9/24 Meeting Notes

AAA Presentation and Paper for Publication

Session Date & Time:  11/18/2010, 10:15:00AM - 12:00:00PM

Schedule of Meetings

[2^nd and 4^th Friday @ 1 PM]

10/8

10/22

11/12

Note: We might want to consider meeting on November 4^th as well, depending on how the work is going.

Tasks:

ALL: Stay current on research memos…possibly post on blog…

John:

1. High Level, broad literature review/synthesis of the state involvement in healthcare

Jean:

1. Ecuador health policy research
2. Gather four years of field school data for coding by SS and SN
3. De-identify all field school data

Susanna and Sarah:

1. Code Interviews
2. Code field notes
3. Read Teetering on the Rim 

Central Argument

Reaction to neoliberalism and development paradigm of last 20 years and structural adjustment of 80s and 90s, gutted the power of the state and the handing over to NGOs

NGOs, privatization and growth of civil society

PSRP programs and processes push back, socialist governments,

Co-opting techniques and strategies of NGOs and public health to fit health care models to the local context

Not going back to Alma Ata exactly but incorporating what we have learned from the past twenty years of including indigenous practices

                Health care for everyone, social justice, push back

                Same level of care even in rural areas

                Ropes and parteras in the delivery rooms, bringing local healers into the planning process

Thesis: Data from this study through several years to examine how the state is taking back right and responsibility for health care through reengagement with the primary health care model

Through 30 years of work with PHC since Alma Ata and NGO experience and how they have absorbed those lessons in their efforts to reengage with PHC

New Codes

• Actors
• The state
• Local healers
• NGOs
• Government paid health care providers (Tena and Yachana)
• Local populace
• Reengagement of PHC
• Incorporation of best practices
• Blending of tradition and modern medicine
• Health equity
• Yachana
• Health Transition (from old code book)
• C ommunity Context (economics, agriculture, oil exploitation, migration, urbanization)
• Local history of health care