The Institute for Global Health and Development
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/9
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Item Lived experience must be properly recognised [Letter](BMJ Publishing Group, 2025-10-09) Gautam, Araya; Johnson, SanathItem Without retention, the NHS’s 10 Year Plan will fail [Letter](BMJ Publishing Group, 2025-08-28) Gautam, Araya; Johnson, SanathItem Care as Resistance, Care as Agency, Care as a Burden: A Relational Exploration of the Impact of Giving and Receiving Care on Refugees’ Lives(Oxford University Press, 2025-09-23) Baillot, Helen; Vera Espinoza, Marcia; Yurdakul, G.; Beaman, J.; Mügge, L.; Scuzzarello, S.; Sunanta, S.This chapter discusses the multidimensionality and multidirectionality of care and its impact upon refugees’ pathways toward inclusion. Drawing on qualitative data collected during workshops and interviews with 55 recently recognized refugees in Scotland, the chapter explores how care in multiple forms is experienced, given, and negotiated. The chapter draws from ideas around care that conceptualize it as a means to resist restrictive government policies, as an expression of agency within familial and social contexts, and as a burden that affects people differentially as they seek to rebuild lives in new country contexts. In exploring the multiple dimensions and directions of care and the ways it intersects with gender and immigration status, among other social locations, we highlight conceptual and empirical parallels between care and integration. One, the text suggests, should not be understood without full consideration of the other. The chapter concludes by calling for care to be accorded a greater importance in explorations of refugees’ integration experiences, in ways that fully encompass care’s potentialities and limitations for the people who provide and receive it.Item Palliative Care and Pain Management in a Resource-Limited Setting(Kathmandu University, 2025-03) Gautam, Araya; Gautam, A; Johnson, S; Rahman, F APalliative care is a vital component of healthcare that aims to alleviate the suffering of patients with life-threatening conditions. This specialized medical care focuses on managing symptoms, addressing social, emotional, and physical needs, and enhancing the quality of life for patients and their families. Palliative care addresses the patient’s medical, psychological, and spiritual requirements, and can be used as the primary focus of care or in conjunction with curative therapies. Pain management is a crucial aspect of palliative care, involving the control or reduction of pain through medication, therapy, and other treatments. However, pain is a subjective sensation, making quantification and effective relief challenging. This review highlights the complex issues associated with pain management in palliative care, emphasizing the need for improved training and accessible pain management techniques, such as the widely recognized “Wong-Baker Face Pain Scale”, particularly in resource-constrained environments like Nepal. The complex nature of pain management in palliative care compromises patients’ quality of life, influenced by factors like chemotherapy and terminal illness. Addressing this issue is imperative, especially in areas like Nepal where there is a shortage of appropriate training among medical personnel. Encouragingly, initiatives like mobile health teams, smartphone apps, and the establishment of a Palliative Care Training Center demonstrate progress in improving end-of-life care.Item Health financing(Oxford University Press, 2025-05-02) Witter, SophieItem Health Economics(Oxford University Press, 2025-05-02) Witter, SophieItem International migration and displacement(Routledge, 2025-03-25) Vera Espinoza, Marcia; Reyes Muñoz, Vania; Halvorsen, SamThis chapter explores key dynamics of the geographies of international mobility in Latin America. By focusing on the different spaces in which mobility is produced, experienced and managed, this chapter provides an overview of international migration dynamics in the region. Drawing on examples of regional migration, the chapter examines the dynamics of mobility, including stages, drivers (socioeconomic, conflict, persecution, survival, climate change, etc.) and patterns (intra-regional, forced migration, feminisation of migration and care chains) of migration in Latin America, and then explores the experiences of those who migrate in relation to bordering practices. The chapter briefly discusses, and provides examples of, the management and governance of migration in the region, and then discusses the experiences of resilience and processes of migrant inclusion and resistance.Item Extractivism and climate justice in a context of political contestation in Zimbabwe(Campus, 2024-09-18) Bhatasara S; Nyamwanza, AdmireItem Building social equity and person-centred innovation into the end TB response [Letter to the editor](International Union Against Tuberculosis and Lung Disease, 2024-11-01) Engel, N.; Apolosi, I.; Bhargava, A.; Bhan, A.; Celan, C.; Mak, A.; Chikovore, J.; Chorna, Y.; Claassens, M.M.; Dagron, S.; Denholm, J.T.; Frick, M.; Furin, J.; Hoddinott, G.; Kashnitsky, D.; Kielmann, Karina; Kunor, T.; Lin, D.; McDowell, A.; Mitchell, E.M.; Oga-Omenka, C.; Samina, P.; Shikoli, S.A.; Silva, D.S.; Stein, R.; Stillo, J.; van der Westhuizen, H.M.; Wingfield, T.; Zwerling, A.; Daftary, A.Reducing systemic inequities in testing, access to care, social protection – and in the scientific process – is essential to end TB. Incorporating social science methods and expertise on inequity into the mainstream TB response would help ensure that political commitments to equity move beyond symbolic gestures. We convened a meeting between TB social scientists, people with lived experience, civil society and community members to discuss equity within the global TB response. Here, we propose five means by which a social science lens can strengthen equitable, person-centred responses and reconcile the public health significance of TB with the principles of social justice.Item Driving universal health reforms through crises and shocks: Final report on the work of the Chatham House Commission for Universal Health(Royal Institute of International Affairs, 2024-06-20) Yates, Robert; Witter, Sophie; Hunsaker, BrookeUniversal health coverage (UHC) is achieved when everyone receives the health services they need, free at the point of delivery. Target 3.8 of the Sustainable Development Goals sets the ambition for all countries to achieve UHC by 2030, but global indicators for health coverage and financial protection have been lagging since 2015. The series of crises and shocks the world has suffered in recent years – including disease outbreaks, financial crises, multiple conflicts and the deepening impacts of climate change – have raised fears that commitments to UHC will be seriously undermined. In 2022, in light of these concerns, Chatham House established the Commission for Universal Health to look at ways to support countries in maintaining and accelerating progress towards UHC. Drawing on the work of the commission, this report explores examples of where, and how, conditions of crisis and shock have had a catalytic role in driving universal health initiatives, and offers recommendations for leaders currently considering launching or expanding UHC reforms. The report endorses the World Health Organization’s finding that investment of an additional 1 per cent of GDP for primary healthcare is a realistic target for countries transitioning to UHC. While acknowledging that affordability is a legitimate concern for many countries at a time of resource constraints, the authors argue that universal entitlement is not necessarily about spending more. Instead, it is about spending money better: by pooling resources, UHC offers the possibility of providing better healthcare for more people more cost-effectively than alternative financing models.