Environment and Public Health Research

Swings and slippery slopes: Reflecting on processes of higher education curriculum in the space of globalization and a pandemic

Rob Townsend — 2024-03-06

The Asia-Pacific is the most expansive region for social services and health care, ranging from New Zealand in the south to the border of the Russian Federation in the north. Professional education in human services, social work, and allied health is rapidly expanding in this region and globally as the power and influence around these professions ‘swings’ between different countries in the region. The globalization of social and health care issues is challenging professional higher education and accreditation processes to adjust to producing education graduates who are global professionals, multi-lingual, culturally responsive, and able to work in diverse community contexts and within the ‘slippery slopes’ of social and economic change. This article explores the development of a new social work curriculum and course for an international higher education provider that was implemented in 2022 and aims to meet the challenges of intercultural learning and skills development in the new plural-lingual and fragmented global contexts. The ethnographic study reveals that education organizations and educators can advocate for and develop globalized, internationalized social work and social care curricula in this unsteady context when supported to do so by regulatory authorities.

Joking relationships and humor among the Yorùbá of southwestern Nigeria in the twenty-first century

Enoch Olujide Gbadegesin — 2024-07-22

I argue that compromises are reached, and interpersonal relationships are negotiated and maintained among the Yorùbá people through joking relationships. I raise questions on how and when joking relationships can lead to interpersonal, interethnic or intra-ethnic conflict, inclusion or exclusion and the socio-cultural and legal consequences that these could generate. I use the hermeneutic and phenomenological methods to determine the impact of joking relationships on the violent crises that have characterized the twenty-first century Nigerian society. I conclude that whereas joking relationships are still socially acceptable Yoruba patterns of behaviour which have served the people well, the freedom that this practice enjoyed in the ancient times may now be coming under social and legal pressure in the socially and religiously sensitive modern Yorùbá and pan-Nigerian societies. However, the vacuum that may be created if joking relationship were to disappear may be filled by socially dysfunctional outcomes including depression and suicide.

Reconciling patent rights and the human right to access to essential medicines: A critical review

Bhavna Mahadew — 2024-11-19

Over 80% of the world’s population lives in developing nations, with limited access to medicines like AIDS and malaria. Competition between patented and generic medications can improve access and lower prices, but counterfeit medicines should be avoided. The Doha Declaration, released at the World Trade Organisation Ministerial Conference in 2001, aims to support nations’ rights to safeguard public health and encourage access to medicines. It aims to influence the interpretation and application of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS Agreement) in a manner that is health-friendly, considering the responsibility of nations to uphold health rights under international law. The Declaration calls for developed nations to encourage practical solutions for poor people in developing countries, emphasizing that trade agreements should be secondary to defending human rights and achieving the best quality of health for all. International human rights treaties protect the universal human right to health, but rigid trade agreements on patents can hinder affordable medication for low-income populations in developing nations. TRIPS, a treaty that protects intellectual property rights and promotes technological innovation, aims to provide inexpensive medications for HIV/AIDS patients through exclusions from patent admissibility, exceptions, parallel importing, and compulsory licensing.

Report on the South Eastern New South Wales Primary Health Network

Alan Silburn — 2024-11-20

In response to the evolving healthcare challenges in South Eastern New South Wales, this report outlines a strategic framework for enhancing the region’s health services. Established under Australia’s Primary Health Networks, the South Eastern New South Wales Primary Health Networks aims to address significant health concerns and issues identified including high rates of potentially preventable hospitalisations, increasing chronic conditions, mental health crises, rising substance abuse, and inadequate culturally tailored health services. This report proposes four evidence-based recommendations: shifting chronic condition management to pre-hospital settings, enhancing emergency departments with 24-h mental health coverage, implementing a universal substance use screening tool, and redesigning culturally appropriate services. These recommendations are evaluated based on Duckett and Willcox’s criteria for an ideal health system, aiming to improve service efficiency, equity, quality, and acceptability.