Saturday, September 30, 2017

Breaking the link between colonialism and global medical missions

Rudyard Kipling spoke to the spirit of the age at the turn of the 20th century when he called on newly minted imperial powers to go send your sons to exile to serve your captivesneed. Then, the Western popular imagination was captivated by the myth of the intrepid white civilizer setting off to tame the savage wilds. Unfortunately, this fascination did not die out with the empires it justified. We still see ample evidence of it today, medical volontourismbeing a prime example.
            Healthcare professionals from Europe and North America are traveling in increasing number to developing countries for short-term assignments. The effects of most of these assignments range from the benign to the outright harmful; rarely do they offer real benefit to local communities. Volontourists may arrive poorly equipped to deal with their new cultural, linguistic, and even medical milieu. They can end up providing redundant care that undermines nearby healthcare systems and diverts trained in-country personnel to their activities in an internal brain drain. There is a constant risk that the lions share of the benefits will be reaped by the foreign health workers (and their institutions) who carry back the experience they acquired to their far-flung home countries to decorate their résumés.
            This inequity is a painful reminder of open wounds from a recent colonial past. To the credit of the Western healthcare community, awareness has become firmly established of how problematic medical volontourism can be. Unfortunately, it has yet to devise a solution. The push to professionalize global healthhas hit upon the snag that no one can really agree what the field constitutes. As such, there is no widely-accepted means of weeding out those with a true passion for global health issues from those with only a superficial interest.
            Physician and global health advocate Timothy Laux thinks this role might be played by existing Institutional Review Boards (IRBs). Lauxs case is that, as the only true contender for authority in health science ethics enforcement, IRBs are best-positioned to crack down on medical volontourism.
            Laux acknowledges that, at first glance, IRBs are imperfect candidates for the job. Institutional ethics panels typically confine themselves to review of research proposals and projects in accordance with research-specific regulations and the capacities of the environments they find themselves in. Moreover, theyre frequently overburdened by and understaffed for their workload. Taking the step towards passing ethical judgement on the suitability of individual applicants for volunteer placementsoften clinical in nature and on the other side of the worldwould therefore be massive. But, Laux asks, if not IRBs, who else?
Well, ethics authorities in the regions where volunteers propose to operate for one. Admittedly, this is easier said than done. Knowledge of bioethical principles, let alone the review boards to enforce them, are likely lacking in many of these environments. A possible solution could be to integrate bioethics into existing health institutions, like local Ministries of Health, who are ultimately responsible for permitting short-term medical missions to take place in developing countries. This would be challenging, as it would require buy-infrom those institutions, and the cultivation of a cadre of health and other professionals so that they are in a position to inform ministry decisions. But it is not impossible, and local Ministries of Health have a self-interested motivation in maximizing local benefits from these international volunteer initiatives. Or, to be more realistic, they have an interest to at least be in negotiations with initiatives coming from more powerful countries, to minimize the potential for exploitation.     
            All of this is not to say that IRBs have no place in this discussion. They might still be able to take a lead in assessing the merits of studentsproposed projects, a job more in line with their existing competences. But at the end of the day, the final decision makers should always be the communities who themselves stand to gainor to sufferat the hands of sons sent to exile.

Gaelen Snell 



Labels: , , ,

13 Comments:

Blogger Fawad Ahmed said...

Happy New Year 2018 Images
Happy New Year 2018 Greetings
Happy New Year 2018 Wishes
Happy New Year 2018 Quotes

2:34 AM  
Blogger Fawad Ahmed said...

This comment has been removed by the author.

2:39 AM  
Blogger Aryan Arps said...

Nice Information. Thanks for sharing such a nice information.
exams
healthcare
lifestyle
---------------------------------------------------------------------------------
Nice Information. Thanks for sharing such a nice information.
competition
engineering
law
mba
school
medical

8:07 AM  
Blogger Aryan Arps said...

Nice Information. Thanks for sharing such a nice information.
exams
healthcare
lifestyle
---------------------------------------------------------------------------------
Nice Information. Thanks for sharing such a nice information.
competition /
engineering /
law /
mba /
school /
medical /

4:26 AM  
Blogger Aryan Arps said...

Nice Information. Thanks for sharing such a nice information.
exams
healthcare
lifestyle
---------------------------------------------------------------------------------
Nice Information. Thanks for sharing such a nice information.
competition /
engineering /
law /
mba /
school /
medical /

1:18 AM  
Blogger anna koera said...

CBSE once again... Notification on CBSE Results
Notification on CBSE 10th
and also check in detail on Notification on CBSE 12th as well as
Notification on CBSE 2018 Timetable

12:32 PM  
Blogger amir jaya said...

Read more +2 result 2018
Read more plus two school wise result 2018

5:48 AM  
Blogger Happynewyearwala.com said...

Happy New Year 2018 Messages Wishes Images, Quotes, Wallpapers, Happy New Year 2018 images Wishes, Messages, quotes, wallpapers, sms, pics, hd wallpapers, shayari, cards SMS
Happy New Year 2018 Messages sms Wishes Images, Quotes, Wallpapers, Happy New Year 2018 images Wishes, Messages, quotes, wallpapers, sms, pics, hd wallpapers, shayari, cards SMS

4:22 AM  
Blogger manish dhanda said...

Happy New Year 2018 Messages sms Wishes Images, Quotes, Wallpapers, Happy New Year 2018 images Wishes, Messages, quotes, wallpapers, sms, pics, hd wallpapers, shayari, cards SMS

11:26 AM  
Blogger Hot Actress Play said...

Happy New Year 2018 Happy New Year 2018 images Download ,Status, Wallpaper, quotes, Wishes Wallpapers Gif, Quotes Shayari WhatsApp status Messages, Greetings Shayari images Download ,Status, Wallpaper, quotes, Wishes Wallpapers Gif, Quotes Shayari WhatsApp status Messages, Greetings Shayari

11:43 AM  
Blogger Recruitment Team said...

Staff Selection Commission of India is to declare the SSC CHSL Admit Card for the examination of 12th Level. So the candidates who are waiting for their SSC Hall Ticket they can download it using the same website. If you have applied for the recruitment of Tamil Nadu Public Service Commission then you can visit the website of TNPSC to check TNPSC Group 4 Hall Ticket for the written exam.

11:38 AM  
Blogger Atul Saini said...

This comment has been removed by the author.

10:23 AM  
Blogger Atul Saini said...


here check put the new year quotes new year inspirational quotes

10:27 AM  

Post a Comment

<< Home