From Apathy to Structural Competency and the Right to Health: An Institutional Ethnography of a Maternal and Child Wellness Center

Vol 25/1, 2023, pp. 23-38  PDF Margaret Mary Downey and Ariana Thompson-Lastad Abstract Given the persistence of health inequities in the United States, scholars and health professionals alike have turned to the social determinants of health (SDH) framework to understand the overlapping factors that produce and shape these inequities. However, there is scant empirical literature on how frontline health and social service workers perceive and apply the SDH framework, or…

Food Security as a Social Determinant of Health: Tackling Inequalities in Primary Health Care in Spain

Vol 25/1, 2023, pp. 9-21  PDF Mireia Campanera, Mercè Gasull, and Mabel Gracia-Arnaiz Abstract Food insecurity can be understood as a manifestation of health inequality and thus a deprivation of the right to health. This paper explores the strategies followed in primary health care centers in Spain to care for people struggling to regularly access healthy, safe, and sufficient food. Ethnographically based, our study analyzes, on the one hand, the…

The Commoditization of Ecosystems within Chile’s Mapuche Territory: A Violation of the Human Right to Health

Vol 25/1, 2023, pp. 95-103  PDF Marcela Castro Garrido and Ana María Alarcón Abstract The Araucanía region of Chile is characterized by a significant rural Indigenous population—the Mapuche people—who preserve their cultural beliefs about the world around them. This region is also distinguished by the conflict between the Mapuche people and the Chilean government. The Chilean state has supported the development of extractive projects such as industrial plantations, hydroelectric plants,…

The Right to Health Care Viewed from the Indigenous Research Paradigm: Violations of the Rights of an Aymara Warmi in Chile’s Tarapacá Region

Vol 25/1, 2023, pp. 81-94  PDF Adimelia Moscoso, Carlos Piñones-Rivera, Rodrigo Arancibia, and Bárbara Quenaya Abstract This paper reflects on the right to health care from the Indigenous research paradigm. We analyze the case of an Aymara wise warmi (woman) who died after the Chilean health care system failed to provide culturally appropriate care. In the wake of her death, our cooperative launched an interdisciplinary and collaborative research project in…

Toward an Integrated Framework in Health and Human Rights Education: Transformative Pedagogies in Social Medicine, Collective Health, and Structural Competency

Vol 25/1, 2023, pp. 105-117  PDF Luis Martin Ortega, Michael J. Westerhaus, Amy Finnegan, Aarti Bhatt, Alex Olirus Owilli, Brian Turigye, and Youri Encelotti Louis Abstract Global health equity is at a historically tenuous nexus complicated by economic inequality, climate change, mass migration, racialized violence, and global pandemics. Social medicine, collective health, and structural competency are interdisciplinary fields with their own histories and fragmentary implementation in health equity movements situated…

Disability Justice as Part of Structural Competency: Infra/structures of Deafness, Cochlear Implantation, and Re/habilitation in India

Vol 25/1, 2023, pp. 39-50  PDF Michele Friedner Abstract In 2014, the Indian state revised a key program providing aids and appliances to disabled people to also include cochlear implants for children living below the poverty line. The program is remarkable in its targeting of the poorest of the poor to provide them with expensive technology made by multinational corporations and its development of new surgery and rehabilitation infrastructures throughout…

Growing Up Can be Hard to Do: Reimagining Structurally Supportive Pediatric-to-Adult Transitions of Care from a Rights-Based Perspective

Vol 25/1, 2023, pp. 51-65  PDF Michelle Munyikwa, Charles K. Hammond, Leanne Langmaid, and Leah Ratner Abstract Extended life expectancies and shifting dynamics in chronic disease have changed the landscape of public health interventions worldwide, with an increasing emphasis on chronic care. As a result, transition from pediatric to adult care for medically complex adolescents and young adults is a growing area of intervention. Transition medicine is a nascent field…

COMMENTARY  Global Voices for Global (Epistemic) Justice: Bringing to the Forefront Latin American Theoretical and Activist Contributions to the Pursuit of the Right to Health

Vol 25/1, 2023, pp. 137-147  PDF Paola M. Sesia The invitation by the Health and Human Rights Journal guest editors to provide a viewpoint essay for this special section comes just as we approach the first anniversary of Paul Farmer’s untimely passing. As the date nears, I am inevitably reminded of, and deeply inspired by, Farmer’s contributions and uncompromising commitment to global health equity, social justice, economic and social rights,…

A Call for Social Justice and for a Human Rights Approach with Regard to Mental Health in the Occupied Palestinian Territories

Volume 24/2, December 2022, pp. 305-318 |  PDF Maria Helbich and Samah Jabr Abstract This paper examines the process of depoliticization of mental health in the occupied Palestinian territories (oPt) and links it to a critical analysis of post-traumatic stress disorder and the role of international humanitarian aid. It is based on a human rights framework that focuses on the right to health and that is instrumental in connecting human rights violations to…

Ghummeida: Outdoor Play in a Militarized Zone

Volume 24/2, December 2022, pp. 293-304 |  PDF Nadera Shalhoub-Kevorkian and Razzan Quran  Abstract This paper connects two seemingly distinct subjects—the right to health and children’s play in contexts of a militarized settler colony. Following Ignacio Martín-Baró’s articulation of a critical psychology “of the people,” we outline the spatial and psychosocial economies of childhood outdoor play as forms of social and political determinants of health and human rights.[1] We offer an…