Diagnostic Controversy: Cultural Perspectives on Competing by Carolyn Smith-Morris

By Carolyn Smith-Morris

This assortment is devoted to the diagnostic second and its unmatched impact on encompassment and exclusion in well-being care. analysis is obvious as either an expression and a car of biomedical hegemony, but it's also an important and speculative instrument for the identity of and reaction to anguish in any therapeutic method. Social clinical reviews of medicalization and the creation of scientific wisdom have published super controversy inside, and factitiousness on the outer parameters of, diagnosable stipulations. but the ethnographically wealthy and theoretically advanced heritage of such experiences has no longer but congealed right into a coherent structural critique of the method and broader implications of analysis. This quantity meets that problem, directing cognizance to 3 specific geographical regions of diagnostic clash: within the position of analysis to furnish entry to care, in procedures of medicalization and resistance, and within the reworking and transformative place of prognosis for 21st-century international future health. Smith-Morris’s framework repositions analysis as vital to severe worldwide health and wellbeing inquiry. The accumulated authors query particular diagnoses (e.g., Lyme affliction, Parkinson's, andropause, psychosis) in addition to the structural and epistemological components in the back of a disease’s naming and event.

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50] each time we take the medicine. Not to mention the transportation costs” (Tati, HIV-positive mother). The HIV-positive support group members whom we interviewed stressed that the greatest benefit of the PMTCT program was that it gave women the chance to have healthy children. There is a strong desire to have children among Indonesian women, in part because their social status depends on it. Indeed, most of the HIV-positive women whom we interviewed remained sexually active and wanted to have children in the future.

The studies in Southeast Asia were conducted in 2005 and 2006, in Jakarta and Karawang in Western Java, Indonesia, and in Hanoi and Thai Nguyen in Northern Vietnam. We chose these cities because their PMTCT programs began relatively early, and because the prevalence of sex work and intravenous drug use in these cities means women are at higher risk of contracting HIV. In Indonesia, we worked closely with Yayasan Pelita Ilmu (YPI); in Vietnam, with the Medical Committee Netherlands-Vietnam. Both are non-governmental organizations (NGOs) that aim to improve the delivery of PMTCT services; both also facilitate self-help groups for HIV-positive women.

Counselors in the antenatal care services followed a voluntary counseling and testing model, as called for by global health advocates, including safeguards for privacy and confidentiality. But PMTCT coverage within Indonesian antenatal health care leaves much to be desired; women often find out they are HIV positive only when their husbands fall ill. In both Vietnam and Indonesia, women often have difficulties accessing follow-up services and medication. In Kenya and Uganda, antenatal care services test for HIV on an opt-out basis.

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