Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy

Minority populations in the world are permanently challenged with unequal living and working conditions in their daily lives that compromise their access to needed clinical and preventive services. When we discuss the health-care conditions for minorities, we must address the social determinants of...

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Main Authors: Vijay Kumar Chattu, Mario O Laplume, Soosanna Kumary
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=4;spage=716;epage=720;aulast=Chattu
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author Vijay Kumar Chattu
Mario O Laplume
Soosanna Kumary
author_facet Vijay Kumar Chattu
Mario O Laplume
Soosanna Kumary
author_sort Vijay Kumar Chattu
collection DOAJ
description Minority populations in the world are permanently challenged with unequal living and working conditions in their daily lives that compromise their access to needed clinical and preventive services. When we discuss the health-care conditions for minorities, we must address the social determinants of access that are ultimately determined by the policies and politics of the governments. Renowned experts of quality in healthcare have been critical of the current design and implementation of randomized clinical trials, the gold standard of clinical research because they believe that they often, but not always, presume a linear, mechanistic system when in fact improvement in health care takes place within complex adaptive systems that evolve. The combined action of ignorance and prejudice can impair the efficient recruitment and retaining of “different people” like hispanics and transgender that have long suffered discrimination in their access to health-care services in spite that they are more prone to have chronic conditions. Even though the incidence of AIDS has decreased in the general population during the past two decades, it is continuing in the gay population due to educational issues, discrimination in health-care access and lack of proper public and private funding for the life-saving retroviral medication. The declaration of the “International Conference on Health Promotion” sponsored by PAHO in Colombia in 1992 have emphasized the aim of reducing differences in health status as well as ensuring equal opportunities and resources to enable all people to achieve their full health potential. Through the entreaties of the Global Health Diplomacy, the resiliently hardcore issues of discrimination and marginalization must be addressed by encouraging public policies that guarantee equity and ensure access for the most socially castigated groups.
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spelling doaj.art-abf7361a7c434f12bf89ec7c19c292262022-12-22T00:27:35ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632017-01-016471672010.4103/jfmpc.jfmpc_74_17Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacyVijay Kumar ChattuMario O LaplumeSoosanna KumaryMinority populations in the world are permanently challenged with unequal living and working conditions in their daily lives that compromise their access to needed clinical and preventive services. When we discuss the health-care conditions for minorities, we must address the social determinants of access that are ultimately determined by the policies and politics of the governments. Renowned experts of quality in healthcare have been critical of the current design and implementation of randomized clinical trials, the gold standard of clinical research because they believe that they often, but not always, presume a linear, mechanistic system when in fact improvement in health care takes place within complex adaptive systems that evolve. The combined action of ignorance and prejudice can impair the efficient recruitment and retaining of “different people” like hispanics and transgender that have long suffered discrimination in their access to health-care services in spite that they are more prone to have chronic conditions. Even though the incidence of AIDS has decreased in the general population during the past two decades, it is continuing in the gay population due to educational issues, discrimination in health-care access and lack of proper public and private funding for the life-saving retroviral medication. The declaration of the “International Conference on Health Promotion” sponsored by PAHO in Colombia in 1992 have emphasized the aim of reducing differences in health status as well as ensuring equal opportunities and resources to enable all people to achieve their full health potential. Through the entreaties of the Global Health Diplomacy, the resiliently hardcore issues of discrimination and marginalization must be addressed by encouraging public policies that guarantee equity and ensure access for the most socially castigated groups.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=4;spage=716;epage=720;aulast=ChattuEqualityequityglobal health diplomacyhispanicssocial determinantstransgender
spellingShingle Vijay Kumar Chattu
Mario O Laplume
Soosanna Kumary
Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
Journal of Family Medicine and Primary Care
Equality
equity
global health diplomacy
hispanics
social determinants
transgender
title Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
title_full Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
title_fullStr Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
title_full_unstemmed Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
title_short Time for the two-spirits: Shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
title_sort time for the two spirits shaping the inclusive policy environment for hispanics and transgenders through global health diplomacy
topic Equality
equity
global health diplomacy
hispanics
social determinants
transgender
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=4;spage=716;epage=720;aulast=Chattu
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AT marioolaplume timeforthetwospiritsshapingtheinclusivepolicyenvironmentforhispanicsandtransgendersthroughglobalhealthdiplomacy
AT soosannakumary timeforthetwospiritsshapingtheinclusivepolicyenvironmentforhispanicsandtransgendersthroughglobalhealthdiplomacy