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margauxf

The Global Burden of Disease (GBD) study that the authors reference and model their call to action around is the worlds' largest scientific effort to quantify trends in health. It is lead by the Institute foe Health Metrics and Evaluation (IHME) at the University of Washington. It began in 1990 as a World Bank-commissioned study and is known for having introduced the disability-adujusted life year (DALY) as a new metric to quantify the burden of disease, injuries, and risk factors (or determinants), and enable comparisons. 

The 1990s were  a turning point for global health structures of governance and knowledge production, which the GBD study exemplifies. Global health experts began increasingly reframing health and healthcare in technical terms like DALY, removing health from public governance in ways that complemented and bolstered structural adjustment policies that were introduced in the 1980s (Janes 2004). As a result of these policies, the size, scope and reach of healthcare delivery and public health services were steadily reduced and downgraded. Anthropologists have been critical of these processes and other perceived failures in global health: the collapse of primary care initiatives fostered at Alma Ata in 1978, the resurgence of selective forms of primary care and vertical public health programs, and the ascendency of the World Bank as the principal health policymaking institution (Janes 2004, 2009).

Janes, Craig R (2004). "Going global in century XXI: medical anthropology and the new primary health care." Human Organization 63, no. 4: 457-471.

Janes, C. R., & Corbett, K. K. (2009). Anthropology and global health. Annual Review of Anthropology, 38, 167–183. doi:10.1146/annurev-anthro-091908-164314

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erin_tuttle

The educational program in Haiti organized by Handicap International aims to train citizens of Haiti for careers as rehabilitation technicians and orthopedic technicians. The program is designed to provide a recognized degree allowing graduates to work as technicians under the supervision of physical therapists and orthopedic doctors. 

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erin_tuttle

Handicap International brings aid to places dealing with the aftermath of natural disasters. In this case the Rehabilitiation Technicians pogram was created in response to the 2010 earthquake in Haiti, during which thousands of Hatians needed orthopedic rehabilitation or prosthetics and there was a significant shortange of specialized medical professionals. The program was created to respond to the need for rehabilitation professionals to deal with the immediate aftermath of the earthquake and the continuing care of those permanently disabled.

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erin_tuttle

This program is one of many run by Handicap International, and supported by the United States Agency for International Development. The program was run at Healing Hands for Haiti (http://www.haitilibre.com/en/news-14990-haiti-health-first-in-haiti-tra…), with instructors from the Universidad de Don Bosco in El Salvador. 

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erin_tuttle

The program is devided into two degrees with different requirements, the rehabilitation technician degree is 18 months or in-class instruction and practical experience while the orthopedics technician degree is 2 years. Hatian citizens over the age of 18 are allowed to take the course. At the end of both courses the students must pass the International Society of Prosthetics and Orthotics Exam to graduate.