The author used research from specific projects in different areas and compared them to come to a conclusion. They also used a number of articles and research papers to further support their work.
This has been referenced in a number of articles involving similar topics.
It is not addressed, but public health and the system of healthcare as a whole is discussed.
In Baltimore, researchers found that racism and poverty especially affected African Americans without insurance. In order to address this, they removed boundaries to care within the medical system and community so that poor patients could receive the care they needed without economic trouble. Along with this, they also established a system that relied on the community as a whole for care, taking the social stigma away from AIDS/HIV care and building ties as a whole. Within a few years, many disparities disappeared among the studied population.
Another study in rural Haiti was used to develop the PIH model of care. This model relies on an accompagnateur who is trained in drug delivery and supportive care. This allows care to be given within a village, not a clinic, and improves access to care. This model has worked to improve patient care and outcome in Haiti, Peru, and Boston.
In Rwanda, structural violence has perpetuated to transmission of disease from mother to child for decades. Access to resources such as clean water and formula, along with public health agencies promoting the merits of breastfeeding, have made it challenging to address MTCT. However, when researchers asked mothers if they would like these resources, they were eager to receive them and wanted to help in preventing further transmission.
The article addresses structural violence as a contributing factor in access to healthcare and ways to overcome certain cases. Structural violence is a term for social structures that are built to put a certain population in the way of harm. The article found that certain groups in the US and abroad have ingrained societal beliefs of healthcare and disease. Simply offering medical attention and services is not enough to fix issues. First the socioeconomic structures within a group must be changed.
The author used a combination of field-based research and article examination to produce their arguments and conclusions.