Events
BRB 0253 Seminar Room
Penn Bioethics Seminar | Morgan Hoke, MPH, PhD
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2019-04-23 12:00:00
2019-04-23 13:00:00
America/New_York
Penn Bioethics Seminar | Morgan Hoke, MPH, PhD
Global health goals, local constraints: An ethnographic examination of maternal and child healthcare in a rural clinic in Southern Peru
A recent publication in Lancet Global Health highlights Peru’s success in addressing millennial development goals of lower infant and maternal mortality. Between 2000 and 2013, Peru boasted a 4.2%/year reduction in maternal mortality and a 6.2%/year reduction in infant mortality (Huicho et al., 2016). Improved provision of prenatal care, culturally sensitive provision of reproductive care, expanded health insurance, and social aid programs specifically a conditional cash transfer program known as JUNTOS, have been credited as the source of these successes. Despite improving statistics, health outcomes and the quality of care within a decentralized and highly neoliberal Peruvian public healthcare system are highly variable and unequal between care locations and providers. In this paper, we use clinic-based ethnography including surveys, clinic observations, and interviews with providers and healthcare recipients to assess the logics and practice of care, infrastructural constraints, and experience of women seeking reproductive care at a network of clinics and rural health outposts in the Southern Peruvian Andes. We argue that the combination of inadequate funding and precarious labor conditions for health staff – both highly dependent on meeting productivity goals - coupled with substantial local autonomy, creates the conditions leading to the provision of inadequate and insensitive care. The use of the local health center as a mechanism of surveillance to determine whether JUNTOS beneficiaries are meeting the eligibility requirements creates a lever through which staff can coerce patients to conform to conditions that aid staff and the clinic in meeting their goals for employment and funding (reducing their own precarity) but may ultimately reduce quality of care for patients.
Bio:
https://www.sas.upenn.edu/anthropology/people/morgan-hoke
BRB 0253 Seminar Room
Penn Medical Ethics
104 Stellar-Chance, 422 Curie Blvd Philadelphia, PA 19104 United States
Health Policy Work-in-Progress: Craig Fox, PhD
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2019-04-25 12:00:00
2019-04-25 13:00:00
America/New_York
Health Policy Work-in-Progress: Craig Fox, PhD
Harold Williams Professor of Management; Area Chair, Behavioral Decision Making; Professor of Psychology and Medicine, UCLA Anderson School
104 Stellar-Chance, 422 Curie Blvd Philadelphia, PA 19104 United States
Penn Medical Ethics
1402 Blockley Hall
Penn Bioethics Seminar | Ingrid Nembhard, PhD, MS
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2019-04-30 12:00:00
2019-04-30 13:00:00
America/New_York
Penn Bioethics Seminar | Ingrid Nembhard, PhD, MS
Abstract and bio forthcoming.
https://ldi.upenn.edu/expert/ingrid-nembhard-phd-ms
1402 Blockley Hall
Penn Medical Ethics
Austrian Auditorium, Clinical Research Building, 415 Curie Blvd.
Research Ethics and Policy Series (REPS) | Emily A. Largent, PhD, JD, RN
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2019-05-06 12:00:00
2019-05-06 13:00:00
America/New_York
Research Ethics and Policy Series (REPS) | Emily A. Largent, PhD, JD, RN
Offers of Payment for Research Participation
The federal regulations applicable to research with human subjects do not explicitly address offers of payment for research participation. Instead, they require that the consent process minimize the possibility of coercion and undue influence. Investigators and IRBs may keep offers of payment low to avoid these concerns, risking inadequate recruitment and insufficient recognition of research participants’ time and burden. Understanding the functions of payment to research participants and the role of the IRB helps to clarify that, from an ethical perspective, we ought to be less worried about payments that are too high and more worried about payments that are too low. Yet, even if higher payments are ethically appropriate, they may lead to practical concerns. How can participants be paid in a way that is fair and supportive of study goals?
Austrian Auditorium, Clinical Research Building, 415 Curie Blvd.
Penn Medical Ethics