Assignment 1

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Illinois Institute Of Technology *

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Medicine

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Apr 3, 2024

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pdf

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Uploaded by DrWallabyPerson839

Assignment 1 Bending the Arc Due Thursday, Jan. 25 by midnight Make notes here as you watch the video in class, then use those to write more complete answers and submit through Blackboard. Some questions require only a few words, others I expect a few sentences. Your answer to the final question should be the longest and show some reflection on the ideas in the video and class. 1. What was Partners in Health’s (PIH) first project? a. PIH’s first project was building a clinic in Cange, Haiti. 2. What was the initial assumption about why there were deaths from TB despite treatment? How did PIH challenge that assumption, what did they conclude was the reason? How did that change their approach? a. The initial assumption for why there were deaths from TB was that it was the patient’s fault for not taking their medicine and being superstitious. PIH instead concluded that the real reason was that patients could not get to the clinic or care for themselves, most had little to no food or water. PIH then implemented an accompaniment system of community health workers caring for and checking in on patients to ensure they continued their treatments. 3. What was the WHO policy for the treatment of drug resistant TB (MDR-TB)? a. At the time the WHO policy for the treatment of MDR-TB was that the cost of the treatments was too high to be afforded in poor countries, MDR-TB patients in these countries were expected to die. 4. What approach did PIH take? What was the reaction of the medical and public health communities to their results? a. PIH instead bought and transported the treatments from the U.S. to those who needed them in Peru and Haiti through private funding mainly from Tom White. They managed to treat those in critical conditions in their clinics while trained community health workers supported and cared for the ill who remained in their own homes. The medical and public health communities reacted poorly to the results PIH presented showing definitive proof that their method of approach was more effective and successful than anything happening within first-world countries. 5. What was the focus of the international health community’s approach to AIDs in low-income countries? a. The international health community’s approach to AIDs was to completely ignore the problem in low-income countries.

6. What were the criticisms to PIH’s approach to HIV/AIDS? a. PIH was criticized for even attempting to treat individuals with HIV/AIDS since the treatments were deemed too expensive and the practice unsustainable in poor countries. 7. Discuss the tension between the medical approach and the public health approach that the video illustrates. How did PIH navigate those different approaches? a. PIH made it clear that to successfully treat and help a struggling population approaching medicine and public health go hand-in-hand. Training community members to be able to support patients as well as educate others within their community about disease and health was a crucial aspect of PIH’s approach. They were able to treat those who were ill and work to prevent others from becoming ill.

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