Wednesday, October 31, 2012

Changes once again...

After thinking through the papers I've read on communities, resilience, and systems, I've decided, once again, to change my paper topic.  I think it would be a valuable exercise to identify real health problems of a country or region and use the ideas of community, resilience, and systems to guide research about possible solutions.  I thought it would be best to switch focus from sub-Saharan Africa to Nicaragua, because my prior knowledge and experience there can better guide the research.

Here are my new objectives for the paper:
  • Identify key health problems in Nicaragua
    • Child mortality, maternal mortality, malnutrition, etc.
    • Focus on Atlantic region- consistently shows poorer health based on indicators
  • Explore the underlying causes
    • ethnic divide between Atlantic coast and Central/Pacific
    • Less densely populated
    • Political history
    • Infrastructure
    • loss of indigenous health knowledge
  • Examine innovative ways health problems have been addressed
    • community based approach
    • Food security
    • Millennium development villages
    • lentils for immunizations in India
    • Community health workers
  • Suggest possible policy solutions for the health issues in Nicaragua
The research will be guided by the ideas of resilience, community, and systems, so the literature review and background readings will serve the same purpose as in my last proposal.

It may seem late to change my topic now, but I already feel like I have a better grasp on this.  I originally picked an area of the world I'm not as familiar with, but decided my paper could go more in depth if I focus on an area I'm more familiar with.  I'm working on updated my abstract/literature review to reflect this change and have some background research done on Nicaragua's health status.

1 comment:

  1. Change of topic makes sense to me.

    This afternoon we’ll discuss Sandy, East Coast resilience (levels of functioning and bounce back) and scale (emergency policy, planned response, and execution – the actual practice). You might listen to this interview (Sandy Underscores Debate Over Gov’ts Role) of Craig Fugate (FEMA) by Steve Inskeep (NPR journalist). It’s NPR Morning Edition (10/31/2012).

    As you listen, think of identifying critical systems (infrastructure), patterns of interdependencies, normal/breakdowns in interaction, and restorations (emergence of new, higher levels of functioning). Note in particular two quotes from Fugate: “Better to be fast than to be late.”; “Federal gov’t not a national gov’t, works as part of a team.”

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