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What do you think is the biggest difference between the ocean perspective and the land perspective?

1) “Repeatedly, I have been surprised by the impact that even lightly sketched case histories can have on readers.”

2) “But even the manifesto conceded that less formal expertise would remain important in the areas of practice that had not been subject to high-level testing. THAT confession covers much of the territory.”

1)            Factors affecting disease (HIV/AIDS) outcome in different biosocial settings are radically different despite similar, established “risk-factors” in lifestyles/behaviors for individuals. This is because biosocial factors play an important role that is far often overlooked by current medical systems and policies.

2)            mother-to-child transmission (MTCT) of HIV, antiretroviral therapy (ART) and infant formula (preventing pediatric aids transmission through mother). MTCT of HIV is driven through universal breastfeeding being mainly pushed by the existing medical structures of the local and international healthcare policy makers. They claimed that the difficulty giving access to infant formula in rural areas and stigma around signing up for an HIV project doomed it to failure; however the projects in Rwanda and Haiti proved otherwise, when the structural “violence” was addressed. This was done mainly by giving both distal and proximal support and care as well as addressing the other social-economic barriers to good medical care in these communities.

3)            When locals, who are much more aware of the areas biosocial setting, implications and problems, are utilized in the medical system, the results are multifold. Proximal care provided by an accompagnateur not only reduces barriers to care such as traveling to a hospital for basic medicine, but also creates jobs that contribute to raising the quality of life which is another major factor when examining structural “violence”.