News Flash 616: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Dash-dot goatfish (Parupeneus barberinus)

News Flash 616

Weekly Snapshot of Public Health Challenges

 

Meeting registration: What the Pandemic Agreement Really Means for Equity Apr 29, 2025

Webinar registration: Policymakers and Researchers – Will the shift towards People as Partners in Care ever be possible? Apr 30, 2025

Public Pharma webinar registration: A path to Health Sovereignty and Global Solidarity Apr 30, 2025

How the World Bank can do more in the Age of Trump

Pakistan begins 2nd anti-polio vaccination campaign of the year to protect millions of children

Africa CDC and WHO update mpox strategy as outbreaks persist

Mapping & Tackling the Drivers of Vaccine Hesitancy in West Africa: A Health Policy Research Agenda

Increases in vaccine-preventable disease outbreaks threaten years of progress, warn WHO, UNICEF, Gavi

Malaria Emergency Looms as Funding Cuts Bite into Progress

Submicroscopic malaria in pregnancy and associated adverse pregnancy events: A case-cohort study of 4,352 women on the Thailand–Myanmar border

Global Drug Facility Announces Another Big Price Drop: 25% Reduction in the Price of Pretomanid

Drug resistance worsens UTI crisis in Malawi

Addressing The Long COVID Quandary

AIDS activists pile coffins outside State Dept. to protest PEPFAR cuts

Fighting for funds: A new era of HIV activism

People’s Health Dispatch Bulletin #99: World Health Day marked amid war, austerity, and resistance

HRR767. HOW OFTEN DO YOU HEAR AS A COUNTER ARGUMENT “YES, BUT THAT’S POLITICAL (OR IDEOLOGICAL)!”

Climate crisis driving surge in gender-based violence, UN report finds

Combatting Ethnic Disparities in Healthcare: A Case Study of Prostate and Breast Cancer

The Multiannual Financial Framework (MFF), an opportunity to unlock the involvement of patient organisations in health policy-making

The Case for Health Taxes

Want to change the aid system? Start with justice, not charity

Leave Nobody Behind: Emergency Management in a More Inclusive Way

Webinar registration: The Benefits of a Hyper-Nourishing Green Smoothie with Dr. Brooke Goldner, MD Apr 29, 2025

CGIAR Insight to Impact: A Decision-Maker’s Guide to Navigating Food System Science

How Science Solutions Are Saving Africa’s Livestock and Livelihoods

Proposed rule change on endangered species triggers alarm for environmentalist

Civil Society and Farmers’ Groups Urge Developing Country Parties to the Plant Treaty to Reject Inequitable Amendment Proposals

Report: Coral bleaching at highest level ever recorded

Earth Day 2025: Our Power, Our Planet

Three ways Pope Francis influenced the global climate movement

 

 

 

 

News Flash 615: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Puffer fish (Torquigener flavimaculosus)

News Flash 615

Weekly Snapshot of Public Health Challenges

 

Countries Say YES to Pandemic Agreement

WHO Member States conclude negotiations and make significant progress on draft pandemic agreement

Inside WHO’s reforms: Progress, failures, and unfinished business

WHO launches first-ever guidelines on meningitis diagnosis, treatment and care

Over three million children died in 2022 due to drug resistance: Study

The Power of the Mpox Jab: Saving Lives in Kinshasa

US Measles Cases Soar as Health Secretary Sends Mixed Messages about Vaccines

Canine rabies vaccination, surveillance and public awareness programme in Beijing, China, 2014–2024

Trends in coverage following an equity-oriented strategy for introducing new vaccines, Peru, 2004–2022

World Chagas Disease Day 14 April 2025

DNDi: Celebrating World Chagas Day

New antibiotic is effective against gonorrhea, could be first new treatment since 1990s, study says

PEPFAR at crossroads: Lawmakers debate future of global HIV program

EU, Western aid cuts threaten ‘decades of progress’ in fight against HIV

Health: Clinical efficacy studies proposed to be exception in EU biosimilar approvals

Why 3.5 Billion People Lack Basic Oral Care—and What Needs to Change

Europe’s youth mental health policy needs tangible shift from talk to action

Africa’s Plan to Fill Health Funding Gaps Amidst Declining Coffers

Policies And Programs To Accelerate Declines In U.S. Drug Fatalities

Pharmaceutical patents and data exclusivity in an age of AI-driven drug discovery and development

HRR766. IF YOU SEE THE FUTURE AS MORE OF THE SAME, TELL IT NOT TO COME

Compounding crises after two years of war in Sudan leave millions more in need than ever

Mines: The deadly legacy of Syria’s war

Climate, conflict and displacement in the Sahel

‘We are in a state of constant fear…’: Why Compassion towards Frontline Health Workforce is Crucial for Strengthening Health Systems

‘Invisible Suffering’: Deadly Risks in India’s Fireworks Factories

Brussels in hibernation as Slovakia vows to slaughter bears

Can We Tame the Dangerous Global Wild Meat Trade?

FIAN Blog: The struggle against the pseudo food making us and our planet sick

Shanna H Swan: environmental exposure to chemicals and their consequences for human fertility

Europe Is Now the Fastest Warming Continent—Report

‘Ozone-climate penalty’ adds to India’s air pollution

 

 

 

 

 

 

 

 

 

 

 

News Flash 614: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Puffer fish (Torquigener flavimaculosus)

News Flash 614

Weekly Snapshot of Public Health Challenges

 

Combating vaccine revisionism

A ‘death sentence for millions’ as US cuts more aid

Patients, European and Indian Drug Companies Will Suffer Most from Trump Tariffs on Pharmaceuticals

Webinar registration: Scaling Up and Sustaining Integrated Long-term Care: International Experiences Apr 10, 2025

Webinar registration: Public health policy to advance equity for women children and youth Apr 11, 2025

Register: Webinaire sur la situation des femmes à l’Est de la RD Congo/Webinar on the situation of women in eastern DR Congo Apr 14, 2025

Public Pharma webinar registration: Apr 30, 2025 A path to Health Sovereignty and Global Solidarity

THIRD WORLD RESURGENCE

In Final Days of Pandemic Talks, Countries Urged to Budget for ‘Both Bombs and Bugs’

WHO Pandemic Agreement: MSF Statement at the INB13 Resumed session

Expanding local production is essential for pandemic preparedness. It requires, however, transfer of technology

Respect for intellectual property law includes respecting the flexibilities it contains to protect the public interest: ML&P’s opening statement to the INB

Safe management of pharmaceutical waste from health care facilities: global best practices

Belgium launches regulatory push for Advanced Therapy Medicinal Products

Uganda Rolls Out Historic Malaria Vaccine Campaign

Q&A: Unlocking the malaria parasite’s genetic code

The 6-monthly anti-HIV jab could end Aids in SA by 2032

Mpox testing gaps raise risk of cross-border spread

Africa’s greatest health challenges won’t be solved without female scientists

Women’s leadership in the health sector: the case of the Instituto Nacional de Saúde in Mozambique

Public health in Germany: structures, dynamics, and ways forward

HRR765. IN GLOBAL HEALTH, DEPENDENCY, INCLUDING FROM CORPORATE AND BUSINESS INVOLVEMENT, MEANS VULNERABILITY AND HUMAN RIGHTS REGRESSION

After Trump funding cuts, U.S. Catholic Church ends resettlement work

People’s Health Dispatch Bulletin #98: Medics executed in Gaza as Israel intensifies attacks

Opinion: Women health workers face a double bind as aid dwindles

Breaking the Cycle of Early Marriages and Early Motherhood in Roma Communities

Aid cuts threaten fragile progress in ending maternal deaths, UN agencies warn

White Coats, Empty Pockets: The Silent Exploitation of Ethiopian Doctors  by Melaku Kebede

Poor countries say rich world betraying them over climate pledges on shipping

Science-Backed Solutions Buoying Water Security in East Africa

 

 

 

 

 

White Coats, Empty Pockets: The Silent Exploitation of Ethiopian Doctors

IN A NUTSHELL
Editor's Note



A vibrant outburst here by Dr Melaku Kebede about perceived silent exploitation of Ethiopian doctors, as an addition to his recent complaint on PEAH focused on persistent unemployment and low motivation affecting health workers and the healthcare system in Ethiopia

By Dr. Melaku Kebede

Public Health Advocate

Head of Pediatrics Department at Olenchiti Hospital

Ethiopia

 White Coats, Empty Pockets

The Silent Exploitation of Ethiopian Doctors

 

We wear the white coat. We hold the stethoscope. We carry the weight of life and death on our shoulders—yet many of us cannot even afford a pair of decent shoes.

In Ethiopia, doctors are revered in words but abandoned in reality. We heal the sick, yet we are broken. We work in hospitals drowning in bureaucracy, sweat, and blood, while our bank accounts remain empty.

We are called “heroes” during pandemics, disasters, and wars. But when the crisis passes, so do the promises. What remains? Insulting salaries. No housing. No health insurance. No respect. Is this what it means to serve?

We Ethiopian doctors are not asking for luxury—we are demanding dignity.

We are tired of begging for salary advances just to survive. Tired of skipping meals while saving lives. Tired of watching our colleagues flee to foreign lands just to earn enough to live like human beings. How long must we serve a system that refuses to serve us?

We don’t want more applause. We want health insurance.
We don’t want vague appreciation. We want fair wages.
We don’t want empty slogans. We want systemic reform.

A country that exploits its doctors is writing its own death certificate. Health systems don’t just collapse from a lack of medicine; they collapse when those who took an oath to heal are forced to leave, one by one, in silent protest.

We are not martyrs. We are professionals. And we will not stay silent.

This revolution will not begin in the streets—it will begin in every hospital where a doctor finally says, “Enough.” Enough of being overqualified and undervalued. Enough of pretending that self-sacrifice is a solution.

We are done surviving. We demand to live.

 

By the same Author on PEAH

Ethiopia: How Persistent Unemployment and Low Motivation Affect Health Workers and the Healthcare System

News Flash 613: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Bass fish (Dicentrarchus labrax)

News Flash 613

Weekly Snapshot of Public Health Challenges

 

DNDi looking for a new Patient Representative to join its Board of Directors: Interested persons are invited to send in a CV, letter of interest, and the nomination form to afolkes@dndi.org by 23:59 CET on Sunday 4 May 2025

The Future of Human Rights in a Changing World Order

WHO Budget Crisis Bigger Than Previously Thought – $2.5 Billion Gap for 2025-2027

The USAID Fait Accompli

Webinar registration: Scaling Up and Sustaining Integrated Long-term Care: International Experiences Apr 10, 2025

Why African health systems cannot simply move on

Will Europe block the Pandemic Agreement because of one word?

Gilead amend Lenacapavir patent claims in attempt to save “patent evergreening” application

Medicine for Rare Disorder Provides Case Study of Contradictions in Drug Development System

Streamlining development and assessment of biosimilar medicines

Availability, prices and affordability of self-monitoring blood glucose devices: surveys in six low-income and middle-income countries

WHO’s Strategic Group of Experts charts bold path to strengthen global immunization amid new challenges

WHO issues its first-ever reports on tests and treatments for fungal infections

Cholera Outbreak Worsens in Angola, Cases Exceed 8,500

A Deadly Equation: The Global Toll of US TB Funding Cuts – a modelling analysis

Beyond Daily Pills: Navigating the Realities of IV Iron Administration for Maternal Anemia Care in Nigeria

Interview: Clare Hanbury, CEO and Founder CHILDREN FOR HEALTH  by Daniele Dionisio

Cultural Influences on Health of Migrant Women  by Sevil Hakimi

Beyond the stigma: supporting mothers with disabilities

Opinion: In the face of backlash against women’s rights, we need accountability

HRR764. WE HAVE THE TRUTH, THEY CONTROL THE MACHINE; WE ARE SIMPLY OUTGUNNED 

Ethical considerations for biobanks serving underrepresented populations

The World Breastfeeding Trends UK Report 2024

Addressing Malnutrition Through Advances In Value-Based Care

Namibian food project targets protein-rich crops

USAID cuts hinder Myanmar earthquake response

Macron vows to defend science as host of UN oceans summit

 

 

 

 

 

Interview: Clare Hanbury, CEO and Founder CHILDREN FOR HEALTH

IN A NUTSHELL
Editor's note
With 38 years of international education and development experience, Clare Hanbury has collaborated with esteemed organizations including DANIDA, UNICEF, UNESCO, Save the Children, and the UBS Optimus Foundation. Her career began in the classroom, teaching in Kenya and Hong Kong, and evolved into leading impactful programs that promote children’s active participation in their health and education. 

On 13th July, 2013 She founded Children for Health - CFH to deliver essential health information directly to children, enabling them to share knowledge within their families, schools, and communities. 

Her passion lies in creating practical tools and innovative strategies that make health education accessible, engaging, and transformative, ensuring that children become active agents in building healthier, more resilient communities. 

In this connection, PEAH had the pleasure to interview Clare Hanbury relevant to her experience and strategy implementation to secure and enhance Children for Health success

By Daniele Dionisio

PEAH – Policies for Equitable Access to Health

 INTERVIEW

Clare Hanbury

CEO and Founder, Children for Health – CFH

 

 PEAH: Clare, as CFH website makes it clear, many hundreds of thousands of children die each year because their parents and others lack basic health information and skills. At the same time, millions of older children throughout the world play a key role in caring for younger ones. 

On this matter, informing, recognising and praising older children helps improve this care. They can, indeed, learn, collect and share basic health ideas and skills to keep healthy themselves, and help others. 

In this connection, what about the Mission of Children for Health? 

Hanbury: Our mission at Children for Health is to provide young adolescents (9-14), either directly or indirectly – with simple, memorable, shareable health education messages, stories and activities that connect new knowledge, skills and attitudes with their real lives. We aim to mobilise children as health activists among their friends, in their families and in their communities. Sharing knowledge, saving lives! That’s our work.

 

PEAH: As written, “At Children for Health it is our dream that, before children leave primary school, every child will have learnt and shared 100 important health messages.” Please, let us know in depth about these messages 

Hanbury: The 100 Health Messages for Children to Learn & Share are simple, reliable health education messages aimed at children aged 9-14. We feel that it is especially useful and important to make sure that young adolescents aged 9-14 are informed because this age group are often caring for young children in their families. Also, it’s important to recognise and praise the work they are doing to help their families in this way.

The 100 messages comprise 10 messages in each of 10 key health topics: Malaria, Diarrhoea, Nutrition, Coughs Colds & Illness, Intestinal Worms, Water & Sanitation, Immunisation, HIV & Aids and Accidents, Injury and Early Childhood Development. The simple health messages are for parents and health educators to use with children at home, in schools, in clubs and in clinics.

All our health messages have been developed and reviewed by health educators and medical experts. They can be translated and adapted provided that the health message remains correct. Great care has been taken to ensure that the health messages are accurate and updated and now most of our ten sets of ten messages have been visualised and can be downloaded as full colour posters from our website! I say ‘most’ as we are just completing the series, and we should have ten posters with ten messages on each – completed by July 2025. This is a real achievement as it takes ages to go through our process! And to find funding of course!

Health educators use these health messages to structure health education activities in their classrooms and projects, and to stimulate discussions and other activities.

We want all children to learn and share 100 health messages – 10 messages in 10 topics – before they leave primary school. Just like they learn their times tables…These could be our carefully created messages OR adapted versions for different countries and communities 

PEAH: Knowing that literacy levels in many parts of the world are low, Children for Health has developed a series of posters for health that provide the visual starting point for fruitful discussions on health issues and disease and the role that children can play in their prevention and treatment. Below are some examples including one that illustrates Children for Health’s 100 messages, as well as posters for Oral Health, Malaria.

https://www.childrenforhealth.org/wp-content/uploads/2017/01/CfH_Poster.pdf

Can you, please, add information on that? 

Hanbury: The idea to visualise our health messages didn’t start with us — it came from the teachers and health workers themselves. They asked us to turn the messages into pictures so that children (and adults!) could understand them easily.

We began by creating a poster on malaria. The response was incredible. As soon as people saw the images, they immediately got what Children for Health is all about — and how powerful children’s participation can be.

From that day on, we knew that visual storytelling was key to making our work clearer, stronger, and more inspiring. 

PEAH: How does CHF work in a scalable way while empowering children to become agents of change through free-of-charge health education materials for them and their educators? 

Hanbury: We’re already scaling in two key ways:

Through Our Health Education Materials

  • Our co-created materials are downloaded globally every month and used in training courses, school curricula, and health clinics.
  • Some organizations adapt our messages for videos in clinicscalendars, or as core content when developing new health resources (e.g., HIV education for children).
  • Our materials act as a shortcut for educators and health workers, helping them quickly develop effective tools.

Through Partnerships & Government Programs

  • We work directly with projects, like one in Mozambique, where we helped integrate our nutrition approach into the school curriculum—alongside teachers and children.
  • Involving children in these processes shows adults how capable they are, often challenging underestimations about their role in health education.
  • By partnering with government programs, our approach reaches more schools and communities, ensuring sustainability and long-term impact.

By combining these approaches, we’re making sure our work continues to scale and reach more children worldwide. 

PEAH: What through is CHF funded? 

Hanbury: Funding, like for many organisations, is challenging and always ongoing. Our work is primarily supported in two key ways: through programmatic partnerships and content creation. 

Programmatic Partnerships

We are employed as curriculum designers, trainers, mentors and advisors by existing programmes and invited to bring our approaches, materials, and expertise to strengthen those initiatives. Our role varies based on the needs of the programme and can include:

  • Programme Design: Helping organisations develop health education programmes from the ground up.
  • Children’s Participation Integration: Assisting in embedding meaningful children’s participation within existing programmes.
  • Training and Capacity Building: Conducting training sessions, including training of trainers.
  • Monitoring & Evaluation: Designing indicators and frameworks to assess programme impact.

This programmatic work is typically funded by the entity financing the broader programme, with our services integrated into the overall structure. 

Content Creation

We also develop educational materials, sometimes as part of a programme or in response to pressing health issues. Some of our content creation approaches include:

  • Programme-Linked Content: For example, in Eswatini, we are helping schools develop anti-bullying messages, safe school surveys, and related content. While our work is funded within this specific programme, the content produced is made more widely available for general use.
  • Response to Emerging Health Priorities: During major health crises, such as the COVID-19 pandemic or Ebola outbreaks, we were employed to create educational materials, including storybooks, posters, and teacher’s guides.

Given the broad range of topics we address, our funding landscape is diverse and requires continuous engagement with donors, partners, and stakeholders to sustain and expand our work. 

PEAH: Children for Health collaborates with other organisations and programmes to build capacity, offer technical advice, mentoring and training, and create teaching materials and programme strategy. In this respect, how many partners does CHF currently engage with? 

Hanbury: We focus on working with partners who share our mission and values, ensuring that our expertise in children’s participation in health education is used effectively and is sustainable. By collaborating closely with a few partners at a time, we provide tailored support, co-create impactful materials, and help sustain long-term initiatives. Rather than leading projects, we aim to support others in achieving their goals.

Our current Partnerships are with organisations in:

  • Eswatini – Supporting schools with anti-bullying messages, safe school strategies, and resources on sexual harassment prevention. Our work started two years ago – with an HIV/AIDS poster and storybook.
  • Kenya – Integrating health education into school water and sanitation curricula and community outreach programs.
  • Pakistan – Partnering with a large organization to adapt our Type 2 Diabetes materials, originally developed with partners in Guam.

Also, we are currently finalizing the last two posters in our 10-poster series and working with new partners to review and refine them.

Even this does not really reflect the true picture as each day I’d probably spend some time engaging with those that contact us looking for resources, support, tips and mentoring. I would not call these ‘partnerships’ but some of these types of lightweight contact then turned into important alliances and strong partnerships.

We welcome collaborations on key health topics such as nutrition, disease prevention, mental health, and life skills—ensuring children are active participants in their own well-being. We are grateful to our partners and networks for their support and look forward to growing our impact. 

PEAH: Children for Health is dedicated to getting valuable information to the people who need it most. Relevantly, is its content being translated into languages other than English? If so, how many so far? 

Hanbury: On our website, you can find our original draft of 100 health messages in 23 languages, made possible by a generous donation years ago. However, managing translations is a significant challenge, and we can only update them when funding allows. Since health messages evolve over time, we include a note in each booklet directing users to our website for the latest English version.

We do maintain some resources more closely. In Portuguese, we have four storybooks, a nutrition guide, and two posters developed in Mozambique. Other translations have come from generous volunteers and specific partnerships. For example:

  • Lesotho – A special glasses storybook in Sesotho (co-created with children).
  • DRC – A diarrhoea poster in French (developed with local colleagues working with save the children).

While we do our best to support translations, those needing up-to-date materials in other languages should find their own translators and ideally inform us. We’re always happy to promote translated materials, though we can’t guarantee accuracy. It’s inspiring to see people adapting our work to reach more communities!

PEAH: What about the CHF Team? 

Hanbury: Children for Health operates with a dedicated but small team. We have four active trustees with diverse expertise, a website manager, and a network of authors we call upon when needed. Our artist has been with us from the start, a collaboration that began during my time at The Child-to-Child Trust before launching Children for Health.

We also rely on a social media expert and volunteers, along with occasional administrative support. As the almost full-time CEO, I work remotely, and so do our team members. In fact, our “headquarters” is essentially a laptop, as we’re often travelling.

But the true heart of Children for Health lies in those who use our materials—teachers, health workers, programme managers, and headteachers—who bring our work to life in schools and communities worldwide. Their dedication and impact make them an essential part of our extended team. 

PEAH: What results have been achieved and how many children and parents have been involved in your activism so far? 

Hanbury: Tracking the impact of Children for Health is challenging. Since 2022, our materials have been downloaded 150,000 times in over 158 countries. However, it is difficult to determine how many teachers, parents, and children have actively used them. Some may explore our resources out of curiosity, while others integrate them into training programs that then reach hundreds of teachers and thousands of children.

For structured programs, tracking growth is more straightforward—for example, we know that in one programme it was expanded from 12 to 15 to 32 schools. Considering that each school serves between 300 and 600 children, and those children share knowledge with their families and communities, our reach is potentially in the thousands per school.

As a small organisation, conducting large-scale research is challenging, but we receive ongoing anecdotal feedback from users who find our materials valuable. Our impact has also been recognised through two awards: the Global Impact Award and the Small Charity Big Achiever Award, where our work was thoroughly assessed.

While quantifying our exact influence is complex, we remain committed to empowering children as health messengers worldwide. 

PEAH: Thank you Hanbury for the excellent work joining humanitarian and entrepreneurial commitment.

 

Cultural Influences on Health of Migrant Women

IN A NUTSHELL
Author's Note
Cultural backgrounds significantly influence migrant women's health behaviors and attitudes toward healthcare. Traditional practices may take precedence over conventional medical treatments, affecting their willingness to engage with healthcare systems. Many cultures have traditional healing practices and remedies that may take precedence over Western medical approaches

By Sevil Hakimi RM. PhD

Professor of Maternal and newborn Health, Ege University, Faculty of Health Scienc. Department of Midwifery

Izmir, Turkey

Sevil.hakimi@ege.edu.tr 

 Cultural Influences on Health of Migrant Women

 

Traditional medicine

Traditional medicine encompasses a wide range of healing practices that have been passed down through generations within various cultures. For many migrant women, these practices serve as vital sources of health care, especially in contexts where access to conventional medical services may be limited or viewed with skepticism.  Traditional medicine typically includes the following elements:

  • Herbal Remedies: Many cultures utilize plants and herbs for their medicinal properties. For example, chamomile, ginger, and turmeric are often used for their anti-inflammatory and soothing effects. Migrant women may rely on these familiar remedies to treat common ailments such as colds, digestive issues, or menstrual discomfort.
  • Rituals and Ceremonies: Healing rituals, which may involve prayer, chanting, or specific cultural practices, are integral to traditional medicine. These rituals can provide psychological comfort and social support, reinforcing community ties while addressing health concerns.
  • Spiritual Practices: In many cultures, spirituality is intertwined with health. Practices such as meditation, yoga, or spiritual cleansing can be seen as essential for maintaining both physical and mental well-being. Migrant women may seek out these spiritual practices as a way to cope with the stressors of migration and adaptation to new environments.

Health perceptions

Health perceptions among migrant women are shaped by a complex interplay of cultural beliefs, values, and experiences. Understanding these perceptions is essential for healthcare providers to effectively address the unique health needs of diverse populations.  Health is often viewed differently across cultures, influencing how individuals define a healthy lifestyle:

  • Holistic Approaches: Many cultures emphasize a holistic view of health that encompasses emotional, mental, spiritual, and social well-being, in addition to physical health. For instance, in some Indigenous cultures, health is seen as a balance between the body, mind, spirit, and community. This perspective may lead migrant women to prioritize practices such as meditation, prayer, or community involvement as essential components of health.
  • Biomedical Focus: In contrast, Western medical paradigms often focus on physical health and the absence of disease. Migrant women from cultures that value holistic approaches may find themselves at odds with healthcare systems that prioritize biomedical explanations and treatments. This can create barriers to effective communication and care.

Cultural beliefs about the causes of illness can significantly influence health behaviors and treatment choices:

  • Cultural Explanatory Models: Different cultures may attribute illness to various factors, including biological, environmental, spiritual, or social causes. For example, some migrant women may believe that illness is a result of spiritual imbalances, ancestral curses, or moral failings, which can lead them to seek spiritual or traditional remedies rather than conventional medical care.
  • Social Determinants of Health: Many migrant women understand health within the context of social determinants such as poverty, discrimination, and access to education. They may perceive health as being influenced not only by individual choices but also by broader societal factors. This understanding can shape their health-seeking behaviors and expectations from healthcare systems.

Cultural beliefs also dictate what forms of treatment are deemed acceptable:

  • Preference for Traditional Remedies: Migrant women may prefer traditional remedies and practices that resonate with their cultural backgrounds. These may include herbal treatments, massage, acupuncture, or spiritual healing practices. Such preferences often stem from familiarity and trust in these methods, as well as a belief in their effectiveness.
  • Skepticism towards Conventional Medicine: Many migrant women may approach conventional medicine with skepticism, particularly if they have experienced discrimination or have had negative encounters with healthcare providers. This skepticism can lead to reluctance in following medical advice or adhering to prescribed treatments, especially if they feel that their cultural beliefs are not acknowledged or respected.

As migrant women adapt to new environments, their health perceptions may evolve:

  • Cultural Hybridity: Many migrant women blend traditional health practices with new information and treatments learned in their host countries. This cultural hybridity can lead to the development of unique health practices that reflect their experiences and needs, combining the best of both worlds.
  • Empowerment through Education: Exposure to new health information and education can empower migrant women to reassess their health beliefs and practices. Educational programs that respect and incorporate traditional knowledge while providing evidence-based information can facilitate this process, enabling women to make informed health decisions.
Strategies for Improvement

Culturally Competent Care

Culturally competent care is essential for effectively addressing the unique health needs of migrant women. As healthcare providers encounter increasingly diverse populations, understanding and respecting cultural differences becomes paramount. Here’s an in-depth exploration of what culturally competent care entails and its significance in improving health outcomes for migrant women:

  • Awareness of Cultural Differences: Providers must be aware of the diverse cultural backgrounds of their patients, including differences in beliefs, values, and health practices. This awareness helps create an inclusive environment where migrant women feel understood and respected.
  • Knowledge of Cultural Contexts: Understanding the historical, social, and economic contexts of different cultures can provide insights into the health challenges faced by migrant women. For example, awareness of how migration experiences impact mental health can shape a provider’s approach to care.
  • Skills for Effective Communication: Developing skills for effective communication is crucial. This includes not only language proficiency but also the ability to utilize interpreters and cultural brokers when necessary. Providers should be trained to ask open-ended questions and listen actively, ensuring that women feel comfortable sharing their health concerns.

Training and Education for Healthcare Providers

To implement culturally competent care, healthcare organizations should prioritize training and education for their staff:

  • Cultural Competency Training: Regular training sessions should be conducted to educate healthcare providers about cultural diversity, health disparities, and effective communication strategies. This training can enhance providers’ ability to deliver compassionate and respectful care.
  • Workshops and Simulations: Interactive workshops and role-playing simulations can help providers practice culturally competent interactions. These activities encourage empathy and understanding of the unique experiences faced by migrant women.
  • Ongoing Education: Cultural competency is an ongoing process. Providers should be encouraged to engage in continuous learning about different cultures, health practices, and emerging issues affecting migrant populations.

Creating a Culturally Competent Healthcare Environment

Creating an environment that fosters culturally competent care involves:

  • Diverse Healthcare Teams: Employing a diverse healthcare workforce can enhance cultural understanding and improve patient-provider relationships. Diverse teams can offer varied perspectives and insights into the experiences of migrant women.
  • Patient-Centered Care Models: Implementing patient-centered care models that prioritize the individual needs and preferences of migrant women can enhance satisfaction and health outcomes. This includes involving women in decision-making processes regarding their care.
  • Community Engagement: Establishing connections with community organizations that serve migrant populations can facilitate outreach and support. Collaborating with these organizations can help providers better understand the cultural contexts and health needs of their patients.

Conclusion

Culturally competent care is vital for addressing the diverse health needs of migrant women. By understanding cultural beliefs, recognizing barriers to care, and fostering effective communication, healthcare providers can create an inclusive and respectful environment. Training and education in cultural competency not only enhance the quality of care but also empower migrant women to engage actively in their health journeys, ultimately leading to improved health outcomes and well-being.

 

References

  1. Shansky RM, Murphy AZ. Considering sex as a biological variable will require a global shift in science culture. Nature neuroscience. 2021 Apr;24(4):457-64.
  2. Greenhalgh T, Helman C, Chowdhury AM. Health beliefs and folk models of diabetes in British Bangladeshis: a qualitative study. InHealth Psychology 2016 Dec 5 (pp. 362-371). Routledge.
  3. Shishehgar S, Gholizadeh L, DiGiacomo M, Green A, Davidson PM. Health and socio-cultural experiences of refugee women: an integrative review. Journal of immigrant and minority health. 2017 Aug;19:959-73.
  4. Kalaitzi S, Czabanowska K, Azzopardi-Muscat N, Cuschieri L, Petelos E, Papadakaki M, Babich S. Women, healthcare leadership and societal culture: a qualitative study. Journal of healthcare leadership. 2019 Apr 12:43-59.
  5. Shorey S, Ng ED, Downe S. Cultural competence and experiences of maternity health care providers on care for migrant women: a qualitative meta‐synthesis. Birth. 2021 Dec;48(4):458-69.

 

By the same Author on PEAH

Refugee Women’s Healthcare Accessibility: What We Should Know

Shadow Pandemic: Women’s Health in the Time of COVID-19

Beyond the Waives: Indirect Effects of Covid-19 on Mothers in Low and Middle-Income Countries

 

 

News Flash 612: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Brown meagre (Sciaena umbra)

News Flash 612

Weekly Snapshot of Public Health Challenges

 

BOOK REVIEW: MY JOURNEY WITH COMMUNITY MEDICINE – A MEMOIR  by Tanushree Mondal

Can Managed Entry Agreements Help LMICs Navigate the Rising Cost of Medicines?

Pharmaceutical Tariffs: Potential Impacts And The Need For Vulnerability Assessments

Critical Medicines and Priority Medical Products should not leave anyone behind

IP: Delhi High Court clears path for generic risdiplam availability in India

Trump ends SA’s HIV and TB research grants

WHO calls for urgent action to address worldwide disruptions in tuberculosis services putting millions of lives at risk

Turning the Tide on Tuberculosis: Ensuring Access, Treatment, and Prevention for All Communities

TB Aid Cuts Endanger Africans Despite Sharp Drop in Deaths, Cases

Promising Phase 3 Trial of Tuberculosis Vaccine is Running Ahead of Schedule

Life-saving services in TB response

Poliovirus detected in sewage samples from 18 districts

NEJM Outbreaks Update — H5N1: A View from the States

Types of data requested to inform May 2025 COVID-19 vaccine antigen composition deliberations

Global and national actions to prevent trade in substandard and adulterated medicines

Reforming humanitarianism can’t be left to today’s decision-makers

Beyond the Stigma: Supporting Mothers with Disabilities

Breaking the Cycle of Early Marriages and Early Motherhood in Roma Communities

Refugee Women’s Healthcare Accessibility: What We Should Know  by Sevil Hakimi 

Tackling racial discrimination in the EU

Migrant deaths in Asia hit record high in 2024, UN data reveals

‘Trapped populations’ need help to escape climate risks

People’s Health Dispatch Bulletin #97: Birthing under capitalism, healing under sanctions 

Decades of progress in reducing child deaths and stillbirths under threat, warns the United Nations 

HRR763. FROM INJUSTICE THE IDEA IS BORN AND FROM HUNGER AND THE HUNGRY THE ACTION IS TO COME. (pamphlet circulated at the Instituto Pedagógico, Universidad de Chile in 1966)

MSF warns of a crisis as the numbers of malnourished children rise in Yemen

Food Security and Water, a Priority for Border Towns in Central America

Optimal dietary patterns for healthy aging

The Dilemmas of Localization for Climate Action: The Struggles of Local NGOs in Accessing Global Platforms in Countries Like South Sudan  by David Odukanga

More Trees BANES-Grow Yourself-Community Tree Nursery Project

Glacier meltdown risks food and water supply of 2 billion people, says UN

 

 

 

 

 

Refugee Women’s Healthcare Accessibility: What We Should Know

IN A NUTSHELL
Author's Note
…Healthcare accessibility for refugee women varies significantly based on geographical location, legal status, and the availability of resources. In host countries, healthcare systems may be overwhelmed, underfunded, or ill-equipped to handle the influx of refugees. Additionally, language barriers and cultural differences can complicate communication, leading to inadequate care. In some regions, refugee women may have access to specific programs aimed at addressing their health needs, such as maternal health services and mental health support. However, these programs are not universally available and often depend on the funding and policies of host countries… 

By Sevil Hakimi RM. PhD

Professor of Maternal and newborn Health, Ege University, Faculty of Health Scienc. Department of Midwifery

Izmir, Turkey

Sevil.hakimi@ege.edu.tr 

Refugee Women’s Healthcare Accessibility

What We Should Know

 

 

Introduction

As a result of persecution, armed conflicts, inadequate healthcare, and human rights violations, over 100 million people worldwide were forcibly displaced from their homes by the end of 2022. Refugee women represent a vulnerable population facing unique health challenges due to their displacement. Access to healthcare services is crucial for their well-being. Women often play a central role in maintaining family health. By ensuring that refugee women have access to healthcare, the health of entire families can improve, leading to better health outcomes for children and partners. Ensuring that refugee women have access to healthcare also benefits public health in host countries. It helps prevent the spread of infectious diseases and contributes to healthier communities overall. Ensuring that refugee women have access to healthcare services aligns with global human rights standards and obligations.

Overview of Refugee Women’s Health Needs

Refugee women often experience a range of health issues, including reproductive health concerns, mental health disorders, and chronic diseases exacerbated by their experiences of trauma and displacement. Many suffer from conditions such as maternal morbidity, sexually transmitted infections, and mental health issues due to the stress of displacement and uncertainty about their future. The trauma of fleeing their homes often leaves refugee women grappling with significant psychological impacts, such as anxiety, depression, and post-traumatic stress disorder (PTSD). These mental health challenges can be compounded by the lack of social support and the stigma associated with mental health in many cultures. Furthermore, the disruption of their lives and loss of community can lead to feelings of isolation and helplessness, making it even more difficult for them to seek help. Access to reproductive health services is also a critical concern, as many refugee women may face barriers in obtaining necessary care during pregnancy and childbirth. Complications can arise due to inadequate prenatal and postnatal care, leading to increased risks of maternal and infant mortality. Additionally, the prevalence of sexual violence in conflict zones leaves many women vulnerable to sexually transmitted infections (STIs), including HIV, yet they often lack access to essential screening and treatment services. Chronic diseases such as diabetes and hypertension can also be exacerbated in refugee populations due to stress, poor nutrition, and limited access to healthcare services. Many refugee women may have pre-existing conditions that go untreated due to the lack of continuity in care and the complexities of navigating healthcare systems in host countries.

Healthcare accessibility for refugee women varies significantly based on geographical location, legal status, and the availability of resources. In host countries, healthcare systems may be overwhelmed, underfunded, or ill-equipped to handle the influx of refugees. Additionally, language barriers and cultural differences can complicate communication, leading to inadequate care. In some regions, refugee women may have access to specific programs aimed at addressing their health needs, such as maternal health services and mental health support. However, these programs are not universally available and often depend on the funding and policies of host countries. The legal status of refugees affects their access to healthcare. In many countries, refugees are entitled to some form of healthcare, but the extent of this access can vary widely. Some nations provide comprehensive health services, while others impose restrictions that limit refugees’ ability to seek care.

Facilitators of Healthcare Access

Community Support Networks

Community organizations and NGOs play a critical role in facilitating access to healthcare for refugee women. These organizations often provide vital resources, including information about available services, transportation assistance, and language translation support. By fostering a sense of community and belonging, these networks can encourage refugee women to seek the care they need.

Culturally Competent Care

Healthcare providers who are trained in cultural competence can significantly enhance healthcare accessibility for refugee women. Understanding cultural beliefs and practices helps providers deliver more effective care and build trust with patients. Culturally sensitive services can lead to better health outcomes by ensuring that women feel respected and understood.

Integration Programs

Government and NGO-led integration programs that focus on refugee women can improve healthcare access. These programs may include health education, advocacy for rights, and navigation assistance for the healthcare system. By empowering refugee women with knowledge and resources, these initiatives can lead to increased utilization of health services.

Barriers to Healthcare Access

Language and Communication Barriers

Language differences pose a significant barrier to healthcare access for refugee women. Limited proficiency in the local language can hinder their ability to communicate effectively with healthcare providers, leading to misunderstandings and inadequate care. This barrier often results in a reluctance to seek help, especially in urgent situations.

Financial Constraints

Financial barriers, such as lack of insurance or high out-of-pocket costs, can prevent refugee women from accessing necessary health services. In many cases, refugees may not be eligible for state-funded healthcare programs, leaving them to navigate a complex system that may require payment upfront.

Stigma and Discrimination

Refugee women often face stigma and discrimination within healthcare settings. Fear of being judged or treated unfairly can deter them from seeking care, particularly for sensitive issues like reproductive health or mental health. This stigma can be amplified by cultural differences, leading to a reluctance to engage with the healthcare system.

Legal and Policy Barriers

Restrictive immigration policies and legal barriers can further complicate access to healthcare for refugee women. In some host countries, refugees may face challenges in obtaining necessary documentation or may be subject to policies that limit their eligibility for health services. These barriers can exacerbate existing health disparities and lead to poorer health outcomes.

Conclusion

Accessing healthcare is a fundamental right, yet refugee women face numerous challenges that hinder their ability to receive the care they need. While community support, culturally competent care, and integration programs can facilitate access, significant barriers remain. Addressing these issues requires concerted efforts from governments, NGOs, and healthcare providers to create an inclusive and supportive healthcare environment for refugee women. Ensuring equitable access to healthcare services is essential for promoting the health and well-being of this vulnerable population.

 

References

  1. Yeshitila YG, Gold L, Abimanyi-Ochom J, Riggs E, Daba TT, Le H. Effectiveness and cost-effectiveness of models of maternity care for women from migrant and refugee backgrounds in high-income countries: A systematic review. Social Science & Medicine. 2024 Aug 23:117250.
  1. Markey K, Moloney M, O’Donnell CA, Noonan M, O’Donnell C, Tuohy T, MacFarlane A, Huschke S, Mohamed AH, Doody O. Enablers of and Barriers to Perinatal Mental Healthcare Access and Healthcare Provision for Refugee and Asylum-Seeking Women in the WHO European Region: A Scoping Review. InHealthcare 2024 Sep 1 (Vol. 12, No. 17, p. 1742). MDPI.
  1. Rowe A, Bhardwaj M, McCauley M. Maternal multimorbidity-experiences of women seeking asylum during pregnancy and after childbirth: a qualitative study. BMC Pregnancy and Childbirth. 2023 Nov 13;23(1):789.
  1. Banke-Thomas A, Agbemenu K, Johnson-Agbakwu C. Factors associated with access to maternal and reproductive health care among Somali refugee women resettled in Ohio, United States: A cross-sectional survey. Journal of immigrant and minority health. 2019 Oct 1;21:946-53.
  1. Floyd A, Sakellariou D. Healthcare access for refugee women with limited literacy: layers of disadvantage. International journal for equity in health. 2017 Dec;16:1-0.
  1. DeSa S, Gebremeskel AT, Omonaiye O, Yaya S. Barriers and facilitators to access mental health services among refugee women in high-income countries: a systematic review. Systematic reviews. 2022 Apr 6;11(1):62.

 

By the same Author on PEAH

Shadow Pandemic: Women’s Health in the Time of COVID-19

Beyond the Waives: Indirect Effects of Covid-19 on Mothers in Low and Middle-Income Countries

 

 

BOOK REVIEW: MY JOURNEY WITH COMMUNITY MEDICINE – A MEMOIR

IN A NUTSHELL
Author's Note
I have the pleasure of reviewing the Book “My Journey with Community Medicine” as a testimonial to the achievements of Dr M K Sudarshan over the years in his active professional life. The book acts as a powerful instrument of motivation to the students of Community Medicine

By Professor (Dr) Tanushree Mondal *

Editor – APCRI  Journal

Professor of Community Medicine, RG Kar Medical College, Kolkata, India

profcmrgkmc24@gmail.com

 

Book Review

MY JOURNEY WITH COMMUNITY MEDICINE: A MEMOIR

 

MY JOURNEY WITH COMMUNITY MEDICINE: A MEMOIR

Author Dr M.K. Sudarshan

Publisher: Maiya Publishing

Year of Publication: 2025

Pages: 120

Price: PaperBack (India Sales): Rs.450 (incl GST)
eBook (India Sales): Rs. 100
eBook (Outside India Sales): $5

ISBN No.: 978-93-93194-63-3

 

I have the pleasure of reviewing the Book, “My Journey with Community Medicine”. The book is a testimonial to the achievements of Dr M K Sudarshan over the years in his active professional life.

The book has 12 chapters spread over 120 pages. The first chapter delves upon his childhood. The next 2 chapters are concentrated on his MBBS and MD days. The Fourth chapter delves into his experience as a faculty in a medical college from April 1981 to October 2014. The fifth chapter describes his incremental interest in Rabies, and how it culminated into several State, National and International ventures and experiences is depicted along with colourful pictures in the other two chapters namely, the sixth and the seventh respectively. Chapter no. 8 states his vital role in the containment period of Covid-19 and his state level experiences in the State of Karnataka.

The book in itself has a neat cover, with vibrant colours with the photo of the author. In a few place, there are spelling mistakes that can be corrected in the following editions, but the grammar and the syntax are well done with proper alignment.

The ninth chapter deserves a special mention, enumerated as “My Mentors”. It is an interesting read in itself, with the pictures of his Mentors, but how these mentors shaped his life, how they were instrumental in his own being, could have been drawn in a more detailed way. This will in fact, render it as a useful textbook for all the teachers out there who are running their “Student Mentorship programme” in their respective colleges under the NMC guidelines. In this connection, a special mention is felt regarding the incorporation of emotional quotient (EQ) which is becoming very important in today’s world.

The final message section underscores professional achievement and staying happy and content in life while pursuing one’s own career.

The book is in itself is a snapshot of the living legend, however, the Summary Section may be forsaken as this would distract the attention of the readers and they would go only through the Summary segment without reading the details inside the book. There can be a section on takeaway messages out of the chapters.

Testimonials may be put in a single place as there is a chapter 12 dedicated for it solely. A special mention may be made to women at the workplace.

Moreover, since it is meant for students of Community Medicine, a special mention of what needs to be done in the future may be incorporated. At the same time, the goal of the national action plan for rabies elimination (NAPRE) needing a flagship may be duly emphasized.

The effort in bringing up such a book in such a compiled fashion and in a comprehensive way is truly laudable. Future plans in bringing out more books highlighting various aspects of his life can be thought of. In a nutshell, the book acts as a powerful instrument of motivation to the students of Community Medicine.

 

REFERENCE

https://maiyapublishing.com/product/my-journey-with-community-medicine-paper-back-within-india/

 

* PROF (DR) TANUSHREE MONDAL profile:

MD, FAIMER (CMC-L), ACME (JIPMER), MAPC (IGNOU), PhD
Professor, Deptt. of Community Medicine,
R G Kar Medical College, Kolkata
Former Deputy Director of Medical Education, GoWB
Former State Public Information Officer (SPIO) under Right to Information Act, for GoWB
Former MEU Coordinator, CC Member, GCP Trainer
Co-Investigator, NMHS -Phase II Megacity Survey (NIMHANS)
Member, Penal & Ethics Committee, West Bengal Medical Council
Member, Health Recruitment Board, GoWB
Editor, Association of Prevention & Control of Rabies in India