The Benefits Of Reimaging Global Public Health

The WHO Global Malaria Programme is responsible for evidence-based policy and strategy formulation, technical assistance, capacity building, malaria surveillance, monitoring and evaluation, and coordination of global efforts to fight malaria. WHO is also a co-founder and hosts the Roll Back Malaria partnership, which is the global framework to implement coordinated action against malaria (The World Health Organization Staff, 2010). The CDC participates actively in global malaria efforts through work with the WHO, Roll Back Malaria Partners, UNICEF, and more in the fight to keep the epidemic at bay (Global Health - Division of Parasitic Diseases , 2010).

We live in a country where all children go to school to gain an education and 25% of them will go onto receive some type of college degree. Compare this to low-income countries, in which children are 16 times as likely to die prior to their fifth birthday (Nickitas, Middaugh & Aries, 2016). Beyond the lens of our smartphones, Facebook friends and Nike sneakers is a world full of desperate people wishing to have enough food to eat for today. Many parts of the world lack sanitation, safe housing, sparse medical care and no medication. The global health issue are everyone’s problems not only for the sake of altruism but, with the increase in global travel for routine business and pleasure, dangerous pathogen are no longer confine by boarders. The Ebola outbreak four years ago, proved the necessity of a global solution to global health issues. The collaborative practice of several world health agencies and economically developed countries along with the use of volunteers, statistical updates, the latest literature and practices kept this outbreak mostly contained to its region of origin and the death toll to approximately 11,000 people (mainly in West Africa) (WHO,

If a health clinic providing basic services to the world’s most vulnerable people is withheld the large amount of foreign assistance that currently comes from the United States government, all diseases will flourish, including epidemics such as Zika and Ebola (Barry-Jester, 2016). We contribute to more unstable political environments (Crimm, 2007, p.615) and more refugees that we increasingly refuse to help when we take away aid that would countries meet the needs of their citizens.

“Without a lifespan view of women’s health… we are unlikely to be successful in advancing women’s health” (Woods 2009, pg. 400). A Global Health Imperative (2009) by author Nancy Fugate Woods explains the issues about health status and opportunities for the health of girl-children world-wide, which includes sex and gender disparities. Girl and women’s health is important, but just not as important as men’s health. Woods gives example of women’s health issues that are extremely serious. “Health issues or problems that occur predominantly in women are breast cancer and menopause” (Woods 2009, pg. 400). Women all over the world have the risk of getting breast cancer, HIV and Aids. Women that are affected by these diseases in some countries may

The Journal of Global Health Perspectives is an online open-access research journal. In addition to publishing primary research they also publish articles that relate meaningful experiences, observations and reflections from members of the global health community. To publish an article in the journal the article had to be E mailed to them along with a signed copyright policy and indicate the category of the work. Current topics of interest are Child health inequality, Maternal health in India, Ebola eradication.

The United Nations Children's Fund (UNICEF) is an international organization present in 190 countries (Unicef, n.d.). It is an agency focused on the area of maternal and child health. Recently, the organization is providing fresh water and food for mothers and children, education for mothers and girls, and immunization programs for children (Unicef, n.d.). The advantages for this program are the benefits to the education and health of the women and children, but the disadvantages are ability to retrieve funds all the time, and providing care to everyone. They have to have a focused topic, like they do, in order to start to care for the population. There are many issues in the third world countries that go beyond the abilities of one organization,

The U.S. Department of Health and Human Services (HHS) is the principal government agency in the United States working to improve the health of all Americans despite their economic, social and educational status. HHS has identified three national goals of global health, including strengthen health care, advance scientific knowledge and innovation, and advance the health, safety and well-being of Americans (Secretary, 2014). The first goal to strengthen healthcare refers to HHS's push in making health insurance affordable for all Americans. This will increase access to preventative care as well as ensuring assess to high quality, culturally competent care. This goal focuses on improving transitions in care across the continuum, which in

The early 1970s were watershed years for public health in emergencies. The Biafran War (in Nigeria), the 1970 cyclone in Bangladesh, and the sweeping famines in Africa deeply engaged the public health community in trying to meet the need for impartial and effective medical aid. The use of epidemiologic methods to reduce civilian morbidity and mortality in mass emergencies began in earnest at this time.4,5 This period also saw the engagement of health care practitioners in the elaboration of international norms on ethics, human rights, and humanitarian law in emergency settings.6-8

The Human Immunodeficiency Virus (HIV) has been a major health concern due to its rapid ability to spread and high death rate. Although HIV can be found all around the world, it is most common in Africa. For decades, both sociologist and scientist have struggled to determine the specific causes that led to the wide spread of HIV in Sub-Saharan Africa. The novel The Invisible Cure: Why We Are Losing the Fight Against AIDS in Africa by Helen Epstein tells her journey as a molecular biologist trying to find a cure for HIV across Sub-Saharan Africa. Throughout her journey, Epstein is able to experience the various problems that the majority of people in the African continent face. The problems that Epstein encounters can easily be fixed, but because of the lack of effective government control in most areas they aren’t. Through cultural, political, and social factors, Epstein depicts the roots of the HIV outbreak and the possible cures that can be found within Uganda’s collective efficacy.

According to anthropologists, the impact of structural violence can be best represented by analyzing the global disparities in health and healthcare. The continuous violence employed by everyone who belong to a specific social order (Farmer, 2004: 315), structural violence, “at the root of much terrorism and bombardment, is much more likely to wither bodies slowly, very often through infectious diseases” (Farmer, 2004: 315). Furthermore, the imbalance in health and healthcare maintains a close relationship to “social inequality, including racism and gender inequality” (Farmer, 2004: 307), generating a higher impact on developing countries such as Vietnam, Haiti, Venezuela and Liberia. Although the effects upon each region might be divergent,

South Korea has one of the highest prevalence of smoking in the world, making it a

Health is a complex concept, and global health adds to this complexity. When I think of health as a concept, I view it as being absent of disease. This understanding is a very biomedical approach to health and is a very narrow viewpoint of health. According to the World Health Organization (1948), health is defined as a “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (a cited by Jacobsen p. 2). This definition does give a better understanding of what health is from a broader perspective. At the University of Victoria’s Global Health class, I have become to understand better the WHO’s definition and that it is linked to the social determinants of health. In this paper, I will reflect and analyze the learning that occurred for myself while taking the Global Health class, and how this knowledge has helped my nursing practice evolve at the local and international level.

By the early 20th century the world was weary from two world wars and had endured countless epidemics and pandemics (bubonic plague, yellow fever, typhus, cholera, smallpox, influenza. ). After World War II, the Communicable Disease Center was established in Atlanta, Georgia in 1946, now known as the Centers for Disease Control and Prevention (CDC, under “CDC Timeline”). Two years later the World Health Organization (WHO), formed “out of the UN’s desire to have a single global entity charged with fostering cooperation and collaboration among member countries to address health problems” (Evert 2006, 7).

Global health is defined as “health problems, issues, or concerns that transcend national borders” (Institute of Medicine, 1997, p. 2). Koplan (2009) proposed a new definition for global health which he described as an “area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide” (para, 7). Global health emphasizes transnational health issues, determinants, and solutions from an interdisciplinary perspective and blends population health and clinical care.

Thus, finding methods of educating people, and providing medical aid for these preventable diseases can avoid many deaths. Second reason for attending global health issue is for balancing resources. According to The Lancet Journal, ninety percent of the world’s health care resources are spent on diseases that affect only ten percent of the world’s population. (Norris, 2009) Therefore, ensuring that resources are evenly distributed throughout the world would assist to limit the diseases from spreading from country to country. Third, global health can influence Canadians indirectly such as, the increase of diseases. Some of these diseases becoming more prevalent is HIV/AIDS, malaria, and TB and are increasing poverty and political instability within countries. (Worldwide HIV & AIDS Statistics, 2009) Thus, global health should be a concern because it can help prevent civil conflict in other countries. (Worldwide HIV & AIDS Statistics, 2009) Fourth, global health should be a concern across all nations as there is more contact amongst people because of globalization diseases occurs at a faster rate. Globalization is defined as a modern phenomenon process by which countries and peoples are increasingly interconnected, integrated, and interdependent that occurred over centuries. (Andrews, 2010) Since the world is increasingly becoming interconnected, diseases can travel from nation to nation and it can cause