The Reformation of Healthcare

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The Reformation of Healthcare
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In the fight against diseases of poverty,we
must go beyond the traditional health sector,and
begin working with people in their homes,their
work places, their schools,their community
hallsand their places of worship. - Gro Harlem
Brundtland
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Care of the sick has been a traditional roleof
Churches and religious orders.
Gods character Exodus 1526 I am the Lord
who heals you
In commissioning the disciples, Jesusgave them
power and authorityto drive out all demons and
to cure diseases,and he sent them out to preach
the kingdom of Godand to heal the sick (Luke
91-2).
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Churches and Christian missionswere the
originators of organized healthand healing
institutions in developing countries.
In sub-Saharan Africa,most of the early
hospitals and health programswere established by
Christian churches and missions. Even today, 40
of hospital beds in Africaare in church and
mission institutions.
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Pressure from the Church WHO definition of
health to add the word spiritual
Health is a dynamic state of complete
physical,mental, spiritual and social
well-beingand not merely the absence of disease
or infirmity.
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Health is a dynamic state of complete
physical,mental, spiritual and social
well-beingand not merely the absence of disease
or infirmity.
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1962, Tubingen, GermanyPoor impact of
hospitalsin improving health levels of entire
communities.
1966 Powerful healing role of the Christian
community
1960s and 1970sextending traditional medical
missionsto lift the health status of entire
communities,emphasizing prevention and health
education.
The successes of these Christian-based
programscaught the attention of government and
aid organizations.
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Features of health programsmanaged by local
faith communities
Coverage reaching the most under-served
Sustainability local roots and management
Credibility in Health compassionate care,
support for suffering, and reputation for
quality and integrity. Holistic physical,
mental, spiritual and social addressing human
concerns that transcend scientific medicine and
public health. Ethics, Justice and Advocacy
addressing root causes and core values derived
from beliefs rather than empirical inquiry
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SourceDeath and DALY estimates by cause, 2002
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WHO PROJECTIONS CAUSE OF DEATH IN DEVELOPING
COUNTRIES
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In the last 12 hours ...
8 000 children died in Africa from preventable
causes
1 250 children died from AIDS related causes
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HEALTH ISSUES FOR CHILDREN in AFRICA
MALARIA
HIV
TUBERCULOSIS
MEASLES
POVERTY (malnutrition)
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Malaria
one million deaths a year 85 of them among
children gt2,000 children dying each day
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South Africa Zimbabwe Swaziland Lesotho Botswana Z
ambia Namibia Kenya Malawi Djibouti Mozambique Bur
undi Central Africal Republic Côte
dIvoire Ethiopia Rwanda Cameroon Uganda Tanzania
Burkina Faso
World HIV prevalence Top 20 2007
0 10 20 30
40
HIV Prevalence ()
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Estimated TB incidence rates 2003
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Estimated HIV Prevalence in TB cases, 2002
Global Tuberculosis Control. WHO Report 2003.
WHO/HTM/TB/2004.331
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Individual vs. Community ....
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Its not my job
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The Good Samaritan
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Individual vs. Community ....
Beneficence Autonomy Justice
Health services are social constructs
Public Health Ethics
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What can church communities do?
Sacla Kenya Warehouse Prayer Teams
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What can church communities do?
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What can church communities do?
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What can church communities do?
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What can church communities do?
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What can church communities do?
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What can church communities do?
Advocacy ...
Support for individuals in healthcare ... Abongile
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Suffering happens to others ... ?
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Other issues to grapple with
Health as business
Brain drain
Lack of resources
Loss of morale and burnout of healthworkers
Lack of leadership and good management
Traditional healers
The role of prayer
The place of tertiary medicine
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MH Mersen, Intern Public Health, 2001
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Christians played a towering role in 20th
centurydevelopments in international
health. What issues now?
Strengthen advocacy for poor, oppressed,
marginalized
Integrate health programs and congregational
life to promote healthy behaviours and lifestyles
Challenge authorities regarding policy and
resource allocation, and speak out on medical
ethics and moral implications of health policies
Lead in research and practice of spiritual
dimensions of health and healing
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Being healthy is more than hospitals and
clinics. There is a lot a church community can do.
Seek opportunities
Support key individuals
Small is beautiful
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Christian worldviews and the church ...
THEWORLD
SELF
CHURCH
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Christian worldviews and the church ...
For God so loved the world ...
church
SELF
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Christian worldviews and the church ...
For God so loved the world ...
church
SELF