Alshamari Abu Nadi, Ferial (2013) Health inequalities and the right to healthcare of Negev Bedouin in Israel with diabetes : a case study of a marginalized Arab indigenous minority. PhD thesis, University of Warwick.
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Abstract
Health Inequalities and the Right to Healthcare of Negev Bedouin in Israel with
Diabetes: A case study of a Marginalized Arab Indigenous Minority
Diabetes is one of the world’s most pervasive chronic diseases and there are high
rates of prevalence in the Arab world and amongst indigenous peoples. It is
widespread amongst older Bedouin in the Negev, who are a marginalized Arab
indigenous minority in Israel.
This is a multi-method case study using non participant observation in clinic
settings, analysis of medical records and semi-structured interviews in a Health
Centre and Hospital Outpatient Clinic and household interviews. The fieldwork
took place over eight months in 2007. Statistical analysis was done using SPSS and
thematic qualitative analysis was conducted using NVIVO 7 with supplementary
manual analysis.
The conceptual frameworks used are the right to heath and health care approach as
set out in UN Special Comment 14 in relation to the availability, accessibility
acceptability and quality of health care, as well as neo materialist, materialist and
socio-behavioural explanations of health inequalities linked to lay and professional
explanatory models of illness.
The findings show that there are limitations on the right to health care in terms of
availability of clinics and clinic hours, accessibility in terms of distance, language,
cost, and information, acceptability in terms of linguistic and cultural differences between staff and patients and quality in terms of medical records, monitoring and
appropriate context specific lifestyle advice. The issue of non-discriminatory care
needs to be addressed. Explanatory models of illness used by Bedouin and health
professionals differ although both reflect awareness of changing lifestyles. These
models link to explanations of health inequalities. There are gender differences in
how Bedouin men and women understand and live with diabetes which is related to
their social status and circumstances.
Some aspects of the findings are generalisable to Bedouin in the Arab world and to
indigenous peoples in relation to health care provision, health inequalities and
explanatory models. However, there were specific areas of health care provision that
related to the marginalized minority status and situation of this population in Israel
which needs to be addressed and the rights to health and health care framework
provides a potential means of monitoring improvement.
| Item Type: | Thesis [via Doctoral College] (PhD) |
|---|---|
| Subjects: | D History General and Old World > DS Asia R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Library of Congress Subject Headings (LCSH): | Health status indicators -- Israel -- Negev, Bedouins -- Health and hygiene -- Israel -- Negev, Diabetics -- Medical care -- Israel -- Negev, Discrimination in medical care -- Israel -- Negev |
| Official Date: | 2013 |
| Institution: | University of Warwick |
| Theses Department: | Warwick Medical School |
| Thesis Type: | PhD |
| Publication Status: | Unpublished |
| Supervisor(s)/Advisor: | Lewando Hundt, Gillian; Blaxter, Loraine, 1945- |
| Sponsors: | University of Warwick; Cohen Charitable Trust; Batsheva de Rothschild Foundation for the Advancement of Science in Israel |
| Extent: | 287 leaves. |
| Language: | eng |
| URI: | https://wrap.warwick.ac.uk/59612/ |
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