Language, Medical Auxiliaries, and the Re-interpretation of Missionary Medicine in Colonial Mwinilunga, Zambia, 1922–511

Kalusa, Walima T.

doi:10.1080/17531050701218841

Cited by 19 publications

(8 citation statements)

References 14 publications

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“…It was recognized, from the time of Mozambican [16,17] and Zambian independence [18], and even before [19-21], that there was a need to develop health services with less skilled trained cadres, such as auxiliary health workers or even traditional personnel such as traditional birth attendants [22,23]. This justification was that many activities of doctors and nurses could be carried out at a lower cost by persons with shorter training, which allows for faster entry into the labour market and is significantly cheaper.…”

Section: Discussionmentioning

confidence: 99%

Task-shifting: experiences and opinions of health workers in Mozambique and Zambia

et al. 2012

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BackgroundThis paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers.MethodsData collection involved individual and group interviews and focus group discussions with health workers from the civil service.ResultsIn both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions.The “out of professional scope” activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting.ConclusionsOur observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff) and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management.

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Section: Discussionmentioning

confidence: 99%

Task-shifting: experiences and opinions of health workers in Mozambique and Zambia

et al. 2012

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“…54 Learning and speaking peoples' language makes the agents of evangelization to be accepted and appreciated. 55 The MHM were able to permeate peoples' culture and create a greater understanding of the people, which promoted integration and greater tolerance. The FGD of the Sisters of Mary of Kakamega observed that people were attracted to the missions because they were surprised to see a white "musungu" missionary speak their language.…”

Section: Discussion and Findingsmentioning

confidence: 99%

Untitled

2023

AJHIS

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Reviewers' Board Click Here v President's Message All ATINER's publications including its e-journals are open access without any costs (submission, processing, publishing, open access paid by authors, open access paid by readers etc.) and is independent of presentations at any of the many small events (conferences, symposiums, forums, colloquiums, courses, roundtable discussions) organized by ATINER throughout the year and entail significant costs of participating. The intellectual property rights of the submitting papers remain with the author. Before you submit, please make sure your paper meets the basic academic standards, which includes proper English. Some articles will be selected from the numerous papers that have been presented at the various annual international academic conferences organized by the different divisions and units of the Athens Institute for Education andResearch. The plethora of papers presented every year will enable the editorial board of each journal to select the best, and in so doing produce a top-quality academic journal. In addition to papers presented, ATINER will encourage the independent submission of papers to be evaluated for publication.The current issue is the fourth of the ninth volume of the Athens Journal of History (AJHIS), published by the History Unit of ATINER.

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“…Yet recent research has complicated such dichotomies. For example, Walima Kalusa uses Zambian archives and interviews to suggest that in colonial Mwinilunga, indigenous auxiliaries at one missionary hospital translated concepts and practices of medicine in terms of local grammar, etiologies, and practices (Kalusa, 2007, p. 60).…”

Section: From Colonial Medicine To Global Healthmentioning

confidence: 99%

Health for all?: Histories of international and global health

Brazelton

2021

History Compass

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This essay presents a survey of recent work in the history of international and global health from the mid-nineteenth to the early twenty-first centuries. It considers longstanding narratives alongside recent studies that have deployed approaches consonant with scholarship in the emerging global history of science and medicine. The cumulative impact of this work is to show how the history of international health has long been embedded in colonial landscapes of power, even as it also fostered revolutionary nationalism and grew from anti-colonial socialist internationalism; and how the absence, as well as presence, of intervention has shaped understandings of global health in recent decades.

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Language, Medical Auxiliaries, and the Re-interpretation of Missionary Medicine in Colonial Mwinilunga, Zambia, 1922–511

Cited by 19 publications

References 14 publications

Task-shifting: experiences and opinions of health workers in Mozambique and Zambia

Task-shifting: experiences and opinions of health workers in Mozambique and Zambia

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Health for all?: Histories of international and global health

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