The Institute for Global Health and Development
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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 Shocks, vulnerability and coping(Sable Press, Harare, ZW, 2012-11) Mararike, N; Nyamwanza, AdmireThe report presents data drawn from the survey (Moving Zimbabwe Forward Wellbeing and Poverty Survey- MZF) and contextualizes findings in relation to other studies, such as the Poverty Assessment Survey Studies (PASS). It provides comprehensive suggestions for both policy and practice to address poverty in Zimbabwe, while identifying poverty traps: lack of education; lack of quality employment, low land and labour productivity, and health issues. HIV/AIDS, malaria, bilharzias, diabetes, hypertension, infant mortality and maternal morbidity undermine productivity and capital accumulation. A comprehensive social protection programme is necessary, including cash transfers, education and health assistance, and cash (or food) for work.Item Transfrontier parks and development in southern Africa: The case of the Great Limpopo Transfrontier Park(Taylor & Francis Group, 2013-10-07) Bhatasara, Sandra; Nyamwanza, Admire; Kujinga, KrasposyThe interface between local communities and transfrontier parks has received considerable attention, yet the utility of the transfrontier concept in developing livelihoods and environmental sustainability in southern Africa remains questionable. This paper argues that the benefits of transfrontier parks at regional, national and community levels cannot be overstated; neither should the problems be underestimated. Transfrontier parks may be viable alternatives in achieving development that is sustainable by protecting southern Africa's fragile environments, generating more funds and bringing significant and major improvements to the lives of the rural poor. At the same time, transfrontier parks raise issues of sovereignty of national governments, create complexity in governance processes and can lead to the needs of rural communities being sacrificed. Therefore, there is a need to find ways to reconcile conflictual and sometimes controversial circumstances in the establishment of transfrontier parks and, inquire further into the programmatic blueprints for transfrontier initiatives.Item The utility of postmodern thinking in climate adaptation research(Springer, 2014-11-12) Nyamwanza, Admire; Bhatasara, SandraAdaptation has assumed centre stage in current climate change discourse, yet there has been minimal attention to the explicit exploration of epistemological and ontological concerns in the area. This paper focuses on these critical dimensions by exploring the contributions of a postmodernist perspective to climate adaptation research and analysis. Based on the ideas of three leading postmodern thinkers, Jean-François Lyotard, Michel Foucault and Jacques Derrida, the paper presents postmodernism as an integrative research paradigm which acknowledges the complexity of the adaptation discourse by embracing the diversity of meanings and narratives around climate adaptation and the utilization of a plurality of methodologies and approaches in research with a potential to drive rigorous and contextually relevant climate adaptation research.