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ciera.williams

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. 

pece_annotation_1473631662

ciera.williams

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.