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- W2282714892 abstract "Interventions intended to improve health are complicated by the ethical question of what to do when these interventions interfere with local cultural practices and beliefs. There are several possible approaches to the problems although they tend to presume interventions that counter practices and beliefs that individuals themselves can change (e.g. that pregnant women can stop smoking). The example that follows considers a slightly different aspect of this question namely what is the range of appropriate options for outside groups and concerned public health professionals when local health personnel are themselves the ones obstructing an intervention? While this example is complicated by legal and political issues of national sovereignty the question remains as to what ethically can be done to facilitate a health intervention when societal practices (e.g. forms of patron-clientage private use of public funds) lead health workers to undermine this process. The example to be considered is that of the 1996 cerebrospinal meningitis (CSM) epidemic in northern Nigeria. In this case there was no need to change individual patients’ behaviour since people willingly went for immunization and treatment. Rather it was individuals in the public health care sector who sometimes prevented timely and effective prophylaxis and treatment during the height of the epidemic. The question of intervention is relevant here both for public health professionals within Nigeria and for health organizations such as WHO and Medecins sans frontieres (MSF) both of which had a role in providing and administering CSM vaccines as well as in monitoring the course of the epidemic during the period from January to May 1996. The following incident described by public health personnel from Ahmadu Bello University Teaching Hospital Zaria illustrates the particular ethical questions involved. (excerpt)" @default.
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- W2282714892 date "1997-04-01" @default.
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- W2282714892 title "The limits to health intervention." @default.
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