The disease control program is critical to the agenda of social justice. A generalist approach to the disease control program involves understanding its complexity and prevention from various perspectives, including ecological theory. The integration of the disease control program into the existing healthcare delivery system has been advocated over many decades, with an emphasis on the medical model of disease control. Integration has been widely considered as a means to achieve an effective and efficient health system. This approach has been widely adopted in low-middle-income countries to integrate vertical programs such as leprosy, malaria, HIV/AIDs, and others. However, studies suggest that there is a lack of evidence about the effectiveness of health system integration. The available evidence shows that integration of the health system can have a mixed, negative, or no impact on the health system. This growing enthusiasm toward health system integration is primarily based on the perceived benefits of an integrated approach. This discussion paper draws on the experience of the integration of the National Leprosy Elimination Program in India. It highlights the factors that affected the integration of leprosy programs in Bihar and also affected the pursuit of social justice for people who have been marginalized in our modern world.
The purpose of this article was to identify the social connection patterns, social network, and the level of trust and reciprocity (opportunity to give help and contribute) of the Chinese refugees in Glasgow, Scotland. Participatory exercises, such as social mapping and card sorting tasks, were conducted with 15 participants. Interviews with two staff members of the Chinese Community Development Partnership (CCDP), a local voluntary organization, were conducted to elicit information about this population. Key findings include a low awareness of formal services in the host country, strong bonding with friends from their ethnic group for some participants, lack of trust and engagement, and overall lack of opportunity to give reciprocal help in the host country. Strong bonds within the same ethnic group do not necessarily lead to strong bridging and linking capital for the participants, as Putnam (2000) suggested. On the contrary, it might perpetuate isolation and lack of access to information in the local community. Findings can shed light for the government and agencies to come up with practical strategies to enhance social development with more extensive resources and services for this population.
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