Can socio-cultural information improve health planning? A case study of Nepal's assistant nurse-midwife

Implementing global knowledge in local practice: a WHO lung health initiative in Nepal

“…These two factors hamper the utilization of clinical protocols and operational guidelines, although these tools are considered to be important and widespread in Nepal (Campbell et al 2003). In addition, high absenteeism and communication gaps between villagers and rural health workers, on the one hand, and the higher health authorities, on the other, play an important role (Justice 1983(Justice , 1984(Justice , 1986. Aitken (1994) presents an explanatory model for the functioning of district health services that shows 'two value systems or theories with entirely different aims and expectations.…”

Implementing global knowledge in local practice: a WHO lung health initiative in Nepal

“…These two factors hamper the utilization of clinical protocols and operational guidelines, although these tools are considered to be important and widespread in Nepal (Campbell et al 2003). In addition, high absenteeism and communication gaps between villagers and rural health workers, on the one hand, and the higher health authorities, on the other, play an important role (Justice 1983(Justice , 1984(Justice , 1986. Aitken (1994) presents an explanatory model for the functioning of district health services that shows 'two value systems or theories with entirely different aims and expectations.…”

Explaining a Complex Disease Process: Talking to Patients about Hansen's Disease (Leprosy) in Brazil

“…Several social scientists working in Brazil (Claro 1995; M. L. W. Oliveira et al 2003;Queiroz and Puntel 1997) and worldwide (Boonmongkon 1994;El-Hassan, Khalil, and El-Hassan 2002;Justice 1984;Lewis 1993;Weiss et al 1992) have contrasted folk or culture-specific models of Hansen's disease and of health/illness in general with biomedical models and have discussed some of the implications for outpatient treatment. In Brazil, I also identified many folk models of Hansen's disease, but I found that patients' cognitive or "explanatory models" (Kleinman 1988) are not static phenomena that are predictive of compliance or noncompliance; instead, these models tend to be quite flexible.…”

Politics, Practical Logic, and Primary Health Care in Rural Haiti

“…Anthropology, in this model, is a form of policy science that evaluates projects and suggests ways to improve them. Justice's research in Nepal is exemplary; she provides background cultural knowledge relevant to specific programs for training rural health workers and reorganizing primary-care services (Justice 1984(Justice , 1986. When the national health bureaucracy ignored her findings, Justice simply pursued the original goal at a higher level by investigating the culture of health bureaucrats, which inhibits innovation even when accurate ethnographic information is available (Justice 1987).…”

Implementing global knowledge in local practice: a WHO lung health initiative in Nepal

“…These two factors hamper the utilization of clinical protocols and operational guidelines, although these tools are considered to be important and widespread in Nepal (Campbell et al 2003). In addition, high absenteeism and communication gaps between villagers and rural health workers, on the one hand, and the higher health authorities, on the other, play an important role (Justice 1983(Justice , 1984(Justice , 1986. Aitken (1994) presents an explanatory model for the functioning of district health services that shows 'two value systems or theories with entirely different aims and expectations.…”

Explaining a Complex Disease Process: Talking to Patients about Hansen's Disease (Leprosy) in Brazil

“…Several social scientists working in Brazil (Claro 1995; M. L. W. Oliveira et al 2003;Queiroz and Puntel 1997) and worldwide (Boonmongkon 1994;El-Hassan, Khalil, and El-Hassan 2002;Justice 1984;Lewis 1993;Weiss et al 1992) have contrasted folk or culture-specific models of Hansen's disease and of health/illness in general with biomedical models and have discussed some of the implications for outpatient treatment. In Brazil, I also identified many folk models of Hansen's disease, but I found that patients' cognitive or "explanatory models" (Kleinman 1988) are not static phenomena that are predictive of compliance or noncompliance; instead, these models tend to be quite flexible.…”

Politics, Practical Logic, and Primary Health Care in Rural Haiti

“…Anthropology, in this model, is a form of policy science that evaluates projects and suggests ways to improve them. Justice's research in Nepal is exemplary; she provides background cultural knowledge relevant to specific programs for training rural health workers and reorganizing primary-care services (Justice 1984(Justice , 1986. When the national health bureaucracy ignored her findings, Justice simply pursued the original goal at a higher level by investigating the culture of health bureaucrats, which inhibits innovation even when accurate ethnographic information is available (Justice 1987).…”

Implementing global knowledge in local practice: a WHO lung health initiative in Nepal

“…These two factors hamper the utilization of clinical protocols and operational guidelines, although these tools are considered to be important and widespread in Nepal (Campbell et al 2003). In addition, high absenteeism and communication gaps between villagers and rural health workers, on the one hand, and the higher health authorities, on the other, play an important role (Justice 1983(Justice , 1984(Justice , 1986. Aitken (1994) presents an explanatory model for the functioning of district health services that shows 'two value systems or theories with entirely different aims and expectations.…”

Explaining a Complex Disease Process: Talking to Patients about Hansen's Disease (Leprosy) in Brazil

“…Several social scientists working in Brazil (Claro 1995; M. L. W. Oliveira et al 2003;Queiroz and Puntel 1997) and worldwide (Boonmongkon 1994;El-Hassan, Khalil, and El-Hassan 2002;Justice 1984;Lewis 1993;Weiss et al 1992) have contrasted folk or culture-specific models of Hansen's disease and of health/illness in general with biomedical models and have discussed some of the implications for outpatient treatment. In Brazil, I also identified many folk models of Hansen's disease, but I found that patients' cognitive or "explanatory models" (Kleinman 1988) are not static phenomena that are predictive of compliance or noncompliance; instead, these models tend to be quite flexible.…”

Politics, Practical Logic, and Primary Health Care in Rural Haiti

“…Anthropology, in this model, is a form of policy science that evaluates projects and suggests ways to improve them. Justice's research in Nepal is exemplary; she provides background cultural knowledge relevant to specific programs for training rural health workers and reorganizing primary-care services (Justice 1984(Justice , 1986. When the national health bureaucracy ignored her findings, Justice simply pursued the original goal at a higher level by investigating the culture of health bureaucrats, which inhibits innovation even when accurate ethnographic information is available (Justice 1987).…”