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Tales of treatment and new perspectives for global health research on antimicrobial resistance
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Haenssgen, Marco Johannes, Charoenboon, Nutcha, Thavethanutthanawin, Patthanan and Wibunjak, Kanokporn (2021) Tales of treatment and new perspectives for global health research on antimicrobial resistance. Medical Humanities, 47 (4). e10. doi:10.1136/medhum-2020-011894 ISSN 1468-215X.
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WRAP-Tales-treatment-new-perspectives-global-health-antimicrobial-Haenssgen-2020.pdf - Accepted Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (2201Kb) | Preview |
Official URL: https://doi.org/10.1136/medhum-2020-011894
Abstract
Global health champions modernism and biomedical knowledge but tends to neglect knowledge, beliefs, and identities of rural communities in low- and middle-income countries. The topic of antimicrobial resistance represents these common challenges, wherein the growing emphasis on public engagement offers a yet underdeveloped opportunity to generate perspectives and forms of knowledge that are not typically incorporated into research and policy. The medical humanities as an interdisciplinary approach to illness and health behaviour play a central role in cultivating this potential – in particular through the field’s emphasis on phenomenological and intersubjective approaches to knowledge generation and its interest in dialogue between medicine, the humanities, and the broader public.
We present a case study of public engagement that incorporates three medical humanities methods: participatory co-production, photographic storytelling, and dialogue between researchers and the public. Situated in the context of northern Thailand, we explore sub-cases on co-production workshops with villagers, tales of treatment shared by traditional healers, and dialogue surrounding artistic display in an international photo exhibition. Our starting assumption for the case study analysis was that co-produced local inputs can (and should) broaden the understanding of the socio-cultural context of antimicrobial resistance.
Our case study illustrates the potential of medical humanities methods in public engagement to foreground cultural knowledge, personal experience, and ‘lay’ sensemaking surrounding health systems, and healing (incl. medicine use). Among others, the engagement activities enabled us to formulate and test locally grounded hypotheses, gain new insights into the social configuration of treatment seeking, and reflect on the relationship between traditional healing and modern medicine in the context of antimicrobial resistance. We conclude that medical-humanities-informed forms of public engagement should become a standard component of global health research, but they require extensive evaluation to assess benefits and risks comprehensively.
| Item Type: | Journal Article | |||||||||
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| Subjects: | G Geography. Anthropology. Recreation > GN Anthropology H Social Sciences > H Social Sciences (General) R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Arts > School for Cross-faculty Studies Faculty of Arts > School for Cross-faculty Studies > Global Sustainable Development |
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| Library of Congress Subject Headings (LCSH): | Health education -- Thailand, Social medicine -- Thailand, Traditional medicine -- Thailand, Antibiotics | |||||||||
| Journal or Publication Title: | Medical Humanities | |||||||||
| Publisher: | B M J Group | |||||||||
| ISSN: | 1468-215X | |||||||||
| Official Date: | 24 November 2021 | |||||||||
| Dates: |
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| Volume: | 47 | |||||||||
| Number: | 4 | |||||||||
| Article Number: | e10 | |||||||||
| DOI: | 10.1136/medhum-2020-011894 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 10 September 2020 | |||||||||
| Date of first compliant Open Access: | 14 September 2020 | |||||||||
| RIOXX Funder/Project Grant: |
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