Reflectonyourengagementwiththecourse,thelectures,thereadings,theDiscussionForumandyourpreviouspaper. Answerthisquestion:&WhatcanIdonoworinthefuture,actingaloneorwithinanorga... 阅读全文
Reflect on your engagement with the course, the lectures, the readings, the Discussion Forum and your previous paper.
Answer this question: “What can I do now or in the future, acting alone or within an organization, to help achieve Health for All though Primary Health Care?”
When answering this question, consider the following:
We would like you to identify three specific actions that you can take and explain how these actions will contribute toward achieving Health for All through Primary Health Care.
We also want you to indicate three specific challenges and/or obstacles that you are likely to encounter in the process.
Finally, we want you to draw on the content of the lectures and assigned readings/videos.
You will need to submit approximately 1,400 words (at least 1,200 words but not more than 1,600 words). If you need help in counting how many words you have, go to http://www.wordcounter.net. (Note: In the video I stated that you would be submitting an 8-page paper. We decided to be a little gentler on you!)
After reading this issue’s requirement, I found out that if I want to finish this task, “what about me” and “what about my future” are two necessary steps that I have to take. This is a question about “Identity”: What kind of people that I’m planing to be decides my action and my destination along my live road.
I’m college student learning social work in a Chinese urban area, and my interests are focused on the community social work and community services. I have already done a few internships and researches in this district. As we all know, social work, as a newly development profession, are just start to grow up in the big cities in mainland China. My personal destination are trying to receive higher education and to explore a new way to improve the community service system in China as a scholar. That means, I probably won’t have a chance to become a community health workers and develop the primary health care in that way.
After taking these lectures about primary health care, the vision about my future started to become clear, and I do got inspired by these mission’s history and development. The story in these lectures all happened in the developing countries as China, and even much worse than China, but what astonished me is though NGOs’ and governments’ interventions, they all could find a way towards the goal of health for all. I’m also surprised to see “primary health care” have development many models and theories “access the community resource in order to benefit the health of the community” and “embeded in the community while at the same time linked to the health system”. This issue are tightly connected with my interests about the community services, and I believe that the main role of social work is the connection between community grass roots organizations and other professional facilities.
However, these lectures are too introductive and I always got confused about the details: How could these measurement be taken into force? How could different departments in a community be united to struggle for one goal? Why these NGOs such as “save the child” or “future generation” could get the chances to enter into the community and what is in the local governments’ thoughts about the NGOs’ participation? Take the programme “One million Community Health Workers” as example, in the lecture Dr. Perry concluded several community processes and methods to implement Intervention such as “community based outreach agent”, ”strong community involvement, engagement or mobilization”, “routine home visitation”, “drama, dance, songs and puppet shows”, etc. I think these are very technical instructions but how can we make them work in a very different context? What if the health care market can’t nurture enough community based outreach agents, then there won’t be enough human resources in these professional fields. What if the traditional people’s relationship doesn’t encourage people to be involved or engaged in the communities’ public issues, it will cost a lot of efforts to make people just take a step out of their houses. What if all of these “professional ways” cannot be accepted by the local society and government, all these technical suggestion won’t have a chance to be taken into use.
In conclusion, this is the main problem that I want to face: How to make a good thing be accepted in a complex context. Any advocacy will lose their power if they failed to consider the real context and to rethink the true meaning of “a good thing”.
Here are these three specific actions that I want to take in the future to achieve the goal of health for all through the primary health care.
The first action is to find out the unique figures of community service system in China, both in the urban area and rural area. China has a long time history and through this process, the relationship between “public and person” are very difficult to name and to analysis in the western academical structure. It determines the way to offer public services to the mass society. Especially after the Communist’s success, leaning on the power of party and politics, they have established a entire grassroots government system to organize the society and to offer social services. Without checking out the advantages and disadvantages of these system, there would be no way to plant any new services strategies in the society. I want to combine different kinds of discipline method to explore, or detect the nature of these grassroots government, such as action research, ethnographical research, system analysis, etc. With this careful exploration, I can not only conclude the advanced experience in the China in social services, including the primary health care, I also can find a space for these new tools to make a difference. To do this, I clearly understand the obstacle in front of me is the difficulty to cooperate with the community, for my research may not bring them obvious benefits very soon, thus they may lack motivation to cooperate with me and my research team. So this action I want to take isn’t a shot and quick trial, but a long and consecutive experiment.
The second action is to learn more knowledge about medical care and nursing science. My major is social work, however in my textbook, social work’s professional mission are quite obscure but actually always focus on social services and psychological consulting. Even now the major are faced with a "community turn" recently and try to find an integral angle of view, but the relationship between body and spirit, politics and professions are often overlooked. After taking this lesson, I have found out that the medical and nursing education are quite inspiring and reminding to social work students. How to treat our clients as a whole and real human being is a pivotal question in any human service majors. Considering I am in a programme about elderly care, I can learn a lot of practical knowledge from my partners who are nurse and doctors. The real difficulty is the distribution of our energy, cause I still have my own work to finish and they may be busy with their work and inconvenient to bring with a “apprentice” . So the main task of this action is to build a public space in our programme to insure the members from different majors will have opportunities to communicate with each and learn from each other.
The third action is to collect more information about community based primary health care programme around the world during my everyday’s study, through written records or my own witnesses, and share it in my blog and make more people acknowledged and concerned about the need of primary health care. As the above said, I’m studying in a quite wealthy city and maybe “primary health care” isn’t the first concern of most people. And I believe that lack of global view about this issue will limit our effort and our sincere care about every member in this planet. How to make a difference when it’s hard to improve the situation face-to-face? Starting from a simple thing, changing the environment around me is all I can do to make a effort and take part in. The obstacle in font of me is just my laziness, for this is a tiny thing that can’t bring me fulfillment immediately. Maybe I can find more people interested in this topic and build our own study community through the Internet. Just like in the Coursera, we can assess each other’s paper here and share our ideas with others, it is a positive solution towards the final goal of health through the primary health care. Even though we can’t become the kind of person like Carl Taylor or John Gardon, we still can make our contribution in our own way.
Compare and contrast the insights into primary health care provided by Dr. Carl Taylor's lecture with the insights provided from the other assigned lectures, readings and videos during Weeks 1 and 2. How are these perspectives similar, and how are they different? Use specific examples from the course materials to back up your arguments.
This two parts of these two weeks’ lectures are both illuminative for me. When coming to compare and contrast the insights provided by Dr, Carl Taylor with other parts, I will conclude that the basic difference is their quite different emphasis. Dr. Carl Taylor introduced the outline of the international primary care historical development, while other lectures mainly focus on the modern development of primary care. For this fundamental difference, the contains of Dr. Carl Taylor's lecture are more like historical anthropology studies, showing many areas’ own health care strategies, while Dr. Perry's lectures are introducing us a lot of new updating knowledges in the Academic area.
Although they are into the two different directions, but the basic belief is the same: the communities’ participation and competency are very important.
Dr. Perry introduced several important models of the PHC, such as CBPHC, CBIO, Care Groups and COPC, and I'll concluded the basic common point of these models are the treasure of community itself. Actually, in my opinion, we should take more attention and reflect the containing meaning of “community” and many related terminologies including “community involvement”, “community priorities”, “community participatory”, etc. These terminologies should be taken into different contexts and it must represent different circumstances. I'm a native social work students in China and are doing my internship in a local community health care programme. With my everyday's work and observation, I must admit that Chinese Community Residents Committee is really a very unique context which is totally different from the academic papers published in the Western Journals. There are a mix of political influences and the mass’ interests, and even the community workers often have to play different roles in different situations. I have witnessed the very hard time of our programme and now we finally get's officials’ attention. In my everyday work, I always keep thinking about how to get the community involved, how to get them active and willing to participate, and how to really benefit for their health, and it's really a hard task. Dr. Perry concluded the newest challenge in the PHC are “finding a locally appropriate way to link vertical and horizontal approaches in a way that is equitable, engages communities as partners, and promotes community empowerment by linking the ‘top-down’ with the ‘bottom-up’”, which I can feel it everyday.
In my opinion, Dr. Carl Taylor's lecture just was a another aspects of the context. He tried to lead us to look at the power of histories and the traditions. I often heard “barefoot” stories when I went to countryside places, and I heard the local people truly valued this policies. Beyond this systematic experience, I could even be inspired by these old stories, like the one in the Babylon: When a person was ill at that time, there even existed a public place for him to seek advices and cures! It's just like fairy tale but it convinced me that the care inside a community was a nature thing and we should provide a space to let it grow up and facilitate more people living here. Just like nowdays, many experts in my country think we should build modern medical and social work system in China, but they never truly understand the history in Chinese root community and their everyday life. That’s just Dr. Carl Taylor wanted to remind us.
In conclusion, their perspectives just have different emphasis based on the common belief on communities’ own power.
peer 3 → You need to spend more time watching the videos so you can include them in your discussion on "similarities and differences". This paper is too short and there is no serious attempt to articulate your knowledge in these few sentences.（这是一个吐槽我上课听的不认真以及写的太短的咕~~(╯﹏╰)b）
peer 5 → This is a great (yet short) essay about PHC. I think it’s very important to you the significance of the word “community” in your geographical area and daily work and that’s why you put such an emphasis on it. Yes, dr.Taylor presents a more historical perspective on PHC, but this is not the only one; and in the lectures of dr.Perry also, they are not about the academic area only. But it’s a worth-noticing comparison. Maybe you could develop a little these ideas and in the same time you could give examples from your work and this would be “putting into practice” these concepts, which is exactly the idea intended in this course… Congratulations!（这个是看上去是夸奖其实是提了超多中肯建议的好人，而且看结尾他肯定给了我高分哈哈哈哈哈）
- Footsteps of 11