Topic: complexities and realities of Global Health
Implementing effective global health programs is a difficult task as there are complex issues involved. These issues arise from the distinctive barriers that exist in poor communities as well as from the fundamental complexity of the health care field. Despite efforts made to improve the global health, there are some barriers faced majorly in developing countries which can be grouped into two broad categories: infrastructural barriers and patients behavior. According to Dr. Manchanda’s book titled “the upstream doctors”, effective care for most illness requires understanding the social conditions of one’s patients, and this is true because patients are faced with various limitations that deter them from accessing good medical services. Fear, finance, cultural belief, distance to Health Centre or Hospitals, lack of awareness about treatment availability and benefits, and poor health outcome after treatment, are some of the major contributory factors that deter patients from accessing good medical services, thus, causing a decline in health status globally. Poverty is also a contributory factor especially in developing countries. This can be explained in patient’s inability to purchase drugs or hesitancy to seek proper medical attention due to lack of funds. These barriers can be tackled using the holistic response that includes both social and cultural approach. The means to achieve success is to involve local health care professionals, experienced health workers and local health workers. This is also essential for sustainability. In addition, for any change to occur there must be surveillance to ensure that patients adhere to their medications or treatment plan. However, limited resources can also be contributory factor for a poor outcome. Thus, a process evaluation of health services needs to be assessed in order