Reflection on the Week of Action
Tuesday, April 22nd, 2008Jordan Sloshower, Research Coordinator in Family Medicine at the University of Manitoba, Canada, tells us about his university’s involvement in the UCGH Week of Action. He also reflects on the reasons for the increasing interest in global health -Stephanie
During the week of March 24, 2008, the University of Manitoba played host to a lecture series on topics related to “Global Health”. This event was part of a larger “Global Health Week of Action” organized by Universities Coalitions for Global Health (UCGH)-a network of international health-focused organizations and individuals with a university presence.
The overarching goal of this international campaign was to bring together medical, graduate and undergraduate students to advocate for the right to health for populations that are underserved by drawing attention to a host of pressing issues, including gender inequality, HIV/AIDS, access to clean water, sanitation and essential medicines, and the global healthcare worker shortage.
Here at the University of Manitoba, lecturers spoke about their groundbreaking work in the field of infectious disease, about HIV/AIDS advocacy and activism, and about the relationship between health, politics and culture. In the lecture series’ keynote address, Professor Emeritus Dr Alan Ronald outlined his experience with the university’s global health initiatives in Kenya, Uganda and India and provided advice for students in health disciplines who wish to “change the world” through their life’s work. As this lecture series coincidentally overlapped with the launch of The University of Manitoba’s Alan Klass Memorial Program for Health Equity and the publication of a two-day report in The Winnipeg Free Press on HIV/AIDS prevention programs in India set up by Manitoba-based researchers and physicians, (1) the question arises, why there is so much interest and activity in the field of global health and health equity?
Part of the answer to this question surely lies in the fact that the search for solutions to global health problems presents unique challenges (and funding opportunities) to researchers who attempt to apply science and technology to the improvement of the human condition. However, an equally significant reason for the recent surge of interest amongst the public and academics worldwide is that achieving global health equity, or fairness in basic health care measures for rich and poor alike, is not just a scientific problem, but also a cultural, political and economic problem deeply rooted in rapidly changing social structures. In other words, the issues raised by the field of global health probe deeper into human consciousness, as they call into question the way we organize our affairs in society and raise ethical questions about our actions in an increasingly interconnected world.
The aforementioned report in the Winnipeg Free Press is illustrative of this point. Rather than focusing on Dr Stephen Moses’ groundbreaking scientific research on the effectiveness of male circumcision in preventing the spread of HIV, the report assumed a more humanistic perspective. By examining the sex-trade in India, the report outlined how underlying social structures and cultural norms on gender roles become embodied as disease in female sex-workers. In so doing, this article effectively conveyed the anthropological observation that “AIDS is a socio-cultural and political-economic phenomenon with biological manifestations.” (2) As a result, preventing HIV/AIDS is not just a problem for medical doctors, but is a complex initiative requiring collaboration between health workers, politicians, development workers, community leaders and ordinary people. The need for such an interdisciplinary approach speaks to the underlying reality that the problems afflicting the health of populations worldwide are symptoms of a web of social, political and economic pathologies that constitute social injustice. Hopefully, the growing interest in global health reflects the realization that assaults against human dignity should not only attract the interest of inquisitive scientists and researchers but should compel all constituents of global civil society into concerted pragmatic action. Jordan Sloshower: sloshowe@cc.umanitoba.ca
References
(1) Skeritt J. Where HIV flourishes:India’s culture makes AIDS campaign an uphill battle. The Winnipeg Free Press 2008 Mar 22. Available from:URL: http://www.winnipegfreepress.com/special/aidsindia/story/4147383p-4737039c.html
(2) Marshall W. AIDS, race and the limits of science. Soc Sci Med 2005;60(11):2515-2525.


