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Building Partnerships in the Americas

A Guide for Global Health Workers

Margo J. Krasnoff, MD

Publication Year: 2013

Students and health practitioners traveling abroad seek insightful, culturally relevant background material to orient them to the environment in which they will be living and working. No single book currently provides this contextual background and global health perspective.

These essays emphasize building partnerships and were written by United States medical and dental professionals, in collaboration with social scientists and Latin American medical personnel. The authors provide the historical, political, and cultural background for contemporary health care challenges, especially related to poverty. Combining personal insights with broader discussion of country contexts, this volume serves as an essential guide for anyone--from medical professionals to undergraduate students--heading to Mexico, Central America, or the Caribbean to do health care-related work.

Published by: Dartmouth College Press

Title Page, Copyright

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pp. 2-7

Contents

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pp. vii-viii

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Acknowledgments

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pp. ix-x

I would like to thank the authors of these essays and their in-country collaborators for sharing insider perspectives and wisdom, and for their extraordinary commitment to the people they serve and their communities. ...

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Introduction

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pp. xi-xxxvi

When the media and social networking bring global poverty, disease, and natural disasters into our living rooms, there is an instinctive human reaction to try to help. This book is a response to the question, “How can I, with the skills that I possess, best contribute to addressing this widespread suffering in a shared way?” ...

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1 | Mexico

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pp. 1-41

Mexico is a close neighbor of the United States and a major tourist destination. This can make the country seem familiar, but visiting beaches and colonial cities can’t give a complete picture of the diversity of the land and people. This chapter concentrates on Chiapas, a poor state in southern Mexico, ...

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2 | Guatemala

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pp. 42-73

Diverse in language, culture, and landscape, Guatemala is an authentic blend of the modern and the ancient. Traditional and modern ways of life are constantly negotiated in crowded markets, on busy streets, and among small farm plots that dot the countryside. ...

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3 | El Salvador

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pp. 74-95

The health and well-being of every person in the world is greatly influenced by social, economic, political, and cultural forces. Although bio-medicine (for example, anatomy, physiology, pharmacology, and biology) is important, this model falls short of explaining the diversity of health and disease inequalities. ...

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4 | Honduras

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pp. 96-115

Take the chicken bus north from Tegucigalpa, Honduras for about 35 minutes and soon you will descend into a beautiful area called the Valle de Amarateca. You will notice thousands of pine trees, green scrub brush and pockets of identical houses scattered about the valley. ...

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5 | Nicaragua I

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pp. 116-151

Nicaragua is a land of amazing natural beauty with a rich cultural heritage. It is also the second poorest country in the Western Hemisphere, behind Haiti. Nicaragua’s history of political unrest, foreign interventions, revolution, and natural disasters has resulted in extreme poverty. ...

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6 | Nicaragua II

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pp. 152-185

This chapter complements material offered in chapter 5. It focuses on health themes specific to the Caribbean Coast region of Nicaragua, the condition of dental health in the country as a whole, and the role of faith-based organizations in development. ...

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7 | Haiti

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pp. 186-205

In this chapter, we elucidate the geopolitical determinants of Haiti’s poverty, and how it and other factors such as water insecurity and the lack of access to medical care have contributed to the development of a chronically debilitated healthcare system. We also illustrate how the HIV/AIDS epidemic, the 2010 earthquake, and the ongoing cholera epidemic have exerted, ...

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8 | Dominican Republic

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pp. 206-228

The Dominican Republic is an island of contrasts and paradoxes. Luxury resorts on the coast lie next to communities living in extreme poverty. The country has one of the highest rates of economic growth in the region, yet has an ever-widening income disparity. ...

Glossary

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pp. 229-238

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Contributors

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pp. 239-256

Ryan Alaniz, PhD (sociology), MA (Latin American studies), grew up on a farm on the central coast of California. The son of a Mexican-American father and white mother, Ryan’s interest in bridging cultural understanding and economic opportunity started when he was young. ...

Index

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pp. 257-266


E-ISBN-13: 9781611684094
E-ISBN-10: 1611684099
Print-ISBN-13: 9781611684445

Page Count: 312
Publication Year: 2013