 million people worldwide. Like the case of COVID-19, the pandemic of 1918 kept Christians, as well as people of other faiths, from worshipping together. However, African indigenous Pentecostal movements and groups emerged in various part of the continent around the same time. This period was the time of huge Pneumatic experience and spiritual awakening.  The Pentecostals devoted themselves to building their faith and ceaseless prayer during that time, and this has become the foundation of the doctrine and theological instructions of most African Initiated Churches. Because are no studies that consider the 1918 flu pandemic and Pentecostal response in Africa, this study was undertaken. The time of the 1918 pandemic appeared to be a good opportunity for spiritual awakening. Intense prayer prevailed during those times and teaching and exposition about prayer formed the core of the theology of most African Initiated Churches. Pandemics often bring devastation but could also be an opportunity for spiritual awakening through prayer, love in action, social justice, compassion and care.
由于对健康、经济和社会的不利影响,导致流行病和大流行的传染病爆发令人恐惧。1918年由H1N1流感病毒引起的大流行导致全球4000万人死亡。与COVID-19的情况一样,1918年的大流行使基督徒和其他信仰的人无法一起做礼拜。然而,非洲本土的五旬节派运动和团体大约在同一时间出现在非洲大陆的各个地方。这一时期是巨大的气动经验和精神觉醒的时期。五旬节派在那段时间里致力于建立他们的信仰和不断的祈祷,这已经成为大多数非洲启蒙教会教义和神学指导的基础。因为没有研究考虑到1918年流感大流行和五旬节派在非洲的反应,所以进行了这项研究。1918年的大流行似乎是精神觉醒的好机会。在那个时期,强烈的祈祷盛行,关于祈祷的教导和阐述形成了大多数非洲启蒙教会神学的核心。大流行病往往带来破坏,但也可能是通过祈祷、行动中的爱、社会正义、同情和关怀实现精神觉醒的机会。
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引用次数: 1
Cura Personalis, Cura communitas: Loving our neighbor in Covid-19 times Cura个性化,Cura社区:在新冠肺炎时代爱我们的邻居
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.495
Jonathan Quick
EDITORIAL
编辑
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引用次数: 1
Creating Shared Resilience: The Role of the Church in a Hopeful Future by David M. Boan and Josh Ayers. Langham Global Library, 2020 《创造共同的韧性:教会在充满希望的未来中的作用》,David M.Boan和Josh Ayers著。Langham Global Library,2020
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.489
P. Nijssen
Book review of Creating Shared Resilience.  
《创造共享弹性》书评。
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引用次数: 0
Utilizing Technology during the COVID-19 Pandemic 在COVID-19大流行期间利用技术
Q4 Medicine Pub Date : 2020-12-21 DOI: 10.15566/cjgh.v7i5.479
Daryn J. Go, Natalee Hung, Hannah Ferrolino, Kendall Wilson, Mia Choi, D. Mayhugh, L. Lau
National lockdowns and social distancing measures enforced in response to COVID-19 have forced many non-governmental organizations (NGOs) serving in low- and middle-income countries (LMICs) to suspend their operations. While low-income families continue to suffer from hunger and poverty, community quarantine restrictions additionally isolated them from town centers where healthcare, education, food, supplies, and livelihood opportunities are usually accessed. International Care Ministries (ICM) is a Philippine-based NGO that runs a poverty-alleviation program targeted towards extreme low-income households. As we re-evaluated how we may continue to effectively minister and serve our communities despite lockdown measures, we identified two priorities: (1) to serve people’s physical needs by providing food and access to healthcare, and (2) to serve people’s spiritual needs through spiritual feeding and community. In this field report, we describe how ICM was able to identify and use social network platforms as an alternative to continue both service delivery and spiritual feeding remotely. We hope this example may encourage other development NGOs to persevere as we all continue to seek ways to adapt to these extraordinary and seemingly ever-changing circumstances.
为应对COVID-19而实施的国家封锁和社会距离措施迫使许多在低收入和中等收入国家服务的非政府组织(ngo)暂停业务。在低收入家庭继续遭受饥饿和贫困的同时,社区隔离限制进一步将他们与通常获得医疗、教育、食品、用品和谋生机会的城镇中心隔离开来。国际关怀部(International Care Ministries,简称ICM)是一家总部位于菲律宾的非政府组织,专门针对极端低收入家庭开展扶贫项目。在我们重新评估如何在采取封锁措施的情况下继续有效地服务和服务我们的社区时,我们确定了两个优先事项:(1)通过提供食物和获得医疗保健来满足人们的身体需求,(2)通过精神喂养和社区来满足人们的精神需求。在这份现场报告中,我们描述了ICM如何能够识别和使用社交网络平台作为继续远程提供服务和精神喂养的替代方案。我们希望这个例子可以鼓励其他非政府发展组织坚持下去,因为我们都在继续寻求适应这些特殊和看似不断变化的环境的方法。
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引用次数: 2
期刊
Christian Journal for Global Health
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