Delivering Health: Midwifery and Development in Mexico

I enjoyed reflecting on the theme of care in Delivering Health: Midwifery and Development in Mexico. I think something to take away from this reading is that it is important to expand the way we think about care. Systems of care are diverse and can exist in unconventional forms. They should not be confined to the biomedical context. Although this reading mainly focuses on maternal health, it is widely applicable to all forms of healthcare and non-health related care. This reading highlights three main aspects of care. First, there is more than one way to care for someone, and any “non-mainstream” forms of care can be equally as valuable as mainstream forms of care. Second, trust finds itself at the center of care. This is something I had never really considered but, as Dixon presented it in terms of health care and the patient-provider relationship, made so much sense. It makes sense outside of healthcare as well. When we need care, we tend to be vulnerable. Thus, we need that sense of trust to receive care from another person when we are in that vulnerable state. Third, people need agency in order to successfully participate in systems of care. Obviously there are extreme cases in which this wouldn’t apply. An unconscious person could not make a decision for themselves. But thinking in terms of chronic illnesses, people need to feel in control of their lives. They need to be able to make their own choices regarding their well-being. I think that tackling these three things will be important for any future improvements related to care. I think that normalizing and making unconventional systems of care more accessible is an easier task to tackle. But how can increasing trust and personal agency (things that I believe can look very unique from person to person) be accomplished by such large scale organizations, such as national governments, that deal with public health care?

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